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Management of posttraumatic stress disorder: diagnostic and therapeutic issues.

Publication ,  Journal Article
Davidson, JR; Connor, KM
Published in: J Clin Psychiatry
1999

Although the hallmark symptoms of posttraumatic stress disorder (PTSD) are clear, this disorder is not always properly diagnosed. Reasons for misdiagnosis include a high rate of comorbidity, patient denial or minimization, overly high diagnostic thresholds set by clinicians, or failure to take a trauma history. There are a number of challenges associated with the treatment of PTSD. Patients with PTSD may not respond to pharmacotherapy in the same manner, and it is unclear whether this is related to gender, trauma type, or other factors. Antidepressants, particularly the selective serotonin reuptake inhibitors, are the most effective form of pharmacotherapy for patients with PTSD. Patients also may respond to therapy with monoamine oxidase inhibitors or tricyclic antidepressants. Psychosocial techniques, such as cognitive-behavioral therapy or stress inoculation training, are effective and may be considered as adjunctive therapy with medication. As awareness of PTSD increases, more patients should receive an accurate diagnosis and appropriate therapy.

Duke Scholars

Published In

J Clin Psychiatry

ISSN

0160-6689

Publication Date

1999

Volume

60 Suppl 18

Start / End Page

33 / 38

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Stress Disorders, Post-Traumatic
  • Psychotropic Drugs
  • Psychotherapy
  • Psychiatry
  • Paroxetine
  • Life Change Events
  • Humans
  • Diagnosis, Differential
  • Depressive Disorder
 

Citation

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MLA
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Davidson, J. R., & Connor, K. M. (1999). Management of posttraumatic stress disorder: diagnostic and therapeutic issues. J Clin Psychiatry, 60 Suppl 18, 33–38.
Davidson, J. R., and K. M. Connor. “Management of posttraumatic stress disorder: diagnostic and therapeutic issues.J Clin Psychiatry 60 Suppl 18 (1999): 33–38.
Davidson JR, Connor KM. Management of posttraumatic stress disorder: diagnostic and therapeutic issues. J Clin Psychiatry. 1999;60 Suppl 18:33–8.
Davidson, J. R., and K. M. Connor. “Management of posttraumatic stress disorder: diagnostic and therapeutic issues.J Clin Psychiatry, vol. 60 Suppl 18, 1999, pp. 33–38.
Davidson JR, Connor KM. Management of posttraumatic stress disorder: diagnostic and therapeutic issues. J Clin Psychiatry. 1999;60 Suppl 18:33–38.

Published In

J Clin Psychiatry

ISSN

0160-6689

Publication Date

1999

Volume

60 Suppl 18

Start / End Page

33 / 38

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Stress Disorders, Post-Traumatic
  • Psychotropic Drugs
  • Psychotherapy
  • Psychiatry
  • Paroxetine
  • Life Change Events
  • Humans
  • Diagnosis, Differential
  • Depressive Disorder