Breaking News
December 19, 2018 - FDA Approves Genentech’s Tecentriq in Combination With Avastin and Chemotherapy for the Initial Treatment of Metastatic Non-Squamous Non-Small Cell Lung Cancer
December 19, 2018 - Mediterranean Diet for Osteoarthritis | About OA
December 19, 2018 - Successful bladder repair using silk fibroid scaffolds
December 19, 2018 - Quidel receives CE mark to use Sofia 2 Lyme+ Fluorescent Immunoassay with Sofia 2 analyzer
December 19, 2018 - Horizon Discovery partners with C4XD to validate novel synthetic lethal oncology targets
December 19, 2018 - Research suggests a promising therapeutic target to treat or prevent metabolic disorders
December 19, 2018 - Split liver transplants could save children on wait list finds study
December 19, 2018 - Michigan-based food manufacturer ordered to discontinue operations after recurrent food safety violations
December 19, 2018 - Incorrect prescribing warnings in electronic prescribing systems
December 19, 2018 - New $1.6 million NIH grant supports study on a gene vital to circadian rhythms
December 19, 2018 - Racial Disparities Seen Among Teens Undergoing Flu Vaccination
December 19, 2018 - To resolve inflammation, location matters
December 19, 2018 - Dancing could help older women to perform their daily tasks
December 19, 2018 - Research identifies new therapeutic target for cancer treatment and tissue regeneration
December 19, 2018 - Energy costs, social isolation contribute to health risk of older adults in extreme weather
December 19, 2018 - Potential combination therapy against rare disease of the bone marrow could improve treatment
December 19, 2018 - Researchers aim to improve cognition, reverse weight gain in schizophrenia
December 19, 2018 - UC San Diego Health offers new DRG stimulation device for phantom limb pain
December 19, 2018 - Study examines relationship between growth restriction and risk of childhood mortality
December 19, 2018 - New study provides insights on increased risk of suicide in young patients visiting ED
December 19, 2018 - AHA: Thyroid Problems Linked to Worsening Heart Failure
December 19, 2018 - World-first coeliac disease vaccine enters Phase 2 trials
December 19, 2018 - RNA sequencing offers novel insights into the microbiome
December 19, 2018 - A promising, effective vaccine for common respiratory disease
December 19, 2018 - Protein may slow progression of emphysema, study finds
December 19, 2018 - Studying atrial fibrillation — and exploring new frontiers in precision health
December 19, 2018 - A New Way To Get College Students Through A Psychiatric Crisis — And Back To School
December 19, 2018 - Optum, UnitedHealthcare take action to help people affected by North Carolina winter storms
December 18, 2018 - Weight change in middle-aged, elderly Chinese Singaporeans related to increased risk of death
December 18, 2018 - Immune cells sacrifice themselves to protect us from invading bacteria
December 18, 2018 - Watching brain cells fire, with a twist of gravitational waves
December 18, 2018 - 2018 in Review
December 18, 2018 - Getting the Most Out of the CLARITY Technique
December 18, 2018 - NVF shoes provide a viable option for track and road racing
December 18, 2018 - CRISPR may restore effectiveness of chemotherapies used to treat lung cancer
December 18, 2018 - New app accurately measures and charts progression of skin wounds
December 18, 2018 - Persistent Discrimination ID’d Among Physician Mothers
December 18, 2018 - Cellphone technology developed to detect HIV
December 18, 2018 - A Stanford doctor hits the field with the 49ers — as their airway management physician
December 18, 2018 - The Rise of Anxiety Baking
December 18, 2018 - Just one night of sleep deprivation increases the urge to eat
December 18, 2018 - Study reveals mechanism behind failed remyelination in MS
December 18, 2018 - New genetic testing method increases the precision of biomarker analysis
December 18, 2018 - Simple technique to effectively treat underdiagnosed cause of debilitating chest pain
December 18, 2018 - Barbershop-based medical intervention can successfully lower blood pressure, new data shows
December 18, 2018 - Food labels have caused changes in consumers’ intake and industry’s use of key additives
December 18, 2018 - Sickest children could benefit from split liver transplants
December 18, 2018 - Scientists create patient-specific model to identify most effective treatment for appendix cancer
December 18, 2018 - ‘Little Foot’ endocast reveals a small brain combining ape-like and human-like features
December 18, 2018 - New therapy for childhood blindness shows ‘very promising’ results
December 18, 2018 - Researchers discover promising new compound against Buruli ulcer
December 18, 2018 - Study finds significant use of traditional, complementary and alternative medicines in Sub-Saharan Africa
December 18, 2018 - California Farm Implicated in Outbreak of E. coli Tied to Romaine Lettuce
December 18, 2018 - Mobile health has power to transform HIV/AIDS nursing
December 18, 2018 - Celiac Vaccine in Clinical Trials at Columbia
December 18, 2018 - Research into mental health first aid prompts practical guidance and resources for workplace
December 18, 2018 - Researcher conducts study to investigate peripheral blood markers of Alzheimer’s disease
December 18, 2018 - Researchers identify link between mucus in the small airways and pulmonary fibrosis
December 18, 2018 - EU Commission’s Health Policy Platform to host EKHA program on transplantation
December 18, 2018 - Survivors of childhood Hodgkin lymphoma have high risk of developing solid tumors
December 18, 2018 - Small changes to cafeteria design can get kids to eat healthier, new assessment tool finds
December 18, 2018 - From Machines to Cyclic Compounds
December 18, 2018 - New study reveals best assessment tools to establish delirium severity
December 18, 2018 - Rice University scientists develop synthetic protein switches to control electron flow
December 18, 2018 - Home-based pulmonary function monitoring for teens with Duchenne muscular dystrophy
December 18, 2018 - Researchers identify potential target for new breast cancer treatments
December 18, 2018 - National Biofilms Innovation Centre award grant to Neem Biotech for novel anti-biofilm drug development
December 18, 2018 - Artificial intelligence and the future of medicine
December 18, 2018 - Montana State doctoral student receives grant for her work to improve neuroscience tool
December 18, 2018 - Early postpartum initiation of opioids associated with persistent use
December 18, 2018 - Russian scientists identify molecular ‘switch’ that could be target for treatment of allergic asthma
December 18, 2018 - Surgeons make more mistakes in the operating room during stressful moments, shows study
December 18, 2018 - Immune cells explode themselves to inform about the danger of invading bacteria
December 18, 2018 - Malnutrition in children with Crohn’s disease linked with increased risk of surgical complications
December 18, 2018 - FDA Approves Motegrity (prucalopride) for Adults with Chronic Idiopathic Constipation (CIC)
December 18, 2018 - The long and short of CDK12
December 18, 2018 - Hologic’s Cynosure division introduces TempSure Surgical RF technology in North America
December 18, 2018 - CMR Surgical partners with Nicholson Center to launch U.S.-based training program for Versius
December 18, 2018 - Findings reinforce guidelines for cautious use of antipsychotics in younger populations
December 18, 2018 - Study finds new strains of hepatitis C virus in sub-Saharan Africa
Could rotating multiple therapists better treat PTSD patients?

Could rotating multiple therapists better treat PTSD patients?

image_pdfDownload PDFimage_print

New research by Agnes van Minnen of Radboud University questions the importance and concept of the need for a dedicated therapist in treating post-traumatic stress disorder (PTSD). Patients and therapists were equally positive when rating treatment given by multiple therapists. The research will be published in the European Journal of Psychotraumatology on 17 July.

It is common to work with one dedicated therapist in psychotherapy. The idea is that this ‘therapeutic relationship’ is important for discussing personal and emotional experiences such as traumas. Clinical psychologist Agnes van Minnen wondered whether this was necessary. She was able to investigate this thanks to her role both as a researcher and clinical psychologist.

Therapist rotation

The idea came from practical considerations. “We were starting new intensive therapies that lasted a few days,” explains van Minnen. “These proved difficult to schedule with a single therapist, as many of them work part-time.”

In addition, Minnen suspected that therapists often deviated from the treatment plan. As a researcher, she wanted to know whether working with several therapists could ensure that a patient’s treatment plan was more closely followed.

Van Minnen thought that ‘therapist rotation’ could potentially answer both questions. At both Overwaal (part of Pro Persona) and PSYTREC (another clinic), a trial was started in which several therapists collaborated to give a regular form of trauma treatment. The therapists alternated between sessions.

Credit: Radboud University

Patients diagnosed with serious PTSD received a short, intensive trauma treatment with several treatment sessions each day. The treatment followed the standard guidelines, specifically exposure therapy, a form of cognitive behavioural therapy or EMDR (Eye Movement Desensitization and Reprocessing) sessions. In this case, the sessions were given by multiple therapists instead of one. Between four and sixteen therapists in total were responsible for holding the sixteen sessions with the PTSD patients. For example, session one would be given by therapist A, session two by therapist C, session three by therapist E and session four by therapist A and so forth.

Both therapists and patients were remarkably positive. The vast majority of patients found working with rotating therapists more pleasant than working with a single therapist. It was noteworthy that they rated the therapeutic relationship positively. This also applied to patients with bonding issues. “You could even say that it improves the therapeutic relationship as the therapy gets down to its core more quickly and patients learn to trust multiple people. Patients tell me: ‘I couldn’t keep avoiding the issue like I did with a previous therapist,'” explains van Minnen.

The therapists also liked the system and reported a good therapeutic relationship with the patients. “Initially, the therapists struggled with not knowing everything about a patient,” remarks van Minnen. “I propose that they do not need to, just as you do not need to know how many children a person has or what kind of hobbies they have in order to be able to give good therapy.”

The therapists indicated that, most importantly, the new, shared responsibility enabled them to ‘push through’ more during the trauma therapy and that they better followed the treatment plan.

According to van Minnen, the research shows that therapist rotation can be a good alternative to one-on-one therapy. It can also make an important contribution to the training of therapists and the implementation of knowledge and guidelines for good care. “We are going to conduct further research on this topic. Important questions remain, such as what the optimal number of therapists is, whether guidelines for treatment really are better applied in this system and whether the patient achieves better treatment results through this method. In this case, this system was mainly applied to intensive treatment programmes, and we do not yet know whether this can also work with the one or two sessions per week of usual outpatient treatments in mental health care. We will now proceed to investigate that.”


Explore further:
How good is your therapist? This machine will tell you

More information:
Agnes Van Minnen et al. Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder, European Journal of Psychotraumatology (2018). DOI: 10.1080/20008198.2018.1492836

Provided by:
Radboud University

About author

Related Articles