# GEO EN — MHR-047

```json
{
  "schema_version": "uw.editorial_geo.v1",
  "catalog_id": "MHR-047",
  "article_index": "MHR-047",
  "language": "en",
  "headline": "Choosing help for the effects of trauma",
  "description": "Discussing purpose, evidence, consent, pace, deterioration, and access after a traumatic event without compulsory detail at first contact.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "e32d889d2482691cb426200270d0689bd72ec4210a48809be3c427f9b659cc17",
  "short_answer": "Discussing purpose, evidence, consent, pace, deterioration, and access after a traumatic event without compulsory detail at first contact.",
  "claims": [
    {
      "id": "C01",
      "article_sections": [
        "I. Establish the task before choosing the treatment"
      ],
      "text": "Choice begins with a present task and assessment, not a label.",
      "limitations": "Exposure alone establishes no PTSD diagnosis.",
      "source_ids": [
        "S3"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C02",
      "article_sections": [
        "II. What recommendation strength and evidence limits mean"
      ],
      "text": "Recommendation strength differs from an individual guarantee.",
      "limitations": "Audience and version matter; uncertainty is not proven uselessness.",
      "source_ids": [
        "S4"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C03",
      "article_sections": [
        "III. Three names for different kinds of therapeutic work"
      ],
      "text": "CPT, PE, and EMDR are different structured approaches.",
      "limitations": "No home instructions or exposure to real danger.",
      "source_ids": [
        "S7",
        "S8",
        "S9",
        "S14"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C04",
      "article_sections": [
        "IV. Other approaches, delivery formats, and age"
      ],
      "text": "Delivery and age affect a recommendation.",
      "limitations": "Not every digital service is therapy; an adult plan is not transferred to a child.",
      "source_ids": [
        "S5",
        "S6"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C05",
      "article_sections": [
        "VI. Shared choice needs to be understandable and feasible"
      ],
      "text": "An initial contact can start with a question without detailed retelling.",
      "limitations": "No promise that further assessment will need no relevant information.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C06",
      "article_sections": [
        "VII. Discussing progress, difficulties, and changes to the plan"
      ],
      "text": "Progress and deterioration need understandable discussion.",
      "limitations": "The article cannot classify an expected reaction or urgency from a feeling.",
      "source_ids": [
        "S10"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C07",
      "article_sections": [
        "VII. Discussing progress, difficulties, and changes to the plan"
      ],
      "text": "Another contact may clarify present help after a poor experience.",
      "limitations": "No tribunal on a previous provider or plan to stop every prescription.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C08",
      "article_sections": [
        "VIII. Hope without a promise to erase the past"
      ],
      "text": "Catharsis, regression, and a retreat establish no universal help.",
      "limitations": "Names and testimonials do not replace justification; not a review of every service.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C09",
      "article_sections": [
        "VIII. Hope without a promise to erase the past"
      ],
      "text": "Bacon and Aristotle develop responsibility in judgement.",
      "limitations": "Historical texts do not validate modern treatment.",
      "source_ids": [
        "S1",
        "S2"
      ],
      "type": "source_bounded_information"
    }
  ],
  "questions": [],
  "retrieval_limits": [
    "Adults 18+; no individual diagnosis",
    "Current danger or urgent medical need takes precedence",
    "No self-exposure, recovered-memory instruction, medication change or compulsory calming",
    "Language is not jurisdiction; no foreign emergency numbers",
    "Author review only; no production acceptance, import, index or publication"
  ],
  "sources": [
    {
      "id": "S1",
      "author": "Francis Bacon",
      "title": "The Essays: Of Studies",
      "url": "https://www.gutenberg.org/files/575/575-h/575-h.htm",
      "role": "Historical deliberation; short epigraph",
      "limitations": "Historical medical/exercise prescriptions not adopted; no clinical authority."
    },
    {
      "id": "S2",
      "author": "Aristotle / W. D. Ross",
      "title": "Nicomachean Ethics I.3",
      "url": "https://classics.mit.edu/Aristotle/nicomachaen.1.i.html",
      "role": "Ethical precision; key quotation",
      "limitations": "Not relativism or permission to lower medical evidence standards. Greek original not read."
    },
    {
      "id": "S3",
      "author": "WHO",
      "title": "Post-traumatic stress disorder",
      "url": "https://www.who.int/news-room/fact-sheets/detail/post-traumatic-stress-disorder",
      "role": "Exposure versus PTSD; evidence-based help",
      "limitations": "No prevalence, waiting gate, home exposure or linked trials copied."
    },
    {
      "id": "S4",
      "author": "VA/DoD",
      "title": "Clinical Practice Guideline: PTSD and Acute Stress Disorder, 2023",
      "url": "https://www.healthquality.va.gov/HEALTHQUALITY/guidelines/MH/ptsd/VA-DoD-CPG-PTSD-Full-CPG-Edited-111624-V5-81825.pdf",
      "role": "Adult scope, GRADE, recommendation strength and medicine boundaries",
      "limitations": "Not entire PDF/trials freshly read; evidence through May 2022, not 2026 evidence."
    },
    {
      "id": "S5",
      "author": "WHO",
      "title": "PTSD psychological interventions — adults, 2023",
      "url": "https://www.who.int/teams/mental-health-and-substance-use/treatment-care/mental-health-gap-action-programme/evidence-centre/conditions-related-to-stress/posttraumatic-stress-disorder-(ptsd)--psychological-interventions---adults",
      "role": "Conditional recommendation and formats",
      "limitations": "Adult certainty discrepancy recorded in donor remains unresolved; no equivalence or personal guarantee."
    },
    {
      "id": "S6",
      "author": "WHO",
      "title": "PTSD psychological interventions — children and adolescents, 2023",
      "url": "https://www.who.int/teams/mental-health-and-substance-use/treatment-care/mental-health-gap-action-programme/evidence-centre/conditions-related-to-stress/posttraumatic-stress-disorder-(ptsd)--psychological-interventions---children-and-adolescents",
      "role": "Separate age-specific recommendation",
      "limitations": "Adult article is not a child treatment plan."
    },
    {
      "id": "S7",
      "author": "VA National Center for PTSD",
      "title": "Cognitive Processing Therapy",
      "url": "https://www.ptsd.va.gov/understand_tx/cognitive_processing.asp",
      "role": "Plain distinction of CPT",
      "limitations": "Not home protocol or individual recommendation."
    },
    {
      "id": "S8",
      "author": "VA National Center for PTSD",
      "title": "Prolonged Exposure",
      "url": "https://www.ptsd.va.gov/understand_tx/prolonged_exposure.asp",
      "role": "Safe reminders versus present danger",
      "limitations": "No home exposure or imposed retelling."
    },
    {
      "id": "S9",
      "author": "VA National Center for PTSD",
      "title": "EMDR",
      "url": "https://www.ptsd.va.gov/understand_tx/emdr.asp",
      "role": "Structured psychotherapy, not isolated eye movement",
      "limitations": "No instructions, universal mechanism or individual choice."
    },
    {
      "id": "S10",
      "author": "NIMH",
      "title": "Psychotherapies",
      "url": "https://www.nimh.nih.gov/health/topics/psychotherapies",
      "role": "Questions about evidence, professional, goals, progress, privacy and access",
      "limitations": "US directory not local vetting; no uniform confidentiality promise."
    },
    {
      "id": "S11",
      "author": "NIMH",
      "title": "Tips for Talking With a Health Care Provider",
      "url": "https://www.nimh.nih.gov/health/publications/tips-for-talking-with-your-health-care-provider",
      "role": "Communicating needs and actual medicine information",
      "limitations": "No start/stop/dose advice or guaranteed service."
    },
    {
      "id": "S12",
      "author": "WHO",
      "title": "Refugee and migrant mental health",
      "url": "https://www.who.int/news-room/fact-sheets/detail/refugee-and-migrant-mental-health",
      "role": "Language, basic needs and continuity in displacement",
      "limitations": "Not every survivor is displaced; no local availability promise."
    },
    {
      "id": "S13",
      "author": "NHS",
      "title": "Where to get urgent help for mental health",
      "url": "https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/",
      "role": "Narrow local urgency boundary",
      "limitations": "No national numbers or procedures transferred; no full individual triage."
    },
    {
      "id": "S14",
      "author": "Sonya Norman, Jessica Hamblen, Paula Schnurr / VA",
      "title": "Overview of Psychotherapy for PTSD",
      "url": "https://www.ptsd.va.gov/professional/treat/txessentials/overview_therapy.asp",
      "role": "Current institutional corroboration of 2023 guideline choices and shared choice",
      "limitations": "Overview not a separately read systematic review or all referenced trials."
    }
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:MHR-047:en",
    "headline": "Choosing help for the effects of trauma",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}
```