Internet interventions for posttraumatic stress have grown in popularity due to the limits that many patients face in their ability to seek therapy to treat their symptoms. These limits include lack of resources and residing in small towns or in the countryside. These patients may find it difficult to seek treatment because they do not have geographical access to treatment, and this can also limit the time they have to seek help. Additionally, those who live in rural areas may experience more stigma related to mental health issues. Internet interventions can increase the possibility that those who suffer from PTSD can seek help by eliminating these barriers to treatment.
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| - Internet interventions for posttraumatic stress have grown in popularity due to the limits that many patients face in their ability to seek therapy to treat their symptoms. These limits include lack of resources and residing in small towns or in the countryside. These patients may find it difficult to seek treatment because they do not have geographical access to treatment, and this can also limit the time they have to seek help. Additionally, those who live in rural areas may experience more stigma related to mental health issues. Internet interventions can increase the possibility that those who suffer from PTSD can seek help by eliminating these barriers to treatment. (en)
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| - Internet interventions for posttraumatic stress have grown in popularity due to the limits that many patients face in their ability to seek therapy to treat their symptoms. These limits include lack of resources and residing in small towns or in the countryside. These patients may find it difficult to seek treatment because they do not have geographical access to treatment, and this can also limit the time they have to seek help. Additionally, those who live in rural areas may experience more stigma related to mental health issues. Internet interventions can increase the possibility that those who suffer from PTSD can seek help by eliminating these barriers to treatment. Most of the internet interventions for PTSD currently being studied use Cognitive Behavioral Therapy (CBT) tenants to provide treatment. Often these internet interventions also pull from Cognitive Processing Therapy (CPT) and exposure therapy as well. There are two types of internet interventions. Those that are “therapist-assisted,” which means there is an actual therapist guiding the patient through some, but not all of the intervention, and those that are self-guided, which means they do not provide this service. In therapist assisted interventions, patients have access to a live therapist either via video conferencing, instant messenger, or telephone. Therapists can provide feedback to the patient's assignments, and help them process their trauma. In self-guided interventions, patients do not have contact with therapists, unless there is an emergency in which they are a risk to themselves or others. Throughout these interventions, patients are given coping skills and resources. The resources available to patients participating in a self-guided intervention are typically crisis lines, emergency services, and outside sources in which the person can seek help or treatment. The resources provided in a self-guided treatment protocol are not a part of the intervention itself. While there is a recent shift toward completely removing the need for a therapist in many internet interventions, most of the online interventions currently being researched and used for PTSD still use therapists as part of their protocol. The involvement of the therapist in the intervention varies across interventions. For example, while one study had therapists in direct communication with clients via the Internet every session, another study only had therapists for intake and follow-up purposes. The existing interventions have been shown to be effective in reducing symptoms of PTSD with varying causes such as war in Iraq or miscarriages. This effectiveness is consistent across follow-ups up to a year out from the interventions, but one randomized control trial does report that more structured and highly therapist-assisted interventions are more effective than purely psychoeducational or inspirational interventions. (en)
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