Prolonged Exposure Therapy in the Time of COVID-19: Modifying PTSD Treatment for a Military Sexual Trauma Survivor Who Contracted COVID-19 Mid-Treatment

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2021-02-10 DOI:10.1177/1534650121993547

Anne N. Banducci

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引用次数: 5

Abstract

Prolonged exposure (PE) therapy is a gold-standard treatment for posttraumatic stress disorder (PTSD) that can be effectively delivered via telehealth modalities. The following case report describes a course of PE delivered to a veteran seeking PTSD treatment for military sexual trauma (MST), who contracted COVID-19 mid-treatment. Considerations for selecting PE as a treatment modality; modifications made due to the COVID-19 pandemic and transition to telehealth more broadly, and following the veteran contracting COVID-19 more specifically; strategies to increase treatment engagement; and assessment of progress over time, are discussed. In particular, treatment considerations during a global pandemic are explored at the patient-, provider-, and systems level, to inform treatment delivery for other providers during this ongoing pandemic. Although there were numerous technological, environmental, and pandemic-related difficulties, the veteran described here persisted through a course of PE and experienced clinically significant reductions in symptoms of PTSD and a great degree of functional recovery.

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COVID-19时期的延长暴露治疗:修改治疗中感染COVID-19的军事性创伤幸存者的PTSD治疗

延长暴露(PE)治疗是创伤后应激障碍(PTSD)的金标准治疗，可通过远程医疗方式有效提供。以下病例报告描述了一名因军性创伤(MST)寻求创伤后应激障碍治疗的退伍军人的PE治疗过程，他在治疗过程中感染了COVID-19。选择PE作为治疗方式的考虑;由于COVID-19大流行和更广泛地向远程医疗过渡而进行的修改，以及更具体地关注退伍军人感染COVID-19;提高治疗参与的战略;和评估进展随着时间的推移，讨论。特别是，在全球大流行期间，在患者、提供者和系统层面探讨了治疗方面的考虑，以便在当前大流行期间为其他提供者提供治疗。尽管存在许多技术、环境和流行病相关的困难，但这里描述的退伍军人坚持了一个PE过程，并经历了临床上创伤后应激障碍症状的显著减轻和很大程度的功能恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.