Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/42264
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Type: | Journal article |
Title: | Treating adults with acute stress disorder and post-traumatic stress disorder in general practice: a clinical update |
Author: | Forbes, D. Creamer, M. Phelps, A. Couineau, A. Cooper, J. Bryant, R. McFarlane, A. Devilly, G. Matthews, L. Raphael, B. |
Citation: | Medical Journal of Australia, 2007; 187(2):120-123 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2007 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | David Forbes, Mark C Creamer, Andrea J Phelps, Anne-Laure Couineau, John A Cooper, Richard A Bryant, Alexander C McFarlane, Grant J Devilly, Lynda R Matthews and Beverley Raphael |
Abstract: | General practitioners have an important role to play in helping patients after exposure to severe psychological trauma. In the immediate aftermath of trauma, GPs should offer "psychological first aid", which includes monitoring of the patient's mental state, providing general emotional support and information, and encouraging the active use of social support networks, and self-care strategies. Drug treatments should be avoided as a preventive intervention after traumatic exposure; they may be used cautiously in cases of extreme distress that persists. Adults with acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) should be provided with trauma-focused cognitive behaviour therapy (CBT). Eye movement desensitisation and reprocessing (EMDR) in addition to in-vivo exposure (confronting avoided situations, people or places in a graded and systematic manner) may also be provided for PTSD. Drug treatments should not normally replace trauma-focused psychological therapy as a first-line treatment for adults with PTSD. If medication is considered for treating PTSD in adults, selective serotonin reuptake inhibitor antidepressants are the first choice. Other new generation antidepressants and older tricyclic antidepressants should be considered as second-line pharmacological options. Monoamine oxidase inhibitors may be considered by mental health specialists for use in people with treatment-resistant symptoms. |
Keywords: | Humans Antidepressive Agents Stress Disorders, Traumatic, Acute Stress Disorders, Post-Traumatic Desensitization, Psychologic Family Practice Adult Cognitive Behavioral Therapy Selective Serotonin Reuptake Inhibitors |
Description: | The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included. |
DOI: | 10.5694/j.1326-5377.2007.tb01158.x |
Published version: | http://www.mja.com.au/public/issues/187_02_160707/for10467_fm.html |
Appears in Collections: | Aurora harvest Psychiatry publications |
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hdl_42264.pdf | Published version | 110.42 kB | Adobe PDF | View/Open |
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