Engagement In Evidence-Based PTSD Treatment Through Shared Decision-Making Process

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Synopsis According to Wheeler (2014), “Post traumatic stressed disorder (PTSD) in adults is characterized by persistent re-experiencing a highly traumatic event that involves actual or threatened death or serious injury to self or others, to which the individual responded with intense fear, helplessness, or horror.” Events or situations that are considered traumatic are natural disasters, military combat, prisoner of war, a plane accident, bombings, assault, rape, abuse, or the a diagnosis of a fatal illness.
Etiology
PTSD is caused by severe anxiety from traumatic events. Genetics, trauma, psychosocial stability as well as sociocultural vales are all important determinants of how a person will cope with anxiety of a traumatic event. Hildegard Peplau’s anxiety model defines the four levels of anxiety consisting of mild, moderate, severe, and panic, and how they affect the
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A research study, Increasing Engagement in Evidence-Based PTSD Treatment Through Shared Decision-Making: A Pilot Study, illustrated that by involving war veterans with PTSD in their own decision making process of evidence based treatment plans, veterans had better follow through with therapy and greater satisfaction. Psychotherapy is usually used as a primary treatment of PTSD, but there are barriers in the understanding of illness, treatment, and stigma that keep veterans from following through in treatment. The study split 27 veterans randomly into two groups; one group participated 30 minute shared decision-making session on current evidence based therapies used while the other group was treated with the usually first line treatment of psychotherapy. All members of shared decision-making process were satisfied with the intervention. When the patient becomes better educated on their illness and treatment making, they become an active participant in their care and can lead to better follow

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