Augmentation of Evidence-Based Psychotherapy for PTSD With Cognitive Enhancers

作者：Marin Marie France; Lonak Sylwia Fowler; Milad Mohammed R^*

来源：Current Psychiatry Reports, 2015, 17(6): 39.

DOI：10.1007/s11920-015-0582-0

• Anxiety disorders
• Fear-based disorders
• Extinction learning
• D-Cycloserine
• Beta-blockers
• Endocannabinoids
• Estrogen
• Methylene blue
• HDAC inhibitors

Exposure-based therapy has proven to be useful to treat various anxiety disorders as well as post-traumatic stress disorder (PTSD). Despite its efficacy, a fair proportion of patients remain symptomatic after treatment. Different lines of research have put considerable efforts to investigate ways to enhance the efficacy of exposure-based therapy, which could ultimately lead to better clinical outcomes for patients. Given that this type of therapy relies on extinction learning principles, neuroscience research has tested different adjuncts that could be used as cognitive enhancers through their impact on extinction learning and its consolidation. The current review will summarize some of the latest compounds that have received attention and show some promise to be used in clinical settings to improve the efficacy of exposure-based therapy.

• 出版日期2015-6