PE for PTSD: Treatment Challenges and Prognosis

Barbara-Rothbaum

Associate Vice-Chair of Clinical Research, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine
Director, Emory Healthcare Veterans Program
Director, Emory Trauma and Anxiety Recovery Program
Paul A. Janssen Chair in Neuropsychopharmacology

Key Points

  1. Sarah’s PTSD and self-perception issues contribute to avoidance behaviors and challenges in acknowledging her problems, impacting her therapy participation.
  2. Practical issues like time constraints, transportation, and privacy concerns are addressed through telemedicine, with a focus on predicting and discussing therapy avoidance.
  3. The prognosis for Sarah is positive if she remains engaged in therapy, with motivation anchored in her desire to benefit her family and be a better role model.
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Sarah struggles with acknowledging her PTSD problems due to her self-perception as weak and incompetent. She has always endeavored to be a "good girl", avoiding causing trouble for her parents or others. This mindset extends to her reluctance to criticize her parents, whom she respects for their efforts despite their challenging lives.

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