Q&A

A Cognitive Approach to Treating PTSD

A Cognitive Approach to Treating PTSD

Hear from the developer of Cognitive Processing Therapy, Patricia Resick, about how this manualized treatment for Posttraumatic Stress Disorder works.

Q
How does Cognitive Processing Therapy differ from Prolonged Exposure Therapy (PE; Foa & Rothbaum) and Cognitive Therapy for PTSD (CT-PTSD; Ehlers & Clark)?
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What elements of CBT does Cognitive Processing Therapy draw upon?
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How does Cognitive Processing Therapy conceptualize PTSD?
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What are the benefits of a manualized approach to PTSD intervention?
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What are core themes in traumatized patients?
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What are the core principles on which the CPT protocol is based?
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What are the rates of PTSD symptom relapse amongst patients who have completed Cognitive Processing Therapy?
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pdf
Resick_JCCP_2012_201
pdf
Larson_BRAT_2016
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How does CPT address intense self-loathing and shame?
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Would you endorse Written Expressive Therapy (WET) as part of a stepped care approach to treating PTSD?
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What do you think about the use of CPT for perpetration of harmful events? I find these cases harder. This may include killing in combat, for example, but what about other types of perpetration? Do you think there are any types of perpetration where CPT is NOT appropriate?
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Can CPT be used for those with complex childhood trauma? How about if it is pre-verbal trauma that they found out via a sibling? If they have fragmented memories, how would you address impact statement and trauma accounts? Thank you.
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How are recovery/improvements typically measured in Cognitive Processing Therapy?
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Is it indicated to use Cognitive Processing Therapy for individuals presenting with a dissociative subtype of PTSD? How does CPT address symptoms of derealization and depersonalization and the higher prevalence of early life trauma and comorbid psychiatric disorders amongst these patients?
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pdf
Resick_D&A_2012
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In your experience, can exposure in Cognitive Processing Therapy lead to PTSD symptom exacerbation?
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pdf
Larson_BRAT_2016
pdf
Resick_JCCP_2008_243
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How do you think that high drop-out rates and patient distress to systematic exposure and confronting trauma memories should be addressed in PTSD treatments?
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pdf
Szafranski-JAnxDis_2017online copy
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How does Cognitive Processing Therapy work with multiple traumas?
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What advice would you give to novice clinicians considering training in Cognitive Processing Therapy and working in the trauma field?
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Should therapists in clinical practice always stick to the Cognitive Processing Therapy protocol or is it okay to make changes or tailor the protocol to meet the needs of the client? For example, due to low literacy levels, cultural beliefs, poverty etc.
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pdf
Bass_NEJM_2013_2182
pdf
Marques_JCCP_2019
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How much does therapist competence matter in the treatment outcome of Cognitive Processing Therapy?
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Would you advocate the use of DBT to help clients with stabilization of their current psychosocial situation in preparation for processing work? Thank you!
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pdf
Bovin_FrontiersinPsych_2017
pdf
Clarke_BehavTher_2008_72
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What are your thoughts on complex PTSD (C-PTSD) or developmental trauma disorder (e.g., van der Kolk) as distinct from PTSD and does this have implications for Cognitive Processing Therapy for these presentations (e.g., addressing attachment and interpersonal relational difficulties)?
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pdf
Rosner_jamapsych_2019_pdf
pdf
Abdallah_ChronicStress_2019
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With regards to EMDR, do you agree with the theory that the bilateral stimulation is a working memory distracter task that facilitates processing by preventing dissociation and/or overanalyzing the trauma memory?
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How do you suggest that therapists work with clients who find take-home practice assignments and doing worksheets intimidating, complicated or impersonal?
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What is your view on somatic interventions such as sensorimotor psychotherapy, trauma sensitive yoga and somatic experiencing? Could these be blended with Cognitive Processing Therapy?
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How does the concept of post traumatic growth fit with Cognitive Processing Therapy?
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What are the advantages/disadvantages of intensive Cognitive Processing Therapy over weekly treatment?
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pdf
Gutner_JCCP_2017
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Where can I get training for this therapy, if I'm not a VA employee?
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I am interested in a CPT course. When will it be available?
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How will the COVID 19 effect those that have survived it, will PTSD become an issue ?
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Do you know if there are any online trainings for LMFTs? When I search online, it looks as if the trainings seem to be affiliated with the VA or military mostly. Thank you!
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Q
Can Cognitive Processing Therapy be utilized in residential therapeutic settings?
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Can Cognitive Processing Therapy be effectively delivered via telehealth?
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Given the high levels of comorbidity between PTSD and TBI, should adjustments be made to the Cognitive Processing Therapy protocol for this population?
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