The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 1 CME credit.
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My goal in publishing TCPR is to help you think differently about your clinical practice, hopefully to enhance your effectiveness as a healer. After editing this month’s issue on posttraumatic stress disorder (PTSD), I think I’ve achieved that goal in my own practice.
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Every five years or so, we do an update on PTSD treatments; the most recent was our August 2011 issue of TCPR, in which we declared that psychotherapy was the gold standard for treatment.
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The first thing that I would say is that complex PTSD can sometimes be harder to spot and diagnose, because when we’re looking for symptoms of conventional PTSD, we’re often looking for that first criterion: Has there been a single event that your patient would consider traumatic?
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Transcranial magnetic stimulation (TMS) was approved by the FDA in 2009 for the treatment of major depression, but TMS is costly and has so far produced only mixed results.
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Mindfulness-based stress reduction (MBSR) is a formalized combination of mindfulness meditation, body awareness, and yoga. The technique has been shown to help with symptoms of depression and anxiety, and some preliminary small studies have hinted that it might improve both memory and anxiety/depressive symptoms in older patients.
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Dr. Aiken is the Editor in Chief of The Carlat Psychiatry Report; director of the Mood Treatment Center in North Carolina, where he maintains a private practice combining medication and therapy along with evidence-based complementary and alternative treatments; and Assistant Professor NYU Langone Department of Psychiatry. He has worked as a research assistant at the NIMH and a sub-investigator on clinical trials, and conducts research on a shoestring budget out of his private practice. Follow him on Twitter and find him on LinkedIn.
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