Evidence
Front Psychiatry. 2024 Apr 9;15:1356862. doi: 10.3389/fpsyt.2024.1356862. eCollection 2024.
ABSTRACT
While treatment guidelines agree on the first-line interventions for the treatment of posttraumatic stress disorder (PTSD), there is an ongoing debate between experts regarding the treatment of complex posttraumatic stress disorder (C-PTSD). As scientific research is slowly emerging, different treatment approaches are used in clinical practice This article aims to provide a set of treatment options for C-PTSD in adult survivors of repeated exposure to severe violence and abuse, both in childhood and later on in life. The developmental-contextual perspective on mental health forms the basis of this approach. This perspective is elaborated using the tree metaphor. Then, several treatment strategies are suggested. The presented strategies are a combination of the existing evidence-based approaches for the treatment of PTSD and personality disorders. They target psychological damage in survivors while taking their developmental trajectories and ecological environments into consideration. The treatment model presented is based on longstanding clinical practice and it may be a promising framework for treating C-PTSD. However, it still needs to be scientifically examined for acceptability and effectiveness.
PMID:38654731 | PMC:PMC11035878 | DOI:10.3389/fpsyt.2024.1356862
Add to Google Keep
Estimated reading time: 4 minute(s)
Latest: Psychiatryai.com #RAISR4D
Real-Time Evidence Search [Psychiatry]
Healing wounded trees: clinicians’ perspectives on treatment of complex posttraumatic stress disorder
🌐 90 Days
VR Related Evidence Matrix
- Posttraumatic stress disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity
- Neuroimaging of posttraumatic stress disorder in adults and youth: progress over the last decade on three leading questions of the field
- Cognitive-behavioural conjoint therapy versus prolonged exposure for PTSD in military service members and veterans: results and lessons from a randomized controlled trial
- Non-fear emotions in changes in posttraumatic stress disorder symptoms during treatment
- Profiles of posttraumatic stress disorder and negative world assumptions in treatment-seeking refugees
- Spirituality in the line of duty: Perspectives from first responders with acute posttraumatic stress disorder and alcohol use disorder
- Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review
- Skills training followed by either EMDR or narrative therapy for posttraumatic stress disorder in adult survivors of childhood abuse: a randomized controlled trial
- Emotion regulation and heart rate variability may identify the optimal posttraumatic stress disorder treatment: analyses from a randomized controlled trial
- Posttraumatic Stress Disorder in Our Migrant Youth
- Impact of three variants of prolonged exposure therapy on comorbid diagnoses in patients with childhood abuse-related PTSD
- The mediating role of posttraumatic stress disorder symptoms in pain cognitions among Veterans with chronic pain
- The lived experiences and treatment needs of women with opioid use disorder and posttraumatic stress symptoms: A mixed methods study of women and providers
- Treatment Gap in Mental Health Care for Victims of Road Traffic Accidents
- Posttraumatic stress disorder in people with dementia: study protocol
- How meaning in life and vitality are associated with posttrauma outcomes: A systematic review
- PTSD, depression, and treatment outcomes: A latent profile analysis among active duty personnel in a residential PTSD program
- Spirituality/Religion Among First Responders With and Without Posttraumatic Stress Disorder and Alcohol Misuse
- Posttraumatic stress and probable post traumatic stress disorder as it relates to smoking behavior and beliefs among trauma exposed hispanic persons who smoke
- The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
- The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
- Can Baseline Patient Clinical and Demographic Characteristics Predict Response to Early Posttraumatic Stress Disorder Interventions After Physical Injury?
- Post-traumatic stress disorder in a national sample of preadolescent children 9 to 10 years old: Prevalence, correlates, clinical sequelae, and treatment utilization
- Meta-emotion therapy for complex trauma and binge eating: A case study
- Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness
- When one tool is not enough: An integrative psychotherapeutic approach to treating complex PTSD
- Cannabis use and trauma-focused treatment for co-occurring posttraumatic stress disorder and substance use disorders: A meta-analysis of individual patient data
- Sex Differences in the Relationship Between School Bullying Victimization and Complex Posttraumatic Stress Disorder: The Roles of Insecure Attachment
- Heart rate reactivity during trauma recall as a predictor of treatment outcome in cognitive processing therapy for PTSD
- Sleep Disturbances Associated With Posttraumatic Stress Disorder
- Examining veterans' preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?
- A two-item screening of maternal or infant perceived life threat during childbirth prospectively associated with childbirth-related posttraumatic stress symptoms up to six months postpartum: two observational longitudinal studies
- Linguistic and affective characteristics of script-driven imagery for adults with posttraumatic stress order: Associations with clinical outcomes during deep transcranial magnetic stimulation
- A phase 3, randomized, placebo-controlled, trial to evaluate the efficacy and safety of bedtime sublingual cyclobenzaprine (TNX-102 SL) in military-related posttraumatic stress disorder
- Paradoxical effect of anti-inflammatory drugs on IL-6 mRNA expression in patients with PTSD during treatment
- Epistasis in neurotransmitter receptors linked to posttraumatic stress disorder and major depressive disorder comorbidity in traumatized Chinese
- Posttraumatic stress disorder symptoms and posttraumatic growth among college students with a history of childhood maltreatment in China: A latent profile analysis
- An examination of the potential core symptoms of posttraumatic stress disorder: What is integral after removing general psychopathology & distress?
- A pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder
- Comparing effectiveness of residential versus intensive virtual treatment for veterans with posttraumatic stress disorder
- Impact of PTSD treatment on postconcussive symptoms in veterans: A comparison of sertraline, prolonged exposure, and their combination
- Mental health in genocide: Balancing between posttraumatic distress and growth among displaced Yazidi mothers
- Prevalence, Predictors, and the Role of Social Support in Posttraumatic Stress Disorder Among Cancer Patients in Oman
- Written exposure therapy for veterans with co-occurring substance use disorders and PTSD: Study design of a randomized clinical trial
- Randomized controlled trial of two internet-based written therapies for world trade center workers and survivors with persistent PTSD symptoms
- Tracing the paths: a systematic review of mediators of complex trauma and complex post-traumatic stress disorder
- Feasibility of Emotional Freedom Techniques in Patients with Posttraumatic Stress Disorder: a pilot study
- Complex PTSD symptom clusters and executive function in UK Armed Forces veterans: a cross-sectional study
- Posttraumatic cognitions about the self are associated with depression symptoms in veterans endorsing a history of assaultive military sexual trauma
- Changes in trauma appraisal during brief internet-based exposure and cognitive restructuring treatment for Arabic-speaking people with PTSD
- Associations between transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample
- Racial Microaggressions Mediate the Association Between Posttraumatic Stress and Alcohol Use Among Women of Color Experiencing Intimate Partner Violence
- Posttraumatic cognition change trajectories in veterans with PTSD who completed an intensive Cognitive Processing Therapy treatment program
- A systematic review of written exposure therapy for the treatment of posttraumatic stress symptoms
- Internet-based acceptance and commitment therapy for transdiagnostic treatment of comorbid posttraumatic stress disorder and chronic pain: A development pilot study
- Prevalence of posttraumatic stress disorder and associated factors among displaced people in Africa: a systematic review and meta-analysis
- BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms
- A counsellor-supported 'PTSD Coach' intervention versus enhanced Treatment-as-Usual in a resource-constrained setting: A randomised controlled trial
- Peritraumatic dissociation and posttraumatic stress symptoms: the moderating role of perceived threat
- Mental health conditions and utilisation of mental health services by survivors of physical intimate partner violence in portugal: Results from the WHO world mental health survey
- Digital health-based exposure therapies for patients with posttraumatic stress disorder: A systematic review of randomized controlled trials
- Cognitive processing therapy (CPT) versus individual drug counseling (IDC) for PTSD for veterans with opioid use disorder maintained on buprenorphine
- Prospective associations of psychedelic treatment for co-occurring alcohol misuse and posttraumatic stress symptoms among United States Special Operations Forces Veterans
- Prospective associations of psychedelic treatment for co-occurring alcohol misuse and posttraumatic stress symptoms among United States Special Operations Forces Veterans
Evidence Blueprint
Healing wounded trees: clinicians’ perspectives on treatment of complex posttraumatic stress disorder
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
Save Evidence Blueprint
Save as PDF
Healing wounded trees: clinicians’ perspectives on treatment of complex posttraumatic stress disorder
🌐 365 Days
VR Related Evidence Matrix
- Posttraumatic stress disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity
- Integration of limbic self-neuromodulation with psychotherapy for complex post-traumatic stress disorder: treatment rationale and case study
- Careful considerations for the treatment of posttraumatic stress disorder during and following pregnancy
- The impact of substance use on posttraumatic stress disorder symptoms and treatment discontinuation
- Healing Trauma While Staying at Home: Using Telehealth to Conduct a Brief Treatment Program for Posttraumatic Stress Disorder
- Treatment of Posttraumatic Stress Disorder: a State-of-the-art Review
- Neuroimaging of posttraumatic stress disorder in adults and youth: progress over the last decade on three leading questions of the field
- Is it safe enough? A pilot feasibility study of an 8-day intensive treatment for severe PTSD
- The integrated treatment of eating disorders, posttraumatic stress disorder, and psychiatric comorbidity: a commentary on the evolution of principles and guidelines
- Cognitive-behavioural conjoint therapy versus prolonged exposure for PTSD in military service members and veterans: results and lessons from a randomized controlled trial
- Post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) - a clinical update of knowledge
- The Role of Race, Social Support, Empowerment, and Posttraumatic Cognitions in Survivors of Intimate Partner Violence Symptoms of Posttraumatic Stress Disorder
- Non-fear emotions in changes in posttraumatic stress disorder symptoms during treatment
- Profiles of posttraumatic stress disorder and negative world assumptions in treatment-seeking refugees
- Spirituality in the line of duty: Perspectives from first responders with acute posttraumatic stress disorder and alcohol use disorder
- Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review
- Metacognition as a Mediator for Posttraumatic Stress Symptoms Following Childhood Stressful Life Events: An Examination of the Construct Validity of the Metacognitions Questionnaire-Posttraumatic Stress Disorder
- Residual posttraumatic stress disorder and depression symptoms following a residential posttraumatic stress disorder treatment program for U.S. active duty service members
- Skills training followed by either EMDR or narrative therapy for posttraumatic stress disorder in adult survivors of childhood abuse: a randomized controlled trial
- Emotion regulation and heart rate variability may identify the optimal posttraumatic stress disorder treatment: analyses from a randomized controlled trial
- Posttraumatic Stress Disorder in Our Migrant Youth
- Predictors and moderators of treatment outcomes in phase-based treatment and trauma-focused treatments in patients with childhood abuse-related post-traumatic stress disorder
- Impact of three variants of prolonged exposure therapy on comorbid diagnoses in patients with childhood abuse-related PTSD
- The mediating role of posttraumatic stress disorder symptoms in pain cognitions among Veterans with chronic pain
- Treating a common comorbidity: Pain outcomes following a 3-week cognitive processing therapy-based intensive treatment for posttraumatic stress disorder address
- The lived experiences and treatment needs of women with opioid use disorder and posttraumatic stress symptoms: A mixed methods study of women and providers
- Treatment Gap in Mental Health Care for Victims of Road Traffic Accidents
- Posttraumatic stress disorder in people with dementia: study protocol
- How meaning in life and vitality are associated with posttrauma outcomes: A systematic review
- Patient journey of civilian adults diagnosed with posttraumatic stress disorder-a chart review study
- Substance Use after Completion of an Intensive Treatment Program with Concurrent Treatment for Posttraumatic Stress Disorder and Substance Use among Veterans: Examining the Role of PTSD Symptoms
- PTSD and Complex PTSD - Assessment, management and treatment
- PTSD, depression, and treatment outcomes: A latent profile analysis among active duty personnel in a residential PTSD program
- Spirituality/Religion Among First Responders With and Without Posttraumatic Stress Disorder and Alcohol Misuse
- Posttraumatic stress and probable post traumatic stress disorder as it relates to smoking behavior and beliefs among trauma exposed hispanic persons who smoke
- Does treatment specific-, disorder specific- or general therapeutic competence predict symptom reduction in posttraumatic stress disorder?
- Posttraumatic stress disorder, trauma, and accelerated biological aging among post-9/11 veterans
- Effectiveness of prolonged exposure (PE) after implementation at a crime victim support centre
- The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
- The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
- Predictors of treatment dropout in patients with posttraumatic stress disorder due to childhood abuse
- Can Baseline Patient Clinical and Demographic Characteristics Predict Response to Early Posttraumatic Stress Disorder Interventions After Physical Injury?
- Long-COVID stress symptoms: Mental health, anxiety, depression, or posttraumatic stress
- Post-traumatic stress disorder in a national sample of preadolescent children 9 to 10 years old: Prevalence, correlates, clinical sequelae, and treatment utilization
- Meta-emotion therapy for complex trauma and binge eating: A case study
- Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness
- When one tool is not enough: An integrative psychotherapeutic approach to treating complex PTSD
- Preliminary evidence for the importance of therapeutic alliance in MDMA-assisted psychotherapy for posttraumatic stress disorder
- Cannabis use and trauma-focused treatment for co-occurring posttraumatic stress disorder and substance use disorders: A meta-analysis of individual patient data
- Sex Differences in the Relationship Between School Bullying Victimization and Complex Posttraumatic Stress Disorder: The Roles of Insecure Attachment
- Heart rate reactivity during trauma recall as a predictor of treatment outcome in cognitive processing therapy for PTSD
- Posttraumatic Stress Disorder as a Consequence of Acute Cardiovascular Disease
- Multilayer analysis of dynamic network reconfiguration in pediatric posttraumatic stress disorder
- Exposure Versus Cognitive Restructuring Techniques in Brief Internet-Based Cognitive Behavioral Treatment for Arabic-Speaking People With Posttraumatic Stress Disorder: Randomized Clinical Trial
- Diversity in emotion regulation strategy use: Resilience against posttraumatic stress disorder
- Sleep Disturbances Associated With Posttraumatic Stress Disorder
- Examining veterans' preferences for how to deliver couples-based treatments for posttraumatic stress disorder: Home-based telehealth or in-person?
- A two-item screening of maternal or infant perceived life threat during childbirth prospectively associated with childbirth-related posttraumatic stress symptoms up to six months postpartum: two observational longitudinal studies
- The interactions between patient preferences, expectancies, and stigma contribute to posttraumatic stress disorder treatment outcomes
- Linguistic and affective characteristics of script-driven imagery for adults with posttraumatic stress order: Associations with clinical outcomes during deep transcranial magnetic stimulation
- 3MDR treatment in an adolescent with PTSD: a case report
- A phase 3, randomized, placebo-controlled, trial to evaluate the efficacy and safety of bedtime sublingual cyclobenzaprine (TNX-102 SL) in military-related posttraumatic stress disorder
- The emerging role of the gut microbiome in posttraumatic stress disorder
- Mapping PTSD, depression, and anxiety: A network analysis of co-occurring symptoms in treatment-seeking first responders