Zespół stresu pourazowego
Leczenie

Zespół stresu pourazowego (PTSD) wymaga indywidualnie dostosowanego leczenia, które opiera się przede wszystkim na psychoterapii skoncentrowanej na traumie, takiej jak terapia poznawczo-behawioralna (TF-CBT), terapia przetwarzania poznawczego (CPT), terapia prolongowanej ekspozycji (PE) oraz EMDR. Terapie te, prowadzone zazwyczaj w 12-20 sesjach trwających 60-90 minut, wykazują przewagę nad farmakoterapią pod względem skuteczności i trwałości efektów. Farmakoterapia, obejmująca głównie SSRI (paroksetyna, sertralina) i SNRI (wenlafaksyna), jest stosowana jako uzupełnienie terapii psychologicznej lub w przypadkach nasilonych objawów uniemożliwiających efektywną psychoterapię. Prazosyna jest szczególnie skuteczna w leczeniu koszmarów nocnych, natomiast benzodiazepiny nie są zalecane ze względu na ryzyko nasilenia objawów. Terapia skojarzona oraz wsparcie społeczne, w tym terapia grupowa i rodzinna, zwiększają efektywność leczenia, zwłaszcza u pacjentów z ciężkimi objawami lub współwystępującymi zaburzeniami psychicznymi.

Leczenie zespołu stresu pourazowego (PTSD)

Zespół stresu pourazowego (PTSD) to poważne zaburzenie psychiczne, które może rozwinąć się po ekspozycji na traumatyczne wydarzenia. Leczenie PTSD ma na celu pomóc pacjentom odzyskać kontrolę nad życiem, zmniejszyć nasilenie objawów i poprawić codzienne funkcjonowanie. Współczesne podejście terapeutyczne do PTSD obejmuje przede wszystkim psychoterapię (terapię rozmową), farmakoterapię lub kombinację obu metod. Należy podkreślić, że leczenie PTSD powinno być indywidualnie dostosowane do potrzeb pacjenta, a wybór metody terapeutycznej zależy od specyfiki objawów, preferencji pacjenta oraz współwystępujących zaburzeń psychicznych12.

Terapia psychologiczna jako pierwsza linia leczenia

Obecnie terapie psychologiczne skoncentrowane na traumie (trauma-focused) są rekomendowane jako pierwsza linia leczenia PTSD. Najnowsze wytyczne kliniczne podkreślają przewagę terapii psychologicznych nad farmakoterapią – wykazują one większą skuteczność w redukcji objawów, a korzyści z nich płynące są bardziej długotrwałe123. Wśród terapii psychologicznych o największej skuteczności wyróżnia się:

Terapie poznawczo-behawioralne (CBT)

Terapia poznawczo-behawioralna skoncentrowana na traumie (TF-CBT) to metoda oparta na dowodach naukowych, która pomaga pacjentom zidentyfikować i zmienić negatywne wzorce myślenia związane z traumatycznym doświadczeniem. Obejmuje ona zazwyczaj 12-20 sesji trwających 60-90 minut, odbywających się co tydzień12. W ramach terapii poznawczo-behawioralnej wyróżnia się kilka podejść:

  • Terapia przetwarzania poznawczego (CPT) – została zaprojektowana specjalnie do leczenia PTSD. Skupia się na zmianie bolesnych negatywnych emocji (takich jak wstyd i poczucie winy) i przekonań wynikających z traumy. Pomaga pacjentom konfrontować się z trudnymi wspomnieniami i emocjami oraz przetwarzać je w bezpiecznym środowisku12.
  • Terapia prolongowanej ekspozycji (PE) – polega na stopniowym i systematycznym eksponowaniu pacjenta na wspomnienia traumatycznego wydarzenia lub bodźce z nim związane. Pomaga to pacjentowi nauczyć się radzić sobie z lękiem, konfrontować się z unikaniem i odzyskać kontrolę nad swoimi reakcjami12.
  • Trening inokulacji stresu (SIT) – to rodzaj CBT, który uczy pacjentów umiejętności radzenia sobie ze stresem, technik relaksacyjnych i innych strategii zarządzania lękiem1.
Terapia odwrażliwiania za pomocą ruchu gałek ocznych (EMDR)

EMDR (Eye Movement Desensitization and Reprocessing) to metoda terapeutyczna, która łączy ekspozycję na traumatyczne wspomnienia z równoczesną stymulacją bilateralną (najczęściej w formie kierowanych ruchów gałek ocznych). Terapia ta pomaga w przetworzeniu traumatycznych wspomnień i zmniejszeniu ich emocjonalnego wpływu na pacjenta12. EMDR jest szczególnie skuteczna w leczeniu PTSD i wymaga zwykle 3 miesięcy cotygodniowych sesji trwających 60-90 minut1.

Terapia narracyjnej ekspozycji (NET)

NET polega na tworzeniu spójnej narracji dotyczącej traumatycznych doświadczeń pacjenta. Metoda ta pomaga pacjentowi umiejscowić traumatyczne wydarzenia w kontekście całego życia i nadać im znaczenie, co może zmniejszyć ich negatywny wpływ12.

Farmakoterapia w leczeniu PTSD

Leki są zwykle stosowane jako uzupełnienie psychoterapii, szczególnie w przypadkach, gdy pacjenci nie odpowiadają na leczenie psychologiczne, nie mają do niego dostępu lub występują u nich nasilone objawy uniemożliwiające skuteczne korzystanie z psychoterapii12. Wśród leków stosowanych w leczeniu PTSD wyróżnia się:

Leki przeciwdepresyjne

Selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI) oraz inhibitory wychwytu zwrotnego serotoniny i noradrenaliny (SNRI) są najczęściej stosowanymi lekami w terapii PTSD1. Leki z tych grup wykazują skuteczność w łagodzeniu objawów PTSD, takich jak lęk, depresja, problemy ze snem i koncentracją2.

Leki przeciwlękowe i inne

W niektórych przypadkach stosuje się również inne grupy leków:

Warto podkreślić, że benzodiazepiny (leki przeciwlękowe takie jak alprazolam czy klonazepam) nie są zalecane w leczeniu PTSD, ponieważ mogą nasilać objawy i nie wykazują skuteczności w leczeniu tego zaburzenia12.

Leczenie skojarzone

W wielu przypadkach najskuteczniejsze jest połączenie psychoterapii i farmakoterapii, szczególnie u pacjentów z ciężkimi objawami lub współwystępującymi zaburzeniami, takimi jak depresja czy uzależnienia12. Leczenie skojarzone może dać lepsze rezultaty niż każda z metod stosowana oddzielnie, ponieważ:

  • Leki mogą złagodzić objawy na tyle, by pacjent mógł skutecznie uczestniczyć w psychoterapii1.
  • Psychoterapia daje długotrwałe efekty i uczy umiejętności radzenia sobie, podczas gdy leki mogą zapewnić szybszą ulgę w objawach1.

Specjalistyczne podejścia w leczeniu PTSD

Terapia grupowa

Terapia grupowa daje możliwość spotkań z innymi osobami, które doświadczyły podobnych traumatycznych wydarzeń. Stwarza to bezpieczne środowisko do dzielenia się doświadczeniami i uczuciami oraz budowania wsparcia społecznego. Ta forma terapii może być szczególnie pomocna w zmniejszaniu poczucia izolacji i odbudowywaniu zaufania do innych123.

Terapia rodzinna

Terapia rodzinna może pomóc bliskim osoby z PTSD zrozumieć, przez co przechodzi, oraz wypracować strategie wspierania pacjenta. Może również pomóc w rozwiązywaniu problemów rodzinnych związanych z traumą i jej konsekwencjami1.

Podejścia uzupełniające

Coraz częściej w leczeniu PTSD stosuje się również metody uzupełniające, takie jak:

  • Praktyki mindfulness i redukcji stresu – mogą pomóc w radzeniu sobie z objawami lęku i poprawić ogólne samopoczucie12.
  • Joga terapeutyczna – badania wskazują na jej potencjalną skuteczność w łagodzeniu objawów PTSD12.
  • Terapia z udziałem zwierząt – szczególnie psy terapeutyczne mogą pomóc w łagodzeniu niektórych objawów PTSD12.
Nowe kierunki w leczeniu

Trwają badania nad nowymi metodami leczenia PTSD, w tym:

  • Terapia wspomagana MDMA (ecstasy) – wstępne badania wskazują na potencjalną skuteczność tej metody u pacjentów opornych na tradycyjne leczenie12.
  • Terapia z użyciem psylocybiny – substancji psychodelicznej zawartej w „magicznych grzybach”, która może stymulować odrost komórek nerwowych w obszarach mózgu odpowiedzialnych za emocje i pamięć1.
  • Ketamina – wykazuje potencjał w szybkim zmniejszaniu objawów PTSD poprzez wpływ na procesy pamięciowe i zwiększenie wygaszania strachu1.

Leczenie PTSD u dzieci i młodzieży

W przypadku dzieci i młodzieży z PTSD stosuje się podobne metody terapeutyczne jak u dorosłych, jednak z pewnymi modyfikacjami uwzględniającymi poziom rozwoju. Najczęściej rekomendowaną metodą jest terapia poznawczo-behawioralna skoncentrowana na traumie (TF-CBT)12.

Terapia dla dzieci z PTSD często obejmuje elementy zabawy, rysunku lub innych form ekspresji, pozwalających młodym pacjentom wyrazić swoje doświadczenia i uczucia w sposób odpowiedni do ich wieku12. W przypadku dzieci, które nie odpowiadają na TF-CBT, można stosować EMDR1.

Leki są rzadziej stosowane u dzieci i młodzieży z PTSD i zwykle rozważane tylko w przypadkach ciężkich objawów lub gdy psychoterapia nie przynosi wystarczających efektów1.

Leczenie złożonego PTSD (CPTSD)

Złożony zespół stresu pourazowego (CPTSD) to odmiana PTSD, która rozwija się w wyniku długotrwałej lub powtarzającej się traumy, zwłaszcza w dzieciństwie. Leczenie CPTSD może wymagać dłuższej terapii i szerszego zakresu interwencji niż tradycyjne PTSD12.

W leczeniu CPTSD często stosuje się:

  • Terapię poznawczo-behawioralną skoncentrowaną na traumie (TF-CBT) – podobnie jak w przypadku PTSD, ale zwykle w dłuższym wymiarze czasowym1.
  • EMDR – może być skuteczna również w przypadku CPTSD1.
  • Terapię dialektyczno-behawioralną (DBT) – szczególnie pomocną przy problemach z regulacją emocji1.
  • Farmakoterapię – podobną jak w przypadku PTSD, ukierunkowaną na łagodzenie objawów depresji, lęku i zaburzeń snu1.

Pacjenci z CPTSD wymagają często długoterminowego wsparcia po zakończeniu aktywnego leczenia1.

Skuteczność leczenia i czynniki wpływające na proces zdrowienia

Leczenie PTSD jest skuteczne i może znacząco poprawić jakość życia pacjentów. Badania pokazują, że ponad 80% osób, które ukończą terapię poznawczo-behawioralną skoncentrowaną na traumie, doświadcza znaczącej poprawy objawów, a ponad połowa z nich nie spełnia już kryteriów diagnostycznych PTSD po zakończeniu leczenia1.

Skuteczność leczenia PTSD zależy od wielu czynników, takich jak:

  • Wczesne rozpoczęcie leczenia – im szybciej pacjent otrzyma profesjonalną pomoc, tym większe są szanse na skuteczne leczenie12.
  • Regularne uczestnictwo w terapii i stosowanie się do zaleceń terapeutycznych1.
  • Wsparcie społeczne ze strony rodziny i przyjaciół12.
  • Motywacja pacjenta do pracy nad swoimi problemami1.
  • Współwystępowanie innych zaburzeń psychicznych – depresji, uzależnień czy zaburzeń lękowych1.

Długotrwałość leczenia

Leczenie PTSD to zwykle proces długoterminowy, a czas trwania terapii zależy od indywidualnej sytuacji pacjenta. Terapia poznawczo-behawioralna skoncentrowana na traumie trwa zazwyczaj 12-20 tygodni, z cotygodniowymi sesjami trwającymi 60-90 minut1. W przypadku farmakoterapii, leki zwykle stosuje się przez co najmniej 6 miesięcy do roku od momentu uzyskania pozytywnej odpowiedzi terapeutycznej1.

Warto pamiętać, że proces zdrowienia może przebiegać nieliniowo, z okresami remisji objawów i ich zaostrzenia. Ważne jest, aby pacjent miał dostęp do wsparcia i pomocy również po zakończeniu aktywnego leczenia1.

Samopomocy i wsparcie

Oprócz profesjonalnego leczenia, ważną rolę w procesie zdrowienia odgrywają strategie samopomocowe i wsparcie społeczne:

  • Edukacja na temat PTSD – zrozumienie mechanizmów zaburzenia może pomóc pacjentom lepiej radzić sobie z objawami1.
  • Techniki relaksacyjne i mindfulness – mogą pomóc w radzeniu sobie z lękiem i nadmiernym pobudzeniem1.
  • Grupy wsparcia – kontakt z osobami o podobnych doświadczeniach może zmniejszyć poczucie izolacji i stygmatyzacji1.
  • Zdrowy styl życia – regularna aktywność fizyczna, zdrowa dieta i unikanie alkoholu i narkotyków mogą wspierać proces zdrowienia1.

Profesjonalna pomoc i dostęp do leczenia

Kluczowe znaczenie dla skutecznego leczenia PTSD ma dostęp do odpowiednich specjalistów i ośrodków terapeutycznych. W leczeniu PTSD uczestniczą różni specjaliści1:

  • Psychiatrzy – mogą diagnozować PTSD i przepisywać leki
  • Psychologowie kliniczni – prowadzą psychoterapię
  • Psychoterapeuci – specjaliści w prowadzeniu różnych form terapii
  • Pracownicy socjalni – mogą pomagać w rozwiązywaniu problemów społecznych i ekonomicznych związanych z PTSD

Ważne jest, aby specjaliści pracujący z pacjentami z PTSD mieli odpowiednie przeszkolenie i doświadczenie w pracy z traumą1. W wielu krajach istnieją specjalistyczne ośrodki i programy leczenia PTSD, które oferują kompleksową opiekę dla osób z tym zaburzeniem12.

Kiedy szukać pomocy

Warto rozważyć konsultację ze specjalistą, jeśli po traumatycznym wydarzeniu występują następujące objawy12:

  • Niepokojące myśli i uczucia związane z traumatycznym wydarzeniem, które utrzymują się dłużej niż miesiąc
  • Poważne zaburzenia snu, koszmary nocne
  • Flashbacki (wspomnienia nawracające) i intruzje
  • Unikanie myśli, miejsc lub ludzi przypominających o traumie
  • Nadmierna czujność i problemy z koncentracją
  • Trudności w codziennym funkcjonowaniu – w pracy, w relacjach

Im wcześniej rozpocznie się leczenie, tym większe są szanse na szybkie ustąpienie objawów i powrót do normalnego funkcjonowania1.

Podsumowanie

Zespół stresu pourazowego jest poważnym zaburzeniem, które wymaga profesjonalnego leczenia, ale jednocześnie jest to zaburzenie w dużej mierze uleczalne1. Współczesne podejścia terapeutyczne, takie jak terapia poznawczo-behawioralna skoncentrowana na traumie, EMDR czy farmakoterapia, wykazują wysoką skuteczność w łagodzeniu objawów PTSD i poprawie jakości życia pacjentów.

Najnowsze wytyczne kliniczne rekomendują psychoterapię, szczególnie terapie skoncentrowane na traumie, jako pierwszą linię leczenia PTSD12. Farmakoterapia jest zalecana jako uzupełnienie psychoterapii lub w przypadkach, gdy psychoterapia nie jest dostępna lub skuteczna.

Warto podkreślić, że PTSD można skutecznie leczyć nawet wiele lat po traumatycznym wydarzeniu, dlatego nigdy nie jest za późno na poszukiwanie pomocy1. Proces leczenia powinien być dostosowany do indywidualnych potrzeb pacjenta, uwzględniając jego preferencje, nasilenie objawów i współwystępujące zaburzenia.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Post-traumatic stress disorder (PTSD) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/diagnosis-treatment/drc-20355973
    Post-traumatic stress disorder treatment can help you regain a sense of control over your life. The main treatment is talk therapy, also known as psychotherapy. But treatment also can include medicine. […] Combining these treatments can make your symptoms better by: […] Several types of talk therapy, also called psychotherapy, may be used to treat children and adults with PTSD. Some types of psychotherapy used in PTSD treatment include: […] Your therapist can help you build stress management skills to help you better handle stressful situations and cope with stress in your life. […] All these approaches can help you gain control of lasting fear after a traumatic event. You and your mental health professional can talk about what type of therapy or combination of therapies may best meet your needs.
  • #1 A Review of PTSD and Current Treatment Strategies
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8672952/
    Current treatment strategies for control of trauma-associated symptoms of Post Traumatic Stress Disorder (PTSD) have recently been updated by the Veterans Affairs (VA) and the Department of Defense (DoD, after over a decade of dedicated research. The most recent evidence is compelling that its use of trauma-focused therapies such as Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), Eye Movement, Desensitization, and Restructuring (EMDR), and others with significant trauma focus are the current gold standard for treatment. […] Prior to 2013 there was little evidence to suggest that there is a differentiation in treatment with pharmacotherapy versus psychotherapy. One of the larger changes to the updated clinical practice guidelines was to recommend therapy over medication for treatment of PTSD, to the recommendation now that manualized trauma focused therapies are the first line treatments.
  • #1 PTSD (Post-Traumatic Stress Disorder): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9545-post-traumatic-stress-disorder-ptsd
    Post-traumatic stress disorder (PTSD) is a common mental health condition that can develop after a traumatic event. It involves symptoms like flashbacks, anxiety, negative thoughts and beliefs, hypervigilance and more. The main treatment for PTSD is psychotherapy (talk therapy). […] Psychotherapy (talk therapy) is the main treatment for PTSD, especially forms of cognitive behavioral therapy (CBT). […] Specific forms of CBT for PTSD include: […] Cognitive processing therapy: This therapy was designed specifically to treat PTSD. It focuses on changing painful negative emotions (like shame and guilt) and beliefs due to the trauma. It also helps you confront distressing memories and emotions. […] Eye movement desensitization and reprocessing (EMDR) therapy: This method involves moving your eyes a specific way while you process traumatic memories. EMDR’s goal is to help you heal from trauma or other distressing life experiences.
  • #1 Psychiatry.org – What is Posttraumatic Stress Disorder (PTSD)?
    https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd
    One category of psychotherapy, cognitive behavior therapies (CBT), is very effective. Cognitive processing therapy, prolonged exposure therapy and stress inoculation therapy (described below) are among the types of CBT used to treat PTSD. […] Medication can help to control the symptoms of PTSD. In addition, the symptom relief that medication provides allows many people to participate more effectively in psychotherapy. […] Other treatments including complementary and alternative therapies are also increasingly being used to help people with PTSD. These approaches provide treatment outside the conventional mental health clinic and may require less talking and disclosure than psychotherapy.
  • #1 Treatment – Post-traumatic stress disorder – NHS
    https://www.nhs.uk/mental-health/conditions/post-traumatic-stress-disorder-ptsd/treatment/
    Eye movement desensitisation and reprocessing (EMDR) is a psychological treatment that’s been found to reduce the symptoms of PTSD. […] The 2 medicines recommended to treat PTSD in adults are paroxetine and sertraline. […] These medicines will only be used if: you choose not to have trauma-focused psychological treatment; psychological treatment would not be effective because there’s an ongoing threat of further trauma; you have gained little or no benefit from a course of trauma-focused psychological treatment; you have an underlying medical condition, such as severe depression, that significantly affects your ability to benefit from psychological treatment. […] Trauma-focused CBT is usually recommended for children and young people with PTSD. […] Children who do not respond to trauma-focused CBT may be offered EMDR.
  • #1 4 Effective Types of Therapy for PTSD — Talkspace
    https://www.talkspace.com/mental-health/conditions/post-traumatic-stress-disorder/therapy-treatment-types/
    EMDR therapy typically requires 3 months of weekly 60 to 90-minute sessions. […] Stress inoculation training (SIT) is yet another type of cognitive behavioral therapy. […] Therapy for PTSD is highly effective for most people. […] The best therapy for PTSD will depend on you and your specific situation. […] Working with both a trauma-informed therapist and a psychiatrist who can collaborate with you on your care can be a supportive way to help you heal from your trauma. […] The sooner you understand and learn coping methods, the sooner you can begin on your path to better mental health, healing, and greater happiness.
  • #1 Psychological and Pharmacologic Treatments for Adults with PTSD | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0501/p577.html
    What are the benefits and harms of psychotherapies and pharmacologic agents for the treatment of adults with posttraumatic stress disorder (PTSD)? […] Cognitive behavior therapy (CBT) and CBT-mixed treatments had high strength of evidence for benefit in improving PTSD-related outcomes, such as reduced PTSD symptoms, reduced depression symptoms, and resolution of PTSD diagnosis. (Strength of Recommendation [SOR]: A, based on consistent, good-quality patient-oriented evidence.) Cognitive processing therapy, cognitive therapy, eye movement desensitization and reprocessing (EMDR), and narrative exposure therapy had moderate strength of evidence for benefit. (SOR: B, based on inconsistent or limited-quality patient-oriented evidence.) Fluoxetine, paroxetine, and venlafaxine had moderate strength of evidence for reducing PTSD symptoms. (SOR: B, based on inconsistent or limited-quality patient-oriented evidence.)
  • #1 PTSD (Post-Traumatic Stress Disorder): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9545-post-traumatic-stress-disorder-ptsd
    Group therapy: This type of therapy encourages survivors of similar traumatic events to share their experiences and feelings in a comfortable and nonjudgmental setting. […] Prolonged exposure therapy: This therapy uses repeated, detailed imagining of the trauma or progressive exposures to symptom triggers in a safe, controlled way. This helps you face and gain control of fear and learn to cope. […] Trauma-focused CBT: This therapy involves learning about how your body responds to trauma and stress. You’ll also identify and reframe problematic thinking patterns and learn symptom management skills. It involves exposure therapy, as well. […] Currently, there are no medications approved by the U.S. Food and Drug Administration (FDA) to treat PTSD. However, healthcare providers may prescribe certain medications to help certain PTSD symptoms, such as:
  • #1 Posttraumatic Stress Disorder: Evaluation and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2023/0300/posttraumatic-stress-disorder.html
    Selective serotonin reuptake inhibitors, including fluoxetine, paroxetine, and sertraline, and the serotonin-norepinephrine reuptake inhibitor venlafaxine are the most effective pharmacologic treatments for PTSD. […] Pharmacotherapy is also important for patients who lack access to behavioral health services or prefer pharmacotherapy over psychotherapy. […] Patients with co-occurring major depressive disorder may be less likely to respond to psychotherapy without pharmacotherapy. […] Other medications may be helpful as alternate or supplemental therapy for patients who experience only partial benefit from pharmacotherapy. […] Patients with PTSD may have issues with sleep initiation or maintenance. […] Cognitive behavior therapy for insomnia is recommended as a first-line treatment for patients with PTSD and chronic sleep disturbance.
  • #1 Psychological Treatments and Pharmacological Treatments for Adults with Post-traumatic Stress Disorder (PTSD) | Effective Health Care (EHC) Program
    https://effectivehealthcare.ahrq.gov/products/ptsd-adult-treatment/research-protocol
    Currently, only paroxetine and sertraline are approved by the U.S. Food and Drug Administration for treatment of PTSD. […] One of the primary outcomes in PTSD treatment is symptom reduction, which includes both clinician-rated and self-reported measures. […] Various guidelines and systematic reviews have resulted in contradictory conclusions and recommendations regarding these broad categories of treatments as well as the effectiveness of specific treatments that fit into each of these areas. […] A new review and synthesis of the evidence are needed to address these uncertainties and, as such, are likely to have a significant impact by improving outcomes and reducing variation in treatment guidelines.
  • #1 Posttraumatic Stress Disorder: Evaluation and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2023/0300/posttraumatic-stress-disorder.html
    Posttraumatic stress disorder (PTSD) is common, with a lifetime prevalence of approximately 6%. […] First-line treatment of PTSD involves psychotherapy, such as trauma-focused cognitive behavior therapy. […] Pharmacotherapy is useful for patients who have residual symptoms after psychotherapy or are unable or unwilling to access psychotherapy. […] Selective serotonin reuptake inhibitors (i.e., fluoxetine, paroxetine, and sertraline) and the serotonin-norepinephrine reuptake inhibitor venlafaxine effectively treat primary PTSD symptoms. […] The addition of other pharmacotherapy, such as atypical antipsychotics or topiramate, may be helpful for residual symptoms. […] Patients with PTSD often have sleep disturbance related to hyperarousal or nightmares. Prazosin is effective for the treatment of PTSD-related sleep disturbance.
  • #1 Post-Traumatic Stress Disorder (PTSD) Signs & Symptoms | Rush
    https://www.rush.edu/conditions/post-traumatic-stress-disorder-ptsd
    The right medication for you depends on your symptoms and body chemistry. Psychiatrists at Rush can help you find the medications and dosages that work for you. These usually include one or more of the following: […] Anti-anxiety medications, which reduce feelings of anxiety and stress […] Antidepressants, which help with depression, anxiety, and difficulty sleeping and concentrating […] Antipsychotics, which can relieve severe anxiety, sleep disturbances and emotional outbursts […] Prazosin, a medication that reduces nightmares and improves sleep. […] The National Institute of Mental Health stresses that it’s „important for anyone with PTSD to be treated by a mental health provider who is experienced with PTSD.” That’s what you’ll find at Rush. Rush psychologists and social workers, for example, have expertise in psychotherapy techniques specifically designed for people with PTSD.
  • #1 Posttraumatic stress disorder in adults: Treatment overview – UpToDate
    https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-adults-treatment-overview
    We do not recommend the following agents in the treatment of posttraumatic stress disorder (PTSD) until further studies supporting their use are reported. […] For individuals with PTSD who experience significant sleep disturbance, typically nightmares, we suggest treatment with prazosin. […] In individuals with PTSD who have prominent psychotic symptoms we typically begin treatment with an SSRI and augment with a second-generation antipsychotic (SGA) medication. […] Our preference is to treat individuals with prominent psychosis in the context of PTSD with an SGA. […] Randomized clinical trials provide some evidence of efficacy for SGAs in PTSD as monotherapy or augmenting serotonin reuptake inhibitors.
  • #1 PTSD: How is treatment changing? – Harvard Health
    https://www.health.harvard.edu/blog/ptsd-how-is-treatment-changing-202405153041
    Some people with severe symptoms need medication to feel well enough to participate in therapy. […] Three medicines commonly prescribed for depression and anxiety paroxetine (Paxil), sertraline (Zoloft), and venlafaxine (Effexor) are recommended. […] The guidelines strongly recommended not taking benzodiazepines (anti-anxiety drugs often taken for sleep). Benzodiazepines such as alprazolam (Xanax) and clonazepam (Klonopin) offer no proven benefits for people with PTSD. […] Right now, evidence doesn’t support the idea that cannabis helps ease PTSD symptoms. […] There isn’t enough evidence to recommend for or against psychedelic-assisted therapies such as psilocybin (magic mushrooms) and MDMA (ecstasy).
  • #1 Treatment – Post-traumatic stress disorder – NHS
    https://www.nhs.uk/mental-health/conditions/post-traumatic-stress-disorder-ptsd/treatment/
    The main treatments for post-traumatic stress disorder (PTSD) are talking therapies and medicine. […] Traumatic events can be very difficult to come to terms with, but confronting your feelings and getting professional help is often the only way of effectively treating PTSD. […] It’s possible for PTSD to be successfully treated many years after the traumatic event or events occurred, which means it’s never too late to get help. […] If you have PTSD that requires treatment, talking therapies are usually recommended first. […] A combination of a talking therapy and medicine may be recommended if you have severe or persistent PTSD. […] Cognitive behavioural therapy (CBT) is a type of talking therapy that aims to help you manage problems by changing how you think and act. […] Trauma-focused CBT uses a range of psychological techniques to help you come to terms with the traumatic event.
  • #1 6 Common Treatments for PTSD (Post-Traumatic Stress Disorder)
    https://www.webmd.com/mental-health/what-are-treatments-for-posttraumatic-stress-disorder
    Posttraumatic stress disorder (PTSD), a type of anxiety disorder, can happen after a deeply threatening or scary event. […] When you have PTSD, it might feel like you’ll never get your life back. But it can be treated. Short- and long-term psychotherapy and medications can work very well. Often, the two kinds of treatment are more effective together. […] Most PTSD therapies fall under the umbrella of cognitive behavioral therapy (CBT). The idea is to change the thought patterns that are disturbing your life. This might happen through talking about your trauma or concentrating on where your fears come from. […] CPT is a 12-week course of treatment, with weekly sessions of 60-90 minutes. […] If you’ve been avoiding things that remind you of the traumatic event, PE will help you confront them.
  • #1 Post-Traumatic Stress Disorder (PTSD) Symptoms, Causes, Help
    https://www.helpguide.org/mental-health/ptsd-trauma/ptsd-symptoms-self-help-treatment
    The types of treatment available for PTSD include: […] Trauma-focused cognitive-behavioral therapy involves gradually exposing yourself to feelings and situations that remind you of the trauma, and replacing distorted and irrational thoughts about the experience with a more balanced picture. […] Family therapy can help your loved ones understand what youre going through and help you work through relationship problems together as a family. […] Medication is sometimes prescribed to people with PTSD to relieve secondary symptoms of depression or anxiety, although they do not treat the causes of PTSD. […] EMDR (Eye Movement Desensitization and Reprocessing) incorporates elements of cognitive-behavioral therapy with eye movements or other forms of rhythmic, left-right stimulation, such as hand taps or sounds. EMDR therapy techniques work by unfreezing the brains information processing system, which is interrupted in times of extreme stress. […] When looking for a therapist, seek out mental health professionals who specialize in the treatment of trauma and PTSD.
  • #1 PTSD: How is treatment changing? – Harvard Health
    https://www.health.harvard.edu/blog/ptsd-how-is-treatment-changing-202405153041
    New guidelines released in 2024 can help guide effective treatment. […] Experts from the U.S. Department of Veterans Affairs and Department of Defense collaborated on new guidelines for treating PTSD. They detailed the evidence both for and against specific therapies for PTSD. […] The new guidelines looked at psychotherapy, medications, nondrug therapies. Psychotherapy, sometimes paired with certain medicines, emerged as the most effective approach. […] The recommended treatment for PTSD, psychotherapy, is more effective than medication. It also has fewer adverse side effects and people prefer it, according to the guidelines. […] Both cognitive processing therapy and prolonged exposure therapy were effective. These two therapies teach people how to evaluate and reframe the upsetting thoughts stemming from the traumatic experience. The guidelines also recommend mindfulness-based stress reduction, an eight-week program that includes meditation, body scanning, and simple yoga stretches.
  • #1 Post-Traumatic Stress Disorder (PTSD) I Psych Central
    https://psychcentral.com/ptsd/ptsd-overview
    Some medications may have a positive impact on PTSD symptoms, like anxiety, depression, and sleep disturbances. […] The commonly prescribed medications for PTSD include the following antidepressants: sertraline (Zoloft), paroxetine (Paxil), venlafaxine (Effexor). […] PTSD is effectively managed with medications and psychotherapy. […] Art therapy can help people with PTSD process traumatic events in a different way. […] A recent study has found that yoga might be helpful for managing symptoms of PTSD. […] There is emerging research into other strategies that might be helpful for symptoms of PTSD. […] Theres a growing body of evidence in support of psychedelic-assisted psychotherapy, as in using controlled doses in a therapeutic setting. […] A 2021 study explored the effectiveness of ketamine for treating PTSD. […] Recovery takes time, but having more tools in your toolkit certainly helps the process along. […] PTSD is a complex mental health condition, but its treatable with psychotherapy, medication, and complementary treatments.
  • #1 Posttraumatic Stress Disorder | NAMI
    https://www.nami.org/about-mental-illness/mental-health-conditions/posttraumatic-stress-disorder/
    Service animals, especially dogs, can help soothe some of the symptoms of PTSD. […] Research indicates that there are several therapeutic approaches that are more effective than others in addressing the symptoms of PTSD: Cognitive Processing Therapy is a type of cognitive behavioral therapy (CBT) that works to address the negative thinking and self-blame symptoms that may come with having PTSD. […] Eye Movement Desensitization and Reprocessing (EMDR) was specifically designed to treat trauma. […] Exposure Therapy is a type of psychotherapy that enables a skilled practitioner to help people safely face what they find traumatizing so they can learn to cope effectively. […] Group Therapy with others who have similar experiences can help build resilience when someone feels alone and isolated.
  • #1 Post-Traumatic Stress Disorder Treatment with Psychedelic Drugs | NYU Langone Health
    https://med.nyu.edu/departments-institutes/population-health/divisions-sections-centers/medical-ethics/education/high-school-bioethics-project/learning-scenarios/ptsd-treatment-psychedelics
    There is some evidence in animal studies to show that psilocybin, the psychedelic compound found in magic mushrooms, may act by stimulating nerve cell regrowth in parts of the brain responsible for emotion and memory. […] Stephen Ross, MD, a psychiatrist at NYU Langone, conducted a study on terminally ill cancer patients, and found that one-time treatment with psilocybin very quickly brought relief from distress that had lasted more than 6 months in 80 percent of study subjects. […] Patients noted that after being treated with psilocybin, they felt their quality of life improve. […] Dr. Ross says that the findings have the potential to transform the care of cancer patients with psychological and existential distress, but beyond that, it potentially provides a completely new model in psychiatry of a medication that works rapidly as both an antidepressant and anxiolytic and has sustained benefit for months.
  • #1 Management of post-traumatic stress disorder – Wikipedia
    https://en.wikipedia.org/wiki/Management_of_post-traumatic_stress_disorder
    Recent research has shown that cannabis is beneficial for PTSD Treatment according to the VFW (Veterans of Foreign Wars) in those who receive doses with higher levels in THC. […] Psychedelic therapy is the use of psychedelic substances such as MDMA, psilocybin, LSD, and ayahuasca to treat mental illnesses. […] The use of MDMA for treating PTSD is currently undergoing clinical trials and not yet approved by the FDA. […] Ketamine has been shown to rapidly decrease PTSD symptoms by altering memory processes such as increases in fear extinction. […] Benzodiazepines are not recommended for the treatment of PTSD due to a lack of evidence of benefit and risk of worsening PTSD symptoms. […] A promising invasive treatment for PTSD was proposed in 2008. […] A number of major health bodies have developed lists of treatment recommendations.
  • #1 Posttraumatic Stress Disorder (PTSD) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/ptsd.html
    Posttraumatic stress disorder (PTSD) is a mental health condition brought on by a trauma. […] Therapy can help kids and teens recover from PTSD. Sometimes taking medicines also can help. Kids also need extra time, comfort, and support from caregivers. […] PTSD doesn’t usually go away on its own. Getting treatment and help can make all the difference. Mental health providers (like psychologists, psychiatrists, and mental health counselors) have the experience to work with patients with PTSD. […] Treatment for PTSD can include therapy and/or medicines to help with anxiety, mood problems, and sleep issues. […] Therapy for kids with PTSD is called trauma-focused cognitive behavioral therapy (TF-CBT). This type of talk therapy uses talking and learning activities, guided by a mental health therapist.
  • #1
    https://www2.hse.ie/conditions/ptsd/treatment/
    The main treatments for post-traumatic stress disorder (PTSD) are: psychological therapies, medicine. […] But confronting your feelings and seeking professional help is the recommended way of treating PTSD. […] It is possible to treat PTSD many years after the traumatic event occurred. This means it is never too late to seek help. […] If you have PTSD that requires treatment, psychological therapies are usually recommended first. A combination of a psychological therapy and medicine may be recommended if you have severe or persistent PTSD. […] There are 3 main types of psychological therapies used to treat people with PTSD: Cognitive behavioural therapy (CBT), Eye movement desensitisation and reprocessing (EMDR), Group therapy. […] Antidepressants are sometimes used to treat PTSD in adults. […] For children and young people with PTSD, trauma-focused CBT is usually recommended. […] Treatment with medicine is not usually recommended for children and young people with PTSD.
  • #1 Complex PTSD – Post-traumatic stress disorder – NHS
    https://www.nhs.uk/mental-health/conditions/post-traumatic-stress-disorder-ptsd/complex/
    You may have complex post-traumatic stress disorder (PTSD) if you have some of the symptoms of PTSD, and also have problems with managing your emotions and having relationships. […] If you have complex PTSD, you may be offered therapies used to treat PTSD, such as trauma-focused cognitive behavioural therapy (CBT) or eye movement desensitisation and reprocessing (EMDR). […] You’ll also be offered treatment for other problems you may have, such as depression or alcohol addiction. […] You should be offered ongoing support after your treatment ends.
  • #1 Complex PTSD: Symptoms, Management, and Finding Support
    https://www.healthline.com/health/cptsd
    Complex post-traumatic stress disorder (CPTSD) is closely related to post-traumatic stress disorder (PTSD). However, it usually involves more severe symptoms because it develops from experiencing repeated trauma over months or years. […] PTSD is a mental health condition that results from a sudden and short-term traumatic event, such as a natural disaster, assault, or car accident. […] As PTSD goes untreated or you are exposed to new or persistent traumatic circumstances, complex PTSD may develop over time. […] Several treatment options are available for CPTSD. A healthcare professional may recommend a combination of approaches depending on your needs. […] Psychotherapy involves talking with a therapist, either alone or in a group. There are many types of psychotherapy, but cognitive behavioral therapy (CBT) is a common option for PTSD. It can help you identify and reassess negative thought patterns.
  • #1 Complex PTSD: Symptoms, Management, and Finding Support
    https://www.healthline.com/health/cptsd
    Eye movement desensitization and reprocessing (EMDR) is commonly used to treat PTSD, and it can be helpful for CPTSD as well. […] Medications for depression can help with some symptoms of CPTSD. A doctor may want to use them with other treatments, such as CBT. […] CPTSD is a formal mental health condition that results from prolonged exposure to one or more traumatic events. It responds well to treatment but may take some time to manage. […] Support is available and relief is possible. If you have experienced traumatic experiences, a mental health professional can help with managing strategies to improve how you feel and interact with the world.
  • #1 Complex PTSD (CPTSD): Causes, symptoms, behaviors, recovery
    https://www.medicalnewstoday.com/articles/322886
    Complex PTSD may require longer treatment than traditional PTSD and a larger variety of interventions, particularly those that focus on issues with self-organization. […] Options for treatment include psychotherapy, eye movement desensitization and reprocessing (EMDR), prolonged exposure therapy, and medication. […] Psychotherapy may take place on a one-to-one basis or in a group setting. […] The therapist may use certain types of trauma-focused therapy, including cognitive behavioral therapy (CBT) or dialectical behavioral therapy (DBT). […] Eye movement desensitization and reprocessing (EMDR) is a technique that may help people with PTSD or complex PTSD. […] Prolonged Exposure (PE) is another mode of therapy for PTSD. […] Some medications for depression may reduce the symptoms of complex PTSD. […] Research studies have shown that in cases of chronic PTSD, the use of cannabidiol may help relieve symptoms. […] With the right therapy, medication, and lifestyle changes, people can manage or reduce their symptoms and improve their overall wellness.
  • #1 Trauma and PTSD treatment in Columbus | Ohio State Medical Center
    https://wexnermedical.osu.edu/mental-behavioral/trauma-ptsd
    Evidence-based therapies for PTSD can be offered individually or in a group setting. We also provide many of these services via telehealth. […] The psychotherapies that research shows as most effective in treating PTSD symptoms include: Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy (PE). […] Multiple research studies show that over 80% of people who receive and complete one of these psychotherapies report significant improvement in their symptoms and over half no longer have the diagnosis of PTSD. […] Medications, such as antidepressants, can also be helpful in treating your PTSD symptoms. […] The Ohio State Wexner Medical Center is a national leader in treating PTSD and researching innovative and effective therapies. […] STRIVE researchers and clinicians have pioneered methods to improve treatment outcomes for people with PTSD and suicidal thoughts, with over 70% of people receiving treatment from STRIVE reporting significant reductions in symptoms and improvements in quality of life.
  • #1 Post-traumatic stress disorder (PTSD) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967
    Getting treatment after PTSD symptoms arise can be very important to ease symptoms and help people function better. […] Talk to your healthcare professional or a mental health professional if you have disturbing thoughts and feelings about a traumatic event for more than a month, especially if they’re severe. Also, see a health professional if you’re having trouble getting your life back under control. Getting treatment as soon as possible can help prevent PTSD symptoms from getting worse. […] Getting timely help and support may prevent usual stress reactions from getting worse and leading to PTSD. This may mean turning to family and friends who will listen and offer comfort. It also may mean seeking out a mental health professional for a brief course of therapy. Some people also may find it helpful to turn to their faith communities.
  • #1 Post-traumatic stress disorder (PTSD) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/diagnosis-treatment/drc-20355973
    Several types of medicines can help make symptoms of PTSD better: […] You and your healthcare professional can work together to figure out the best medicine, with the fewest side effects, for you. […] Tell your healthcare professional about any side effects or problems with medicines. […] If a traumatic event causes stress and other problems that affect your life, see your healthcare professional or mental health professional. […] Following your treatment plan and routinely reaching out to your mental health professional will help move you forward. […] This knowledge can help you understand what you’re feeling, and then you can build coping strategies to respond effectively. […] You may need to see a therapist who can help you work through your stress. […] If you think you may have post-traumatic stress disorder, make an appointment with your healthcare professional or mental health professional. […] Your healthcare professional likely will ask you several questions, such as: […] Your healthcare professional or mental health professional will ask more questions based on your responses, symptoms and needs.
  • #1 Posttraumatic Stress Disorder | NAMI
    https://www.nami.org/about-mental-illness/mental-health-conditions/posttraumatic-stress-disorder/
    There is no one medication that treats all the symptoms of PTSD, yet some medications can help with some symptoms and also increase the effectiveness of psychotherapy. […] Antidepressants can be useful to help reduce symptoms of PTSD. […] Recently, many health care professionals have begun to include complementary and alternative methods into treatment regimens. […] Service dogs are another option for non-traditional therapy for people experiencing PTSD. […] If you, a family member or friend is experiencing symptoms of PTSD, there is help. NAMI is here to provide you with support and information about community resources for you and your family. […] Self-care while experiencing PTSD is a must, as it provides a sense of grounding and relief from symptoms. […] As with any mental illness, encouragement and support of friends and family is very important. This is especially true for people who have experienced trauma.
  • #1 PTSD Treatment Program | Behavioral Health Trauma Care
    https://rogersbh.org/mental-health-treatment/ptsd-treatment/
    Depending on the level of care, diagnosis, and each person’s unique needs, treatment may include: Written exposure therapy (WET), Cognitive behavioral therapy (CBT), including trauma-focused CBT where available, Prolonged exposure therapy for PTSD (PE), Behavioral activation (BA), Art and yoga/movement therapy. […] PTSD symptoms don’t have to hold you back from living life fully. Call Rogers Behavioral Health at 833.308.5887 or reach out to us online to start treatment for PTSD. By working with the best minds in the field, you can reclaim your life, process your experiences, and enjoy a healthier way forward.
  • #1 Posttraumatic Stress Disorder: Evaluation and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2023/0300/posttraumatic-stress-disorder.html
    The alpha2 agonist prazosin may reduce symptoms by decreasing sympathetic nervous tone during sleep. […] Continuous positive airway pressure reduces nightmares and improves daytime symptoms in patients with PTSD and obstructive sleep apnea. […] Most patients with PTSD have comorbidities. […] Diagnosis of additional disorders should not preclude treatment of PTSD. […] Trauma-focused psychotherapy may be less effective when PTSD is complicated by substance use.
  • #1 A Review of PTSD and Current Treatment Strategies
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8672952/
    In conjunction with specific positive research supporting use of manualized, trauma-focused therapies such as PE, EMDR, and CPT have shown consistent reduction of symptoms of PTSD with completion of 1216, 60 minute weekly sessions. […] There is strong evidence for: Individual, manualized trauma-focused psychotherapy, 1220, 60-minute sessions weekly, as main and first line treatment for treatment of PTSD. […] As based on the most relevant and recent research, the medications fluoxetine, venlafaxine, or paroxetine have shown the most benefit as monotherapy in treatment of posttraumatic stress disorder symptomology. […] There has been a wealth of new and updated research into PTSD and its treatment over the last 15 years. Out of the many treatments researched, the trauma-focused therapies, delivered individually, with use of a manual by the therapist showed the most benefit in treatment.
  • #1 Posttraumatic stress disorder in adults: Treatment overview – UpToDate
    https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-adults-treatment-overview
    Trauma-focused psychotherapies are the most extensively studied therapy for the treatment of PTSD. […] We continue medications that are effective for posttraumatic stress disorder (PTSD) for at least six months to one year in order prevent relapse or recurrence. […] Our preference for psychotherapy, medication, or their combination in patients who experience a suboptimal (eg, poor or partial response) to initial treatment is made on the basis of treatment availability and/or patient preference. […] For individuals who prefer psychotherapy, our choices for treatment of suboptimal response to initial psychotherapy are: For poor response to initial psychotherapy, our preference is to switch to another trauma-focused therapy (eg, cognitive processing therapy). […] For individuals with poor response to initial medication management our choice is to switch to another SSRI. A trial of a serotonin-norepinephrine reuptake inhibitor (SNRI) is an acceptable option; however, SNRIs have been less extensively studied than SSRIs in the treatment of PTSD.
  • #1 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Post-Traumatic-Stress-Disorder-(PTSD)-Treatment.aspx
    Post-traumatic stress disorder (PTSD) may develop within days, weeks, months, or years after a traumatic event. However, regardless of the time PTSD takes to manifest, it is a treatable condition. […] The PTSD treatment often takes time, with periods of symptom remission followed by periods where symptoms are exacerbated. A team of medical professionals, including a mental health specialist, a psychologist, a psychiatrist, a community psychiatric nurse, and/or a social worker, are often involved in treating a PTSD patient. […] APAs Clinical Practice Guidelines recommend four interventions for treating PTSD. Another four APA recommendations are conditional. The primary PTSD treatment is psychotherapy, but it can also include medication, all of which combine together to help improve PTSD symptoms.
  • #1 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=56&contentid=2401
    A month after the event, people who feel they can’t get control of their lives because of their responses to the trauma may have posttraumatic stress disorder (PTSD). […] The following actions can help you recover from PTSD: […] Get professional help right away. The longer a person with PTSD goes without treatment, the harder it can be to heal. […] A therapist may teach relaxation methods and help you understand and change the mental processes that lead to PTSD. […] Join a support group. Being in a group with other people who have PTSD may help reduce isolation. It can also help rebuild your trust in others.
  • #1 Post-traumatic stress disorder – UF Health
    https://ufhealth.org/conditions-and-treatments/post-traumatic-stress-disorder
    Support groups, whose members are people who have similar experiences with PTSD, can be helpful. […] PTSD can be treated. You can increase the chance of a good outcome: See a provider right away if you think you have PTSD. […] Take an active part in your treatment and follow your provider’s instructions. […] Accept support from others. […] Take care of your health. Exercise and eat healthy foods. […] DO NOT drink alcohol or use recreational drugs. These can make your PTSD worse.
  • #1 PTSD Treatment | Veterans Affairs
    https://www.va.gov/health-care/health-needs-conditions/mental-health/ptsd/
    Whether you just returned from a deployment or have been home for 40 years, its never too late to get help for PTSD (posttraumatic stress disorder). Getting counseling or treatment can help you manage your symptoms and keep them from getting worse. […] Our National Center for PTSD is the world leader in PTSD research, education, and treatment. […] We have almost 200 PTSD treatment programs across the country that offer: 1-to-1 mental health assessment and testing to figure out if you have PTSD, medicine proven to work for treating PTSD, 1-to-1 psychotherapy (also called talk therapy). This includes proven methods like Cognitive Processing Therapy (CPT), 1-to-1 family therapy, group therapy for special needs, like anger or stress management, or combat support, group therapy for Veterans who served in certain combat zones or whove been through similar traumas.
  • #1 Post-Traumatic Stress Disorder (PTSD) Diagnosis and Treatment
    https://www.rwjbh.org/treatment-care/mental-health-and-behavioral-health/conditions/post-traumatic-stress-disorder/
    Post-traumatic stress disorder (PTSD) is highly treatable and there are many reasons to be hopeful that with treatment, the individual can enjoy a high quality of life. […] The good news is there are effective treatments available. […] PTSD is a condition that can be treated effectively. […] A cornerstone of PTSD treatment, therapy offers a safe space to understand, confront, and work through traumatic experiences. Among the most impactful therapeutic methods are: Cognitive behavioral therapy (CBT), Eye movement desensitization and reprocessing (EMDR), Prolonged exposure (PE) therapy, Cognitive processing therapy (CPT), Medication therapy, Self-care practices, Educational resources. […] Recovery from PTSD is a personal journey unique to each individual. What proves effective for one person may differ for another, necessitating a period of exploration to find the most fitting combination of treatments.
  • #2 Treatment – Post-traumatic stress disorder – NHS
    https://www.nhs.uk/mental-health/conditions/post-traumatic-stress-disorder-ptsd/treatment/
    The main treatments for post-traumatic stress disorder (PTSD) are talking therapies and medicine. […] Traumatic events can be very difficult to come to terms with, but confronting your feelings and getting professional help is often the only way of effectively treating PTSD. […] It’s possible for PTSD to be successfully treated many years after the traumatic event or events occurred, which means it’s never too late to get help. […] If you have PTSD that requires treatment, talking therapies are usually recommended first. […] A combination of a talking therapy and medicine may be recommended if you have severe or persistent PTSD. […] Cognitive behavioural therapy (CBT) is a type of talking therapy that aims to help you manage problems by changing how you think and act. […] Trauma-focused CBT uses a range of psychological techniques to help you come to terms with the traumatic event.
  • #2 Psychological and Pharmacologic Treatments for Adults with PTSD | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0501/p577.html
    Family physicians regularly diagnose and treat PTSD, which affects 8% of men and 20% of women in the general population. […] The AHRQ review findings are similar to the recommendations from the U.S. Department of Veterans Affairs (VA)/U.S. Department of Defense (DoD) clinical practice guideline. This guideline states that the trauma-focused psychotherapies with the strongest evidence are prolonged exposure, cognitive processing therapy, and EMDR; there is sufficient evidence to also recommend narrative exposure and other types of CBT. Nontrauma-focused psychotherapies that were reported as potentially helpful include stress inoculation training, present-centered therapy, and interpersonal psychotherapy. The pharmacotherapies recommended in the VA/DoD guideline include fluoxetine, paroxetine, venlafaxine, and sertraline; the guideline recommends against the use of atypical antipsychotic medications, topiramate, and amitriptyline. […] Once the diagnosis is made, the VA/DoD guideline recommends starting with individual trauma-focused psychotherapy, based on evidence that psychotherapy results in a greater change in symptoms with more persistent benefits. Pharmacotherapy may be used when psychotherapy is not available.
  • #2 A Review of PTSD and Current Treatment Strategies
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8672952/
    In conjunction with specific positive research supporting use of manualized, trauma-focused therapies such as PE, EMDR, and CPT have shown consistent reduction of symptoms of PTSD with completion of 1216, 60 minute weekly sessions. […] There is strong evidence for: Individual, manualized trauma-focused psychotherapy, 1220, 60-minute sessions weekly, as main and first line treatment for treatment of PTSD. […] As based on the most relevant and recent research, the medications fluoxetine, venlafaxine, or paroxetine have shown the most benefit as monotherapy in treatment of posttraumatic stress disorder symptomology. […] There has been a wealth of new and updated research into PTSD and its treatment over the last 15 years. Out of the many treatments researched, the trauma-focused therapies, delivered individually, with use of a manual by the therapist showed the most benefit in treatment.
  • #2 Trauma and PTSD Treatment | The Ross Center
    https://www.rosscenter.com/what-we-treat/trauma-ptsd/
    Prolonged Exposure: In which you learn to face your memories and real life reminders of the trauma, until they no longer cause significant anxiety. […] Cognitive Processing Therapy (CPT): A structured cognitive behavioral treatment that helps you change thoughts and beliefs about the trauma that might be keeping you “stuck” in PTSD. […] Eye Movement Desensitization and Reprocessing Therapy (EMDR): A simple but effective therapy using bilateral stimulation (BLS) that accelerates the brain’s capacity to process and heal a troubling memory or distressing experience. […] Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): A brief, structured treatment for children and adolescents impacted by trauma, as well as their family members. […] Trauma-Informed Therapy Tailored to Your Needs […] Those who have been through trauma or extreme stress often experience difficulties in multiple areas of life. In addition to the classic symptoms of PTSD, some people may struggle with:
  • #2 Post-traumatic stress disorder (PTSD) — symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/post-traumatic-stress-disorder-ptsd
    Medicine for PTSD may be recommended if your symptoms are more severe. It is often used together with psychological treatment. […] The most useful medicines for PTSD are antidepressants. It can take time before they start to work. Its important to be aware of the possible side effects and to maintain regular contact with a doctor or mental health practitioner while youre taking these medicines. […] Research has shown that support from family and friends is important in helping someone recover from PTSD. In some cases, family members may need to seek support of their own.
  • #2 PTSD (Post-Traumatic Stress Disorder): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9545-post-traumatic-stress-disorder-ptsd
    Post-traumatic stress disorder (PTSD) is a common mental health condition that can develop after a traumatic event. It involves symptoms like flashbacks, anxiety, negative thoughts and beliefs, hypervigilance and more. The main treatment for PTSD is psychotherapy (talk therapy). […] Psychotherapy (talk therapy) is the main treatment for PTSD, especially forms of cognitive behavioral therapy (CBT). […] Specific forms of CBT for PTSD include: […] Cognitive processing therapy: This therapy was designed specifically to treat PTSD. It focuses on changing painful negative emotions (like shame and guilt) and beliefs due to the trauma. It also helps you confront distressing memories and emotions. […] Eye movement desensitization and reprocessing (EMDR) therapy: This method involves moving your eyes a specific way while you process traumatic memories. EMDR’s goal is to help you heal from trauma or other distressing life experiences.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Post-Traumatic-Stress-Disorder-(PTSD)-Treatment.aspx
    Prolonged exposure teaches patients to gradually accept that trauma-related memories need not be avoided. […] APA also recommends three psychotherapies and four medications conditionally. […] Brief eclectic psychotherapy combines elements of CBT with a psychodynamic approach to treat PTSD patients who have experienced a single traumatic event. […] Eye movement desensitization and reprocessing (EMDR) is a relatively new approach to treating PTSD. […] Narrative exposure therapy (NET) helps individuals establish a coherent life narrative to contextualize traumatic experiences. […] Medications are generally used in severe cases that have not responded to psychotherapy or CBT alone. […] Although sertraline is typically the first class of medications used in PTSD treatment, individual histories of side effects, drug response, comorbidities, and personal preferences are also considered before a doctor prescribes these medications.
  • #2 Treatment – Post-traumatic stress disorder – NHS
    https://www.nhs.uk/mental-health/conditions/post-traumatic-stress-disorder-ptsd/treatment/
    Eye movement desensitisation and reprocessing (EMDR) is a psychological treatment that’s been found to reduce the symptoms of PTSD. […] The 2 medicines recommended to treat PTSD in adults are paroxetine and sertraline. […] These medicines will only be used if: you choose not to have trauma-focused psychological treatment; psychological treatment would not be effective because there’s an ongoing threat of further trauma; you have gained little or no benefit from a course of trauma-focused psychological treatment; you have an underlying medical condition, such as severe depression, that significantly affects your ability to benefit from psychological treatment. […] Trauma-focused CBT is usually recommended for children and young people with PTSD. […] Children who do not respond to trauma-focused CBT may be offered EMDR.
  • #2 PTSD: How is treatment changing? – Harvard Health
    https://www.health.harvard.edu/blog/ptsd-how-is-treatment-changing-202405153041
    Some people with severe symptoms need medication to feel well enough to participate in therapy. […] Three medicines commonly prescribed for depression and anxiety paroxetine (Paxil), sertraline (Zoloft), and venlafaxine (Effexor) are recommended. […] The guidelines strongly recommended not taking benzodiazepines (anti-anxiety drugs often taken for sleep). Benzodiazepines such as alprazolam (Xanax) and clonazepam (Klonopin) offer no proven benefits for people with PTSD. […] Right now, evidence doesn’t support the idea that cannabis helps ease PTSD symptoms. […] There isn’t enough evidence to recommend for or against psychedelic-assisted therapies such as psilocybin (magic mushrooms) and MDMA (ecstasy).
  • #2 Posttraumatic stress disorder in adults: Treatment overview – UpToDate
    https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-adults-treatment-overview
    For most adults diagnosed with PTSD, we suggest first-line treatment with a trauma-focused psychotherapy that includes exposure rather than other types of therapy, or medication (eg, selective serotonin reuptake inhibitor [SSRI] or serotonin-norepinephrine reuptake inhibitor [SNRI]). […] Clinical trials and meta-analysis have found trauma-focused therapies including trauma-focused cognitive-behavioral therapy (CBT; eg, cognitive processing therapy), exposure-based therapy (eg, prolonged and written exposure), and eye movement desensitization and reprocessing therapy to be effective in the treatment of PTSD in adults. […] In individuals with comorbid disorders such as depression, we prefer to begin treatment with pharmacologic management with a serotonin reuptake inhibitor (SSRIs or SNRIs). This is particularly true in individuals with depression who may have low motivation or poor concentration.
  • #2 Post-Traumatic Stress Disorder (PTSD) I Psych Central
    https://psychcentral.com/ptsd/ptsd-overview
    Some medications may have a positive impact on PTSD symptoms, like anxiety, depression, and sleep disturbances. […] The commonly prescribed medications for PTSD include the following antidepressants: sertraline (Zoloft), paroxetine (Paxil), venlafaxine (Effexor). […] PTSD is effectively managed with medications and psychotherapy. […] Art therapy can help people with PTSD process traumatic events in a different way. […] A recent study has found that yoga might be helpful for managing symptoms of PTSD. […] There is emerging research into other strategies that might be helpful for symptoms of PTSD. […] Theres a growing body of evidence in support of psychedelic-assisted psychotherapy, as in using controlled doses in a therapeutic setting. […] A 2021 study explored the effectiveness of ketamine for treating PTSD. […] Recovery takes time, but having more tools in your toolkit certainly helps the process along. […] PTSD is a complex mental health condition, but its treatable with psychotherapy, medication, and complementary treatments.
  • #2 Post-Traumatic Stress Disorder (PTSD) Signs & Symptoms | Rush
    https://www.rush.edu/conditions/post-traumatic-stress-disorder-ptsd
    The right medication for you depends on your symptoms and body chemistry. Psychiatrists at Rush can help you find the medications and dosages that work for you. These usually include one or more of the following: […] Anti-anxiety medications, which reduce feelings of anxiety and stress […] Antidepressants, which help with depression, anxiety, and difficulty sleeping and concentrating […] Antipsychotics, which can relieve severe anxiety, sleep disturbances and emotional outbursts […] Prazosin, a medication that reduces nightmares and improves sleep. […] The National Institute of Mental Health stresses that it’s „important for anyone with PTSD to be treated by a mental health provider who is experienced with PTSD.” That’s what you’ll find at Rush. Rush psychologists and social workers, for example, have expertise in psychotherapy techniques specifically designed for people with PTSD.
  • #2 Management of post-traumatic stress disorder – Wikipedia
    https://en.wikipedia.org/wiki/Management_of_post-traumatic_stress_disorder
    Alternative medicine is any product or practice that is not considered part of standard medical care. […] Relaxation techniques may be the earliest behavioral treatment for PTSD, and are often included as part of PTSD treatment. […] Yoga has shown promise of reducing symptoms of PTSD when is it used alongside other treatments. […] Acupuncture is a practice using small needles to penetrate the skin in specific areas of the body to stimulate the nervous system. […] Group therapy can take on many forms. […] Animal-assisted intervention, previously referred to as animal-assisted therapy, is any therapy that includes animals in the treatment. […] Present centered therapy (PCT) was initially developed as a nonspecific comparison condition to test the effectiveness of trauma focused cognitive behavioral therapy in two large studies conducted by the US Department of Veterans Affairs.
  • #2 Posttraumatic Stress Disorder: Evaluation and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2023/0300/posttraumatic-stress-disorder.html
    Selective serotonin reuptake inhibitors, including fluoxetine, paroxetine, and sertraline, and the serotonin-norepinephrine reuptake inhibitor venlafaxine are the most effective pharmacologic treatments for PTSD. […] Pharmacotherapy is also important for patients who lack access to behavioral health services or prefer pharmacotherapy over psychotherapy. […] Patients with co-occurring major depressive disorder may be less likely to respond to psychotherapy without pharmacotherapy. […] Other medications may be helpful as alternate or supplemental therapy for patients who experience only partial benefit from pharmacotherapy. […] Patients with PTSD may have issues with sleep initiation or maintenance. […] Cognitive behavior therapy for insomnia is recommended as a first-line treatment for patients with PTSD and chronic sleep disturbance.
  • #2 Posttraumatic Stress Disorder | NAMI
    https://www.nami.org/about-mental-illness/mental-health-conditions/posttraumatic-stress-disorder/
    Service animals, especially dogs, can help soothe some of the symptoms of PTSD. […] Research indicates that there are several therapeutic approaches that are more effective than others in addressing the symptoms of PTSD: Cognitive Processing Therapy is a type of cognitive behavioral therapy (CBT) that works to address the negative thinking and self-blame symptoms that may come with having PTSD. […] Eye Movement Desensitization and Reprocessing (EMDR) was specifically designed to treat trauma. […] Exposure Therapy is a type of psychotherapy that enables a skilled practitioner to help people safely face what they find traumatizing so they can learn to cope effectively. […] Group Therapy with others who have similar experiences can help build resilience when someone feels alone and isolated.
  • #2 PTSD Treatment Basics – PTSD: National Center for PTSD
    https://www.ptsd.va.gov/understand_tx/tx_basics.asp
    Practices that support whole person health may be used with conventional treatments for mental health care, including for PTSD. These „complementary” approaches may be integrated into your treatment plan. […] The articles below give basic information about how to get started with treatment and how to know if your treatment is working for you. […] Visit our Get Help section to learn how to find help in a crisis, locate a provider, get care for Veterans and access self-help and coping information and tools to manage stress.
  • #2 Posttraumatic Stress Disorder | NAMI
    https://www.nami.org/about-mental-illness/mental-health-conditions/posttraumatic-stress-disorder/
    There is no one medication that treats all the symptoms of PTSD, yet some medications can help with some symptoms and also increase the effectiveness of psychotherapy. […] Antidepressants can be useful to help reduce symptoms of PTSD. […] Recently, many health care professionals have begun to include complementary and alternative methods into treatment regimens. […] Service dogs are another option for non-traditional therapy for people experiencing PTSD. […] If you, a family member or friend is experiencing symptoms of PTSD, there is help. NAMI is here to provide you with support and information about community resources for you and your family. […] Self-care while experiencing PTSD is a must, as it provides a sense of grounding and relief from symptoms. […] As with any mental illness, encouragement and support of friends and family is very important. This is especially true for people who have experienced trauma.
  • #2 Posttraumatic Stress Disorder Treatment & Management: Approach Considerations, Long-Term Monitoring, Consultations
    https://emedicine.medscape.com/article/288154-treatment
    Trauma-focused CBT is effective in treating PTSD in children and adolescents. […] Other research suggests that adding 3,4-methylenedioxymethamphetamine (MDMA), also known as ecstasy, to intensive psychotherapy can significantly mitigate symptoms of PTSD. […] Recommendations for pharmacological treatment vary depending on the source. […] The American Psychiatric Association and the US Department of Veterans Affairs and Department of Defense Clinical Practice Guidelines both recommend antidepressants (particularly SSRIs) as first-line treatment for PTSD. […] Inpatient care may be necessary if the patient becomes an acute danger to themselves or others. […] Active treatment should occur until symptoms have abated. […] Mental health providers who encounter individuals with posttraumatic stress disorder (PTSD) need to assess for the common comorbidities and may have to consult other clinicians in order to provide comprehensive care. […] It is important for people with posttraumatic stress disorder (PTSD) to try to stay active lest their lives become increasingly restricted and things they fear increase.
  • #2 Posttraumatic Stress Disorder (PTSD) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/ptsd.html
    Posttraumatic stress disorder (PTSD) is a mental health condition brought on by a trauma. […] Therapy can help kids and teens recover from PTSD. Sometimes taking medicines also can help. Kids also need extra time, comfort, and support from caregivers. […] PTSD doesn’t usually go away on its own. Getting treatment and help can make all the difference. Mental health providers (like psychologists, psychiatrists, and mental health counselors) have the experience to work with patients with PTSD. […] Treatment for PTSD can include therapy and/or medicines to help with anxiety, mood problems, and sleep issues. […] Therapy for kids with PTSD is called trauma-focused cognitive behavioral therapy (TF-CBT). This type of talk therapy uses talking and learning activities, guided by a mental health therapist.
  • #2 Posttraumatic Stress Disorder (PTSD) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/ptsd.html
    TF-CBT can help any child who has been through a trauma, not just those who have PTSD. Getting therapy soon after a trauma helps kids cope well. […] Trauma therapy gives kids a way to safely share their feelings, tell their story, and get support. […] In therapy, kids learn coping and calming skills to help them deal with anxiety they feel after a trauma. This makes it easier to talk about what they’ve been through. […] Through therapy, kids learn to adjust some of their thoughts about the trauma. They learn to let go of any guilt or shame about what happened to them. Slowly, they learn to face things they used to avoid. […] Therapy helps children gain courage and confidence. Kids use their strengths to cope.
  • #2 CPTSD (Complex PTSD): What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24881-cptsd-complex-ptsd
    Complex post-traumatic stress disorder (CPTSD) is manageable with psychotherapy (talk therapy) and medication. […] Psychotherapy (talk therapy) is the main treatment for complex PTSD. Specifically, this type of psychotherapy is a form of cognitive behavioral therapy (CBT) called trauma-focused CBT. […] Trauma-focused CBT involves: Learning how your body responds to trauma and stress. Learning how to manage symptoms. Identifying and reframing problematic thinking patterns. Exposure therapy. […] Another type of trauma-focused therapy is eye movement desensitization and reprocessing (EMDR). […] Cognitive processing therapy (CPT) is another type of trauma-focused therapy. […] Currently, there are no medications approved by the U.S. Food and Drug Administration (FDA) to treat PTSD or CPTSD. However, healthcare providers may prescribe certain medications to help certain CPTSD symptoms, such as: Antidepressants like selective serotonin reuptake inhibitors (SSRIs) or serotonin and norepinephrine reuptake inhibitors (SNRIs). Anti-anxiety medications. Sleep medications. […] It may be very difficult to seek help after chronic trauma. Know that treatment for complex PTSD is important, and with time, treatment can help you get better. Talk to your healthcare provider about treatment options. They’re available to help and support you.
  • #2 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=56&contentid=2401
    A month after the event, people who feel they can’t get control of their lives because of their responses to the trauma may have posttraumatic stress disorder (PTSD). […] The following actions can help you recover from PTSD: […] Get professional help right away. The longer a person with PTSD goes without treatment, the harder it can be to heal. […] A therapist may teach relaxation methods and help you understand and change the mental processes that lead to PTSD. […] Join a support group. Being in a group with other people who have PTSD may help reduce isolation. It can also help rebuild your trust in others.
  • #2 PTSD Treatment | Veterans Affairs
    https://www.va.gov/health-care/health-needs-conditions/mental-health/ptsd/
    We also offer other forms of treatment and support: PTSD specialists provide regular outpatient care to Veterans with PTSD in each VA medical center across the U.S. Special residential (live-in) or inpatient care programs found in each region of the U.S. help Veterans with severe PTSD symptoms who have trouble doing normal daily activities (like going to work). […] The VA health care program covers PTSD health services. To access these services, first apply for VA health care. […] If you have symptoms of PTSD and suffered a serious injury, personal trauma, sexual trauma, or were threatened with injury, sexual assault, or death while serving in the military, you may be able to get disability compensation or benefits. […] Read our Understanding PTSD and PTSD Treatment booklet for more about PTSD symptoms and treatment. Go to our National Center for PTSD website for information about PTSD treatment and support.
  • #2 Post-traumatic stress disorder (PTSD) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967
    Getting treatment after PTSD symptoms arise can be very important to ease symptoms and help people function better. […] Talk to your healthcare professional or a mental health professional if you have disturbing thoughts and feelings about a traumatic event for more than a month, especially if they’re severe. Also, see a health professional if you’re having trouble getting your life back under control. Getting treatment as soon as possible can help prevent PTSD symptoms from getting worse. […] Getting timely help and support may prevent usual stress reactions from getting worse and leading to PTSD. This may mean turning to family and friends who will listen and offer comfort. It also may mean seeking out a mental health professional for a brief course of therapy. Some people also may find it helpful to turn to their faith communities.
  • #2 A Review of PTSD and Current Treatment Strategies
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8672952/
    Current treatment strategies for control of trauma-associated symptoms of Post Traumatic Stress Disorder (PTSD) have recently been updated by the Veterans Affairs (VA) and the Department of Defense (DoD, after over a decade of dedicated research. The most recent evidence is compelling that its use of trauma-focused therapies such as Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), Eye Movement, Desensitization, and Restructuring (EMDR), and others with significant trauma focus are the current gold standard for treatment. […] Prior to 2013 there was little evidence to suggest that there is a differentiation in treatment with pharmacotherapy versus psychotherapy. One of the larger changes to the updated clinical practice guidelines was to recommend therapy over medication for treatment of PTSD, to the recommendation now that manualized trauma focused therapies are the first line treatments.
  • #3 Effective PTSD Treatment Goals | Relevance Recovery
    https://relevancerecovery.com/blog/a-step-by-step-guide-to-setting-meaningful-ptsd-treatment-goals/
    Have you or someone you know been grappling with the challenges of post-traumatic stress disorder (PTSD)? Dealing with post-traumatic stress disorder (PTSD) can be an arduous journey, but setting and achieving treatment goals can be a powerful tool in reclaiming control and finding a path towards healing. […] Setting goals for gradual exposure is important because it helps individuals: […] Setting specific and realistic PTSD treatment goals is not just an administrative task; it’s a profound transformative process that reshapes the very nature of the healing journey. These goals serve as guiding beacons, empowering individuals to become active participants in their own recovery, transforming their healing process from a vague and uncertain path into a focused pursuit of well-being. […] Setting meaningful PTSD treatment goals is crucial for navigating the path to recovery and reclaiming control over your life. By addressing symptoms, managing emotions, improving relationships, and enhancing self-esteem, you can take proactive steps toward healing. Remember, you don’t have to face this journey alone; there are numerous resources and support systems available to guide you through each stage of recovery.
  • #3 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=56&contentid=2401
    A month after the event, people who feel they can’t get control of their lives because of their responses to the trauma may have posttraumatic stress disorder (PTSD). […] The following actions can help you recover from PTSD: […] Get professional help right away. The longer a person with PTSD goes without treatment, the harder it can be to heal. […] A therapist may teach relaxation methods and help you understand and change the mental processes that lead to PTSD. […] Join a support group. Being in a group with other people who have PTSD may help reduce isolation. It can also help rebuild your trust in others.