Real-world outcomes of an innovative digital therapeutic for treatment of panic disorder and PTSD: A 1,500 patient effectiveness study.

Objective: Prior clinical trials have shown consistent clinical benefit for Capnometry Guided Respiratory Intervention (CGRI), a prescription digital therapeutic for the treatment of panic disorder (PD) and post-traumatic stress disorder (PTSD). The purpose of this study is to report real-world outcomes in a series of patients treated with the intervention in clinical practice.

Design: This paper reports pre- and post-treatment self-reported symptom reduction, measures of respiratory rate and end-tidal carbon dioxide levels, drop-out and adherence rates drawn from an automatic data repository in a large real-world series of patients receiving CGRI for panic disorder and PTSD.

Commentary on Kim et al., Effects of therapeutic relationship, expectancy, and credibility in breathing therapies for anxiety.

Kim and colleagues (2015) explored influences on clinical outcomes related to nonspecific therapeutic factors, addressing the importance of client expectancy and development of the therapeutic alliance. In the process, however, the authors carry forward conclusions from their prior research on treatment of panic that two opposing breathing retraining protocols are equally effective. Neither the experimental design nor the sample size of the current or previous study warrants reaching those conclusions.

Posttraumatic stress disorder treatment for Operation Enduring Freedom/Operation Iraqi Freedom combat veterans through a civilian community-based telemedicine network.

Background: Telemedicine holds great potential to improve access to care and to reduce barriers to treatment for military populations with posttraumatic stress disorder (PTSD). This study sought to integrate the use of telemedicine mental health treatment services by a community healthcare provider to military populations residing in a rural location and to compare the equivalency of cognitive behavioral therapy (CBT) administered via telemedicine and traditional face-to-face therapy.

Subjects And Methods: Study subjects were men or women 18 years of age or older who had served in Operation Enduring Freedom (OEF) and/or Operation Iraqi Freedom (OIF) and were diagnosed with PTSD.

The challenge of partial hospitalization in the 1990s.

Psychiatric partial hospitalization has existed in the shadows of both traditional inpatient hospitalization and outpatient therapies. Despite documented effectiveness, the modality has only recently received increased attention and growth, both driven by concerns about the costs of mental healthcare. This paper reviews historical factors affecting the use of this treatment setting, outcome research in the field, and anticipated future growth trends.