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Posttraumatic Stress Disorder in the Primary Care Setting: Summary of Recommended Care
Margaret Spottswood1, John Fortney, Jessica A Chen
1From the Community Health Center of Burlington, Burlington, VT (Dr. Spottswood); Department of Psychiatry and Behavioral Sciences, University of Washington (Drs. Fortney and Davydow); VA Health Services Research & Development Center of Innovation for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System Seattle Division, Seattle, WA (Drs. Fortney and Chen); Franciscan Behavioral Health, Tacoma, WA (Dr. Davydow); Institute of Psychiatry & LIM-23, Faculty of Medicine, University of São Paulo R. Dr. Ovidio Pires de Campos (Dr. Huang); Harvard Medical School (Dr. Huang); Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA (Dr. Huang).
Abstract:
Posttraumatic stress disorder (PTSD) occurs following acute threatening events in approximately 12.5% of the primary care population.
Objective:
The aim of this article is to advance evidence-based clinical practice and collaborative care approaches to PTSD by summarizing targeted-care guidelines.
Method:
This narrative literature review addresses important aspects of PTSD and management options, in conjunction with expert opinion when indicated. Guidelines were included if they targeted treatment of PTSD in the primary care setting or if the treatments described could be provided in the primary care setting.
Results:
The implications regarding PTSD, comorbidities, differential diagnosis, screening tools, and treatment are presented.
Conclusion:
Primary care providers can diagnose and offer initial management of PTSD. Future research should delineate therapies helpful for complex PTSD, including group therapies, those increasing self-compassion, and other optimally effective collaborative care interventions.
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