How often have we given advice…wonderful, wise advice…to our patients and never once considered its relevance to ourselves? The answer to this is, of course, often, very, very often.
Clinicians routinely talk to patients about the need for balance between work and personal life, the importance of good sleep hygiene, exercise, socialization and eating well. What prevents many of us from acting on this advice?
As I work with clinicians who are trained in evidence-based treatments for PTSD, one query is raised repeatedly…Should I use Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE) to treat patient X?
PTSD is one of the signature disorders of the OIF/OEF conflict. PTSD is characterized by symptoms of re-experiencing, avoidance/numbing and hyperarousal. As many as 20% of the US service members returning from Iraq or Afghanistan since 2001 may have PTSD (www.iom.edu/militaryptsd). We may safely assume that a significant number of veterans from the current conflict and other eras will need effective treatment to alleviate PTSD symptoms. Let’s review…
A common concern we hear from new PE therapists is that they’re not sure how to record sessions or are uncomfortable setting this expectation about the treatment.
If recording sessions has not been explained to your patient before they arrive to Session #1 of the treatment, or even if it has been mentioned to them before, it’s important at the very beginning of the first session to explain this standard procedure (again) and why it is used in PE. Candor is critical.