PE for PTSD: Treatment Goals and Interventions

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 PE treatment plan for PTSD integrates a new understanding of perceived dangers, enhanced social engagement, and addressing her major depressive disorder.
  2. Prolonged exposure therapy will be used, incorporating both imaginal and in vivo components tailored to her family’s unique needs.
  3. Breathing retraining plays a vital role in managing physical anxiety symptoms and teaching Sarah self-awareness and control over her breathing.
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Treatment Goals

Sarah's treatment is multifaceted, addressing both her perception of the world and her interaction with it:

  • Perception of danger: She needs to understand that the world is not as dangerous as she perceives. This involves managing distress from traumatic memories and reminders.
  • Social and personal development: The goal is to increase Sarah's social activities and her children's freedom, balancing safety with normalcy. Despite denying major depression, Sarah exhibits symptoms that require attention.

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