Complementary and Alternative Medicine for PTSD

Edited by David M Benedek and Gary H Wynn

Covers treatments and alternative delivery methods (such as smart phone apps and online treatments) to stay technologically current;
Chapters review alternative treatments and their utility in the clinical arena;
Illustrated with figures and tables to provide a more in-deph understanding for each technique.

Complementary and Alternative Medicine for PTSD

Edited by David M Benedek and Gary H Wynn

Description

The number of individuals diagnosed with posttraumatic stress disorder has increased in the past decade, not only in the military and veteran population but within the civilian population as well. Traditional treatments such as pharmacotherapy and psychotherapy have provided less-than-ideal results proving to be less effective when used alone to treat the disorder.

Complementary and Alternative Medicine for PTSD supplements these traditional treatments, using new and effective techniques to fill the therapeutic void. The alternative therapies covered include acceptance and commitment therapy, acupuncture, alternative pharmacology, canine assistive therapy, family focused interventions, internet and computer-based therapy, meditation techniques, mobile applications, recreational therapy, resilience training, transracial magnetic stimulation, virtual reality exposure therapy, and yoga. Each chapter delivers the most up-to-date understanding of neurobiology, best practices, and key points for clinicians and patients considering inclusion of these treatments in patient care.

COL David Benedek and LTC Gary Wynn offer insight into the future of complementary and alternative medicine, shining a light onto how these techniques fit into clinical practice to create the most beneficial treatments for the patient. This book is both an essential resource and practical guide to everyday clinical interactions. It is a necessary addition to the medical library for students and senior clinicians alike.

Complementary and Alternative Medicine for PTSD

Edited by David M Benedek and Gary H Wynn

Table of Contents
Part 1: Introduction
Chapter 1 Introduction
Gary H. Wynn, MD and David M. Benedek, MD
Chapter 2 Posttraumatic Stress Disorder: An Overview
David M. Benedek, MD and Gary H. Wynn, MD
Part 2: Alternative Treatments
Chapter 3 Acceptance and Commitment Therapy (ACT) for Posttraumatic Stress Disorder
Janina Scarlet, MD, Ariel J. Lang, MD, and Robyn D. Walser, MD
Chapter 4 Meditation Techniques for Posttraumatic Stress Disorder
Marina Khusid, MD, ND, MSA
Chapter 5 Transcranial Magnetic Stimulation Treatment of Posttraumatic Stress Disorder
Caroline Clark, MD, Jeffrey Cole, PhD, Christine Winter, DO, and Geoffrey Grammer, MD
Chapter 6 Acupuncture
Daniel J. Balog, MD, USAF, MC, FS, Joseph M. Helms, MD, FAAMA, and Robert L. Koffman, MD, MPH
Chapter 7 Alternative Medicine Pharmacology
Robert N. McLay, MD, PhD, Derek M. Miletich, MD, Nathaniel Brown, MD, and Lesley Ross, MD
Part 3: Complementary Treatments
Chapter 8 Canines as Assistive Therapy for Treatment of PTSD in the United States Military
Elspeth Cameron Ritchie, MD, MPH, Perry Chumley, DVM, MPH, Meg Daley Olmert, MD, Rick A. Yount, MS, Matthew St. Laurent, MD, and Christina Rumayo, MDr
Chapter 9 Family Focused Interventions for PTSD: Lessons from Military Families
Stephen J. Cozza, MD
Chapter 10 Recreational Therapy for PTSD
Holly J. Ramsawh, PhD and Gary Wynn, MD
Chapter 11 The Use of Yoga-Based Interventions for the Treatment of Posttraumatic Stress Disorder
Brian Pilecki, MD, Megan Olden, MD, Melissa Peskin, MD, Lucy Finkelstein-Fox, MD, and JoAnn Difede, PhD
Chapter 12 Resilience Training as a Complementary Treatment for PTSD
Robin L. Toblin, PhD and Amy B. Adler, PhD
Part 4: Alternative Delivery Methods
Chapter 13 Virtual Reality Exposure Therapy for PTSD
Michael J. Roy, MD, MPH, Albert Rizzo, PhD, JoAnn Difede, PhD, and Barbara O. Rothbaum, PhD, ABPP
Chapter 14 Internet and Computer-Based Treatments for the Management of PTSD
Bradley E. Belsher, PhD, Daniel P. Evatt, PhD, Michael C. Freed, PhD, and Charles C. Engel, MD, MPH
Chapter 15 Mobile Apps to Improve Outreach, Engagement, Self-Management, and Treatment for Posttraumatic Stress Disorder
Julia E. Hoffman, PsyD, Eric Kuhn, PhD, Jason E. Owen, PhD, and Josef I. Ruzek, PhD
Part 5: Conclusion
Chapter 16 Toward a More Comprehensive Approach to the Management of PTSD
David M. Benedek, MD and Gary H. Wynn, MD
Index

Complementary and Alternative Medicine for PTSD

Edited by David M Benedek and Gary H Wynn

Author Information

Edited by David M Benedek, MD, DFAPA, Uniformed Services University of the Health Sciences, and Edited by Gary H Wynn, MD, Walter Reed Army Institute of Research

COL David Benedek, MD has served as Professor and Deputy Chair of the Department of Psychiatry and a Senior Scientist at the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences. He has recently assumed duties Chief of Forensics and Director of the Center for Forensic Behavioral Sciences at the Walter Reed National Military Medical Center. His clinical and research interests have ranged from disaster preparedness and response and management of Posttraumatic Stress Disorder to understanding and predicting violent behavior.

LTC Gary Wynn, MD is an Associate Professor of Psychiatry and Neuroscience in the Department of Psychiatry and Scientist at the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences. Dr. Wynn's career has focused on Posttraumatic Stress Disorder and improving treatments for our men and women returning home from combat. His efforts have included investigations of non-traditional methods to palliate the suffering experienced upon return from deployment.

Contributors:

Contributors

Amy B. Adler, PhD
Center for Military Psychiatry and Neuroscience
Walter Reed Army Institute of Research
Silver Spring, MD

COL Daniel J. Balog, MD, USAF, MC, FS
Assistant Professor, Assistant Chair
Department of Psychiatry
F. Edward Hebert School of Medicine
Uniformed Services University of the Health Sciences
Bethesda, MD

Bradley E. Belsher, PhD
Clinical Research Psychologist
Department of Defense Deployment Health Clinical Center
Research Assistant Professor, Department of Psychiatry
Uniformed Services University of the Health Sciences
Bethesda, MD

COL David M. Benedek, MD, DFAPA
Professor & Deputy Chair
Department of Psychiatry
F. Edward Hebert School of Medicine
Uniformed Services University of the Health Sciences
Bethesda, MD

Nathaniel A. Brown, MD
LT MC USN
Psychiatry Resident, PGY-3
Naval Medical Center San Diego
San Diego, CA

COL Perry R. Chumley, DVM, MPH
Diplomate ACVPM, Chief, Human-Animal Bond Programs
Department of Defense Veterinary Service Activity
Office of the Surgeon General
Falls Church, VA

Caroline Clark, MD
Department of Behavioral Health
Walter Reed National Military Medical Center
Bethesda, MD

Jeffrey Cole, PhD
National Intrepid Center of Excellence
Walter Reed National Military Medical Center
Bethesda, MD

Stephen J. Cozza, MD
Professor, Department of Psychiatry
Uniformed Services University of the Health Sciences
Bethesda, MD

JoAnn Difede, PhD
Professor, Department of Psychiatry
Weill Cornell Medical College
New York, NY

Charles C. Engel, MD, MPH
Clinical Epidemiologist & Senior Behavioral Health Scientist
RAND
Santa Monica, CA

Daniel P. Evatt, PhD
Clinical Research Psychologist
Department of Defense Deployment Health Clinical Center
Bethesda, MD

Lucy Finkelstein Fox, MD
University of Connecticut
Department of Psychological Sciences
Storrs, CT

Michael C. Freed, PhD
Associate Director, Research
Department of Defense Deployment Health Clinical Center
Research Assistant Professor, Department of Psychiatry
Uniformed Services University of the Health Sciences
Bethesda, MD

Geoffrey Grammer, MD
National Intrepid Center of Excellence
Walter Reed National Military Medical Center
Bethesda, MD

Joseph M. Helms, MD, FAAMA
Helms Medical Institute
Berkeley, CA

Julia E. Hoffman, PsyD
National Director Mobile Health
Mental Health Services (10P4M)
US Department of Veterans Affairs
National Center for PTSD
VA Palo Alto Healthcare System
Menlo Park, CA

Robert L. Koffman, MD, MPH
Department Chief, Clinical Operations
National Intrepid Center of Excellence
Bethesda, MD

Marina Khusid, MD, ND, MSA
Chief of Integrative Medicine
Department of Defense Deployment Health Clinical Center
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury
Bethesda, MD

Eric Kuhn, PhD
Clinical Psychologist
National Center for PTSD, Dissemination & Training Division
VA Palo Alto Health Care System
Menlo Park, CA

Ariel J. Lang, MD
VA San Diego Center of Excellence for Stress and Mental Health
University of California
San Diego, CA

Robert N. McLay, MD, PhD
Research Director for Mental Health
Naval Medical Center San Diego
San Diego, CA

Derek M. Miletich, MD
LCDR MC (UMO, FS) USN
Chief Resident Psychiatrist
Naval Medical Center San Diego
San Diego, CA

Megan Olden, MD
Professor, Department of Psychiatry
Weill Cornell Medical College
New York, NY

Meg Daley Olmert, MD
Director of Research, Warrior Canine Connection
Brookeville, MD

Jason E. Owen, PhD, MPH
Clinical Psychologist
National Center for PTSD
Dissemination & Training Division
VA Palo Alto Health Care System
Menlo Park, CA

Melissa Peskin, MD
Professor, Department of Psychiatry
Weill Cornell Medical College
New York, NY

Brian Pilecki, MD
Rhode Island Hospital
Alpert Medical School of Brown University
Providence, RI

Holly J. Ramsawh, PhD
Center for the Study of Traumatic Stress
Department of Psychiatry
Uniformed Services University of the Health Science
Bethesda, MD

Elspeth Cameron Ritchie, MD, MPH
Professor of Psychiatry
Uniformed University of the Health Sciences
Washington, DC

Albert Rizzo, PhD
Associate Director, Institute for Creative Technologies
Research Professor, Department of Psychiatry and School of Gerontology
University of Southern California
Marina del Rey, CA

Barbara O. Rothbaum, PhD, ABPP
Professor in Psychiatry
Director, Trauma and Anxiety Recovery Program
Emory University School of Medicine
Atlanta, GA

Lesley Ross, MD
Associate Professor
Uniformed Services University of the Health Sciences
Bethesda, MD
Staff Psychiatrist
Naval Medical Center San Diego
San Diego, CA

Michael J. Roy, MD, MPH
Professor of Medicine
Director, Division of Military Internal Medicine
Uniformed Services University
Bethesda, MD

MAJ Christina Rumayor, MDr
Division Psychiatrist, 82nd Airborne
Fort Bragg, NC

Josef I. Ruzek, PhD
Director, Dissemination and Training Division
National Center for PTSD
VA Palo Alto Health Care System
Menlo Park, CA

Janina Scarlet, MD
Veterans Medical Research Foundation
San Diego, CA

COL Matthew St. Laurent, MD
Chief, Occupational Therapy
Department of Rehabilitation
Walter Reed National Military Medical Center
Bethesda, MD

Robin L. Toblin, PhD
Center for Military Psychiatry and Neuroscience
Walter Reed Army Institute of Research
Silver Spring, MD
Commissioned Corps of the US Public Health Service
Rockville, MD

Robyn D. Walser, MD
National Center for PTSD, Dissemination and Training Division
University of California
Berkeley, CA

Christine Winter, DO
Department of Behavioral Health
Walter Reed National Military Medical Center
Bethesda, MD

LTC Gary Wynn, MD
Center for the Study of Traumatic Stress
Department of Psychiatry
Uniformed Services University of the Health Science
Bethesda, MD

Rick A. Yount, MS
Executive Director, Warrior Canine Connection
Brookeville, MD