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Non-Trauma-Focused Psychotherapies for the Treatment of PTSD: a Descriptive Review

Current Treatment Options in Psychiatry volume 7, pages 242–257 (2020)Cite this article

Abstract

Purpose of review

Posttraumatic stress disorder (PTSD) is a serious disorder with high rates of chronicity and significant functional impairment. There is strong research support for several psychotherapies that focus on trauma, and these are recommended as first-line treatments. However, many patients are reluctant or unwilling to engage in treatments that focus on trauma, and some desire treatment for other pressing issues. As such, there is a need for effective alternative treatment options. The purpose of this review is to describe existing non-trauma-focused psychotherapies and summarize the available evidence for these treatments.

Recent findings

A large number of studies have examined the efficacy of non-trauma-focused therapies. Present-centered therapy (PCT), interpersonal psychotherapy (IPT), and several cognitive-behavioral approaches that focus on skills training and/or cognitive restructuring, and to a lesser extent, acceptance and commitment therapy (ACT) have empirical support from comparisons with wait-list or minimal attention controls and/or comparisons with trauma-focused therapies. Additional promising non-trauma-focused approaches with less evidence include mindfulness and meditation approaches and Skills Training for Affective and Interpersonal Regulation (STAIR).

Summary

Although the evidence for trauma-focused therapy for PTSD remains the strongest, there is evidence supporting the use of these non-trauma-focused therapies for PTSD.

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Authors and Affiliations

  1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA

    M. Tracie Shea PhD

  2. The Center for Neurorestoration and Neurotechnology, Veterans Affairs Medical Center, Providence, RI, USA

    M. Tracie Shea PhD

  3. Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, USA

    Janice L. Krupnick PhD

  4. Psychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA

    Bradley E. Belsher PhD

  5. Executive Division, National Center for PTSD, White River Junction, VT, USA

    Paula P. Schnurr PhD

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  1. M. Tracie Shea PhD
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  4. Paula P. Schnurr PhD
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Correspondence to M. Tracie Shea PhD.

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M. Tracie Shea, Janice K. Krupnick, Paula P. Schnurr, and Bradley Belsher declare that they have no conflicts of interest.

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Shea, M.T., Krupnick, J.L., Belsher, B.E. et al. Non-Trauma-Focused Psychotherapies for the Treatment of PTSD: a Descriptive Review. Curr Treat Options Psych 7, 242–257 (2020). https://doi.org/10.1007/s40501-020-00214-y

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