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Trauma-Focused Psychodynamic Psychotherapy of a Patient With PTSD in a Veterans Affairs Setting
Fredric N Busch1, Nicole Nehrig1, Barbara Milrod1
1Department of Psychiatry, Weill Cornell Medicine, New York (Busch, Milrod); Center for Psychoanalytic Training and Research, Columbia University, New York (Busch); Department of Psychology, Veterans Affairs New York Harbor Healthcare System, New York (Nehrig); New York University Langone Health, New York (Nehrig); New York Psychoanalytic Society and Institute (Milrod).
Objective::
This article aims to articulate the use of trauma-focused psychodynamic psychotherapy (TFPP) for a 33-year-old U.S. Army veteran with posttraumatic stress disorder (PTSD) in a Veterans Affairs (VA) setting.
Methods::
The patient was treated with TFPP, a manualized brief psychotherapy provided as part of a pilot study. TFPP differs from traditional dynamic psychotherapies in its focus on symptoms of trauma and associated dynamics. The patient was seen for an initial 60-minute intake session and then for 16 50-minute sessions over 5.5 months at a VA medical center.
Results::
Follow-up three months after termination of therapy indicated that the patient's panic disorder and PTSD symptoms remained much improved, although some rumination and difficulty focusing persisted.
Conclusions::
TFPP appears promising as shown with this patient and others in VA settings who have been treated with TFPP.
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