The number of refugees in the Netherlands is increasingly considerable. Many of them are traumatized by events in the country of origin and during the flight from that country. Trauma treatment generally consist of psychotherapy (exposure and coping techniques) but often psychiatric drugs are needed. A proper diagnosis is necessary for the treatment; often the diagnosis of post-traumatic stress disorder is made, but there is much comorbidity. In non-Western individuals medicatiopn should be dosed carefully because of a lower effective dose. Often there are also problems with compliance in using the drug. At the moment antidepressants are used in the post-traumatic tress disorder, from the first as well as from the second generation. If the only complaint is of nightmkares, longer acting benzodiazepines are recommended as sleeping medication. A good matching of pharmacotherapy and psychotherapy is fundamental if negative interaction is to be prevented.

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