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Yoga One small RCT compared an adjunctive, 12-session yoga intervention to an assessment control in a sample of Veteran and civilian women (25).

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For each modality, treatment effects on PTSD symptoms and key limitations are summarized.Many treatments and techniques that are considered CAM within the U. are part of conventional medicinal practices in other parts of the world.As Western practitioners and consumers increasingly adopt these approaches, the boundaries between conventional medicine and CAM continue to shift.For example, relaxation may be used during exposure-based treatment for PTSD to manage arousal, thereby helping the patient to tolerate the exposure, which is believed to be the major change agent.Psychotherapies such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) include mindfulness, which has been defined as "paying attention in a particular way: on purpose, in the present moment, and non-judgmentally" (1).Mindfulness is seen as an important agent of change in these approaches because it shifts the individual's perspective in a way that counteracts psychopathological processes.

Within these approaches, mindfulness is coupled with cognitive and behavioral principles and techniques to affect change.

Of note, five of the six studies examined in that review were conducted in China, where acupuncture is a mainstream treatment.

Therefore findings may not generalize to the use of acupuncture as a CAM modality in Western medicine.

Acupuncture There has been one published randomized clinical trial of acupuncture as a treatment for PTSD.

In that study, acupuncture was superior to waitlist and comparable to group CBT for PTSD in a non-Veteran sample (13).

It is difficult to interpret the observed benefits in the mantram repetition group as due only to the intervention because there was no control for the nonspecific treatment effects, such as additional clinical contact, of the group-based mantram repetition intervention (15). (2012) found that an eight-week mindfulness intervention was superior to psychoeducation, both delivered by telehealth.

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