Narrative Exposure Therapy in challenging and conditions

Patients with past exposure to adverse experiences are frequent in clinical services, many of them suffering from co-occurring Posttraumatic Stress Disorder (PTSD). Despite first evi-dence that encourages diagnostics and trauma therapy provision for PTSD, complex cases are often excluded from evidence-based treatments. First, we review the evidence of PTSD treatment for two groups of complex cases: patients with psychotic disorders and pregnant refugee women. Second, we report on how NET is applied to these groups in specialized treatment centres and how the technique is adapted to the specific needs. We encourage cli-nicians to build up concepts of integrated treatment for complex cases including NET as one core component.