title: Clinical experiences in treating PTSD patients by combining individual and group psychotherapy.
abstract: PTSD is a complex psychobiological disorder that causes disfunctionality in many areas. In treating PTSD different models have been applied, however, no general consensus on the method of treatment has yet been achieved. At the Clinic for Psychological Medicine we have developed the model of combined treatment for PTSD patients that involves outpatient individual psychotherapy, psychopharmacotherapy and group psychotherapeutic techniques introduced within repeated day-hospital treatments. In this paper the efficiency of the above mentioned model has been explored. Three PTSD patients have been presented. We assessed changes in psychological functioning of our subjects on the basis of clinical observation and analysis of the session protocols. The model of combined and long-term treatment of PTSD in which the approach to traumatized patients has been mostly supportive, including supportive psychotherapeutic interventions and psychopharmacotherapy, has proved to be efficient in achieving integration of traumatic experiences and consolidation of the traumatised Self. Combination of individual and group approach facilitates the analysis of traumatic transference, whereas more mature defence patterns become stronger and integration of traumatic experiences improved. Consolidation of the Self leads to better socialization.
authors.affiliation: Department of Psychological Medicine, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia. vedran.bilic2@zg.t-com.hr
authors.forename: Vedran
authors.initials: V
authors.lastname: Bilić
authors.forename: Iva
authors.initials: I
authors.lastname: Nemcić-Moro
authors.forename: Vana
authors.initials: V
authors.lastname: Karsić
authors.forename: Vesna
authors.initials: V
authors.lastname: Grgić
authors.forename: Stanislava
authors.initials: S
authors.lastname: Stojanović-Spehar
authors.forename: Darko
authors.initials: D
authors.lastname: Marcinko
mesh_terms: D003130:Combat Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D017523:Croatia; D003631:Day Care, Medical; D006801:Humans; D009769:Object Attachment; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012649:Self Concept; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D014167:Transference, Psychology; D035502:Trust; D014857:Warfare
chemical_list: D011619:Psychotropic Drugs