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Challenges in the Implementation of Manualized Psychotherapy in Combat-related PTSD

  • Maria Linden and Julia Golier

Extract

Mr. F is a 60-year-old Caucasian, married, unemployed male who presented to the outpatient department of the Veterans Administration (VA) ∼10 months ago with a chief complaint of sleep difficulties. Approximately 12 years ago he had been diagnosed with posttraumatic stress disorder (PTSD) and a major depressive episode (MDE). He received very little treatment, either medication or therapy, at that time. He presented after being followed in a Veteran's Center for weekly to biweekly supportive therapy with a counselor for ∼6 months. He had gone to the Veteran's Center due to the encouragement of his wife. She had noted that he was becoming increasingly irritable and isolative at home and she had asked him to seek help for his anger and irritability. An event occurred in which he broke a chair after watching war-related news coverage and that made her insist that he present for treatment.

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Corresponding author

Please direct all correspondence to: Maria Linden, MD; Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York NY 10029; E-mail: maria.linden@mssm.edu

References

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Challenges in the Implementation of Manualized Psychotherapy in Combat-related PTSD

  • Maria Linden and Julia Golier

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