Acute stress disorder psychotherapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Psychotherapy
Whereas 70% of those receiving supportive therapy or no therapy after a traumatic event develop PTSD, only about 10-20% of those who receive cognitive-behavioral therapy (CBT) shortly after such an event develop PTSD.[7, 8, 9, 10, 11, 12] Moreover, patients who receive CBT with or without hypnosis report less reexperiencing and fewer avoidance symptoms than patients who receive supportive counseling. Individuals are aided by the following:
Brief school intervention A brief school intervention lasts 1-2 hours and uses 4 therapists per class. A teacher is present, and parents are informed. The intervention includes the following steps:
Individuals are aided by the following:
Seeing that people are concerned about them Learning about the range of normal responses to trauma and hearing that their emotional reactions are normal responses to an abnormal event (rather than a sign of weakness or pathology) Being reminded to take care of concrete needs (eg, food, fluids, and rest) Cognitive restructuring (changing destructive schema to more constructive ones [see the Table below]) Learning relaxation techniques Undergoing exposure to avoided situations either via guided imagery and imagination or in vivo Desensitization to painful memories via repeated controlled exposures and systematic desensitization
Steps taken in Cognitive-behavioral therapy to help patients with ASD | Features |
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Seeing that people are concerned about them |
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Learning about the range of normal responses to trauma and hearing that their emotional reactions are normal responses to an abnormal event |
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Being reminded to take care of concrete needs such as food, fluids, and rest |
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Cognitive restructuring (eg, changing destructive schema to more constructive ones) |
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Learning relaxation techniques |
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Undergoing exposure to avoided situations either via guided imagery and imagination or in vivo |
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Desensitization to painful memories via repeated controlled exposures and systematic desensitization |