Overcoming The Trauma Of Your Motor Vehicle Accident

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Overcoming the Trauma of Your Motor Vehicle Accident

Author : Edward J. Hickling
Publisher : Oxford University Press
ISBN 13 : 0190294302
Total Pages : 104 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Overcoming the Trauma of Your Motor Vehicle Accident by : Edward J. Hickling

Download or read book Overcoming the Trauma of Your Motor Vehicle Accident written by Edward J. Hickling and published by Oxford University Press. This book was released on 2006-05-25 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is estimated that over 3 million people per year are injured in motor vehicle accidents and up to 45% of people in a serious auto accident develop posttraumatic stress disorderl. Written by the creators of an empirically supported cognitive-behavioral therapy program developed at The Center for Stress and Anxiety Disorders in Albany, this therapist guide includes all the information and materials necessary to implement a successful program for treating accident-related PTSD. The therapeutic technique described in this book is research-based with a proven success rate. The renowned authors provide clinicians with step-by-step instructions for teaching their clients important skills that have been scientifically tested and shown to be effective in treating emotional trauma caused by involvement in a car accident. Designed to be used in conjunction with its corresponding workbook, this therapist guide outlines a treatment program that includes cognitive restructuring, relaxation techniques, and exposure exercises. User-friendly and comprehensive, Overcoming the Trauma of Your Motor Vehicle Accident, Therapist Guide is a resource that no clinician can do without.

Overcoming the Trauma of Your Motor Vehicle Accident:A Cognitive-Behavioral Treatment Program Therapist Guide

Author : Edward J. Hickling
Publisher : Oxford University Press, USA
ISBN 13 : 9780195306064
Total Pages : 104 pages
Book Rating : 4.3/5 (6 download)

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Book Synopsis Overcoming the Trauma of Your Motor Vehicle Accident:A Cognitive-Behavioral Treatment Program Therapist Guide by : Edward J. Hickling

Download or read book Overcoming the Trauma of Your Motor Vehicle Accident:A Cognitive-Behavioral Treatment Program Therapist Guide written by Edward J. Hickling and published by Oxford University Press, USA. This book was released on 2006-05-25 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motor vehicle accidents account for over 3 million injuries annually and are one of the most common traumas individuals experience. But the physical injuries are often less impactful in the long run than the severe emotional distress, flashbacks, and substantial impairment in work or family life. Studies of the general population have found that approximately 9% of people who survivor an accident develop Posttraumatic Stress Disorder. And yet, few people seek treatment immediately, mostly because they are not aware of the nature of their condition or that successful brief treatments are available.Written by the creators of an empirically supported cognitive-behavioral therapy program developed at The Center for Stress and Anxiety Disorders in Albany, this therapist guide includes all the information and materials necessary to implement a successful program for treating accident-related PTSD. The therapeutic technique described in this book is research-based with a proven success rate.The renowned authors provide clinicians with step-by-step instructions for teaching their clients important skills that have been scientifically tested and shown to be effective in treating emotional trauma caused by involvement in a car accident. Designed to be used in conjunction with its corresponding workbook, this therapist guide outlines a treatment program that includes cognitive restructuring, relaxation techniques, and exposure exercises.User-friendly and comprehensive, Overcoming the Trauma of Your Motor-Vehicle Accident, Therapist Guide is a resource that no clinician can do without.TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! DT All programs have been rigorously tested in clinical trials and are backed by years of research DT A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date DT Our books are reliable and effective and make it easy for you to provide your clients with the best care available DT Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated DT A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources DT Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Crash Course

Author : Diane Poole Heller
Publisher : North Atlantic Books
ISBN 13 : 1556433727
Total Pages : 233 pages
Book Rating : 4.5/5 (564 download)

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Book Synopsis Crash Course by : Diane Poole Heller

Download or read book Crash Course written by Diane Poole Heller and published by North Atlantic Books. This book was released on 2001-10-26 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Trauma following automobile accidents can persist for weeks, months, or longer. Symptoms include nervousness, sleep disorders, loss of appetite, and sexual dysfunction. In Crash Course, Diane Poole Heller and Laurence Heller take readers through a series of case histories and exercises to explain and treat the health problems and trauma brought on by car accidents.

Recovering from Your Car Accident

Author : Dr. James F. Zender
Publisher : Rowman & Littlefield
ISBN 13 : 1538133989
Total Pages : 251 pages
Book Rating : 4.5/5 (381 download)

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Book Synopsis Recovering from Your Car Accident by : Dr. James F. Zender

Download or read book Recovering from Your Car Accident written by Dr. James F. Zender and published by Rowman & Littlefield. This book was released on 2020-10-30 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: Road traffic injuries are a neglected global pandemic. Up to 50 million people a year worldwide are injured or disabled in car accidents. The deleterious impact on the global economy is immense. Thousands of those injured die of opiate overdoses, trying to deal with chronic pain. The post-accident life of a survivor is all too often devastated by spinal or severe orthopedic injuries, depression, anxiety, PTSD, sleep disturbances, mild episodic or chronic pain, and/or a traumatic brain injury that can cause personality changes, cognitive and memory impairments, and debilitating fatigue. A substantially reduced quality of life with career changes and setbacks, broken and overstressed relationships, and financial hardships that continue for many years, often ensue. First Responders, healthcare providers, the survivors’ community and to the largest degree, the survivors’ family, are forced to deal with the staggering impacts. Auto accidents can dramatically alter lives, forever. Where do survivors and their families go for help? How do survivors heal and get their lives back? Everyone is desperate for hope and evidence-based solutions to manage disabling conditions and ultimately reclaim their lives. Thisis the first book to offer comprehensive, evidence-based information to both the survivors and their caregivers on understanding, managing, and healing physical and emotional traumas sustained in auto accidents. Based on James Zender's more than fifteen years’ experience as a clinical psychologist specializing in auto-accident trauma care, Recovering From Your Car Accident leads survivors and their families through the extensive process of emotional and physical recovery. With empathy and compassion, Dr. Zender explains how to conquer the multitude of challenges that often result from auto accidents, including managing pain, depression, and anxiety, addressing concerns about the future and finances, personality changes, emotional and cognitive dysfunction, post-traumatic stress, traumatic brain injury, and strained personal relationships. Through stories recounted by Dr. Zender's patients, survivors will learn that they are not alone and that there is hope for a better tomorrow. Policymakers will gain insight into accident prevention and will be inspired to implement policy improvements to better meet the needs of the auto accident community. Helpful tips throughout this book and a resource section featuring the best online and community support options will aid survivors and their families with rehabilitation. Recovering from Your Car Accident willassist survivors with rebuilding their lives and discovering new ways to thrive.

Overcoming Your Eating Disorder

Author : W. Stewart Agras
Publisher : Oxford University Press
ISBN 13 : 0199715173
Total Pages : 109 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Overcoming Your Eating Disorder by : W. Stewart Agras

Download or read book Overcoming Your Eating Disorder written by W. Stewart Agras and published by Oxford University Press. This book was released on 2007-09-17 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive-Behavioral Therapy (CBT) has been proven effective for treating Bulimia Nervosa and Binge Eating Disorder. However, this type of program requires at least 6 months of weekly sessions with a qualified mental health professional. If you suffer from an eating disorder and want to get treatment, but have little time to devote to therapy, a shorter, time-limited program may be right for you. This workbook outlines a Guided Self-Help (GSH) program based on the principles of CBT. Although sessions with a therapist or clinician are required, there are usually no more than 12 and each one is only 25 minutes long. You will do much of the treatment on your own using the workbook as your guide. You will learn and practice the skills you need to overcome your eating disorder and establish healthy habits, while consulting with your therapist for encouragement and support. Through daily self-monitoring of your eating patterns, and strategies such as challenging negative thoughts and formal problem-solving, you will reduce your desire to binge and purge. GSH is hard work, but the benefits are well worth it. If you have the desire and the drive, you can use this workbook to eliminate your eating disorder once and for all. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Overcoming the Trauma of Your Motor Vehicle Accident

Author : Edward J. Hickling
Publisher : Oxford University Press
ISBN 13 : 9780195306064
Total Pages : 101 pages
Book Rating : 4.3/5 (6 download)

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Book Synopsis Overcoming the Trauma of Your Motor Vehicle Accident by : Edward J. Hickling

Reclaiming Your Life from a Traumatic Experience

Author : Barbara Olasov Rothbaum
Publisher : Oxford University Press, USA
ISBN 13 : 0190926899
Total Pages : 105 pages
Book Rating : 4.1/5 (99 download)

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Book Synopsis Reclaiming Your Life from a Traumatic Experience by : Barbara Olasov Rothbaum

Download or read book Reclaiming Your Life from a Traumatic Experience written by Barbara Olasov Rothbaum and published by Oxford University Press, USA. This book was released on 2019-09-05 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: Those who have experienced a traumatic event and are having trouble moving past feelings of fear, shame and guilt, or helplessness may be diagnosed with Posttraumatic Stress Disorder (PTSD). Reclaiming Your Life from a Traumatic Experience: A Prolonged Exposure Treatment Program can help readers to overcome and reclaim their lives from PTSD. Best used in combination with treatment by a mental health professional, the second edition of this Workbook, along with the accompanying Therapist Guide, will help readers work through PTSD regardless of the type of trauma experienced-be it a motor vehicle accident, physical or sexual assault, or combat-related event. The program outlined in this book will reduce anxiety and distress, teaching readers to face memories of trauma while processing their emotions about the event using a scientifically tested and proven technique called Prolonged Exposure Therapy. Instead of avoiding or escaping situations that provoke anxiety and other negative emotions, readers will learn how to reevaluate feelings and beliefs to think differently about their traumatic experiences. Complete with information on PTSD, as well as case examples, self-assessment tools, and homework assignments, Reclaiming Your Life from a Traumatic Experience is an invaluable tool on the road to recovery from PTSD.

After the Crash

Author : Edward B. Blanchard
Publisher : Amer Psychological Assn
ISBN 13 : 9781591470700
Total Pages : 475 pages
Book Rating : 4.4/5 (77 download)

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Book Synopsis After the Crash by : Edward B. Blanchard

Download or read book After the Crash written by Edward B. Blanchard and published by Amer Psychological Assn. This book was released on 2004 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Annotation Motor vehicle accidents (MVAs) have been found to be the single leading cause of posttraumatic stress disorder in the general population. They are the most frequent, directly experienced trauma for men and the second most frequent trauma for women. Since the 1997 edition of After the Crash, there has been a monumental new wave of research in the assessment and treatment of MVA survivors. In this timely second edition, written in a clear and lucid style and illustrated by a wealth of charts, guides, case studies, and clinical advice, the authors report on new, international research and provide updates on their own longstanding research protocols within the groundbreaking Albany MVA Project. This volume will appeal to a broad audience of practitioners, researchers, and physicians; attorneys who handle MVA survivor cases; and those interested in public safety issues.

Recovering from the Trauma of Your Car Accident

Author : Illya Gladshteyn
Publisher :
ISBN 13 : 9780986533112
Total Pages : 126 pages
Book Rating : 4.5/5 (331 download)

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Book Synopsis Recovering from the Trauma of Your Car Accident by : Illya Gladshteyn

Download or read book Recovering from the Trauma of Your Car Accident written by Illya Gladshteyn and published by . This book was released on 2011-04 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managing Social Anxiety

Author : Debra A. Hope
Publisher : Oxford University Press, USA
ISBN 13 : 0195336682
Total Pages : 234 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis Managing Social Anxiety by : Debra A. Hope

Download or read book Managing Social Anxiety written by Debra A. Hope and published by Oxford University Press, USA. This book was released on 2010 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: As described in this newly updated and revised therapist guide, cognitive-behavioral therapy (CBT) is the most efficacious psychological treatment for social anxiety disorder. It can be used successfully with most clients, including those currently taking medication. --

Prolonged Exposure Therapy for PTSD

Author : Edna Foa
Publisher : Oxford University Press
ISBN 13 : 019988580X
Total Pages : 175 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis Prolonged Exposure Therapy for PTSD by : Edna Foa

Download or read book Prolonged Exposure Therapy for PTSD written by Edna Foa and published by Oxford University Press. This book was released on 2007-03-22 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 70% of adults in the United States have experienced a traumatic event at least once in their lives. Though most recover on their own, up to 20% develop chronic Posttraumatic Stress Disorder. For these people, overcoming PTSD requires the help of a professional. This guide gives clinicians the information they need to treat clients who exhibit the symptoms of PTSD. It is based on the principles of Prolonged Exposure Therapy, the most scientifically-tested and proven treatment that has been used to effectively treat victims of all types of trauma. Whether your client is a veteran of combat, a victim of a physical or sexual assault, or a casualty of a motor vehicle accident, the techniques and strategies outlined in this book will help. In this treatment clients are exposed to imagery of their traumatic memories, as well as real-life situations related to the traumatic event in a step-by-step, controllable way. Through these exposures, your client will learn to confront the trauma and begin to think differently about it, leading to a marked decrease in levels of anxiety and other PTSD symptoms. Clients are provided education about PTSD and other common reactions to traumatic events. Breathing retraining is taught as a method for helping the client manage anxiety in daily life. Designed to be used in conjunction with the corresponding client workbook, this therapist guide includes all the tools necessary to effectively implement the prolonged exposure program including assessment measures, session outlines, case studies, sample dialogues, and homework assignments. This comprehensive resource is an exceptional treatment manual that is sure to help you help your clients reclaim their lives from PTSD. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Managing Your Drug Or Alcohol Problem

Author : Dennis C. Daley
Publisher : Graywind Publications Incorporated
ISBN 13 : 9780195183757
Total Pages : 164 pages
Book Rating : 4.1/5 (837 download)

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Book Synopsis Managing Your Drug Or Alcohol Problem by : Dennis C. Daley

Download or read book Managing Your Drug Or Alcohol Problem written by Dennis C. Daley and published by Graywind Publications Incorporated. This book was released on 1997 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1: Overview of Substance Use Problems and Self-Assessment Chapter 1: Introduction and Plan for Workbook Chapter 2: Recognizing Your Substance Use Problem Chapter 3: Recognizing Consequences of Your Substance Use Section 2: Change Issues and Strategies Chapter 4: Treatment Settings for Substance Use Problems Chapter 5: Stages of Change Ch 6: How to Use Therapy or Counseling Ch 7: Overview of Goal Planning Ch 8: Managing Cravings and Urges to Use Substances Ch 9: Managing Thoughts of Using Substances Ch 9: Dealing With Upsetting Emotions Ch 11: Refusing Offers to Use Substances Ch 12: Dealing With Family and Interpersonal Problems Ch 13: Building a Recovery Support System Ch 14: Self-Help Programs and Recovery Clubs Ch 15: Medications for Substance Use Problems Section 3: Relapse Prevention and Progress Measurement Ch 16: Relapse Prevention: Reducing the Risk of Relapse Ch 17: Relapse Management Ch 18 Strategies for Balanced Living Ch 19: Measuring Your Progress.

Innovations in CBT for Childhood Anxiety, OCD, and PTSD

Author : Lara J. Farrell
Publisher : Cambridge University Press
ISBN 13 : 1108416020
Total Pages : 779 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Innovations in CBT for Childhood Anxiety, OCD, and PTSD by : Lara J. Farrell

Download or read book Innovations in CBT for Childhood Anxiety, OCD, and PTSD written by Lara J. Farrell and published by Cambridge University Press. This book was released on 2019-04-25 with total page 779 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book collates the latest innovations in cognitive behavioral therapy for child and adolescent anxiety disorders, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD).

Crash Course

Author : Diane Poole Heller
Publisher : North Atlantic Books
ISBN 13 :
Total Pages : 233 pages
Book Rating : 4.8/5 (898 download)

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Book Synopsis Crash Course by : Diane Poole Heller

Download or read book Crash Course written by Diane Poole Heller and published by North Atlantic Books. This book was released on 2024-01-23 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Trauma following automobile accidents can persist for weeks, months, or longer. Symptoms include nervousness, sleep disorders, loss of appetite, and sexual dysfunction. In Crash Course, Diane Poole Heller and Laurence Heller take readers through a series of case histories and exercises to explain and treat the health problems and trauma brought on by car accidents.

Compulsive Hoarding and Acquiring

Author : Gail Steketee
Publisher : Oxford University Press
ISBN 13 : 0198041071
Total Pages : 240 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Compulsive Hoarding and Acquiring by : Gail Steketee

Download or read book Compulsive Hoarding and Acquiring written by Gail Steketee and published by Oxford University Press. This book was released on 2006-12-07 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The problem of compulsive hoarding and acquiring is more widespread than commonly believed. It often goes undiagnosed, either because sufferers are ashamed of their compulsions or because they dont believe it is a problem that merits professional attention. As much as two percent of the U.S. population suffers secretly from this condition. However, compulsive hoarding can be an emotionally exhausting, uncontrollable, and sometimes dangerous problem. Written by the developers of this groundbreaking treatment, this manual is the first to present an empirically supported and effective CBT program for treating compulsive hoarding and acquiring. This guide gives clinicians the information to understand hoarding and proven tools to help clients overcome their compulsive behaviors. It teaches individuals how to recognize errors in thinking and uses both imagined and real exposures to teach them the skills they need to manage their problem. Home visits by the clinician are a part of the treatment, as well as consultations with other professionals who might assist if necessary. Homework exercises include behavioral experiments to test personal beliefs about possessions, developing an organization plan and filing system, and sorting and organizing items room-by-room. Designed to be used in conjunction with the corresponding workbook, this therapist guide provides numerous assessment and intervention forms to help clients use the methods described in this program. Complete with case examples and strategies for dealing with problems, this user-friendly guide is a dependable resource that no clinician can do without. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

Author : Sudie E. Back
Publisher : Oxford University Press, USA
ISBN 13 : 019933451X
Total Pages : 193 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) by : Sudie E. Back

Download or read book Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) written by Sudie E. Back and published by Oxford University Press, USA. This book was released on 2014-10-08 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.

Preparing for the Psychological Consequences of Terrorism

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309167922
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Preparing for the Psychological Consequences of Terrorism by : Institute of Medicine

Download or read book Preparing for the Psychological Consequences of Terrorism written by Institute of Medicine and published by National Academies Press. This book was released on 2003-08-26 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.