Written Exposure Therapy Matches Standard PTSD Treatments in Five Sessions
Written Exposure Therapy offers a brief, evidence-supported alternative that reduces therapist burden and expands PTSD care reach. The JMIR perspective correctly identifies scalability advantages but understates the need for implementation trials in non-VA settings. Evidence quality remains moderate pending larger pragmatic studies.
Remaining questions center on long-term durability beyond six months and required training thresholds for non-specialists. Next studies should include pragmatic cluster-randomized trials comparing WET rollout versus treatment-as-usual in federally qualified health centers, with equity-focused endpoints such as completion rates among Medicaid enrollees.
LoSavio: WET will be delivered in at least 200 US primary care sites outside the VA by end of 2027
Sources (2)
- [1]Written Exposure Therapy as Transformative, Scalable Care for Post-Traumatic Stress Disorder(https://www.jmir.org/2026/1/e103501)
- [2]Sloan DM et al. Written Exposure Therapy vs Cognitive Processing Therapy for PTSD. JAMA Psychiatry 2018(https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2679764)