Questions & Answers
Choosing help for the effects of trauma
{
"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."
}
],
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"@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"
}
]
}
}