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Comment & Response |

Treatment Options for Veterans With Posttraumatic Stress Disorder—Reply

Maria M. Steenkamp, PhD1,2
[+] Author Affiliations
1Steven and Alexandra Cohen Veterans Center for Posttraumatic Stress and Brain Injury, New York University Langone School of Medicine, New York, New York
2Department of Psychiatry, New York University, New York
JAMA Psychiatry. 2016;73(7):757-758. doi:10.1001/jamapsychiatry.2016.0573.
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In Reply The prevailing narrative on psychotherapy for military-related posttraumatic stress disorder (PTSD) in the literature (but perhaps not in clinical practice) is that first-line psychotherapies are highly effective for military-related PTSD. This narrative is increasingly being conveyed as fact to patients, students, clinicians, and the general public.1 It is a narrative championed in Rothbaum’s comment, which recommends individualizing treatment only to the extent that fidelity to first-line therapies can be maintained. However, it is not as Kudler and colleagues correctly underscore, a narrative that aligns completely with official Veterans Health Administration policy, which encourages thoughtful selection from a range of available PTSD treatments.


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July 1, 2016
Barbara O. Rothbaum, PhD, ABPP
1Emory University, Psychiatry and Behavioral Sciences, Atlanta, Georgia
JAMA Psychiatry. 2016;73(7):756. doi:10.1001/jamapsychiatry.2016.0563.
July 1, 2016
Harold Kudler, MD; Kristine Day, PhD; Paula P. Schnurr, PhD
1Mental Health Services, Department of Veterans Affairs, Washington, DC
2National Evidence-Based Psychotherapy Program, Department of Veterans Affairs, Washington, DC
3National Center for PTSD, Department of Veterans Affairs, Washington, DC
JAMA Psychiatry. 2016;73(7):756-757. doi:10.1001/jamapsychiatry.2016.0746.
July 1, 2016
Rachel Yehuda, PhD; Charles W. Hoge, MD
1James J. Peters Veterans Affairs Medical Center, Bronx, New York2Icahn School of Medicine at Mount Sinai, New York, New York
3Walter Reed Army Institute of Research, Silver Spring, Maryland
JAMA Psychiatry. 2016;73(7):758. doi:10.1001/jamapsychiatry.2016.0572.
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