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“A great resource. The book updates readers on the emerging treatment trends and helps them understand treatment more clearly….Provides valuable insights into therapies that can be offered to those combating PTSD. This is a very worthwhile book. *****!”

—Doody's Review Service


“A comprehensive, practical resource for clinicians and others who treat military personnel....I highly recommend this book to mental health professionals, chaplains, and health care providers who may work with the military. It may also be of interest to military members and their families, and treatment providers who are new to the VA system.”

—International Journal of Emergency Mental Health (on the first edition)


“Moore and Penk have once again assembled a 'who’s who' of leading researchers to present the latest on evidence-based treatments for PTSD in military personnel. The second edition of this handbook is an absolute 'must read' for anyone who provides care to this population. The detailed insights into important considerations for working with military personnel, careful attention to clinical issues that frequently co-occur with PTSD, and clearly presented case examples that illustrate how to implement the various treatments successfully are what make this volume stand apart.”

—Brian P. Marx, PhD, National Center for PTSD, VA Boston Healthcare System; Department of Psychiatry, Boston University School of Medicine


“This volume covers every key topic related to helping those suffering from PTSD after military trauma. The second edition provides a thorough update of issues, treatment approaches, and distinctive clinical presentations. Clinicians and researchers in the field cannot afford to miss this volume, which boasts many of the world’s foremost experts in both PTSD and military psychiatry. Destined to be the gold-standard reference.”

—Richard A. Bryant, PhD, School of Psychology, University of New South Wales, Australia


“Noted clinician-scholars Moore and Penk provide up-to-date, detailed guidance on empirically supported trauma treatments, helping practitioners become both knowledgeable and culturally competent for engaging with military members, veterans, and their families. The editors have ensured that each chapter offers comprehensive, practical coverage of assessment, treatment, and progress monitoring. Well-edited chapters address interventions ranging from cognitive-behavioral to psychodynamic approaches, from individual to group to couple and family therapies, and from psychopharmacological to complementary and alternative treatments. The volume also includes specific discussions of common co-occurring conditions, which community practitioners will find very useful.”

—James A. Martin, PhD, LICSW, Colonel, U.S. Army (Retired); Professor of Social Work and Social Research, Bryn Mawr College


“This second edition represents an important advancement in mapping the landscape of PTSD, including its diagnosis, treatment, and rehabilitation. As geopolitical political conflicts only get more complex, PTSD has become the signature injury of military engagement. Moore and Penk introduce psychology as a modern tool for understanding and helping those who are struggling in the aftermath of traumatic experiences. This is an essential and comprehensive reference that belongs in the library of anyone working with military personnel.”

—Eric A. Zillmer, PsyD, Carl R. Pacifico Professor of Neuropsychology, Drexel University

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Table of Contents

Foreword, Matthew J. Friedman

Introduction: PTSD in the Military, Bret A. Moore & Walter E. Penk

I. Treatment Approaches for PTSD in Military Personnel

1. Understanding and Working within the Military Culture, Bret A. Moore

2. Issues in Assessment of PTSD in Military Personnel, Sunny Dutra, Jasmeet P. Hayes, & Terence M. Keane

3. Prolonged Exposure Therapy, Alan L. Peterson, Edna B. Foa, & David S. Riggs

4. Cognitive Processing Therapy, Amy M. Williams, Tara E. Galovski, & Patricia A. Resick

5. Eye Movement Desensitization and Reprocessing, Mark C. Russell, Howard Lipke, & Charles R. Figley

6. Mindfulness-Based Behavioral and Cognitive Therapies, Emily M. O’Bryan, Kristen M. Kraemer, Christina M. Luberto, & Richard Sears

7. Psychodynamic Psychotherapy, Harold Kudler & Russell B. Carr

8. Stress Inoculation Training: A Resilience-Engendering Intervention, Donald Meichenbaum

9. Cognitive-Behavioral Conjoint Therapy for PTSD: Theory and Practice of Couple and Family Interventions, Anne C. Wagner, Meredith S. H. Landy, & Candice M. Monson

10. Group Therapy for PTSD, Walter E. Penk, Dolores Little, & Nathan D. Ainspan

11. Psychopharmacological and Neuromodulation Treatment, William M. Sauvé & Stephen M. Stahl

12. Complementary and Alternative Therapies, Gary Elkins, Lynae Roberts, & Samuel Stork

13. Psychosocial Rehabilitation, Walter Penk, Dolores Little, & Nathan Ainspan

II. Specific Clinical Issues Associated with PTSD

14. Co-Occurring Affective and Anxiety Disorders, Eric C. Meyer, Nathan A. Kimbrel, Matthew T. Tull, & Sandra B. Morissette

15. Co-Occurring Substance Use Disorders, Marc I. Kruse, Tessa C. Denman, Alexia G. Maness, & Suzy Bird Gulliver

16. Chronic Pain and PTSD, John D. Otis

17. Traumatic Brain Injury, Jennifer J. Vasterling, Mieke Verfaellie, Susan M. McGlynn, & Vanessa D’Orio

18. Military Sexual Trauma, Nicholas D. Holder & Alina M. Surís

19. Sleep Disorders, William L. Brim & David S. Riggs

20. Managing the Service Member with Suicidal Ideation, Nancy A. Skopp, David D. Luxton, Nigel Bush, & M. David Rudd

21. Treating Moral Injury in Military Members and Veterans, Danielle S. Berke, Nora Kline, Jessica Carney, Julie D. Yeterian, & Brett T. Litz

22. Treating Complex Traumatic Stress Disorders in Military Veterans, Christine A. Courtois & Julian D. Ford

23. Identifying and Facilitating Posttraumatic Growth in Military Personnel, Cara L. Blevins, Taryn C. Greene, & Richard G. Tedeschi

Author Index

Subject Index

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About the Editors

Bret A. Moore, PsyD, ABPP, is a clinical psychologist and prescribing psychologist in San Antonio, Texas, and the Vice Chair of the Boulder Crest Institute for Posttraumatic Growth in Bluemont, Virginia. He is the founder of Military Psychology Consulting and a former active-duty Army psychologist and two-tour veteran of Iraq. Dr. Moore is author or editor of numerous books for mental health professionals and general readers. He is a Fellow of the American Psychological Association (APA) and a recipient of the Arthur W. Melton Award for Early Career Achievement in Military Psychology from APA Division 19 and the Early Career Achievement Award in Public Service Psychology from APA Division 18.

Walter E. Penk, PhD, ABPP, is Professor of Psychiatry and Behavioral Sciences at Texas A&M College of Medicine and Consultant to Social and Community Reintegration Research at the Edith Nourse Rogers Memorial Veterans Hospital in Bedford, Massachusetts. He has served at VA Medical Centers in Houston, Dallas, Boston, and Bedford, and was Director of Psychological Services for the Massachusetts Department of Mental Health. Dr. Penk is a recipient of the Alfred M. Wellner, PhD, Lifetime Achievement Award from the National Register of Health Service Psychologists; the Life Achievement Gold Medal for Practice in Psychology from the American Psychological Foundation; the Presidential Citation and the Harold M. Hildreth Distinguished Public Service Award from APA Division 18; and the Charles S. Gersoni Military Psychology Award from APA Division 19, among other honors. He has published more than 160 articles and several books.

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Contributors

Nathan D. Ainspan, PhD, Transition to Veterans Program Office, U.S. Department of Defense, Alexandria, Virginia

Danielle S. Berke, PhD, Department of Psychology, Hunter College, The City University of New York, New York, New York

Cara L. Blevins, MA, Health Psychology Program, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina

William L. Brim, PhD, Center for Deployment Psychology, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Nigel E. Bush, PhD, Psychological Health Center of Excellence, Defense Health Agency, Tacoma, Washington

Jessica Carney, BA, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts

Russell B. Carr, MD, CDR USN, Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences, Bethesda, Maryland

Christine A. Courtois, PhD, ABPP, independent practice, Washington, DC (retired), and Trauma Psychology and Trauma Treatment, Bethany Beach, Delaware

Tessa C. Denman, BA, Warriors Research Institute, Waco, Texas Vanessa D’Orio, PhD, Psychology Service, VA Boston Healthcare System, Boston, Massachusetts

Sunny J. Dutra, PhD, Clinical Psychology Department, William James College, Newton, Massachusetts

Gary Elkins, PhD, ABPP, Department of Psychology and Neuroscience, Baylor University, Waco, Texas

Charles R. Figley, PhD, Traumatology Institute, Tulane University, New Orleans, Louisiana

Edna B. Foa, PhD, Center for the Treatment and Study of Anxiety, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Julian D. Ford, PhD, ABPP, Center for Trauma Recovery and Juvenile Justice and Center for the Treatment of Developmental Trauma Disorders, University of Connecticut Medical Center, Farmington, Connecticut

Tara E. Galovski, PhD, Women’s Health Sciences Division, National Center for PTSD, and Department of Psychiatry, Boston University School of Medicine and VA Boston Healthcare System, Boston, Massachusetts

Taryn C. Greene, BA, Health Psychology Program, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina

Suzy Bird Gulliver, PhD, Warriors Research Institute, Waco, Texas, and Texas A&M University Health Science Center, College Station, Texas

Jasmeet P. Hayes, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Nicholas Holder, PhD, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas

Terence M. Keane, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Nathan A. Kimbrel, PhD, Durham VA Medical Center, VA VISN 6 Mental Illness Research Education and Clinical Center, and Department of Psychiatry, Duke University School of Medicine, Durham, North Carolina

Nora Kline, MA, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts

Kristen M. Kraemer, PhD, Harvard Medical School and Department of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Marc I. Kruse, PhD, Austin Fire Department and Austin–Travis County Emergency Medical Services, Austin, Texas

Harold S. Kudler, MD, Mental Health Services, Veterans Health Administration, Washington, DC, and Department of Psychiatry, Duke University School of Medicine, Durham, North Carolina

Meredith S. H. Landy, PhD, CPsych (supervised practice), Department of Psychology, Ryerson University, Toronto, Ontario, Canada

Howard Lipke, PhD, Department of Psychology, Rosalind Franklin University of Medicine and Science, Chicago, Illinois

Dolores Little, PhD, U.S. Department of Veterans Affairs, Washington, DC (retired)

Brett T. Litz, PhD, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System; College of Arts and Sciences, Boston University; and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Christina M. Luberto, PhD, Harvard Medical School and Department of Psychiatry, Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts

David D. Luxton, PhD, MS, University of Washington School of Medicine, Seattle, Washington

Alexia G. Maness, BS, Warriors Research Institute, Waco, Texas

Susan M. McGlynn, PhD, Psychology Service, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Donald Meichenbaum, PhD, Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada, and the Melissa Institute for Violence Prevention and Treatment, Miami, Florida

Eric C. Meyer, PhD, VA VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Healthcare System; Department of Psychiatry and Behavioral Sciences, Texas A&M University Health Science Center; and Warriors Research Institute, Baylor Scott & White Health, Waco, Texas

Candice M. Monson, PhD, CPsych, Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada

Bret A. Moore, PsyD, MSCP, ABPP, Military Psychology Consulting, San Antonio, Texas

Sandra B. Morissette, PhD, Department of Psychology, University of Texas at San Antonio, San Antonio, Texas

Emily M. O’Bryan, MA, Department of Psychology, University of Cincinnati, Cincinnati, Ohio

John D. Otis, PhD, Research Service, VA Boston Healthcare System,and the Center for Anxiety and Related Disorders, Department of Psychologicaland Brain Sciences, Boston University, Boston, Massachusetts

Walter E. Penk, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, Texas A&M College of Medicine, New Braunfels, Texas

Alan L. Peterson, PhD, Department of Psychiatry, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Patricia A. Resick, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina

David S. Riggs, PhD, Center for Deployment Psychology, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Lynae Roberts, MA, Department of Psychology and Neuroscience, Baylor University, Waco, Texas

M. David Rudd, PhD, Department of Psychology, University of Memphis, Memphis, Tennessee

Mark C. Russell, PhD, School of Applied Psychology, Counseling, and Family Therapy, Antioch University, Seattle, Washington

William M. Sauvé, MD, Greenbrook TMS NeuroHealth Centers, Richmond, Virginia, and Neuroscience Education Institute, Carlsbad, California

Richard Sears, PsyD, ABPP, Center for Clinical Mindfulness and Meditation, University of Cincinnati, and Cincinnati VA Medical Center, Cincinnati, Ohio

Nancy A. Skopp, PhD, Psychological Health Center of Excellence, Defense Health Agency, Tacoma, Washington

Stephen M. Stahl, MD, PhD, Department of Psychiatry, University of California, San Diego, La Jolla, California, and Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom

Samuel Stork, BA, Department of Psychology and Neuroscience, Baylor University, Waco, Texas

Alina Surís, PhD, ABPP, VA North Texas Health Care System, and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas

Richard G. Tedeschi, PhD, Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina

Matthew T. Tull, PhD, Department of Psychology, University of Toledo, Toledo, Ohio

Jennifer J. Vasterling, PhD, Psychology Service and National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Mieke Verfaellie, PhD, Memory Disorders Research Center, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

Anne C. Wagner, PhD, CPsych, Department of Psychology, Ryerson University, Toronto, Ontario, Canada

Amy M. Williams, PhD, Steven A. Cohen Military Family Clinic at Metrocare and University of Texas Southwestern Medical Center, Dallas, Texas

Julie D. Yeterian, PhD, Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

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Audience

Mental health practitioners who work with current or former service members, including clinical psychologists, psychiatrists, social workers, nurses, and counselors.

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Course Use

May serve as a supplemental text in graduate-level courses.

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Previous editions published by Guilford:

First Edition, © 2011
ISBN: 9781609186357

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New to this edition:

• Chapters on additional treatments: mindfulness-based behavioral and cognitive therapies, stress inoculation training, cognitive-behavioral conjoint therapy, group therapy, and complementary and alternative therapies.
• Chapters on additional clinical issues: chronic pain, moral injury, complex traumatic stress disorders, and posttraumatic growth.
• Updated throughout with the latest treatment research and DSM-5 diagnostic changes.