Rent 9781585623594 | Clinical Manual for Management of Ptsd | Benedek, David M., M.D. @knetbooks.com

Summary Table of Contents Author Biography

The Clinical Manual for Management of PTSDbrings together dozens of experts from around the world to provide clinicians with the latest information on posttraumatic stress disorder (PTSD). As a practical resource, this manual covers a wide range of topics relevant to clinical practice and addresses both the basics of each area as well as specific aspects of diagnosis and treatment. This clinical manual is an effort to bridge the gap between the research community and the clinician by providing an easy-to-use source of clinically relevant inform... MOREation on PTSD. This clinical manual is designed to be a practical guide by the bedside, on rounds, or in the classroom. It can be used in multiple ways: � As a complete text for clinicians, residents, and students to gain a solid understanding of PTSD's various manifestations and the current treatment modalities available � As a desktop reference for experienced clinicians to read specific parts that are most pertinent to aspects of their daily practiceFor simple use and ease of reference, this text is divided into several sections: first, an overview of the history, biology, epidemiology, assessment methods, and comorbidities of PTSD; second, explorations of the various modes of therapeutics and management; and third, special topics such as PTSD in military settings, sexual assault, older and juvenile victims of trauma, and traumatic brain injury. This structure ensures that readers understand the complexities of this disorder as well as the best practices for these situations. � Covers neurobiology and epidemiology of the disorder � Provides an overview of diagnosis and comorbidities, as well as PTSD as a manifestation in conjunction with other diagnoses� Describes various treatments, including pharmacology, therapy, managing aggression and violence, emerging therapies, and disability issues� Touches on specific patient populations, such as children and adolescents, sexual assault survivors, military and veteran populations, geriatrics, and TBI patients, as well as sociocultural considerations� Presents controversial aspects of the diagnosis� Includes numerous tables to help summarize the available dataWhile the concepts and therapeutic modalities presented in this manual are supported by convincing research and a robust evidence basis for efficacy, the authors also encourage clinicians to make use of their understanding of the individual patient, the context of any treatment, and further individualized inquiry when considering any therapy discussed in this text. The Clinical Manual for Management of PTSDprovides clinicians and students with a consolidated and thoughtful reference which can be used to complement and enhance their everyday practice.

Uniformed Services Univ. of the Health Sciences, Bethesda, MD. Offers clinically relevant information on posttraumatic stress disorder (PTSD). Topics include epidemiology, assessment and diagnosis, psychiatric comorbidities, pharmacotherapy, and psychosocial treatments. For students, residents, and clinicians. Softcover. DNLM: Stress Disorders, Post-Traumatic.

Contributors	p. xv
Disclosure of Interests	p. xxi
Preface	p. xxiii
Introduction and Overview
Introduction	p. 3
A Brief History of PTSD	p. 4
The Purpose of This Manual	p. 5
How to Use This Manual	p. 6
Epidemiology	p. 11
Relationship of Epidemiology to Clinical Practice	p. 11
What Is P... MORETSD?	p. 18
Epidemiology of Criterion A	p. 19
Epidemiology of PTSD Following Traumatic Events	p. 22
Course of Illness and Symptom Persistence	p. 26
Factors That Modify Risk	p. 27
Impact of PTSD on the Community and Health Care System	p. 32
Applying Epidemiological Knowledge to the Clinical Management of PTSD	p. 33
Conclusion	p. 36
Key Clinical Points	p. 37
Biology	p. 45
The Interactive Role of Heritability and Environment in the Etiology of PTSD	p. 46
Influence of Gender in PTSD	p. 48
Neuroendocrine and Neurochemical Aspects of PTSD	p. 49
Neuroimaging Studies in PTSD	p. 54
Conclusion	p. 60
Key Clinical Points	p. 60
Assessment and Diagnosis	p. 69
General Considerations	p. 70
PTSD Diagnostic Criteria	p. 71
Threats to Reliability and Validity	p. 75
Assessment of PTSD	p. 83
Differential Diagnosis of PTSD	p. 91
Key Clinical Points	p. 96
Psychiatric Comorbidities	p. 101
Theories of Psychiatric Comorbidity With PTSD	p. 102
Psychiatric Comorbidities in Different PTSD Populations: Review of the Research Literature	p. 109
Clinical Implications of Psychiatric Comorbidity With PTSD	p. 118
Key Clinical Points	p. 119
Therapeutics and Management
Pharmacotherapy	p. 131
Antidepressants	p. 133
Antiadrenergic Agents	p. 143
Anticonvulsant/Mood Stabilizer Agents	p. 144
D-Cycloserine	p. 144
Benzodiazepines	p. 145
Atypical Antipsychotic Medications	p. 146
Hypothalamic-Pituitary-Adrenocortical System	p. 146
Applicability to Military and Veteran Populations	p. 147
Gaps in Current Knowledge	p. 148
Combined Therapy	p. 149
Key Clinical Points	p. 150
Psychosocial Treatments	p. 157
Theoretical Foundations of Cognitive-Behavioral Treatments for PTSD	p. 158
CBT Treatments and Techniques for PTSD	p. 164
Treatment Outcome Research in PTSD	p. 168
Future Directions for Treatment Outcome Research	p. 190
Conclusion	p. 94
Key Clinical Points	p. 195
Violence and Aggression	p. 205
General Risk Factors for Violence or Aggression	p. 209
Assessment and Management of PTSD and Violence	p. 212
Conclusion	p. 217
Key Clinical Points	p. 219
Emerging and Alternative Therapies	p. 227
Virtual Reality Exposure Therapy	p. 228
Other Emerging and Alternative Nonpharmacological Therapies	p. 241
Emerging and Alternative Pharmacological Therapies	p. 244
Conclusion	p. 247
Key Clinical Points	p. 247
Assessment of Functioning and Disability	p. 255
Rationale for Assessment of Functioning and Disability	p. 256
Conceptual Framework and Definitions	p. 262
Selection of Domains for Assessment	p. 263
Measures of Global, Social, and Occupational Functioning	p. 264
Assessment of Contextual Factors	p. 276
Conclusion	p. 278
Key Clinical Points	p. 280
Special Topics
Children and Adolescents	p. 291
Developmental Considerations of PTSD	p. 292
Comorbidity	p. 294
Childhood Traumatic Grief: A Unique Clinical Condition	p. 294
Childhood Trauma Exposures	p. 295
Prevalence of Childhood PTSD	p. 297
Therapeutic Interventions	p. 298
Conclusion	p. 315
Key Clinical Points	p. 316
Sexual Assault	p. 325
Sexual Assault and PTSD	p. 327
Social Reactions to Sexual Assault	p. 328
Assessment of Sexual Assault Survivors	p. 328
Treatment Approaches for Sexual Assault Survivors With PTSD	p. 335
Common Treatment Themes	p. 337
Conclusion	p. 343
Key Clinical Points	p. 344
Military and Veteran Populations	p. 349
Rates and Risk Factors for PTSD in Combat Veterans	p. 349
Research on Treatment of Combat-Related PTSD	p. 350
Assessment and Treatment of Service Members and Veterans With PTSD	p. 352
Future Directions	p. 363
Key Clinical Points	p. 364
Geriatrics	p. 371
Etiologies of Geriatric PTSD	p. 372
Presentation of PTSD	p. 373
Pharmacological Treatments	p. 375
Cognitive-Based Therapies	p. 377
Exposure-Based Therapies	p. 377
Eye Movement Desensitization and Reprocessing	p. 378
Key Clinical Points	p. 378
Traumatic Brain Injury	p. 383
Overview of Traumatic Brain Injury	p. 384
Shared Neurobiology	p. 387
TBI and PTSD Comorbidity	p. 388
Neuropsychological Features	p. 393
Substance Abuse, PTSD, and Traumatic Brain Injury	p. 396
Military Aspects	p. 397
Treatment Considerations	p. 400
Conclusion	p. 402
Key Clinical Points	p. 403
Sociocultural Considerations	p. 415
Trauma in Cultural Context	p. 416
Assessment	p. 418
Treatment	p. 430
Conclusion	p. 436
Key Clinical Points	p. 438
Index	p. 445
Table of Contents provided by Ingram. All Rights Reserved.

David M. Benedek, M.D., is Professor, Deputy Chair, and Associate Director and Senior Scientist of the Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Gary H. Wynn, M.D., is Assistant Chief of the Inpatient Psychiatry Service, Walter Reed Army Medical Center, Washington, D.C., and Assistant Professor of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Senior International Editorial Advisory Board: Robert J. Ursano, M.D., (chair), Richard A. Bryant, Ph.D., Arieh Y. Shalev, M.D., and Simon A. Wessely, M.D.

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