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Behavior Modification
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Treatment of Reactivated Post-Traumatic Stress Disorder

Imaginal Exposure in an Older Adult With Multiple Traumas

Stephen A. Russo

Nova Southeastern University

Michel Hersen

Pacific University

Vincent B. van Hasselt

Nova Southeastern University

A single-case analysis was used to assess the effects of imaginal exposure in a 57-year-old woman suffering from current and reactivated post-traumatic stress disorder (PTSD) following a transient ischemic attack. The client’s responses to self-reported depression, anxiety, and PTSD symptoms were repeatedly recorded during four phases: (a) initial psychotherapy, (b) imaginal exposure, (c) skill generalization, and (d) fading of treatment. In addition to dramatic reduction in levels of depression and anxiety, results showed a significant improvement in PTSD symptoms relating to recent and remote traumatic experiences. Improvements were maintained approximately 16 months after imaginal exposure ended, despite ongoing external stressors.

Behavior Modification, Vol. 25, No. 1, 94-115 (2001)
DOI: 10.1177/0145445501251006
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