Matthew Luciano, PhD
@matthewluciano.bsky.social
Clinical psychologist | Researcher and Therapist @ VA San Diego | #PTSD | #Alcohol | #CBTWorks | #SoMePsych | Views = my own | Likes/Follow ≠ endorsements
📝 “Post-treatment” doesn’t always mean “symptom-free.” Our latest paper highlights lingering PTSD/depression symptoms after PE, and how topiramate might help. pubmed.ncbi.nlm.nih.gov/41231593/#:~....
Residual PTSD and depression symptoms among veterans receiving prolonged exposure therapy with and without topiramate - PubMed
The residual symptoms most likely to persist may depend on the treatment being evaluated; topiramate may have unique effects on depressionogenic symptoms while patients are taking the medication. Residual symptoms may signal a need for additional treatment if they are distressing/functionally impair …
pubmed.ncbi.nlm.nih.gov
November 17, 2025 at 10:34 PM
📝 “Post-treatment” doesn’t always mean “symptom-free.” Our latest paper highlights lingering PTSD/depression symptoms after PE, and how topiramate might help. pubmed.ncbi.nlm.nih.gov/41231593/#:~....
🚨 New paper out! We tested if a brief, trauma-informed therapy approach (TrIGR) could reduce COVID-related guilt & shame in veterans. Promising results for both TrIGR and supportive care! psycnet.apa.org/record/2026-...
#PTSD #MoralInjury
#PTSD #MoralInjury
APA PsycNet
psycnet.apa.org
October 24, 2025 at 6:08 AM
🚨 New paper out! We tested if a brief, trauma-informed therapy approach (TrIGR) could reduce COVID-related guilt & shame in veterans. Promising results for both TrIGR and supportive care! psycnet.apa.org/record/2026-...
#PTSD #MoralInjury
#PTSD #MoralInjury
Reposted by Matthew Luciano, PhD
I don't know that it works perfectly, but I have to say that the Asta search tool from @ai2.bsky.social is exactly what I want from an AI-powered research search tool for scientists: Describe a style of experiment or work and see if there are papers that have done that.
asta.allen.ai/chat
asta.allen.ai/chat
Ai2 Asta
asta.allen.ai
September 15, 2025 at 7:45 PM
I don't know that it works perfectly, but I have to say that the Asta search tool from @ai2.bsky.social is exactly what I want from an AI-powered research search tool for scientists: Describe a style of experiment or work and see if there are papers that have done that.
asta.allen.ai/chat
asta.allen.ai/chat
Pumped for #ISTSS2025! I’m presenting a symposium, but really can’t wait to see what everyone else is doing. Drop your presentation details here so we can make a mini schedule👇
August 28, 2025 at 5:06 PM
Pumped for #ISTSS2025! I’m presenting a symposium, but really can’t wait to see what everyone else is doing. Drop your presentation details here so we can make a mini schedule👇
Reposted by Matthew Luciano, PhD
Concurrent Treatment of PTSD and Alcohol Use Disorder in Women. JAMA network open. jamanetwork.com/journals/jam...
Concurrent Treatment of PTSD and Alcohol Use Disorder in Women
This randomized clinical trial compares the effect of trauma-focused psychological treatment vs relapse prevention on posttraumatic stress disorder symptom severity and alcohol use in women.
jamanetwork.com
July 19, 2025 at 10:04 AM
Concurrent Treatment of PTSD and Alcohol Use Disorder in Women. JAMA network open. jamanetwork.com/journals/jam...
Reposted by Matthew Luciano, PhD
@drandreahoward.bsky.social, hold my beer..
Latent class growth models are worse than useless, and we've known this for more than 20 years.
(See Bauer 2007)
Latent class growth models are worse than useless, and we've known this for more than 20 years.
(See Bauer 2007)
i’m not going to write a thread today about problems with latent class growth analyses nope nope NOPE i won’t do it
June 20, 2025 at 7:05 PM
@drandreahoward.bsky.social, hold my beer..
Latent class growth models are worse than useless, and we've known this for more than 20 years.
(See Bauer 2007)
Latent class growth models are worse than useless, and we've known this for more than 20 years.
(See Bauer 2007)
Reposted by Matthew Luciano, PhD
What’s the most effective way to deliver exposure therapy for anxiety? We tested:
🔹 Behavioural experiments (BE)
🔹 Cognitive restructuring before exposure
🔹 Habituation-based approaches
BE had the best outcomes.
🧠 How do you implement exposure?
🔗 bit.ly/3YTlR0n
#mentalhealth #ClinPsy
🔹 Behavioural experiments (BE)
🔹 Cognitive restructuring before exposure
🔹 Habituation-based approaches
BE had the best outcomes.
🧠 How do you implement exposure?
🔗 bit.ly/3YTlR0n
#mentalhealth #ClinPsy
May 20, 2025 at 11:26 AM
What’s the most effective way to deliver exposure therapy for anxiety? We tested:
🔹 Behavioural experiments (BE)
🔹 Cognitive restructuring before exposure
🔹 Habituation-based approaches
BE had the best outcomes.
🧠 How do you implement exposure?
🔗 bit.ly/3YTlR0n
#mentalhealth #ClinPsy
🔹 Behavioural experiments (BE)
🔹 Cognitive restructuring before exposure
🔹 Habituation-based approaches
BE had the best outcomes.
🧠 How do you implement exposure?
🔗 bit.ly/3YTlR0n
#mentalhealth #ClinPsy
Reposted by Matthew Luciano, PhD
Clinicians at the Department of Veterans Affairs say President Trump’s return-to-office order is forcing many of them to work from makeshift spaces where sensitive conversations can be overheard. And veterans have noticed the lack of privacy.
Trump’s V.A. Squeezes Mental Health Care in Crowded Offices, Raising Privacy Concerns
Clinicians at the Department of Veterans Affairs say the president’s return-to-office order is forcing many of them to work from makeshift spaces where sensitive conversations can be overheard.
www.nytimes.com
May 4, 2025 at 8:35 PM
Clinicians at the Department of Veterans Affairs say President Trump’s return-to-office order is forcing many of them to work from makeshift spaces where sensitive conversations can be overheard. And veterans have noticed the lack of privacy.
Reposted by Matthew Luciano, PhD
Updated treatment guideline for PTSD from the American Psychological Association. www.apa.org/ptsd-guideline
www.apa.org
May 1, 2025 at 7:54 PM
Updated treatment guideline for PTSD from the American Psychological Association. www.apa.org/ptsd-guideline
Reposted by Matthew Luciano, PhD
The ability to read a scientific article does not guarantee the ability to understand a scientific article.
May 1, 2025 at 2:41 AM
The ability to read a scientific article does not guarantee the ability to understand a scientific article.
Reposted by Matthew Luciano, PhD
Mediation models, or "three correlations hiding in a trench coat"
April 3, 2025 at 4:59 PM
Mediation models, or "three correlations hiding in a trench coat"
Really excited to share this article! Our team found that Prolonged Exposure (PE) + topiramate (an anticonvulsant), led to greater change in PTSD severity than PE + placebo when treating PTSD and comorbid AUD. Check it out! psychiatryonline.org/doi/10.1176/...
A Randomized Clinical Trial of Prolonged Exposure Therapy With and Without Topiramate for Comorbid PTSD and Alcohol Use Disorder | American Journal of Psychiatry
Objective: Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) frequently co-occur. Prolonged exposure (PE) is an effective treatment for PTSD but shows smaller effects in patients wit...
psychiatryonline.org
March 19, 2025 at 9:36 PM
Really excited to share this article! Our team found that Prolonged Exposure (PE) + topiramate (an anticonvulsant), led to greater change in PTSD severity than PE + placebo when treating PTSD and comorbid AUD. Check it out! psychiatryonline.org/doi/10.1176/...
Reposted by Matthew Luciano, PhD
Trump’s all-out assault on the VA is a complete betrayal of our Veterans.
Mark my word. This is Republicans' plan all along—
Gut the VA, then push to privatize the Department so they can fund tax cuts for billionaires.
And our heroes will pay the price. apnews.com/article/vete...
Mark my word. This is Republicans' plan all along—
Gut the VA, then push to privatize the Department so they can fund tax cuts for billionaires.
And our heroes will pay the price. apnews.com/article/vete...
Trump administration plans to cut 80,000 employees from Veterans Affairs, according to internal memo
The Department of Veterans Affairs is planning an “aggressive” reorganization that includes cutting 80,000 jobs from the sprawling agency.
apnews.com
March 5, 2025 at 10:25 PM
Trump’s all-out assault on the VA is a complete betrayal of our Veterans.
Mark my word. This is Republicans' plan all along—
Gut the VA, then push to privatize the Department so they can fund tax cuts for billionaires.
And our heroes will pay the price. apnews.com/article/vete...
Mark my word. This is Republicans' plan all along—
Gut the VA, then push to privatize the Department so they can fund tax cuts for billionaires.
And our heroes will pay the price. apnews.com/article/vete...
Reposted by Matthew Luciano, PhD
NIH cuts are getting the press, but VA research is getting slashed too. What do we lose when VA research goes away? Here's some greatest hits: The nicotine patch, invention of the cardiac pacemaker, first successful liver transplant, development of the CAT/CT scan
prospect.org/health/2025-...
prospect.org/health/2025-...
VA Research Funding Slashed
Though not as prominent as the NIH, VA researchers play a major role in advancing basic health science. Hundreds of projects have been cut.
prospect.org
February 25, 2025 at 10:12 PM
NIH cuts are getting the press, but VA research is getting slashed too. What do we lose when VA research goes away? Here's some greatest hits: The nicotine patch, invention of the cardiac pacemaker, first successful liver transplant, development of the CAT/CT scan
prospect.org/health/2025-...
prospect.org/health/2025-...
Reposted by Matthew Luciano, PhD
Reposted by Matthew Luciano, PhD
Pleased to share our new paper, led by Kevin Saulnier: Suicide Risk Among Veterans Who Receive Evidence-Based Therapy for PTSD jamanetwork.com/journals/jam...
Suicide Risk Among Veterans Who Receive Evidence-Based Therapy for PTSD
This cohort study examines the association of initiation and an adequate course of cognitive processing therapy or prolonged exposure with suicide risk among veterans with posttraumatic stress disorde...
jamanetwork.com
December 26, 2024 at 4:19 PM
Pleased to share our new paper, led by Kevin Saulnier: Suicide Risk Among Veterans Who Receive Evidence-Based Therapy for PTSD jamanetwork.com/journals/jam...
After 13 years on Twitter, I want my first post on @bsky.app to be smart and funny while also showcasing my interest in trauma-focused psychotherapy, PTSD, and harmful drinking. Instead, I’ll just post this meme.
a man in a tuxedo is pointing with the words " you should follow me " below him
ALT: a man in a tuxedo is pointing with the words " you should follow me " below him
media.tenor.com
November 26, 2024 at 9:55 PM
After 13 years on Twitter, I want my first post on @bsky.app to be smart and funny while also showcasing my interest in trauma-focused psychotherapy, PTSD, and harmful drinking. Instead, I’ll just post this meme.