Written Exposure Therapy for Adolescents and Young Adults in Integrated Primary Care

Abstract

Objective: This research assesses the clinical effectiveness of Written Exposure Therapy for adolescents and young adults (AYA) diagnosed with posttraumatic stress disorder (PTSD). Methods: Using retrospective chart review of medical records, patients (n = 51) who were referred for Written Exposure Therapy as part of routine clinical care were included in this evaluation. Attendance and clinical outcomes (PTSD symptoms, depression, and anxiety) were examined. Results: Completion of the full treatment protocol (five sessions) was low (33% of the referred sample); however, Written Exposure Therapy was effective for reducing symptoms of PTSD (t = 5.41 (15), p < .001, d = 1.36). There was no change for depressive and anxious symptoms. Conclusions: Overall, Written Exposure Therapy is a feasible treatment in integrated primary care and clinically effective for older adolescents and young adults in terms of PTSD symptoms but not comorbid depression and anxiety.

Implications for Impact Statement

The brief nature of Written Exposure Therapy along with the option of delivering treatment with telehealth can potentially increase access of evidence-based PTSD treatment for AYA in many settings, including primary care. This study provides initial evidence supporting the use of five-session, exposure-based treatment for AYA in primary care.

Keywords

written exposure therapy trauma adolescents and young adults integrated primary care

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