She reports some symptom improvement but questions are raised about long-term maintenance on anxiolytic medication, which can cause dependence and require increasing dosages to manage anxiety.
She has never received a course of evidence-based trauma treatment.
Mindfulness-based methods use relaxation, breathing exercises, meditation, yoga, and other techniques to focus on the present and reduce tension and worry” (Le Doux, 2015, p. “The brain, like all living systems, constantly seeks a stable state” (Doidge, 2015, p. Technology offers additional options for many patients, retraining the brain to achieve coherence and thus reducing anxiety and depression associated with low coherence.
According to Mc Grady (2007), these and other new ideas have the potential to change the brain “using neurophysiological pathways similar to those that react to stress” (p. There are a variety of devices that can accelerate the course of treatment using state change technology, which can be easily incorporated in practice.
Learning how to modulate anxiety is a part of most psychotherapeutics.
“There is growing interest in alternative approaches to the treatment of anxiety, though their effectiveness has not been evaluated in all cases.
But many clinical devices have been developed to be compatible with smartphone platforms, making them accessible to most patients.
What are your clinical options for recommending future treatment? Cognitive Behavior Therapy (CBT), Emotion-Focused Psychotherapy (EFT), or Short-Term Dynamic Psychotherapy (STDP)? Eye Movement Desensitization and Reprocessing (EMDR), Prolonged Exposure Therapy (PE), or a Unifying Approach (Magnavita & Anchin, 2014).
How would the new American Psychological Association clinical practice guidelines for the treatment of PTSD (see https://org/about/offices/directorates/guidelines/ptsh.pdf) apply?
Most experienced clinicians know that no single approach works with every patient.
Part of optimizing treatment is to select approaches that suit a particular patient, have evidence supporting use with a particular condition or diagnosis, and are consistent with patient values.