• Aust Prescr · Apr 2015

    Review

    Update on the management of post-traumatic stress disorder.

    • Duncan Wallace and John Cooper.
    • Australian Defence Force Centre for Mental Health, HMAS Penguin, Mosman, New South Wales.
    • Aust Prescr. 2015 Apr 1; 38 (2): 55-9.

    AbstractPost-traumatic stress disorder occurs in people exposed to life-threatening trauma. GPs may be seeing more patients with post-traumatic stress disorder as military personnel return from overseas deployments. The condition can present in various ways. To reduce the likelihood of missed or delayed diagnosis GPs can screen at-risk populations. A comprehensive assessment is recommended. Specialist referral may be required, particularly if there are other mental health problems. Trauma-focused psychological therapies should be offered as the first line of treatment for post-traumatic stress disorder. Usually 8-12 sessions are needed for a therapeutic effect. If drug treatment is needed, selective serotonin reuptake inhibitors are the first line. Other drugs used in post-traumatic stress disorder include antipsychotics, anticonvulsants and prazosin.

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