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Post-traumatic Stress Disorder in Middle Age and Beyond
Leisa L Marshall1, Renée L Hayslett1
11Mercer University College of Pharmacy, Mercer Health Sciences Center, Atlanta, Georgia.
Psychotherapy is the primary treatment for post-traumatic stress disorder (PTSD). Medications are second-line options, but older adults require tailored therapy due to potential medication risks.
Area of Science:
- Psychiatry
- Clinical Psychology
- Gerontology
Background:
- Post-traumatic stress disorder (PTSD) affects adults and older individuals.
- Understanding clinical manifestations and treatment is crucial.
Purpose of the Study:
- To review the clinical manifestations and treatment of PTSD in adults and older populations.
- To synthesize current evidence on PTSD management.
Main Methods:
- Systematic literature search of major databases (PubMed, Embase, Cochrane).
- Inclusion of 67 publications from the past 10 years.
- Review of guidelines, reviews, original research, and prescribing information.
Main Results:
- Psychotherapy is the established first-line treatment for PTSD.
- Pharmacotherapy serves as a second-line option for adults unable to access or unwilling to undergo psychotherapy.
- Specific SSRIs (fluoxetine, paroxetine, sertraline) and venlafaxine are recommended for adults.
Conclusions:
- Psychotherapy is the preferred initial treatment for post-traumatic stress disorder (PTSD).
- Pharmacological interventions are secondary, with careful consideration for older adults due to potential risks and comorbidities.
- Individualized treatment plans are essential for older patients with PTSD, balancing benefits and risks.
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