Treatment of a Case Example with PTSD and Chronic Pain

Autor/in	Shipherd, Jillian C.
Titel	Treatment of a Case Example with PTSD and Chronic Pain
Quelle	In: Cognitive and Behavioral Practice, 13 (2006) 1, S.24-32 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2005.03.003
Schlagwörter	Pain; Posttraumatic Stress Disorder; Cognitive Restructuring; Therapy; Depression (Psychology); Motor Vehicles; Behavior Modification; Coping; Error Correction; Human Body; Measures (Individuals); Anxiety; Evaluation Methods + Suchen Sie Ihr Suchwort? Schmerz; Therapie; Motor vehicle; Kraftwagen; Behaviour modification; Verhaltensänderung; Bewältigung; Korrektur; Menschlicher Körper; Messdaten; Angst
Abstract	This commentary reviews the case of GH, a survivor of a road traffic collision, who has chronic pain and posttraumatic stress disorder (PTSD). The case formulation, assessment strategy, and treatment plan are informed by the relevant experimental literature and empirically supported treatments using a cognitive behavioral perspective. Given this framework, the commentary includes a focus on the treatment of PTSD with an eye toward generalizing the therapeutic strategies to chronic pain problems. Psychoeducation, imaginal exposure to the traumatic event, in vivo exposure to avoided activities, and cognitive interventions including coping self-statements, correction of logical errors, decatastrophizing and developing alternative explanations are all included in the recommendations as part of a standard cognitive behavioral treatment for PTSD. Added to this standard PTSD protocol is the suggested use of interoceptive exposure to address GH's feared bodily sensations. In the assessment domain, standard measures for pain and PTSD assessment are suggested along with tracking of depression and anxiety sensitivity. Some recognition of more recent approaches to cognitive behavioral therapy (e.g., Acceptance and Commitment Therapy) is given in considering potential obstacles to treatment. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10