**4.5 An algorithm for the use of imagery-focused treatment in PTSD**

Taking the treatment requirements, and the literature on which they are based, into account, a phased decision sequence can be proposed for imagery-focused treatment of PTSD with or without anger. When the primary presenting emotion is:


or a sense of diminishment, and expectations that run contrary to a "team ethic" or the needs of others—use trauma-informed anger-work that takes account of thought, appraisal, language and imagery inputs and utilises evidence-based anger interventions.
