Cognitive Processing Therapy Delivered in 5 Days via Telehealth to a Gay Latino Adolescent: A Clinical Case Study

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Mariah M. Stickley, Kelly S. Sopchak, Carly E. McCord
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引用次数: 2

Abstract

Cognitive Processing Therapy (CPT) has been thoroughly investigated as an efficacious treatment for posttraumatic stress disorder (PTSD). However, for many, the barriers to receiving treatment in the traditional weekly, in-person format prevent engagement. Recent evidence suggests alternative modalities, such as telehealth, and condensed administration of treatment protocols may reduce barriers, increasing treatment completion. This case study reports the treatment of a gay-identifying adolescent Latino male who received 10 sessions of CPT over the course of 5 consecutive days (CPT-5). The patient experienced significant reduction in PTSD symptoms over the course of treatment, dropping below the clinical threshold for PTSD diagnosis by the 10th session. Treatment gains were maintained, and continued, 6 weeks posttreatment. Further, the patient reported marked reduction in suicidality and substance use. In conclusion, the administration of CPT-5 via telehealth holds promise as an effective evidence-based treatment for adolescents with PTSD, including those holding multiple historically marginalized identities, though further investigation through clinical trials is warranted.

通过远程医疗在5天内对一名拉丁裔同性恋青少年进行认知加工治疗:一个临床病例研究
认知加工疗法(CPT)作为创伤后应激障碍(PTSD)的有效治疗方法已被深入研究。然而,对许多人来说,接受传统的每周面对面治疗的障碍阻碍了他们的参与。最近的证据表明,其他方式,如远程保健和治疗方案的精简管理可以减少障碍,提高治疗完成度。本案例研究报告了一名同性恋青少年拉丁裔男性的治疗,他在连续5天的过程中接受了10次CPT (CPT-5)。在治疗过程中,患者经历了PTSD症状的显著减轻,到第10次治疗时降至PTSD诊断的临床阈值以下。治疗后6周,治疗效果保持并持续。此外,患者报告自杀和药物使用明显减少。总之,通过远程医疗管理CPT-5有望成为一种有效的循证治疗青少年PTSD,包括那些具有多重历史边缘化身份的青少年,尽管需要通过临床试验进行进一步调查。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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