Treatment lecture

Question 1

Debriefing

Answer 1

Brief intervention conducted after traumatic event (secondary intervention). Clear risk factor and its a human response to want to help people, which is why its had a lot of attention

The interventions vary in;
- Content
- Form
- Target population

About 2 hrs, first individual than groups.

Question 2

Phases of debriefing

Answer 2

Introduction
Facts (what happened, complete reconstruction from everybody’s perspective)
Thoughts
Feelings
Symptoms
Education
Closure

Aims are: prevention of PTSD, providing support and educating on typical normative/non-normative responsses

Question 3

Guidelines (NICE)

Answer 3

Advice against debriefing. inconsistent findings and strong focus on emotion. Not only inactive but can even worsen symptoms.

Findings of the study;
Not significant, but from another point of view CISD intervention could hinder recovery (included 0 in CI)

Question 4

Possible explanation ineffectivity of CISD

Answer 4

Disturbs natural prcessing/oscillation of reexperiencing vs. avoidance (It switches between needs)

Discourages using social support (I’ve had help so I should move on)

Sensitization instead of habituation ( group sessions, so might not be able to habituate)

Question 5

Guidelines on treatment

Answer 5

1. Diagnosis
2. First choice treatment:
   - Imaginal/prolonged exposure
   - Cognitive therapy/ CPT
   - EMDR
   - TF-CBT

Brief eclectic psychotherapy
Narrative exposure therapy
Writing therapy
Imaginal rescripting

3. Try other first choice treatment
4. Intesified care (condensed treatment, pharmacotherapy)
5. Alternative/complementary treatment