Treatment for Post-Traumatic Stress Disorder, Operational Stress Injury, or Critical Incident Stress: A Review of Guidelines


( Last Updated : April 27, 2015)
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC0651-000

Details


Question


  1. What are the evidence-based guidelines regarding treatment of patients with PTSD?

  2. What are the evidence-based guidelines regarding treatment of patients with operational stress injury?

  3. What are the evidence-based guidelines regarding treatment of patients with critical incident stress?


Key Message

Selective serotonin reuptake inhibitors (SSRIs; fluoxetine, paroxetine and sertraline), and serotonin norepinephrine reuptake inhibitor (SNRI; venlafaxine) are recommended as first-line pharmacological treatment of PTSD, while cognitive behavioral therapy (CBT), stress management therapy, and eye movement desensitization and reprocessing (EMDR) are recommended as psychological approaches for PTSD. There are no guidelines that have specific recommendations for OSI or CIS.