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Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
Joana Proença Becker1, Rui Paixão1, Manuel João Quartilho2
1Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal.
Dynamic psychotherapy (DP) effectively reduced post-traumatic stress disorder (PTSD) symptoms in Portuguese firefighters. This study suggests DP is a feasible intervention for fire departments to support first responders
Area of Science:
- Psychology
- Trauma Studies
- Emergency Services Mental Health
Background:
- Annual forest fires in Portugal cause significant trauma and stress-related disorders in firefighters.
- Firefighters are a high-risk group for developing post-traumatic stress disorder (PTSD) due to exposure to traumatic events.
- Dynamic psychotherapy (DP) is explored as a potential treatment for PTSD in this population.
Observation:
- Two firefighters (one male, one female) with similar PTSD symptom severity were monitored.
- Symptomatology was assessed using multiple instruments (PHQ-15, PCL-5, BSI, DASS, CALPAS-P) over 15 months.
- Data collection included pre-treatment, treatment, and post-treatment phases.
Findings:
- Dynamic psychotherapy (DP) demonstrated effectiveness in reducing PTSD symptoms.
- Patients showed continuous improvement, even after treatment cessation.
- High acceptability, adherence, and therapeutic alliance were observed among firefighters.
Implications:
- The findings suggest dynamic psychotherapy (DP) is a feasible intervention for Portuguese fire departments.
- Implementing DP could improve mental health support for first responders exposed to trauma.
- This study highlights the potential for specialized mental health interventions within emergency services.
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