Does Childhood Maltreatment Reduce Response to Antidepressant Treatment?

Topics: Antidepressants | child abuse | Trauma

Brian Miller, MD, PhD, MPH. Dr. Miller, author of this educational activity, receives research support from Augusta University; the National Institute of Mental Health; the Brain and Behavior Research Foundation; and the Stanley Medical Research Institute. Relevant financial relationships listed for the author have been mitigated. REVIEW OF

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,

Minimizing PTSD From Workplace Trauma

Topics: Debriefing | Nurses | post traumatic stress disorder | PTSD | Trauma | workplace

For staff on inpatient psychiatric units, the rate of posttraumatic stress disorder (PTSD) is around 9%, which is two to three times higher than the national prevalence rate of 3%–5%. Rates are higher if you work with forensic patients or if you’re a nurse. Nearly all (96%) psychiatric nurses have been directly or indirectly exposed to a critical ev

Using Equine-Assisted Psychotherapy

Topics: ADHD | Anxiety Disorder | Autism Spectrum Disorder | Equine Assisted Psychotherapy | Equine therapy | Free Articles | PTSD | Trauma

  Sylvia is 7 years old, referred for long-standing school refusal after CBT proved ineffective. You confer with her therapist about trying a different approach. When patients are not amenable to usual therapy, equine-assisted psychotherapy (EAP) might be a good option. In this article we’ll talk about working with horses as an alternative

Treating Pandemic-Associated Trauma in Children and Adolescents

Topics: COVID-19 | PTSD | ScreeninGeg | Suicidality | TFCBT | Trauma

CCPR: Tell us about your backgrounds. Dr. Steinberg: I’m the Associate Director of the National Center for Child Traumatic Stress at UCLA. Dr. Ahmadi: I’m Assistant Professor of Psychiatry at UCLA and Director of Family Trauma Distress at Olive View, and Dr. Steinberg and I worked together with colleagues to develop our UCLA Brief COVID-19 Screen

Principles of Trauma Informed Care

Topics: Adverse Childhood Experiences (ACES) | Assessment | Minority | pandemic | Toxic Stress | Trauma | Trauma Informed Care

Trauma is common and takes on many forms: abuse, neglect, disaster, displacement, and illness. According to the CDC, at least 1 in 7 children have experienced child abuse or neglect in the past year and, depending on the source, about 1 in 3 to 4 girls and 1 in 5 to 13 boys will experience childhood sexual abuse (www.cdc.gov/violenceprevention/childabus

Co-Occurring Addiction and PTSD

Topics: Addiction Treatment | Co-occurring disorders | PTSD | Substance Use Disorder | Trauma

CATR: We know PTSD often co-occurs with addiction. What should clinicians pay attention to? Dr. Vojvoda: Individuals who have PTSD have a high risk of developing other disorders, including substance use disorders (SUDs). Studies have shown that both in the veteran and non-veteran populations, these numbers are high. For example, one study of the genera

Two Negative Studies of Mirtazapine and Riluzole for PTSD in Veterans

Topics: Mirtazapine | PTSD | Randomized controlled trial | Research | Research Update | Riluzole | Trauma

Review of: Davis LL et al, J Clin Psychiatry 2020;81(6):20m13267; Spangler PT et al, J Clin Psychiatry 2020;81(6):20m13233 Type of Studies: Randomized, placebo-controlled trial; randomized controlled trial Medications for posttraumatic stress disorder (PTSD) don’t have a great track record, particularly in combat-related trauma. Prazosin, risperid

Shining a Light on PTSD

Topics: Complementary treatments | Light therapy | Lightbox | natural treatments | PTSD | Randomized controlled trial | Research | Research Update | Seasonal Affective Disorder | Trauma

Review of: Youngstedt SD et al, Mil Med 2021 (Epub ahead of print) Study type: Randomized, sham-controlled trial As stated in the previous brief, PTSD is difficult to treat, and numerous interventions for PTSD have failed with veterans. This study took a different approach; it is the first randomized controlled trial of light therapy for PTSD. Conduc

Practicalities of Providing Volunteer Services for Youth Refugees or Asylum Seekers

Topics: Family Separation | Free Articles | Registered Articles | Trauma

We hear of many children and adolescents who are refugees, most seeking asylum. There are calls for professionals to meet the needs of these people. How hard is it to do this—to take time off from regular practice to work in a different setting? It’s easier than you might think. However, is this kind of work as rewarding as people say? Can it be a r

Psychiatric Aspects of Mild Traumatic Brain Injury in Children and Adolescents

Topics: Child Psychiatry | Trauma

Editor’s note: Mild traumatic brain injury (mTBI) accounts for about 90% of all TBI cases in children and adolescents, or about 180 out of every 100,000 cases in the US. With 2 million cases between 2005 and 2009, we are seeing many patients who have TBI as part of their history. How does it affect them? What do we do about it? Dr. Jeffrey Max spoke o