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(p. 1) Is Exposure Therapy Necessary to Treat PTSD? 

(p. 1) Is Exposure Therapy Necessary to Treat PTSD?
(p. 1) Is Exposure Therapy Necessary to Treat PTSD?

John C. Markowitz

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date: 14 July 2020

This chapter discusses the dominance of the exposure-based approach to therapy of PTSD, and of IPT as an alternative affect- and attachment-based, non-exposure approach. The chapter, based in part on published research articles, reviews prior research and recent findings from our randomized controlled treatment trial comparing exposure-focused Prolonged Exposure, IPT, and Relaxation Therapy for patients with chronic PTSD. Results showed that IPT was non-inferior to Prolonged Exposure and had advantages for patients with comorbid major depressive disorder—half the sample. Patients also preferred IPT to the other treatments, despite its having far less research support. Patients treated for 14 weeks with psychotherapy targeting PTSD were likely to lose the diagnosis of a personality disorder.

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