Treating PTSD in Military Personnel
Second Edition
A Clinical Handbook
Hardcovere-bookprint + e-book
This state-of-the-science guide to assessing and treating posttraumatic stress disorder (PTSD) in active-duty service members and veterans has now been extensively revised with 65% new material. Leading authorities review available evidence-based treatments, including individual, group, and couple and family therapy approaches. Knowledge about military culture, the stressors experienced by service members, and common challenges for both military and civilian practitioners is woven through the volume and reflected in the vivid case examples. Chapters on specific clinical issues delve into co-occurring affective, anxiety, substance use, and sleep disorders; treatment of particular types of trauma; suicide prevention; and more.
New to This Edition
- Chapters on additional treatments: mindfulness-based behavioral and cognitive therapies, stress inoculation training, cognitive-behavioral conjoint therapy, group therapy, and complementary and alternative therapies.
- Chapters on additional clinical issues: chronic pain, moral injury, complex traumatic stress disorders, and posttraumatic growth.
- Updated throughout with the latest treatment research and DSM-5 diagnostic changes.
“A great resource. The book updates readers on the emerging treatment trends and helps them understand treatment more clearly….Provides valuable insights into therapies that can be offered to those combating PTSD. This is a very worthwhile book. *****!”
—Doody's Review Service
“A comprehensive, practical resource for clinicians and others who treat military personnel....I highly recommend this book to mental health professionals, chaplains, and health care providers who may work with the military. It may also be of interest to military members and their families, and treatment providers who are new to the VA system.”
—International Journal of Emergency Mental Health (on the first edition)
“Moore and Penk have once again assembled a 'who’s who' of leading researchers to present the latest on evidence-based treatments for PTSD in military personnel. The second edition of this handbook is an absolute 'must read' for anyone who provides care to this population. The detailed insights into important considerations for working with military personnel, careful attention to clinical issues that frequently co-occur with PTSD, and clearly presented case examples that illustrate how to implement the various treatments successfully are what make this volume stand apart.”
—Brian P. Marx, PhD, National Center for PTSD, VA Boston Healthcare System; Department of Psychiatry, Boston University School of Medicine
“This volume covers every key topic related to helping those suffering from PTSD after military trauma. The second edition provides a thorough update of issues, treatment approaches, and distinctive clinical presentations. Clinicians and researchers in the field cannot afford to miss this volume, which boasts many of the world’s foremost experts in both PTSD and military psychiatry. Destined to be the gold-standard reference.”
—Richard A. Bryant, PhD, School of Psychology, University of New South Wales, Australia
“Noted clinician-scholars Moore and Penk provide up-to-date, detailed guidance on empirically supported trauma treatments, helping practitioners become both knowledgeable and culturally competent for engaging with military members, veterans, and their families. The editors have ensured that each chapter offers comprehensive, practical coverage of assessment, treatment, and progress monitoring. Well-edited chapters address interventions ranging from cognitive-behavioral to psychodynamic approaches, from individual to group to couple and family therapies, and from psychopharmacological to complementary and alternative treatments. The volume also includes specific discussions of common co-occurring conditions, which community practitioners will find very useful.”
—James A. Martin, PhD, LICSW, Colonel, U.S. Army (Retired); Professor of Social Work and Social Research, Bryn Mawr College
“This second edition represents an important advancement in mapping the landscape of PTSD, including its diagnosis, treatment, and rehabilitation. As geopolitical political conflicts only get more complex, PTSD has become the signature injury of military engagement. Moore and Penk introduce psychology as a modern tool for understanding and helping those who are struggling in the aftermath of traumatic experiences. This is an essential and comprehensive reference that belongs in the library of anyone working with military personnel.”
—Eric A. Zillmer, PsyD, Carl R. Pacifico Professor of Neuropsychology, Drexel University
Table of Contents
Foreword, Matthew J. Friedman
Introduction: PTSD in the Military, Bret A. Moore & Walter E. Penk
I. Treatment Approaches for PTSD in Military Personnel
1. Understanding and Working within the Military Culture, Bret A. Moore
2. Issues in Assessment of PTSD in Military Personnel, Sunny Dutra, Jasmeet P. Hayes, & Terence M. Keane
3. Prolonged Exposure Therapy, Alan L. Peterson, Edna B. Foa, & David S. Riggs
4. Cognitive Processing Therapy, Amy M. Williams, Tara E. Galovski, & Patricia A. Resick
5. Eye Movement Desensitization and Reprocessing, Mark C. Russell, Howard Lipke, & Charles R. Figley
6. Mindfulness-Based Behavioral and Cognitive Therapies, Emily M. O’Bryan, Kristen M. Kraemer, Christina M. Luberto, & Richard Sears
7. Psychodynamic Psychotherapy, Harold Kudler & Russell B. Carr
8. Stress Inoculation Training: A Resilience-Engendering Intervention, Donald Meichenbaum
9. Cognitive-Behavioral Conjoint Therapy for PTSD: Theory and Practice of Couple and Family Interventions, Anne C. Wagner, Meredith S. H. Landy, & Candice M. Monson
10. Group Therapy for PTSD, Walter E. Penk, Dolores Little, & Nathan D. Ainspan
11. Psychopharmacological and Neuromodulation Treatment, William M. Sauvé & Stephen M. Stahl
12. Complementary and Alternative Therapies, Gary Elkins, Lynae Roberts, & Samuel Stork
13. Psychosocial Rehabilitation, Walter Penk, Dolores Little, & Nathan Ainspan
II. Specific Clinical Issues Associated with PTSD
14. Co-Occurring Affective and Anxiety Disorders, Eric C. Meyer, Nathan A. Kimbrel, Matthew T. Tull, & Sandra B. Morissette
15. Co-Occurring Substance Use Disorders, Marc I. Kruse, Tessa C. Denman, Alexia G. Maness, & Suzy Bird Gulliver
16. Chronic Pain and PTSD, John D. Otis
17. Traumatic Brain Injury, Jennifer J. Vasterling, Mieke Verfaellie, Susan M. McGlynn, & Vanessa D’Orio
18. Military Sexual Trauma, Nicholas D. Holder & Alina M. Surís
19. Sleep Disorders, William L. Brim & David S. Riggs
20. Managing the Service Member with Suicidal Ideation, Nancy A. Skopp, David D. Luxton, Nigel Bush, & M. David Rudd
21. Treating Moral Injury in Military Members and Veterans, Danielle S. Berke, Nora Kline, Jessica Carney, Julie D. Yeterian, & Brett T. Litz
22. Treating Complex Traumatic Stress Disorders in Military Veterans, Christine A. Courtois & Julian D. Ford
23. Identifying and Facilitating Posttraumatic Growth in Military Personnel, Cara L. Blevins, Taryn C. Greene, & Richard G. Tedeschi
Author Index
Subject Index
About the Editors
Bret A. Moore, PsyD, ABPP, is a clinical psychologist and prescribing psychologist in San Antonio, Texas, and the Vice Chair of the Boulder Crest Institute for Posttraumatic Growth in Bluemont, Virginia. He is the founder of Military Psychology Consulting and a former active-duty Army psychologist and two-tour veteran of Iraq. Dr. Moore is author or editor of numerous books for mental health professionals and general readers. He is a Fellow of the American Psychological Association (APA) and a recipient of the Arthur W. Melton Award for Early Career Achievement in Military Psychology from APA Division 19 and the Early Career Achievement Award in Public Service Psychology from APA Division 18.
Walter E. Penk, PhD, ABPP, is Professor of Psychiatry and Behavioral Sciences at Texas A&M College of Medicine and Consultant to Social and Community Reintegration Research at the Edith Nourse Rogers Memorial Veterans Hospital in Bedford, Massachusetts. He has served at VA Medical Centers in Houston, Dallas, Boston, and Bedford, and was Director of Psychological Services for the Massachusetts Department of Mental Health. Dr. Penk is a recipient of the Alfred M. Wellner, PhD, Lifetime Achievement Award from the National Register of Health Service Psychologists; the Life Achievement Gold Medal for Practice in Psychology from the American Psychological Foundation; the Presidential Citation and the Harold M. Hildreth Distinguished Public Service Award from APA Division 18; and the Charles S. Gersoni Military Psychology Award from APA Division 19, among other honors. He has published more than 160 articles and several books.
Contributors
Nathan D. Ainspan, PhD, Transition to Veterans Program Office, U.S. Department of Defense, Alexandria, Virginia
Danielle S. Berke, PhD, Department of Psychology, Hunter College, The City University of New York, New York, New York
Cara L. Blevins, MA, Health Psychology Program, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina
William L. Brim, PhD, Center for Deployment Psychology, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Nigel E. Bush, PhD, Psychological Health Center of Excellence, Defense Health Agency, Tacoma, Washington
Jessica Carney, BA, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts
Russell B. Carr, MD, CDR USN, Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences, Bethesda, Maryland
Christine A. Courtois, PhD, ABPP, independent practice, Washington, DC (retired), and Trauma Psychology and Trauma Treatment, Bethany Beach, Delaware
Tessa C. Denman, BA, Warriors Research Institute, Waco, Texas Vanessa D’Orio, PhD, Psychology Service, VA Boston Healthcare System, Boston, Massachusetts
Sunny J. Dutra, PhD, Clinical Psychology Department, William James College, Newton, Massachusetts
Gary Elkins, PhD, ABPP, Department of Psychology and Neuroscience, Baylor University, Waco, Texas
Charles R. Figley, PhD, Traumatology Institute, Tulane University, New Orleans, Louisiana
Edna B. Foa, PhD, Center for the Treatment and Study of Anxiety, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Julian D. Ford, PhD, ABPP, Center for Trauma Recovery and Juvenile Justice and Center for the Treatment of Developmental Trauma Disorders, University of Connecticut Medical Center, Farmington, Connecticut
Tara E. Galovski, PhD, Women’s Health Sciences Division, National Center for PTSD, and Department of Psychiatry, Boston University School of Medicine and VA Boston Healthcare System, Boston, Massachusetts
Taryn C. Greene, BA, Health Psychology Program, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina
Suzy Bird Gulliver, PhD, Warriors Research Institute, Waco, Texas, and Texas A&M University Health Science Center, College Station, Texas
Jasmeet P. Hayes, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Nicholas Holder, PhD, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas
Terence M. Keane, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Nathan A. Kimbrel, PhD, Durham VA Medical Center, VA VISN 6 Mental Illness Research Education and Clinical Center, and Department of Psychiatry, Duke University School of Medicine, Durham, North Carolina
Nora Kline, MA, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts
Kristen M. Kraemer, PhD, Harvard Medical School and Department of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Marc I. Kruse, PhD, Austin Fire Department and Austin–Travis County Emergency Medical Services, Austin, Texas
Harold S. Kudler, MD, Mental Health Services, Veterans Health Administration, Washington, DC, and Department of Psychiatry, Duke University School of Medicine, Durham, North Carolina
Meredith S. H. Landy, PhD, CPsych (supervised practice), Department of Psychology, Ryerson University, Toronto, Ontario, Canada
Howard Lipke, PhD, Department of Psychology, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
Dolores Little, PhD, U.S. Department of Veterans Affairs, Washington, DC (retired)
Brett T. Litz, PhD, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System; College of Arts and Sciences, Boston University; and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Christina M. Luberto, PhD, Harvard Medical School and Department of Psychiatry, Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts
David D. Luxton, PhD, MS, University of Washington School of Medicine, Seattle, Washington
Alexia G. Maness, BS, Warriors Research Institute, Waco, Texas
Susan M. McGlynn, PhD, Psychology Service, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Donald Meichenbaum, PhD, Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada, and the Melissa Institute for Violence Prevention and Treatment, Miami, Florida
Eric C. Meyer, PhD, VA VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Healthcare System; Department of Psychiatry and Behavioral Sciences, Texas A&M University Health Science Center; and Warriors Research Institute, Baylor Scott & White Health, Waco, Texas
Candice M. Monson, PhD, CPsych, Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada
Bret A. Moore, PsyD, MSCP, ABPP, Military Psychology Consulting, San Antonio, Texas
Sandra B. Morissette, PhD, Department of Psychology, University of Texas at San Antonio, San Antonio, Texas
Emily M. O’Bryan, MA, Department of Psychology, University of Cincinnati, Cincinnati, Ohio
John D. Otis, PhD, Research Service, VA Boston Healthcare System,and the Center for Anxiety and Related Disorders, Department of Psychologicaland Brain Sciences, Boston University, Boston, Massachusetts
Walter E. Penk, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, Texas A&M College of Medicine, New Braunfels, Texas
Alan L. Peterson, PhD, Department of Psychiatry, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas
Patricia A. Resick, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
David S. Riggs, PhD, Center for Deployment Psychology, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Lynae Roberts, MA, Department of Psychology and Neuroscience, Baylor University, Waco, Texas
M. David Rudd, PhD, Department of Psychology, University of Memphis, Memphis, Tennessee
Mark C. Russell, PhD, School of Applied Psychology, Counseling, and Family Therapy, Antioch University, Seattle, Washington
William M. Sauvé, MD, Greenbrook TMS NeuroHealth Centers, Richmond, Virginia, and Neuroscience Education Institute, Carlsbad, California
Richard Sears, PsyD, ABPP, Center for Clinical Mindfulness and Meditation, University of Cincinnati, and Cincinnati VA Medical Center, Cincinnati, Ohio
Nancy A. Skopp, PhD, Psychological Health Center of Excellence, Defense Health Agency, Tacoma, Washington
Stephen M. Stahl, MD, PhD, Department of Psychiatry, University of California, San Diego, La Jolla, California, and Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
Samuel Stork, BA, Department of Psychology and Neuroscience, Baylor University, Waco, Texas
Alina Surís, PhD, ABPP, VA North Texas Health Care System, and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas
Richard G. Tedeschi, PhD, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina
Matthew T. Tull, PhD, Department of Psychology, University of Toledo, Toledo, Ohio
Jennifer J. Vasterling, PhD, Psychology Service and National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Mieke Verfaellie, PhD, Memory Disorders Research Center, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Anne C. Wagner, PhD, CPsych, Department of Psychology, Ryerson University, Toronto, Ontario, Canada
Amy M. Williams, PhD, Steven A. Cohen Military Family Clinic at Metrocare and University of Texas Southwestern Medical Center, Dallas, Texas
Julie D. Yeterian, PhD, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts
Audience
Mental health practitioners who work with current or former service members, including clinical psychologists, psychiatrists, social workers, nurses, and counselors.
Course Use
May serve as a supplemental text in graduate-level courses.
Previous editions published by Guilford:
First Edition, © 2011
ISBN: 9781609186357
New to this edition:
- Chapters on additional treatments: mindfulness-based behavioral and cognitive therapies, stress inoculation training, cognitive-behavioral conjoint therapy, group therapy, and complementary and alternative therapies.
- Chapters on additional clinical issues: chronic pain, moral injury, complex traumatic stress disorders, and posttraumatic growth.
- Updated throughout with the latest treatment research and DSM-5 diagnostic changes.