PTSD in the DSM-5

DSM5 DSMIVWhat is going to change in the criteria for a PTSD diagnosis in the 5th edition of the psychiatry ‘bible’, the Diagnostic and Statistical Manual of Mental Disorders?

The DSM-5 is to be published in May this year but some information on the changes starts to trickle through…

Below are the most important changes, drawn from a handout of the American Psychiatric Association:

1. PTSD will no longer be classified as an anxiety disorder. It will fall under the new ‘Trauma- and Stress-or-Related Disorders’. Continue reading

Can very young children do cognitive-behavioral therapy ?

CBT for young childrenFive key considerations for working with young traumatized children” by Dr. Alex de Young was one of our most popular blogposts last year. We know relatively little of young children’s recovery and of how we can help them. The field is rapidly moving forward however and one of its pioneers, Prof. Michael Scheeringa, has agreed to tell you more about his new CBT approach for very young children. Continue reading

The physical health consequences of posttraumatic stress

Maria PacellaThe relation between posttraumatic stress and physical health is a fascinating one. On my ‘talent hunt’ at the ISTSS conference, I met Maria Pacella, who is currently completing her doctoral degree in Health Psychology at Kent State University, Ohio, USA. She examines the relation between traumatic stress and the development of mental and physical health problems in adults. Some fresh new findings below!

The following research describes a recent meta-analysis synthesizing the literature regarding PTSD/PTSD symptoms (PTSS) and comorbid physical health complaints. Related research conducted with samples of motor vehicle accident victims and people living with HIV is also discussed. For more information about our ongoing research studies, please see the Delahanty Stress and Health Lab website.

1. PTSD is associated with poor physical health

The relationship between PTSD and co-occurring mental health conditions — such as depression, substance use, and general anxiety — has received much attention in the literature. However, it is equally important to consider the impact of PTSD on physical health functioning. Given the biological alterations associated with PTSD, individuals with this disorder may be vulnerable to the development of, or worsening of, certain physical health conditions. A better understanding of the physical health consequences of PTSD will inform prevention and treatment practices, thereby reducing the economic burden created by the disorder.

Recently, we conducted a meta-analysis on the results of 62 empirical articles examining the relationship between PTSD and six physical health outcomes. Results revealed that individuals with PTSD suffered from greater health complaints in the following domains: Continue reading

Helping children after Hurricane Sandy and other disasters

Dr. Betty Lai‘s guestpost on disaster recovery was planned a few weeks ago and couldn’t turn out more timely: Hurricane Sandy has affected many children while ravaging large areas in the Carribean and the US. Betty is a clinical psychologist and postdoctoral fellow at the University of Miami

Each year, millions of children are exposed to natural disasters. Many children who experience a natural disaster may report symptoms of posttraumatic stress or depressive symptoms. In a recent study, we examined these symptoms and their comorbidity among 277 children (7 -11 years old) exposed to Hurricane Ike, a destructive natural disaster that hit Galveston, Texas in September 2008. Continue reading

Does self-help treatment for anxiety disorders work?

This blogpost has recently appeared on the Mental Elf blog. I thought it may interest you as it focuses on self-management for anxiety disorders, including Posttraumatic Stress Disorder (PTSD).

Many people struggle with anxiety disorders such as panic disorder, social phobia, and PTSD. Moreover, about 30% of us have an anxiety disorder at some point in our life (Kessler et al 2005) but most people never receive treatment.

Self-help interventions may provide a solution when people are unable or unwilling to participate in face-to-face treatment: waiting lists don’t have to be an issue, there is no need to travel to appointments, and costs can be low.

But do these interventions work? And if so, how well do they work compared to face-to-face treatment? Continue reading