This course on CBT for PTSD in individuals with severe mental illness and BPD reviews the effectiveness, feasibility, and tolerability of brief treatment. This research article was published in Psychiatry Research and is available as an open access article available in PMC through Human Health Services Public Access.
Secondary analyses were performed on data from two randomized controlled trials of a cognitive behavioral therapy (CBT) program for post-traumatic stress disorder (PTSD) in individuals with severe mental illness (SMI) to examine the feasibility, tolerability, and effectiveness for individuals with borderline personality disorder (BPD). In Study 1, 27 participants received CBT or treatment as usual. In Study 2, 55 participants received CBT or a Brief treatment. Feasibility and tolerability of CBT, PTSD symptoms, and other mental health and functional outcomes were examined, with assessments at baseline, post-treatment, and two follow-up time points. CBT was feasible and tolerable in this population. Study 1 participants in CBT improved significantly more in PTSD symptoms, depression, and self-reported physical health. Study 2 participants in both CBT and Brief improved significantly in PTSD symptoms, posttraumatic cognitions, depression, and overall functioning, with those in CBT acquiring significantly more PTSD knowledge, and having marginally significantly greater improvement in PTSD symptoms. CBT for PTSD was feasible and tolerated in individuals with SMI, BPD, and PTSD, and associated with improvements in PTSD symptoms and related outcomes. Prospective research is needed to evaluate CBT in individuals with BPD, including comparing it with staged interventions for this population.
This course on efficacy of CBT to treat patients with PTSD and other mental illnesses is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. This course is appropriate for intermediate and advanced level practitioners who wish to learn more about the efficacy of CBT for patients wwith PTSD and other mental illnesses. The course material includes a review of interventions. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal. The course is based on a journal article which includes research. It contains statistical analysis and data that some clinicians enjoy reading and others do not. A major benefit of reading research-based articles for continuing education is they provide practitioners with the latest findings in their field.
Authors: Kredlow, Szuhany, Lo, Xie, Gottlieb, Rosenberg, Mueser,
Learning Objectives: This course will provide the practitioner with detailed information regarding efficacy of CBT to treat patients with PTSD and other mental illnesses. Specifically, a professional will:
- Distinguish between the more effective treatment plans for patients with PTSD
- Compare the effectiveness of CBT alone and Brief therapy.
- Discriminate between Brief intervention and Cognitive Behavioral Therapy
Citation: Kredlow, M. A., Szuhany, K. L., Lo, S., Xie, H., Gottlieb, J. D., Rosenberg, S. D., & Mueser, K. T. (2017). Cognitive behavioral therapy for posttraumatic stress disorder in individuals with severe mental illness and borderline personality disorder. Psychiatry research, 249, 86-93.
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