Post-traumatic stress disorder (PTSD) is a debilitating mental health condition that can arise following exposure to traumatic events. Belsher et al. research group evaluated the use and efficacy of Present-centered therapy (PCT) as a treatment option for PTSD in adults. PCT was originally developed as a treatment for PTSD, but it has since been shown to be effective for a variety of other mental health conditions, including anxiety, depression, and chronic pain.
Present-centered therapy (PCT) is a type of psychotherapy that focuses on helping clients to live in the present moment and to cope with difficult emotions and experiences. It is a non-trauma-focused, time-limited treatment for adults with post-traumatic stress disorder (PTSD). PCT sessions typically last for 50 minutes and are held once a week for 12-16 weeks. During sessions, the therapist will help the client to identify and challenge negative thoughts and beliefs, and to develop coping skills for managing difficult emotions. The therapist will also help the client to focus on the present moment and to appreciate the positive aspects of their life. PCT is a client-centered therapy, which means that the therapist will work with the client to create a treatment plan that is tailored to their individual needs and goals.
Present-centered therapy (PCT) is a brief, structured therapy approach emphasizes the importance of living in the present moment and of letting go of negative thoughts and beliefs about the past experiences of individuals with PTSD. PCT aims to reduce symptoms and improve overall functioning by addressing current stressors, promoting self-care, and enhancing problem-solving skills. Unlike traditional trauma-focused therapies, PCT does not delve into the details of the traumatic event but rather emphasizes the present circumstances and the individual’s response to them. PCT teaches clients to accept their thoughts and feelings, and to appreciate the positive aspects of their lives. PCT teaches clients coping skills for managing difficult emotions and experiences. The therapeutic relationship is an important part of PCT. The therapist creates a safe and supportive environment where the client can feel comfortable exploring their thoughts and feelings.
Belsher et al. conducted a systematic review and meta-analysis to evaluate the effectiveness of PCT for PTSD in adults. The study included randomized controlled trials and compared PCT to other active treatments or no treatment. The primary outcomes assessed were PTSD symptoms, depression, anxiety, and overall functioning. PCT demonstrated a significant reduction in comorbid depression and anxiety symptoms among individuals with PTSD. The effect sizes for depression and anxiety reduction were also statistically significant. This finding suggests that PCT has a broader impact on mental health and can address multiple symptoms concurrently.
The study found moderate-quality evidence supporting the effectiveness of PCT in reducing PTSD symptoms compared to no treatment. The effect size for PCT in reducing PTSD symptoms was statistically significant. PCT was also found to be comparable in effectiveness to other active treatments, such as cognitive-behavioral therapy and other trauma-focused therapies.
Belsher et al. report participants of the study showed improvement in overall functioning. PCT showed positive effects on overall functioning, including social and occupational functioning. Individuals receiving PCT reported improvements in daily life activities, relationships, and engagement in work or education. The effect size for overall functioning improvement was statistically significant, indicating a meaningful impact of PCT on individuals’ lives.
The study reported that individuals receiving PCT had higher treatment completion rates compared to those receiving other active treatments or no treatment. The dropout rates for PCT were lower than those for other treatments, indicating better treatment engagement and acceptability. This suggests that PCT may be well-tolerated by individuals with PTSD and may enhance treatment adherence.
PCT is a brief and structured therapy approach that can be administered by a variety of mental health professionals. Its focus on present experiences makes it suitable for individuals who may find revisiting past traumatic events distressing or challenging. The practicality of PCT may improve access to effective PTSD treatment. PCT takes a holistic approach by addressing current stressors, promoting self-care, and enhancing problem-solving skills. By focusing on the present, individuals learn coping strategies that can be applied to various aspects of their lives, improving overall functioning and well-being. This comprehensive approach may lead to more sustainable and long-term symptom management.
The effectiveness of PCT in reducing comorbid depression and anxiety symptoms highlights its potential for addressing multiple mental health concerns simultaneously. This is particularly beneficial for individuals with PTSD who may experience various symptoms and difficulties in daily life. By targeting both PTSD symptoms and comorbid conditions, PCT offers a comprehensive treatment approach.
The higher treatment completion rates observed in individuals receiving PCT suggest better treatment engagement and acceptability. The focus on present experiences and practical strategies may enhance individuals’ motivation to participate actively in therapy and complete the treatment course. Improved treatment engagement can lead to better outcomes and overall treatment satisfaction.
The study by Belsher et al. provides evidence supporting the effectiveness of Present-centered therapy (PCT) for post-traumatic stress disorder (PTSD) in adults. PCT offers a brief and structured approach that focuses on the present experiences of individuals with PTSD, addressing current stressors, promoting self-care, and enhancing problem-solving skills. The findings indicate that PCT is effective in reducing PTSD symptoms, comorbid depression and anxiety, and improving overall functioning.
PCT’s practicality, accessibility, and holistic approach make it a valuable treatment option for individuals with PTSD who may have difficulties engaging in traditional trauma-focused therapies. By addressing present experiences and providing practical coping strategies, PCT empowers individuals to manage their symptoms and improve their daily functioning.
The specific details and data presented in the study highlight the statistically significant reductions in PTSD symptoms, depression, and anxiety, as well as improvements in overall functioning observed among individuals receiving PCT. These findings support the use of PCT as an evidence-based treatment for PTSD in adults.
The findings from Belsher et al.’s study have important clinical implications for the treatment of PTSD in adults. Further research and continued evaluation are warranted to explore the long-term effectiveness of PCT, its applicability to diverse populations, and its potential integration with other treatment approaches. By expanding our knowledge of PCT and its benefits, we can enhance the range of options available for the treatment of PTSD in adults.
Title: Present‐centered therapy (PCT) for post‐traumatic stress disorder (PTSD) in adults
Authors: Bradley E Belsher, Erin Beech, Daniel Evatt, Derek J Smolenski, M Tracie Shea, Jean Lin Otto, Craig S Rosen, Paula P Schnurr, Cochrane Common Mental Disorders Group
Journal: Cochrane Database of Systematic Reviews
Volume: 2019
Issue: 11
Page: CD012898
Publication Date: November 18, 2019
DOI: 10.1002/14651858.CD012898.pub2
PMCID: PMC6863089