Comparative Efficacy of Commonly Used Transcranial Magnetic Stimulation Clinical Protocols for Posttraumatic Stress Disorder and Depression
Posttraumatic stress disorder (PTSD) is highly prevalent among US Military Veterans and is often accompanied by major depressive disorder (Magruder et al., 2005). These disorders can significantly impact the social functioning, employment, and even physical health of Veterans (Kessler, 2000; Shalev et al., 2017). While medications and therapies have proven efficacious for the treatment of PTSD, many who undergo these treatments continue to experience symptoms and side effects (Watts et al., 2013). Increasingly, repetitive transcranial magnetic stimulation (rTMS) is being used to augment standard treatment.
Treating PTSD in the context of increased risk for suicide with cognitive processing therapy
Many providers experience reluctance to directly address trauma-related symptoms and disorders out of fear that they may push the client too far and trigger strong emotional reactions and/or behavioral dysregulation. This fear can be exacerbated for the significant portion of clients with posttraumatic stress disorder (PTSD) who also experience suicidal thoughts (SI) and behaviors.
Clinician's Corner: The Transcending Trauma Project, Part I: A Systemic Perspective Of Coping And Adaptation: The Inextricable Connection Between Individual And Family
Through the 1990s, the field of trauma studies focused almost exclusively on the negative sequelae of traumatic experiences. After extensive reading in the field of trauma and Holocaust studies, the Transcending Trauma study group found this to be untrue in our clinical practices and in our life experiences with survivors of the Holocaust. The team decided to address the absence of a fuller understanding of trauma’s impact—especially extreme trauma—by conducting an expanded qualitative interview-based research project with survivors of the Nazi Holocaust during World War II and their family members in the hope of gathering evidence for the development of a psychological conceptualization of how individuals and families cope differently with extreme trauma and how they rebuild their lives.
SIG Spotlight: Psychodynamic Research and Practice Special Interest Group
Modern concepts and treatments of psychological trauma are inextricably linked with the history of psychoanalysis and psychodynamic psychotherapy. Josef Breuer and Sigmund Freud’s first major psychoanalytic text, Studies on Hysteria
(1895) is the fountainhead of modern psychotherapy and centers on the hypothesis that many patients “… suffer mainly from reminiscences” of traumatic events. Although Breuer and Freud agreed that their patients could neither fully remember nor ever forget these wrenching experiences, they could not agree on why this was so. Instead, they framed fundamental questions about the nature of trauma, dissociation, conversion (a term which they coined for the Studies
), the biological and psychological bases for intrusive memories, and the process of recovery which ISTSS members continue to study and debate today.