On being a client with posttraumatic stress disorder: Interactions with treatment providers and institutional barriers

Premature dropout from psychological treatment for posttraumatic stress disorder (PTSD) is common. Little research has sought to understand perceptions of treatment and barriers to treatment in this population. This study analyzed anonymous posts among an online community of individuals with PTSD (9...

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Bibliographic Details
Published in:Journal of community psychology 2021-04, Vol.49 (3), p.791-805
Main Authors: Ferrell, Emily L., Russin, Sarah E., Grant, Jennifer T.
Format: Article
Language:English
Subjects:
Barriers
Boundaries
Economic crisis
Humans
Medication Adherence
Physician-Patient Relations
Post traumatic stress disorder
Psychological distress
PTSD
Quality of Health Care
social media
Stress Disorders, Post-Traumatic - therapy
Therapists
therapy
Trauma
treatment
Treatment compliance
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Summary:Premature dropout from psychological treatment for posttraumatic stress disorder (PTSD) is common. Little research has sought to understand perceptions of treatment and barriers to treatment in this population. This study analyzed anonymous posts among an online community of individuals with PTSD (93 forum users comprising 158 posts regarding treatment providers and 40 forum users comprising 50 posts regarding institutional barriers). Results indicated that individuals with PTSD desire greater clarity about expectations for treatment, collaboration toward treatment goals, open discussion of client‐therapist boundaries, and increased validation among therapists in response to trauma disclosure. Individuals with PTSD also reported multiple systemic issues that were barriers to treatment including a lack of available services in their area, being placed on a waitlist for long periods of time, the cost of treatment as a financial burden, and poor crisis response in emergency rooms. Findings indicated areas of growth for treatment providers which will help inform future treatment studies in improving care and treatment adherence among individuals with PTSD.
ISSN:0090-4392
1520-6629
DOI:10.1002/jcop.22359