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Posttraumatic stress disorder — ABFM Board MCQ

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HardMental healthPosttraumatic stress disorderABFM Board

A 38-year-old veteran has nightmares, hypervigilance, avoidance of crowds, and intrusive memories 8 months after an assault. He drinks heavily to sleep. He denies mania and psychosis. Which of the following is the most appropriate initial treatment?

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Correct answer: BTrauma-focused psychotherapy and treatment of alcohol misuse

Posttraumatic stress disorder is treated with trauma-focused psychotherapy. Co-occurring alcohol misuse should be addressed; benzodiazepines are not recommended for PTSD due to limited benefit and harm risk.

Reference: VA/DoD PTSD Clinical Practice Guideline