Complementary and alternative medicine for PTSD

385 Pages·2016·6.08 MB·English

by  Benedek

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COMPLEMENTARY AND
ALTERNATIVE MEDICINE
FOR PTSD
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Advance Praise for Complementary
and Alternative Medicine for PTSD
“Wynn and Benedek’s book on Complementary and Alternative Medicine for PTSD rep-
resents a landmark in trauma publishing. Never has there been such a thorough presenta-
tion of the use of CAM treatment of PTSD. Clinicians who oversell the effectiveness of
the CAM techniques will be embarrassed by the clear lack of evidence for many CAM
approaches, while those who seek to provide the best care possible to their patients will
be encouraged to continue the necessary research required to change clinical practice.
Wynn and Benedek’s book on CAM for PTSD provides a much needed ballast towards
ensuring clinicians provide the best care currently available for survivors of trauma, in-
cluding sexual assault and combat-r elated PTSD. They are to be commended.”
— Carl A. Castro, PhD, Director and Assistant Professor,
Colonel, U.S. Army (Retired),
Center for Innovation and Research on Veterans and Military Families (CIR),
USC School of Social Work, University of Southern California, Los Angeles, CA
“Recognizing the increasing need for more consolidated information on Complementary
Alternative Medicine for the treatment of PTSD, Doctors Benedek and Wynn have
contributed a ground- breaking and invaluable textbook for scholars and practitioners
alike. The depth and comprehensiveness of this must-h ave desk reference is notewor-
thy, and the openness to additional research where robust evidence is currently lacking
is a breath of fresh air. This book should go a long way toward contributing to better
understanding of alternative modalities for addressing PTSD, and to helping mitigate
PTSD related crisis among our military service men and women and their families.”
— Keith G. Tidball, PhD, Senior Extension Associate,
Department of Natural Resources, Cornell University, Ithaca, NY
“Kudos to Gary Wynn and David Benedek for their groundbreaking book on the use
of integrative, complementary, and alternative approaches for PTSD. Inspired by the
needs, strengths, and suffering of patients following traumatic experiences, the authors
and contributors of this work make a clear and compelling case for healing professionals
to embrace a more comprehensive approach to the management of PTSD. Thus one must
also credit America’s sons and daughters in uniform and their families for their collective
service and sacrifice, which no doubt catalyzed the conception of this timely work and en-
riched its content. This book and the decades of courageous service and selfless sacrifice it
represents is a most welcome development for patients, family members, clinicians, CAM
practitioners, advocates, and compassionate human beings - in short, all of us.”
— Loree Sutton, MD, Brigadier General, U.S. Army (Ret.); Commissioner,
NYC Department of Veterans’ Services, New York, NY
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COMPLEMENTARY
AND ALTERNATIVE
MEDICINE
FOR PTSD
Edited by
David M. Benedek, MD, DFAPA
Uniformed Services University of the Health Sciences Bethesda, MD
and
Gary H. Wynn, MD, FAPA
Uniformed Services University of the Health Sciences Bethesda, MD
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1
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Press in the UK and certain other countries.
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America.
© Oxford University Press 2016
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, without the
prior permission in writing of Oxford University Press, or as expressly permitted
by law, by license, or under terms agreed with the appropriate reproduction
rights organization. Inquiries concerning reproduction outside the scope of the
above should be sent to the Rights Department, Oxford University Press, at the
address above.
You must not circulate this work in any other form
and you must impose this same condition on any acquirer.
Library of Congress Cataloging- in- Publication Data
Names: Benedek, David M., editor. | Wynn, Gary H., 1958– , editor.
Title: Complementary and alternative medicine for PTSD / edited by
David M. Benedek and Gary H. Wynn.
Description: Oxford ; New York : Oxford University Press, [2016] | Includes
bibliographical references and index.
Identifiers: LCCN 2016008309 | ISBN 9780190205959 (alk. paper)
Subjects: | MESH: Stress Disorders, Post- Traumatic— therapy | Complementary Therapies— methods
Classification: LCC RC552.P67 | NLM WM 172.5 | DDC 616.85/2 1— dc23 LC record available
at http:// lccn.loc.gov/ 2016008309
This material is not intended to be, and should not be considered, a substitute for medical or other
professional advice. Treatment for the conditions described in this material is highly dependent on the
individual circumstances. And although this material is designed to offer accurate information with respect to
the subject matter covered, and to be current at the time it was written, research and knowledge about medical
and health issues is evolves constantly, and dose schedules for medications are being revised continuously,
with new side effects recognized and accounted for regularly. Readers must therefore always check the
product information and clinical procedures with the most up-to-date published product information and
data sheets provided by the manufacturers, and the most recent codes of conduct and safety regulation. The
publisher and the authors make no representations or warranties to readers, express or implied, regarding
the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors
make no representations or warranties regarding the accuracy or efficacy of the drug dosages mentioned in
the material. The authors and the publisher do not accept, and expressly disclaim, any responsibility for any
liability, loss, or risk that may be claimed or incurred as a consequence of the use and/or application of any of
the contents of this material.
All opinions, interpretations, conclusions, and recommendations contained herein are those of the authors
and should not be construed as representing the positions or policies of an author’s institution including,
but not limited to, the Uniformed Services University of the Health Sciences, the Veterans Affairs
Administration, and the United States Department of Defense.
1 3 5 7 9 8 6 4 2
Printed by Sheridan Books, Inc., United States of America
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Contents
Acknowledgments  ix
Contributors  xi
PART 1: INTRODUCTION
1. Introduction  3
Gary H. Wynn and David M. Benedek
2. Posttraumatic Stress Disorder: An Overview  11
David M. Benedek and Gary H. Wynn
PART 2: ALTERNATIVE TREATMENTS
3. Acceptance and Commitment Therapy for Posttraumatic
Stress Disorder  35
Janina Scarlet, Ariel J. Lang, and Robyn D. Walser
4. Meditation Techniques for Posttraumatic Stress Disorder  59
Marina Khusid
5. Transcranial Magnetic Stimulation Treatment of Posttraumatic
Stress Disorder  87
Caroline Clark, Jeffrey Cole, Christine Winter, and Geoffrey Grammer
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6. Acupuncture  103
Daniel J. Balog, Robert Koffman, and Joseph M. Helms
7. Alternative Medicine Pharmacology  129
Robert N. McLay, Derek M. Miletich, Nathaniel A. Brown,
and Lesley Ross
PART 3: COMPLEMENTARY TREATMENTS
8. Canines as Assistive Therapy for Treatment of PTSD  165
Elspeth Cameron Ritchie, Perry R. Chumley, Meg Daley Olmert,
Rick A. Yount, Matthew St. Laurent, and Christina Rumayor
9. Family- Focused Interventions for PTSD: Lessons
from Military Families  179
Stephen J. Cozza
10. Recreational Therapy for PTSD  203
Holly J. Ramsawh and Gary H. Wynn
11. The Use of Yoga-B ased Interventions for the Treatment
of Posttraumatic Stress Disorder  219
Brian Pilecki, Megan Olden, Melissa Peskin, Lucy Finkelstein- Fox,
and JoAnn Difede
12. Resilience Training as a Complementary Treatment for PTSD  243
Robin L. Toblin and Amy B. Adler
PART 4: ALTERNATIVE DELIVERY METHODS
13. Virtual Reality Exposure Therapy for PTSD  271
Michael J. Roy, Albert Rizzo, JoAnn Difede, and Barbara O. Rothbaum
14. Internet and Computer- Based Treatments for the Management
of PTSD  305
Bradley E. Belsher, Daniel P. Evatt, Michael C. Freed,
and Charles C. Engel
15. Mobile Apps to Improve Outreach, Engagement, Self- Management,
and Treatment for Posttraumatic Stress Disorder  331
Julia E. Hoffman, Eric Kuhn, Jason E. Owen, and Josef I. Ruzek
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contents vii
PART 5: CONCLUSION
16. Toward a More Comprehensive Approach to the Management
of PTSD  357
David M. Benedek and Gary H. Wynn
Index  363
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Acknowledgments
Thank you to the men and women of the US Military whose personal sacrifices in the
service of their nation inspire us to seek continuous improvement in the care we pro-
vide for them. Thanks, also, to my wife for consistently reminding me that healthy
skepticism must not preclude an openness to alternative perspectives.
DMB
For Ripley and Ruby. May your curiosity and imagination always be vibrant, no matter
your age.
GHW
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