Trauma-Informed Treatment May Lead to Better Outcomes for Psychosis

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Researchers at the New York State Psychiatric Institute wondered why a “surprisingly high percentage of study applicants” for studies in PTSD presented with psychotic symptoms. Upon reviewing the data they found that of 223 consecutively evaluated individuals, 38 (17%) were found to be ineligible because of psychotic symptoms. These individuals were more likely to have suffered child abuse, and to have taken a greater number of lifetime medications than study-eligible applicants, although they met DSM-IV criteria for PTSD. The researchers conclude that a trauma-informed framework might lead to greater engagement with treatment and more positive outcomes for some individuals with psychotic symptoms. Results appear in Psychiatric Services.

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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.

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Kermit Cole
Kermit Cole is a licensed marriage and family therapist based in Santa Fe, New Mexico. He and his partner, Luisa Putnam, joined by their mutual interest in working with trauma and psychosis, studied Open Dialogue in Finland and Peer-supported Open Dialogue in the UK in order to practice and teach as a team. In 2011, they joined with Robert Whitaker to found the Mad in America website

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