scholarly journals Cognitive Processing Therapy

Social Work ◽  
2021 ◽  
Author(s):  
Kelli Godfrey ◽  
David L. Albright
Keyword(s):  
Cognitive Processing ◽  
Traumatic Stress ◽  
Behavioral Treatment ◽  
Cognitive Theory ◽  
Cognitive Distortions ◽  
Individual Therapy ◽  
Cognitive Processing Therapy ◽  
Second Phase ◽  
Cognitive Behavioral Treatment ◽  
Group Setting

Cognitive processing therapy (CPT) is a method of cognitive-behavioral treatment used for treatment of post-traumatic stress disorder (PTSD). This intervention was created in the 1980s and has been proven to be effective across differing populations such military veterans, sexual assault survivors, emergency service workers, survivors of child abuse, and others who suffer from PTSD or PTSD symptoms. CPT is typically a twelve-session therapy intervention where each session lasts fifty minutes. It can be used in individual therapy, a group setting, or a combination of the two. CPT is based on the social cognitive theory and focuses on repairing the negative experiences and thoughts stemming from the experienced trauma causing PTSD. CPT is evidence-based treatment that challenges cognitive distortions regarding trauma but also assists in dealing with any cognitive distortions, including future traumas. The Department of Veterans Affairs, the Department of Defense, and the International Society for Traumatic Stress Studies fully endorse CPT and suggest it as a first-line therapy for PTSD. However, further research is still needed for evaluation when patients who have co-occurring morbidities such as substance abuse disorders, which may prevent them from fully engaging in the treatment process, such as homework completion. The first phase of cognitive processing therapy is educational: providing education on PTSD as well as the thoughts and emotions that stem from their trauma. The second phase focuses on the formal processing of the trauma. During this phase, the therapist often uses Socratic questioning to explore complex issues and encourage the client to think differently about their trauma based upon their own conclusions and perspectives. Through this, the clinician is able to help the client focus on changing their beliefs of self-blame. The final phase focuses on fortifying the new thoughts from the previous phase and focuses on building upon safety, trust, power and control, esteem, and intimacy.

Cognitive-Behavioral Treatment of PTSD With a Young Boy and His Mother Following the Experience of Chronic Domestic Violence

2018 ◽  
Vol 17 (3) ◽  
pp. 166-187 ◽  
Author(s):  
Amanda Lowell ◽  
Kimberly Renk
Keyword(s):  
Domestic Violence ◽  
Cognitive Processing ◽  
Behavioral Treatment ◽  
Service Providers ◽  
Self Regulation ◽  
Cognitive Behavioral ◽  
Cognitive Processing Therapy ◽  
Cognitive Behavioral Treatment ◽  
Ptsd Symptoms

This case study follows a 7-year-old boy who presented with symptoms of posttraumatic stress disorder (PTSD) following exposure to domestic violence beginning at a very young age. During evaluation of this young boy’s symptoms, it became evident that his mother also was experiencing symptoms of PTSD. Consequently, treatment for both this young boy and his mother was proposed. Cognitive-behavioral therapy (CBT) has been used widely with both children and adults to treat PTSD. Fortunately, treatments have been tailored for young children (e.g., trauma-focused CBT [TF-CBT]; preschool PTSD treatment [PPT]) and for adults (e.g., cognitive processing therapy [CPT]). In the current case study, a combination of PPT and TF-CBT was utilized to treat this young boy, and CPT was utilized to treat his mother. With this course of treatment, this young boy demonstrated decreases in his PTSD symptoms and gained an understanding of coping skills and cognitive restructuring. His mother also demonstrated decreases in her PTSD symptoms. Overall, this dyad showed qualitative improvements in their general emotional and behavioral functioning, their individual self-regulation abilities, their social interactions, and their relationship. This case study provides evidence for the importance of treating both young child and parent when both have been exposed to and traumatized by domestic violence. Furthermore, this case study provides a framework for other health service providers to implement conjoint treatment of similarly traumatized families.

Psychotherapy: Cognitive Processing Therapy (CPT)

2018 ◽  
Author(s):  
Kirsten H. Dillon ◽  
Patricia A. Resick ◽  
Candice M. Monson
Keyword(s):  
Cognitive Processing ◽  
Psychosocial Functioning ◽  
Behavioral Treatment ◽  
Theoretical Background ◽  
Cognitive Processing Therapy ◽  
Cognitive Behavioral Treatment ◽  
Post Traumatic Stress ◽  
Evidence Based Treatments ◽  
Health Related ◽  
The Impact

This chapter discusses cognitive processing therapy (CPT), a trauma-focused, cognitive-behavioral treatment for post-traumatic stress disorder (PTSD). CPT focuses primarily on identifying and challenging maladaptive beliefs that have developed about and as a result of the trauma, in order to help the client adopt a more balanced set of beliefs. Based on its long history of research support, CPT is one of the leading evidence-based treatments for PTSD. The chapter covers the theoretical background for CPT, describes the therapy, and presents a summary of research findings. Studies of CPT across multiple populations, settings, cultures, and countries are discussed. Research on the efficacy of CPT for individuals with comorbid conditions (e.g., brain injury, personality disorders, depression) and the impact of CPT on health-related outcomes and psychosocial functioning is also presented.

Dialectical Behavior Therapy and Treatment of Emotion Dysregulation

2019 ◽  
pp. 462-476
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Distress Tolerance ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Cognitive Behavioral Treatment ◽  
Multimethod Research

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

Cognitive Behavioral Therapy

2017 ◽  
Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings
Keyword(s):  
Older Adults ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Cognitive Distortions ◽  
Behavioral Therapy ◽  
Theory And Practice ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies ◽  
Term Care

Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.

scholarly journals Predictors of Quality of Life Following Cognitive Processing Therapy Among Women and Men With Post-Traumatic Stress Disorder

2020 ◽  
Vol 185 (5-6) ◽  
pp. e579-e585 ◽  
Author(s):  
Lisa H Glassman ◽  
Margaret-Anne Mackintosh ◽  
Stephanie Y Wells ◽  
Induni Wickramasinghe ◽  
Kristen H Walter ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Treatment ◽  
Cognitive Processing Therapy ◽  
Evidence Based ◽  
Post Traumatic Stress ◽  
Post Traumatic

Abstract Introduction The effect of evidence-based post-traumatic stress disorder (PTSD) treatments on quality of life (QOL) is not well understood. In light of mixed findings on QOL after PTSD interventions, little is known about why some individuals experience functional and QOL improvements while others do not. This study examined treatment-related changes in depression, anger, and PTSD following cognitive processing therapy (CPT) as potential predictors of QOL change. Materials and Methods Data from two randomized controlled trials, one examining CPT among female civilians and veterans (women’s study NCT02362477; n = 126) and the other on CPT delivered to male veterans (men’s study NCT00879255; n = 125), were used to test study aims. Linear mixed modeling examined changes in depression, anger, and PTSD as predictors of post-treatment QOL while controlling for baseline QOL. The VA Pacific Island Health Care System’s Institutional Review Board approved all study procedures. Results Among women, reductions in depression from pre- to post-treatment had the strongest predictive value of post-treatment QOL (B = −1.15, 95% confidence interval (−1.71, −0.60), t = −4.07, P < .001). For men, reductions in trait anger from pre- to post-treatment predicted post-treatment QOL (B = −0.55, 95% confidence interval (−0.90, −0.19), t = −3.00, P = .003). Conclusions Improvements in QOL may be predicted by different symptoms for men and women following evidence-based PTSD treatment. Our findings suggest that change in depression symptoms is an important predictor of post-treatment QOL among women, while anger symptoms are more influential for men. QOL and functioning is underresearched within the context of PTSD treatment, and this study suggests that these domains should be examined within the context of gender.

scholarly journals Implementation Outcomes of Military Provider Training in Cognitive Processing Therapy and Prolonged Exposure Therapy for Post-Traumatic Stress Disorder

2013 ◽  
Vol 178 (9) ◽  
pp. 939-944 ◽  
Author(s):  
Elisa V. Borah ◽  
Edward C. Wright ◽  
D. Allen Donahue ◽  
Elizabeth M. Cedillos ◽  
David S. Riggs ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Provider Training ◽  
Implementation Outcomes ◽  
Prolonged Exposure Therapy ◽  
Post Traumatic

Cognitive processing therapy for post-traumatic stress disorder in a University Counselling Center: an outcome study

2017 ◽  
Vol 10 ◽  
Author(s):  
Charity Wilkinson ◽  
Meghan von Linden ◽  
Annmarie Wacha-Montes ◽  
Craig Bryan ◽  
Katherine O'Leary
Keyword(s):  
College Students ◽  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Fixed Effects ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Therapist Experience ◽  
Post Traumatic

AbstractMore than half of college students endorse experiencing at least one traumatic event. Consistent with other populations, the rate of post-traumatic stress disorder (PTSD) for college students has been reported at around 12%. Despite this, empirically supported treatments for PTSD have not been widely disseminated in University Counselling Centers (UCCs). This study examines outcomes using cognitive processing therapy (CPT) with a sample of n = 26 college students in a UCC setting. This study also examines therapist experience, length of degree and symptom severity on outcome. After completing training, n = 8 therapists completed CPT consultation and certification. Students who participated in individual CPT during this process were administered the PCL-5 and PHQ-9 at weekly sessions. A retrospective chart review was completed. PCL-5 and PHQ-9 scores were separately examined as outcome variables using linear mixed models where session, therapist experience, length of therapist degree, and severity of symptoms were included as fixed effects, and subjects were assumed to have a random effect. Significant reductions in PCL-5 and PHQ-9 scores were observed across treatment. In this sample, 84.6% of students were treatment responders. Results were unchanged when adjusting for therapist level of experience or training. CPT shows strong potential for UCC settings. CPT can be successfully implemented with novice therapists.

scholarly journals Dialectical behavior therapy skills training: Paving the way to healthy relationships

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Ricardo Lucena
Keyword(s):  
Interpersonal Relationships ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Health Care Professionals ◽  
Behavioral Treatment ◽  
Skills Training ◽  
Individual Therapy ◽  
Central Component ◽  
Cognitive Behavioral Treatment ◽  
Healthy Relationships

Dialectical behavior therapy (DBT) is a comprehensive multiple mode cognitive-behavioral treatment. It includes weekly individual therapy, weekly group skills training, and as-needed phone coaching along with therapist consultation team meetings. DBT skills training is a central component of DBT effectiveness. Skills training programs have been reported to be effective in different populations, such as health care professionals, caregivers of the elderly, and college students. Skills training has also been effective to treat individuals with a range of mental disorders. The overall objective of the workshop is to describe a set of behavioral, cognitive and dialectical skills which can facilitate the development and maintenance of healthy relationships. Participants will be able to apply the principles of dialects, validation and behavioral analysis to their thoughts and actions; be able to develop effective communication; and find a kernel of truth in other people’s views. The skills presented are important for individuals with or without a diagnosis of mental disorder, and they can be helpful in any relationship. There are three skill sets: dialectics, validation, and behavior change strategies. Taken together, the skills focus on balancing our own priorities with the demands of others in interpersonal relationships. During the ninety-minute interactive workshop, skills will be presented alongside individual and small group exercises given by one presenter. The language of the workshop will be English, however questions can be asked in French, Spanish or Portuguese and will be answered in English.

Trauma, Dissociation, and Post-traumatic Stress Disorder

2014 ◽  
pp. 363-391
Author(s):  
Terence M. Keane ◽  
Brian P. Marx ◽  
Denise M. Sloan ◽  
Anne DePrince
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Future Work ◽  
The Impact

Worldwide, post-traumatic stress disorder (PTSD) is among the most common psychological disorders; over the past three decades researchers have made considerable progress in understanding the prevalence of PTSD and its psychological and biological underpinnings, while developing methods for its assessment and treatment. Only included in the diagnostic nomenclature since 1980, the history of PTSD extends as far back as the oldest literature in Western civilization. Homer’s Iliad and Odyssey capture the impact of war on combatants and civilians, as do many of the works of writers and artists across the centuries. The focus of this chapter is on the integration of contemporary work on traumatic stress exposure, psychological dissociation, and the development of PTSD, a disorder characterized by concurrent high levels of anxiety and depression and, in many instances, considerable chronicity and disability. More than 50 randomized controlled treatment outcome studies suggest that cognitive- behavioral treatments are especially effective, and support the use of exposure therapy, stress management therapy, cognitive therapy, cognitive processing therapy, and eye movement desensitization and reprocessing in treating PTSD. All these approaches constitute key evidence-based psychological treatments for PTSD. Future work will determine which treatments used by which therapists are best for patients with specific symptoms and concomitant conditions.

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