DBT incorporates a lot of the DBT concepts. It also includes more traditional CBT techniques such as keeping a behavioral journal, monitoring negative self-talk, and addressing underlying beliefs about oneself. The VA has also incorporated DBT into their clinical practices. However, they have not been able to integrate it into their primary care programs. This could be a problem for veterans with PTSD, as they are more likely to have their symptoms receive less attention and less care as they have more hurdles to overcome to receive mental health care.
An approach to care known as Prolonged Exposure (PE) might be of particular interest to veterans suffering from PTSD. PE stands for a type of exposure therapy. This type of therapy requires that the therapist guide the patient through various stimuli that trigger their memories and emotions and help the patient to learn to cope with the memories. This can be done by having the patient relive the memories through the use of the mental activities of imaginal exposure and in vivo exposure. It can also be done by having the patient try to view the situations in a different way; for example, in a neutral manner. It’s important to note that PE isn’t the only type of exposure therapy, but is simply one example of the types of interventions that can be used in an effort to treat PTSD. Some of the other types of therapies include: Eye Movement Desensitization and Reprocessing (EMDR); Interpersonal Therapy (IPT); Cognitive Therapy; and Psychodynamic Therapy. (see #4 on this page for more information)
The VA has been providing CBT for decades. A recent study found that those who received CBT experienced significantly better outcomes than those who did not. In fact, those who received CBT for at least one session had a 25% chance of showing improvement in their symptoms by the end of the study, while those who did not see a therapist had a 50% chance of showing improvement.
Stardew Valley is one of those games that you can play forever. If you've completed the Community Center or the Joja route and reached max friendship with all of the villagers, you may think you've done most of what there is to do. However, that's just the start.
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