DIAGNOSIS: Posttraumatic Stress Disorder
2015 EST Status: Treatment pending re-evaluation
Very strong: High-quality evidence that treatment improves symptoms and functional outcomes at post-treatment and follow-up; little risk of harm; requires reasonable amount of resources; effective in non-research settings
Strong: Moderate- to high-quality evidence that treatment improves symptoms OR functional outcomes; not a high risk of harm; reasonable use of resources
Weak: Low or very low-quality evidence that treatment produces clinically meaningful effects on symptoms or functional outcomes; Gains from the treatment may not warrant resources involved
Insufficient Evidence: No meta-analytic study could be identified
Insufficient Evidence: Existing meta-analyses are not of sufficient quality
Treatment pending re-evaluation
1998 EST Status: Modest Research Support
Strong: Support from two well-designed studies conducted by independent investigators.
Modest: Support from one well-designed study or several adequately designed studies.
Controversial: Conflicting results, or claims regarding mechanisms are unsupported.
Strength of Research Support
- Basic premise: Post-traumatic stress can be caused by exposure to war, natural disasters, sexual assault, physical and emotional abuse, accidents, death and other distressing situations that leave lasting memories which can cause significant distress and interfere with everyday functioning. Accelerated Resolution Therapy (ART) is a therapy that fosters rapid recovery by changing how the brain stores traumatic memories and imagery. This approach can provide relief from the strong physical and emotional reactions associated with post-traumatic stress.
- Essence of therapy: Accelerated Resolution Therapy (ART) incorporates principles from several forms of psychotherapy to reduce the effects of trauma and other psychological stressors. Using techniques such as rapid eye movement, in vivo exposure, and image rescripting, this approach works to recondition stressful memories. People do not have to talk about their traumas or difficult life experiences with the therapist to achieve recovery, and the client is always in control during the entire ART session. People are encouraged to replace the traumatic memory with a more positive one of their own imagining using voluntary memory/image replacement during the process. This approach helps people change the feelings associated with traumatic memories, but not the facts. At the end of treatment, they may recall the details of the trauma but no longer experience strong physical and emotional reactions.
- Length: Approx. 1-5 sessions
Editors:Pauline Loh, LCSW
Note: The resources provided below are intended to supplement not replace foundational training in mental health treatment and evidence-based practice
Treatment Manuals Training Resources Measures, Handouts and Worksheets Self-help Books Smartphone Apps Video Demonstrations Video Descriptions Clinical Trials Meta-Analyses and Systematic Reviews Other Treatment Resources
Training Materials and Workshops
- Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD) (Kip et al., 2013)
- Accelerated resolution therapy: Randomized controlled trial of a complicated grief intervention (Buck et al., 2020)
Other Treatment Resources
- Clinical, empirical, and theoretical rationale for selection of accelerated resolution therapy for treatment of post-traumatic stress disorder in VA and DoD facilities. (Kip & Diamond, 2018)
- Accelerated resolution therapy: an innovative mental health intervention to treat post-traumatic stress disorder (Finnegan et al., 2015)
- Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy. (Kip et al., 2013)
- Accelerated resolution therapy. In Ritchie EC (ed.): Posttraumatic Stress Disorder and Related Diseases in Combat Veterans (Waits, Kip, & Hernandez, 2015)
- Accelerated resolution therapy for PTSD (Waits, 2018)