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Aust Prescr. 2015 Apr;38(2):55-9. doi: 10.18773/austprescr.2015.017. Epub 2015 Apr 01.

Update on the management of post-traumatic stress disorder.

Australian prescriber

Duncan Wallace, John Cooper

Affiliations

  1. Australian Defence Force Centre for Mental Health, HMAS Penguin, Mosman, New South Wales.
  2. Australian Centre for Post-traumatic Mental Health, Department of Psychiatry, University of Melbourne.

PMID: 26648617 PMCID: PMC4653990 DOI: 10.18773/austprescr.2015.017

Abstract

Post-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.

Keywords: post-traumatic stress disorder; prazosin; psychotherapy; selective serotonin reuptake inhibitors

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