PTSD: National Center for PTSD

As we continue to learn more about the neurobiological mechanisms and correlates of PTSD, we can refine and develop treatment options.

This online course emphasizes the neurobiological aspects of PTSD that inform treatment and novel treatment development. This includes the role of monoaminergic neurotransmission, glutamate and neuroplasticity, neural circuitry, and immune processes among others. The author provides a brief overview of neurobiological treatments that Veterans are known to discuss with their providers.

Problematic anger is a common presenting concern among Veterans with PTSD and is associated with increased suicidality as well as poorer treatment outcomes. Trauma-focused treatments for PTSD can reduce anger; however, many patients are left with residual anger.

This online course presents several assessments of anger and describes how to best incorporate self-report findings in treatment. The authors discuss the association between anger and PTSD, the function of anger in PTSD, and how to respond when anger shows up during sessions. Insights regarding how trauma-focused treatments can be optimized are shared.

Older adults with PTSD face unique challenges in regard to comorbid problems, polypharmacy, and cognitive decline.

This course provides general information about PTSD and best psychopharmacology treatment practices in older adults. The author reviews the epidemiology of PTSD in older adults and describes the role of aging and cognitive impairment in PTSD among older patients. Using data primarily from Veteran samples, recommendations and cautions for psychopharmacology in older adults with PTSD are presented.

Research findings have shown a connection between PTSD and neurocognitive disorders (NCD), including dementia, among older adults and those who experienced traumatic brain injuries (TBI). Existing assessment measures and evidence-based treatments for PTSD are appropriate for patients with mild NCD based on early research, however the impact of moderate to severe NCD on assessment and treatment of PTSD is less clear.

This online course helps providers better understand the co-occurrence between PTSD and dementia. The presenter summarizes research, describes the comorbidity prevalence in Veterans, and discusses assessment and treatment guidelines for Veterans with PTSD and dementia.

Reactions to trauma exposure are common among Veterans seeking mental health care. Because clinicians may not always know the full scope of a Veteran’s trauma history, applying trauma-informed care principles consistently across clinical interactions can help promote safety and support, and increase engagement.

This online course offers mental health providers an in-depth look at the value of considering the impacts of trauma. The authors describe the potential effects of past trauma on Veteran engagement in and response to care. Clinicians will learn how to identify and implement trauma-informed care practices, adopt specific supportive behaviors, and locate resources to enhance this approach.