On 5 March 2019, the US Food and Drug Administration (FDA) approved the nasal spray medication Spravato (esketamine) for treatment-resistant depression in adults. Some people are applauding this new medication as a much-needed shift from the era of antidepressants, including Prozac, Zoloft, and Paxil. “Finally, a drug that uses a different mechanism of action than these older antidepressants,” they cheer. Esketamine is a glutamate receptor modulator that is believed to help restore synaptic connections in a depressed person’s brain cells. Other critics are more skeptical, concerned it won’t be the panacea we’ve been looking for.
Blog posts with the tag "Post-Traumatic Stress Disorder"
CDP, together with National Center for PTSD, recently completed the first of three training events in Prolonged Exposure (PE) with community providers who treat Veterans with PTSD as part of a pilot project funded by the National Center for PTSD. We interviewed Dr. Sonya Norman, director of the VA’s PTSD Consultation Program and Mr. Todd McKee, program manager, who are leading this project.
In working with Psychology Interns, Psychiatry Residents, Social Workers, and all other types of mental health providers from the most experienced to least, I’ve found that people often forget the basis of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). CPT is a form of Cognitive Behavioral Therapy (CBT) and PE is a form of Exposure Therapy. They are not unique theories.
The percentage of "523,626 female and male active duty Sailors and Marines who entered the U.S. military between 2006 and 2013" who had a PTSD diagnosis, according to a recent article in the Journal of Traumatic Stress -- Prevalence of Posttraumatic Stress Disorder and Psychological Comorbidities Among U.S. Active Duty Service Members, 2006–2013.
A Vietnam Veteran walked into my office at one of the VA’s top inpatient residential posttraumatic stress disorder (PTSD) programs as a last-ditch effort to save his marriage. He said very little in our initial interactions, and the stress of the years working hard to provide for his family alongside many sleepless nights had settled into dark patches under his eyes and grime beneath his fingernails. His outpatient therapist referred him to the program to receive an evidence-based treatment for PTSD. He was quickly assigned to the Cognitive Processing Therapy (CPT) group and to supplemental individual CPT sessions with me.