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Drawing on extensive research and clinical experience, leading authority Richard A. Bryant explores what works--and what doesn't work--in managing acute traumatic stress. He reviews the current state of the science on acute stress disorder (ASD) and presents diagnostic guidelines based on DSM-5. In a straightforward, highly readable style, Bryant shares rich insights into how to provide effective, compassionate care to specific populations, including those with mild traumatic brain injury, military personnel and first responders, and children. Evidence-based intervention procedures are described. Reproducible assessment tools and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
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Table of Contents

I. Theoretical and Empirical Issues1. Lessons from the Past2. Diagnosis of Acute Stress Disorder 3. Acute Stress Disorder in DSM-54. Do Initial Reactions Predict Long-Term Reactions?5. Biology of Acute Stress Reactions6. Cognitive Features of Acute Stress ReactionsII. Assessment7. Assessing Acute Stress ReactionsIII. Treatment8. What about Psychological Debriefing?9. An Overview of Treatment for Acute Stress Disorder10. How to Treat Acute Stress Disorder11. Challenges to Treating Acute Stress DisorderIV. Special Considerations12. Mild Traumatic Brain Injury13. Working with Military Personnel and First Responders14. Acute Stress Disorder in Children15. Acute Stress Disorder and the Law16. Concluding CommentsV. AppendicesAcute Stress Disorder Structured InterviewaEURO"5Acute Stress Disorder ScaleaEURO"5Prolonged Exposure Monitoring FormThought Record FormTrauma Hierarchy FormIn Vivo Exposure Form

About the Author

Richard A. Bryant, PhD, FAPS, is Scientia Professor in the School of Psychology at the University of New South Wales, Sydney, Australia, and Director of the Traumatic Stress Clinic. He has won numerous research awards, including the Robert S. Laufer, PhD, Memorial Award from the International Society for Traumatic Stress Studies, the Distinguished Contribution to Psychological Science Award from the Australian Psychological Society, and the Founders Medal from the Australasian Society for Psychiatric Research (now the Society for Mental Health Research). His research has focused on understanding and treating acute stress disorder, and he has conducted many experimental, longitudinal, and intervention studies of acute traumatic stress. Dr. Bryant has served on both the DSM-5 and ICD-11 work groups that have written traumatic stress diagnostic guidelines. He has published over 420 peer-reviewed journal articles and 60 book chapters.


"An encyclopedic knowledge of acute stress reactions underpins this highly readable book. Both researchers and clinicians will take this book from the shelf and refer to it repeatedly. It deserves a wide readership among those interested in the impact of community disasters as well as individual traumas of all kinds. This book will prove to be a benchmark reference for the traumatic stress field."--Alexander C. McFarlane, MD, Director, Center for Traumatic Stress Studies, University of Adelaide, Australia "Bryant is the rock star of ASD, having done the most important clinical research in the field for the past 20 years. This is one of the most valuable and most readable books I have encountered in a long time. It should be on the bookshelf of all therapists and trainees to give them the knowledge to help humanity recover from life's traumas. The volume provides everything professionals need to know to treat ASD, including the research on initial reactions to trauma, scripts for describing the treatment to patients, and session-by-session instructions for intervention."--Barbara Olasov Rothbaum, PhD, ABPP, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine "Accessible, thoughtful, and comprehensive. Remarkable for its scholarship, this book represents a seamless synthesis of historical, cultural, scientific, and clinical perspectives. Bryant focuses on the most important questions relevant to acute stress responses, all the while infusing the discussion with a healthy dose of common sense and firsthand clinical experience. Mental health clinicians, behavioral scientists, and those involved in mental health policy will all find this text both useful and engaging."--Jennifer J. Vasterling, PhD, Chief of Psychology, VA Boston Healthcare System; Professor of Psychiatry, Boston University School of Medicine

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