Post-Traumatic Stress Disorder Psychotherapy - Integrating the Experience of an Emergency

424

Abstract

Background. In domestic practice, there are still no clear ideas about effective approaches to psychotherapy, mechanisms of therapeutic effects, as well as principles and algorithms for providing assistance, despite the active development of the problems of PTSD and the presence of an evidence base for the effectiveness of therapy for this group of patients. Objective. The analysis of existing scientific publications on the use of psychotherapy in the treatment of PTSD and the definition of the basic principles and leading methods of psychotherapy used in helping people with PTSD, the formulation of algorithms for psychotherapeutic interventions and the content of the stages included in it. Materials and methods. Literature search was carried out on the databases PubMed, EMBASE, MEDLINE, RSCI and Cochrane Library. Preference was given to the works of the last 5 years. Results. The description of various techniques and techniques of psychotherapeutic interventions is given, the principles of choosing the tactics of psychotherapeutic treatment are considered. The features are noted and the main methods of psychotherapy used for the treatment of PTSD are described. The main mechanisms of the therapeutic effect are given. The methodology and structure of the therapeutic process, the principles of the stages of care and the description of the various stages of psychotherapeutic treatment are considered. Conclusions. Each of the methods of psychotherapy considered in the work has a large evidence base and is focused on trauma, causing a direct appeal to memories of a traumatic event or thoughts and feelings associated with a traumatic event.

General Information

Keywords: post–traumatic stress disorder, PTSD, emergencies, emergency, psychotherapy, psychotherapeutic process, personalized therapy, psychotherapy techniques and methods

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2023310303

Received: 14.03.2023

Accepted:

For citation: Vasileva A.V., Karavaeva T.A., Radionov D.S. Post-Traumatic Stress Disorder Psychotherapy - Integrating the Experience of an Emergency. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2023. Vol. 31, no. 3, pp. 47–68. DOI: 10.17759/cpp.2023310303. (In Russ., аbstr. in Engl.)

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Information About the Authors

Anna V. Vasileva, Doctor of Medicine, Chief Researcher, Department for Non-psychotic Mental Disorders Treatment and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Associate Professor, Chair of Psychotherapy, Medical Psychology and Sexology, North-Western State Medical Universitynamed after I.I. Mechnikov, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-5116-836X, e-mail: annavdoc@yahoo.com

Tatiana A. Karavaeva, Doctor of Medicine, Chief Researcher, Head of the Department for Non-psychotic Mental Disorders Treatment and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Professor of the Department of Medical Psychology and Psychophysiology of the St. Petersburg State University; Professor of the Department of General and Applied Psychology with courses in Biomedical Disciplines and Pedagogy of the St. Petersburg State Medical Pediatric University of the Ministry of Health of the Russian Federation; leading researcher of the Scientific Department of Innovative Methods of Therapeutic Oncology and Rehabilitation of the National Research University of Oncology N.N. Petrova" Ministry of Health of Russia; Vice-President of the Russian Psychotherapeutic Association, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-8798-3702, e-mail: tania_kar@mail.ru

Dmitriy S. Radionov, Junior Researcher, Department of Treatment of Borderline Mental Disorders and Psychotherapy, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia1, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0001-9020-3271, e-mail: dumradik@mail.ru

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