Events that lead to traumatic brain injury are often also psychologically traumatic. Addressing a growing need among mental health practitioners, this authoritative book brings together experts in both posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). Chapters present empirically based best practices for conceptualization, assessment, and intervention. The book also addresses the biological and psychosocial mechanisms by which PTSD and mTBI complicate each other; management of commonly associated conditions, including chronic pain and substance abuse; special considerations in military contexts; and possible ways to improve the structure and cost-effectiveness of providing care in this challenging area.

By the nature of their jobs, first responders are often highly exposed to traumatic events. Police, firefighters, and paramedics experience markedly higher rates of PTSD than others in the community. They also face distinct organizational challenges that complicate their stress reactions. Often, this results in needs that are not addressed in manuals developed for people who have survived single traumatic events. This book provides an overview of theoretical and empirical frameworks for understanding PTSD in first responders and outlines practical and evidence-based approaches to assess and treat PTSD in these populations. Other chapters cover the particular challenges of working with first responders, including comorbidities; organizational stressors that can complicate treatment; and forensic issues therapists should consider through assessment and treatment. The author’s approach is based on cognitive behavior therapy and is supported by research done in the Traumatic Stress Clinic in Australia, which has treated hundreds of first responders. This comprehensive volume is essentially the outcome of the author’s lessons learned about what is effective and what is not in helping police, firefighters, and paramedics deal with their stress-related conditions.

Drawing on extensive research and clinical experience, leading authority Richard A. Bryant explores what works--and what doesn't work--in managing acute traumatic stress. He reviews the current state of the science on acute stress disorder (ASD) and presents diagnostic guidelines based on DSM-5. In a straightforward, highly readable style, Bryant shares rich insights into how to provide effective, compassionate care to specific populations, including those with mild traumatic brain injury, military personnel and first responders, and children. Evidence-based intervention procedures are described. Reproducible assessment tools and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.