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Uptodate Reference Title
Approach to selecting treatment for PTSD in children and adolescents
Approach to selecting treatment for PTSD in children and adolescents
The treatment choices in this algorithm are suggestions based on relatively weak comparative evidence. Other choices may be reasonable alternatives. As an example, multiple psychotherapies show efficacy in child PTSD, though trauma-focused CBT is supported by more numerous and rigorous trials.
PTSD: Posttraumatic stress disorder. * Contraindications to trauma-focused therapies:
Acute clinical states requiring immediate stabilization (eg, suicidality, psychosis, mania, or drug intoxication)
Severe developmental or cognitive impairment
For group therapies, behavioral dysfunction interfering with participation
ΒΆ A full course of these therapies can range from 12 to 25 sessions. Assessment of progress and associated adjustments to therapy occur over the course of treatment, while changes to modalities generally occur after a full course of treatment is completed.
