Post-traumatic stress disorder is a psychiatric illness that can
occur in anyone who has experienced a life-threatening or violent
event. The trauma can be due to war, terrorism, torture, natural
disasters, violence, or rape. In PTSD the brain areas that are
likely to be affected are the hippocampus (memory), amygdala (fear
association), the prefrontal cortex (cognitive processing), and the
ascending reticular activating system (arousal). The chemical of
interest is norepinephrine, which is released during a stressful
event and is part of the fight-or-flight response meant to mobilize
the body to action.The objective of this title is to outline the
neurobiology of post-traumatic stress disorder and provide
treatment strategies for clinicians. The chapter material from this
book has evolved from a seminar on PTSD held recently under the
auspices of the VA Boston Healthcare System, Boston University
Medical Center and Harvard Medical School. We propose a book that
will focus on the epidemiology, neurobiology, MRI studies, animal
models, arousal and sleep issues, clinical trials, and treatment
strategies for clinicians. Treatment will cover such topics as
guidelines for treating posttraumatic stress disorder, PTSD and the
use of mental health services, cognitive intervention therapy, and
large scale clinical trials in PTSD. This collection will be a
vital source of information to clinicians and neuroscientists.
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