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“Stuck Points” about Trauma-Focused Cognitive Behavior Therapy in Frontline Therapists
Date posted: 08/12/2022
Topic: Clinical Issues and Treatment
This blog conerns therapists' beliefs and attitudes about childhood trauma and trauma therapy that are unique to trauma-focused interventions like TF-CBT. Concerns about TF-CBT and childhood trauma treatment could potentially interfere with therapists’ learning and delivery of of the model. 
Do Gender Differences in Prescribing among Veterans with PTSD still Exist?
Date posted: 08/26/2022
Topic: Clinical Issues and Treatment
Women veterans with posttraumatic stress disorder (PTSD) have historically received more psychiatric medications relative to males. Even with increased rates of PTSD and greater numbers of comorbidities, these differences do not account for the gender differences observed in prescribing. 
Protecting those with the tough job that someone has to do
Date posted: 08/19/2022
Topic: Clinical Issues and Treatment
Through a cross-sectional survey of 3912 UK rail workers, this study examined rates of posttraumatic stress disorder (PTSD), complex PTSD (CPTSD), depression, and anxiety, as well as their relationship with key psychosocial hazards relevant to rail-industry workers, working conditions, individual factors, demographic characteristics, and the impact of the COVID-19 pandemic. 
Applying Behavioral Economics to Our Understanding of PTSD
Date posted: 07/1/2022
Topic: Clinical Issues and Treatment
As humans, we tend to seek and prefer simple explanations for our own behavior. Human behavior, however, rarely fits simple, linear patterns. If it did, many of us in psychological science would be out of a job. Behavioral economics is a metatheory that combines operant learning theory with microeconomics, and it is particularly helpful for theorizing about and explaining patterns of behavior that seem counterintuitive or complex. 
Clinician’s Corner: Revisiting the Topic of Sexual Boundary Violations by ‎Psychotherapists
StressPoints
Date posted: 07/28/2022
Topic: Clinical Issues and Treatment
Drs. Arlene (Lu) Steinberg, Judie Alpert, and I recently co-edited a book entitled Sexual Boundary Violations in Psychotherapy: Facing Transgressions, Indiscretions, and Misconduct (2021). The topic has not received much recent attention in the professional literature, not because it no longer happens, but because it has gone into one of those voids that so often occur with various trauma topics, especially those involving interpersonal violence and aversive sexual misbehavior. We decided to write the book in the context of the numerous disclosures of sexual boundary violations (SBVs) in professional relationships that were brought to public attention due to the #MeToo Movement. Quite a number of these reports involved sexual harassment and other types of transgressions on the part of mental health and other service professionals, and we sought to bring new attention to these issues. We set out to be different from other published books on sexual boundary violations in psychotherapy (most published in the 1970s, ‘80s, and ‘90s, with a couple recently), and sought to reach both mental health and other professionals and lay audiences as well as cover topics that have previously received little or no attention. By deliberate design, victim/survivor clients are given center stage in the book, with consideration of why those who report their abuse experiences are typically treated poorly, with suspicion, or outright disbelief, and are not deemed to be credible, even today.
Clinician’s Corner: Using Technology to Increase Reach of Exposure Therapy
StressPoints
Date posted: 07/28/2022
Topic: Clinical Issues and Treatment

The public health impact of posttraumatic stress disorder (PTSD) treatment is a function of efficacy and reach. Existing evidence-based treatments for PTSD such as exposure therapy are relatively high on the efficacy side of the equation but have very limited reach to those who may benefit from treatment. The evidence supporting the efficacy of exposure therapy to treat PTSD is extensive and robust; exposure is recommended as a first- line intervention by all major clinical practice guidelines (e.g., VA/DoD, 2017). And while there is certainly room to improve the efficacy of exposure therapy (and much ongoing research is currently being conducted in this vein), a most pressing issue is that exposure therapy is woefully underutilized and largely unavailable to most individuals with PTSD (e.g., Borah et al., 2017).  

Media Matters: The Impact of Negative Media Flooding on Mental Health
StressPoints
Date posted: 07/29/2022
Topic: Clinical Issues and Treatment
There has been increasing media coverage of mass violence and negative events throughout the world. With advancements in smartphone technology have come increased accessibility to media coverage. Not only are individuals able to access media almost anywhere, anytime, but they are also exposed to news via almost all social media platforms. While this increased accessibility to media and news coverage provides us with unlimited information, it could also be concerning because of the implications it can have on the mental health of readers or viewers, particularly given the wide reach of media coverage.
PTSD symptoms or number of life stressors: which is worse for cognitive performance?
Date posted: 07/9/2022
Topic: Clinical Issues and Treatment
Prior work has demonstrated that chronic stress is associated with cognitive dysfunction in the context of aging; However, has not sufficiently disentangled the role of stress exposures compared with posttraumatic stress disorder (PTSD) symptom severity on cognitive functioning. 
SIG Spotlight: New Horizons in Complex Trauma: The WHO ICD-11 Complex PTSD Diagnosis ‎
StressPoints
Date posted: 07/29/2022
Topic: Clinical Issues and Treatment
The inclusion of a complex PTSD (CPTSD) diagnosis in the World Health Organization’s (WHO) International Classification of Diseases (ICD) Revision 11 represents a milestone for those concerned with complex trauma. Survivors, clinicians, researchers, and other professionals have been advocating for this diagnosis for many years.
How does cannabis use relate to psychiatric problems, everyday functioning, and treatment engagement in U.S. military veterans with PTSD symptoms?
Date posted: 06/17/2022
Topic: Clinical Issues and Treatment
Despite the rise in cannabis products among adults with PTSD, the impact of cannabis use on symptoms is poorly understood, and even less is known about how cannabis use relates to other aspects of distress and functioning for individuals with PTSD. These are important considerations given that individuals with PTSD symptoms often also experience depression, anxiety, and suicidal ideation. 
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