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'Referral advice' recommendation details

Post-traumatic stress disorder (PTSD)

Guidance ID NICE 'referral advice' recommendation 'Referral advice' category
CG26 Those responsible for developing the psychosocial aspect of a disaster plan should ensure it contains the following: provision for immediate practical help, means to support the affected communities in caring for those involved in the disaster, and the provision of specialist mental health, evidence-based assessment and treatment services. Time frame not specified
CG26 For post-traumatic stress disorder (PTSD) sufferers presenting in primary care, general practitioners (GPs) should take responsibility for the initial assessment and the initial coordination of care. This includes the determination of the need for emergency medical or psychiatric assessment. Time frame not specified
CG26 Trauma-focused cognitive behavioural therapy should be offered to those with severe post-traumatic symptoms or with severe post-traumatic stress disorder (PTSD) in the first month after the traumatic event. These treatments should normally be provided on an individual outpatient basis. Time frame not specified
CG26 All people with post-traumatic stress disorder (PTSD) should be offered a course of trauma-focused psychological treatment (trauma-focused cognitive behavioural therapy (CBT) or eye movement desensitisation and reprocessing [EMDR]). These treatments should normally be provided on an individual outpatient basis. Trauma-focused cognitive behavioural therapy (CBT) should be offered to older children with severe post-traumatic symptoms or with severe post-traumatic stress disorder (PTSD) in the first month after the traumatic event. Children and young people with post-traumatic stress disorder (PTSD), including those who have been sexually abused, should be offered a course of trauma-focused cognitive behavioural therapy (CBT) adapted appropriately to suit their age, circumstances and level of development. Drug treatments (paroxetine or mirtazapine for general use, and amitriptyline or phenelzine for initiation only by mental health specialists) should be considered for the treatment of post-traumatic stress disorder (PTSD) in adults who express a preference not to engage in trauma-focused psychological treatment. Time frame not specified

This page was last updated: 22 August 2012

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.