Group Written Exposure Therapy for PTSD

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: St. Joseph's Healthcare Hamilton
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a virtual group therapy focused on writing about trauma, called Group Written Exposure Therapy, can reduce symptoms in individuals with both PTSD (Post-Traumatic Stress Disorder) and traits of Borderline Personality Disorder (BPD). Participants will attend weekly 2-hour sessions for 10 weeks to write about their trauma experiences. The researchers aim to determine if this therapy approach can lower PTSD symptoms and reduce drop-out rates compared to other treatments. It suits those who have completed a DBT (dialectical behavior therapy) skills group at St. Joe's Community Psychiatry Clinic, can read and write in English, and have access to a device for virtual meetings. As an unphased trial, this study provides a unique opportunity to explore innovative therapy methods that could benefit future treatment options.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

What prior data suggests that this therapy is safe for treating PTSD and BPD?

Research shows that Written Exposure Therapy (WET) is generally safe for treating PTSD (Post-Traumatic Stress Disorder). Studies have found that people, including those with mood disorders or substance use problems, tolerate WET well. These studies suggest that WET can greatly reduce PTSD symptoms, and most participants continue with the treatment.

No serious side effects have been reported in these studies. Participants typically experience a decrease in PTSD symptoms over time. For those considering joining a trial for Group Written Exposure Therapy, this research indicates the treatment is likely to be safe and manageable.12345

Why are researchers excited about this trial?

Unlike traditional PTSD treatments, which often involve medication or lengthy one-on-one therapy sessions, Group Written Exposure Therapy offers a unique approach by using written exercises in a group setting. This method allows individuals to express and process traumatic experiences collectively, potentially fostering a sense of community and shared understanding. Researchers are excited about this therapy because it can be more accessible, time-efficient, and cost-effective than typical prolonged exposure therapies, with the potential to provide relief in fewer sessions.

What evidence suggests that Group Written Exposure Therapy is effective for PTSD?

Research has shown that Written Exposure Therapy (WET) effectively treats PTSD. Studies have found WET to be as effective as longer treatments, significantly reducing PTSD symptoms. This trial will focus on Group Written Exposure Therapy, and early results for group-based WET are promising. They show it can lower PTSD symptoms and maintain low dropout rates, meaning most participants continue with it. Another study found that WET greatly improved symptom severity. Overall, WET is a reliable option for managing PTSD symptoms.12678

Are You a Good Fit for This Trial?

This trial is for adults aged 18-65 who can read and write English, have been diagnosed with both PTSD and Borderline Personality Disorder (or BPD traits), have completed a DBT skills group at St. Joe's Community Psychiatry Clinic, and can join virtual sessions using an electronic device.

Inclusion Criteria

I am between 18 and 65 years old.
* Reading and writing proficiency in English
* Previous diagnosis of Posttraumatic Stress Disorder (PTSD) and Borderline Personality Disorder (BPD)/BPD traits
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants attend weekly 2-hour group Written Exposure Therapy sessions for 10 weeks

10 weeks
10 visits (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Group Written Exposure Therapy

Trial Overview

The study tests if a virtual group therapy called Group Written Exposure Therapy (GE-WET)—where participants write about their trauma in weekly 2-hour online sessions over 10 weeks—can help reduce PTSD symptoms in people also dealing with BPD or its traits.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Group Extended Written Exposure TherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

St. Joseph's Healthcare Hamilton

Lead Sponsor

Trials
203
Recruited
26,900+

Citations

A pilot study of twice-weekly group-based written exposure ...

Findings demonstrate that brief, group-delivered WET is feasible and shows promise for addressing PTSD and depressive symptoms in residential SUD treatment.

Group Written Exposure Therapy for Posttraumatic Stress ...

We hypothesize that group WET will be associated with significant reductions in PTSD symptoms and related symptoms and low dropout rates (i.e., less than 10%).

Effectiveness of Written Exposure Therapy for Posttraumatic ...

Objective: Written Exposure Therapy (WET) for posttraumatic stress disorder (PTSD) has been shown to be efficacious in clinical trials; however, ...

Written Exposure Therapy for the Treatment of ...

The evidence indicates that WET is an efficacious and effective treatment approach for PTSD and is noninferior to more time-intensive evidence-based treatments ...

Written Exposure Therapy Plus Pharmacotherapy Improves ...

Study findings suggest that clinically meaningful improvements in PTSD symptom severity can be achieved in primary care with either SSRIs or WET ...

Written exposure therapy for posttraumatic stress ...

The study will determine whether WET-S is an efficacious treatment to reduce PTSD symptoms and the presence, frequency, and severity of suicidal ideation, ...

Written Exposure Therapy for PTSD - PTSD: National Center ...

Findings to date indicate WET is safe and effective for PTSD patients with comorbid mood disorder symptoms, (4,6, 24-27) substance use disorders, (28,29), ...

Posttraumatic stress disorder in adults: Psychotherapy and ...

At the 12-week endpoint, individuals in both treatment groups showed reduction in PTSD severity versus active monitoring. However, individuals ...