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

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.