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Enhancing Social Support May Improve Cognitive Processing Therapy Outcomes in Telemedicine for PTSD
Date posted: 06/10/2020
Topic: COVID-19
As we work to sustain and tailor our mental health services during the era of COVID-19 and think ahead to future clinical needs, clinicians are increasingly transitioning their care to telehealth modalities. The good news for health care providers is that telehealth-based delivery of gold-standard posttraumatic stress disorder (PTSD) treatments such as Cognitive Processing Therapy (CPT; Resick et al., 2017) has been shown to be no less effective than in-person delivery of care (Morland et al., 2014, 2015). Although CPT delivered remotely appears to be noninferior to in-person care, providers may be curious about which characteristics of individuals seeking to participate in CPT via telehealth might improve their outcomes. Malleable characteristics, such as the amount of social support an individual perceives they have, are of special interest if their enhancement might direct providers to specific treatment plans or targets. Although some research has shown social support can encourage greater reductions in PTSD symptoms (Price et al., 2018), individuals living in rural areas might have important differences that could change how social support benefits treatment. Therefore, we set out to evaluate the degree to which pre-existing perceived social support could enhance the effects of CPT for rural American military veterans participating in a pragmatic randomized effectiveness trial of telehealth-based collaborative care for PTSD (Fortney et al., 2015).
Clinician's Corner: How Trauma Specialists Can Care for Themselves and Support Colleagues During the COVID-19 Virus Outbreak
Date posted: 05/5/2020
Topic: COVID-19
The context of the COVID-19 pandemic places us in unique circumstances that call for flexible and creative ways to help ourselves and each other. Nearly half of Americans polled by Kaiser recently reported that the coronavirus crisis was harming their mental health, the disaster distress hotline had a 1,000% increase in number of calls in April compared with the same time last year, and the online therapy service Talkspace reported a 65% jump in clients, mostly dominated by COVID-19 anxiety (Wan, 2020).
Continuing to Deliver Gold-Standard Treatment: Cognitive Processing Therapy during COVID-19
Date posted: 05/17/2020
Topic: COVID-19
In response to COVID-19, mental health providers have had to quickly and creatively adapt treatment delivery, with many transitioning to telehealth. Like those in other professions, many clinicians have likely found the shift to video-based work challenging (e.g., Jiang, 2020; Skalar, 2020). With the stress of using a new treatment delivery format, there is a risk of drift from evidence-based practice. However, this need not be the case.
Trauma and World Literature: Transforming Despair
Date posted: 05/4/2020
Topic: COVID-19
As a psychotherapist and psychoanalyst, I’ve been listening to my clients’ reactions, as well as those of my family and friends, to the first couple of months of the COVID-19 crisis. Universally, people have been reacting to the “surreal” nature of this shared trauma.
Death Notification, Grief, and Posttraumatic Stress: Implications for COVID-19 Deaths
Date posted: 04/20/2020
Topic: COVID-19
Human Remains, Grief, and Posttraumatic Stress in Bereaved Family Members Fourteen Years after September 11, 2001, a forthcoming manuscript in the Journal of Traumatic Stress describes the mental health effects on 9/11-bereaved family members after being notified (often multiple times) that remains of their loved ones were identified. The recent, novel coronavirus (COVID-19) outbreak presents new and different challenges associated with death notification.
Student Perspectives: How to Care for Someone Who Recently Experienced A Traumatic Event: The Five Core Principles for Early Posttraumatic Interventions, According to Hobfoll and Colleagues
Date posted: 04/21/2020
Topic: COVID-19
According global epidemiology surveys, 70% of individuals will experience a traumatic event at some point during their lifetime. Unfortunately, exposure to a traumatic event such as a physical assault or a natural disaster either directly or as a witness can lead to mental health disturbances; specifically, acute stress disorder (ASD), posttraumatic stress disorder (PTSD), depression, anxiety and increased rates of suicide are frequently reported by trauma survivors.