Assessment and Treatment of PTSD in the Older Patient

Topics: clonidine | Cognitive Behavioral Therapy | cognitive processing therapy | Eye movement desensitization and reprocessing | PCL-5 | Prazosin | Prolonged exposure | PTSD | screening | Trauma | Trauma-focused psychotherapy

Your patient, Jonathan, is a 71-year-old man with a history of depression. Two months ago, he was a passenger in a car accident in which the driver was killed. Now he reports sleeping poorly due to nightmares and complains about headaches and stomachaches. He tells you he can’t stop thinking about what happened and needs convincing to get into a car,

Exposure Therapy Efficacious for PTSD Co-Occurring With Alcohol Use Disorder

Topics: Addiction | Addiction Treatment | Alcohol | Alcohol Use | Alcohol use disorder | Alcoholism | Co-occurring disorders | Dual diagnosis | Prolonged exposure | Psychotherapy | PTSD | Research | Research Update | Substance Use | Substance use disorders

Review of: Norman SB et al, Efficacy 2019;76(8):791–799 Patients with co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) have worse outcomes compared to patients with either diagnosis alone. Integrated approaches, in which both diagnoses are simultaneously addressed, are viewed as best practice. Providers, however, are