Utilizing Telehealth to Support Treatment of Acute Stress Disorder in a Theater of War: Prolonged Exposure via Clinical Videoconferencing

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Dan PeltonPeter W Tuerk

Abstract

Posttraumatic stress disorder (PTSD) and acute stress disorder are prevalent mental health diagnoses associated with the military operations in Iraq and Afghanistan and are especially significant in service members returning from combat. Prolonged exposure (PE) therapy is a highly effective behavioral treatment for these symptoms, and providing this treatment as soon as possible, even in the midst of a soldier's combat deployment, has strong potential benefits. In the current case study, telehealth technology was used to support the delivery of PE therapy to treat a service member diagnosed with acute stress disorder in a war zone. PE was conducted face-to-face on the relatively secure Forward Operating Base for the first half of therapy and via clinical videoconferencing (CV) to the service member's remote combat outpost during the later stages of therapy. The service member exhibited marked improvements in symptoms over 10 sessions. Results are consistent with previous empirical findings and highlight the potential benefits of using telehealth to deliver evidenced-based treatment for traumatic stress disorders in a war zone. This case study provides a preliminary working model for delivering PE in a combat environment using m...Continue Reading

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Citations

Jan 27, 2016·Journal of the American Psychiatric Nurses Association·Peter M Vernig
Jun 22, 2019·Current Psychiatry Reports·David D LuxtonKatharine A McIntyre
Mar 27, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Samuel P BrownJay Lemery
May 6, 2017·Harvard Review of Psychiatry·Jessica AbramsJanet Wozniak
Jan 27, 2021·Journal of Telemedicine and Telecare·C Nicole WhiteRon Acierno

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