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Review

Tailoring therapeutic strategies for treating posttraumatic stress disorder symptom clusters

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Pages 517-532 | Published online: 24 Aug 2010
 

Abstract

According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, posttraumatic stress disorder (PTSD) is characterized by three major symptom clusters following an event that elicited fear, helplessness, or horror. This review will examine each symptom cluster of PTSD separately, giving case study examples of patients who exhibit a preponderance of a given symptom domain. We use a translational approach in describing the underlying neurobiology that is relevant to particular symptoms and treatment options, thus showing how clinical practice can benefit from current research. By focusing on symptom clusters, we provide a more specific view of individual patient’s clinical presentations, in order to better address treatment needs. Finally, the review will also address potential genetic approaches to treatment as another form of individualized treatment.

Acknowledgment

This work was supported by grants awarded to SDN from the Emory University Research Committee (Atlanta Clinical and Translational Science Institute), NARSAD, and the Department of Defense/Congressionally Directed Medical Research Program (CDMRP). We thank Ilana Olin for her assistance in the preparation of this manuscript.

Disclosure

The authors report no conflicts of interest in this work.