Comparison of Psychotherapies, Pharmacotherapies and Neurotherapies for PTSD
摘要
This chapter presents a summary of the preferred treatments for PTSD as they appear in various national guidelines and compares them with the suggestions that arise from the analyses presented in the previous chapters. The top four interventions in the national guidelines are cognitive processing therapy (CPT), trauma-focused cognitive behaviour therapy (TF-CBT), prolonged exposure therapy (PE) and eye movement desensitization and reprocessing therapy (EMDR). However, neurotherapies, such as transcranial magnetic stimulation (TMS) applied to brain regions known to be directly involved in PTSD, using functional magnetic resonance imaging (fMRI) guidance, and EEG-guided neurofeedback, are very effective in ameliorating PTSD. Ketamine, of pharmacotherapies, is also very effective. However, although these treatments receive emphasis in this work, and are used by a growing number of clinicians, they are still ‘off-label’.