Cognitive Processing Therapy for PTSD
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The authoritative presentation of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) is now in a revised and updated second edition, with an easier-to-use format and a new chapter on conceptualizing treatment. From CPT's developers, the manual includes session-by-session implementation guidelines and extensive sample dialogues. Shaded index tabs in the margins help clinicians quickly navigate to each session.
The authors explain the theoretical and empirical underpinnings of CPT and discuss ways to work effectively with specific populations, such as combat veterans, sexual assault survivors, and culturally diverse and LGBTQIA+ clients. Forty-eight reproducible handouts can be photocopied from the large-size book or downloaded from the companion webpage. New to This Edition Each session now has its own chapter, printed with shaded tabs for easy reference.
Reflects a wealth of new treatment research, conceptual refinements, and feedback from trainings of thousands of clinicians. Chapter on cognitive case conceptualization. Discusses additional treatment variations (telehealth, intensive CPT) and client populations (first responders). CPT is endorsed as a best practice for the treatment of PTSD by the U. S. Departments of Veterans Affairs and Defense, the International Society for Traumatic Stress Studies, and the U.
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- Guilford Publications, Inc.
- 9781462555406
- 9781462554270
- ePub
- 2
- Patricia A. Resick; Candice M. Monson; Kathleen M. Chard
- English
- 2024-04-10
- 100
- 30
- 2
Kaflar
- Cover
- Also Available
- Title Page
- Copyright
- About the Authors
- Preface
- Acknowledgments
- Contents
- Part I. Background on Posttraumatic Stress Disorder and Cognitive Processing Therapy
- Chapter 1. The Origins of Cognitive Processing Therapy
- Theoretical Influences
- Early Development of CPT
- Dissemination of CPT
- A Biological Model of PTSD and CPT
- Chapter 2. Research on CPT
- Why Conduct RCTs?
- For Whom Does CPT Work?
- Does CPT Improve Comorbid Symptoms and Psychosocial Functioning?
- Will CPT Work in My Treatment Setting?
- Do You Need to Do Pretreatment before Starting CPT?
- What Factors Influence the Effectiveness of Treatment?
- The Future of CPT Research
- Chapter 3. Pretreatment Assessment
- For Which Clients Is CPT Appropriate?
- When Should the CPT Protocol Begin?
- Pretreatment Evaluation
- Handout 3.1. Modified PTSD Checklist–5 (PCL-5): Scale and Scoring
- Handout 3.2. Patient Health Questionnaire–9 (PHQ-9): Scale and Scoring
- Chapter 4. Cognitive Case Conceptualization
- Relevant History
- Potential Treatment-Interfering and Avoidant Behaviors
- Potential Treatment-Interfering Cognitions
- Client Strengths and Reasons to Change
- Differentiating Efforts to Assimilate, Accommodation, and Overaccommodation
- Chapter 5. Preparing to Deliver CPT
- Introducing CPT
- Socratic Dialogue
- Therapist Readiness
- Therapist Issues: Therapist Errors and Stuck Points
- Handout 5.1. Cognitive Processing Therapy for Posttraumatic Stress Disorder: Contract
- Part II. CPT Manual
- Chapter 6. Session 1: Overview of PTSD and CPT
- Goals for Session 1
- Procedures for Session 1
- Setting the Agenda
- Discussing the Symptoms and Functional Model of PTSD
- PTSD for Clients: Scoring the PCL-5 and PHQ-9, and Introducing a Functional Model
- PTSD and the Brain
- Describing Cognitive Theory
- Discussing the Role of Emotions
- Reviewing the Index Trauma
- Describing the Therapy
- Giving the First Practice Assignment
- Checking the Client’s Reactions to the Session
- Handout 6.1. Recovery or Nonrecovery from PTSD Symptoms Following Traumatic Events
- Handout 6.2. Practice Assignment after Session 1 of CPT
- Chapter 7. Session 2: Impact Statement
- Goals for Session 2
- Procedures for Session 2
- Reviewing the Client’s Scores on the Self-Report Measures
- The Impact Statement and Identifying Stuck Points
- Addressing Nonadherence with the Impact Statement and Other Practice Assignments
- Examining Connections among Events, Thoughts, and Feelings
- Introducing the ABC Worksheet
- Describing and Discussing Stuck Points More Fully
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignments
- Handout 7.1. Stuck Point Log
- Handout 7.2. Identifying Emotions Handout
- Handout 7.3. ABC Worksheet
- Handout 7.3a. ABC Worksheet: Example 1
- Handout 7.3b. ABC Worksheet: Example 2
- Handout 7.3c. ABC Worksheet: Example 3
- Handout 7.4. Stuck Point Help Guide
- Handout 7.5. Practice Assignment after Session 2 of CPT
- Chapter 8. Session 3: ABC Worksheets
- Goals for Session 3
- Procedures for Session 3
- Reviewing the Client’s Scores on the Self-Report Measures
- Reviewing the Client’s Completion of Practice Assignments
- Reviewing ABC Worksheets and Using Them to Examine Events, Thoughts, and Emotions
- Using Trauma-Related ABC Worksheets to Begin Examining Attempted Assimilated Cognitions
- Giving the Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 8.1. Practice Assignment after Session 3 of CPT
- Chapter 9. Session 4: Processing the Index Event
- Goals for Session 4
- Procedures for Session 4
- Reviewing the Client’s ABC Worksheets
- Cognitive Processing: Addressing Assimilated Stuck Points
- Differentiating among Intention, Responsibility, and the Unforeseeable
- Introducing the Exploring Questions Worksheet
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 9.1. Levels of Responsibility Handout
- Handout 9.2. Exploring Questions Worksheet
- Handout 9.2a. Exploring Questions Worksheet: Example 1
- Handout 9.2b. Exploring Questions Worksheet: Example 2
- Handout 9.3. Guide for the Exploring Questions Worksheet
- Handout 9.4. Practice Assignment after Session 4 of CPT
- Chapter 10. Session 5: Exploring Questions
- Goals for Session 5
- Procedures for Session 5
- Reviewing the Client’s Exploring Questions Worksheets
- Introducing the Thinking Patterns Worksheet
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 10.1. Thinking Patterns Worksheet
- Handout 10.1a. Thinking Patterns Worksheet: Example
- Handout 10.2. Practice Assignment after Session 5 of CPT
- Chapter 11. Session 6: Thinking Patterns
- Goals for Session 6
- Procedures for Session 6
- Conducting a Midprotocol Assessment of Treatment Response
- Reviewing the Thinking Patterns Worksheets
- Introducing the Alternative Thoughts Worksheet with a Trauma Example
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 11.1. Alternative Thoughts Worksheet
- Handout 11.1a. Alternative Thoughts Worksheet: Example 1
- Handout 11.1b. Alternative Thoughts Worksheet: Example 2
- Handout 11.1c. Alternative Thoughts Worksheet: Example 3
- Handout 11.1d. Alternative Thoughts Worksheet: Example 4
- Handout 11.1e. Alternative Thoughts Worksheet: Example 5
- Handout 11.2. Practice Assignment after Session 6 of CPT
- Chapter 12. Session 7: Alternative Thoughts Worksheets
- Goals for Session 7
- Procedures for Session 7
- Reviewing the Client’s Alternative Thoughts Worksheets
- Providing an Overview of the Five Themes
- Introducing the Safety Theme
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 12.1. Safety Issues Module
- Handout 12.2. Practice Assignment after Session 7 of CPT
- Chapter 13. Session 8: Trauma Themes—Safety
- Goals for Session 8
- Procedures for Session 8
- Reviewing the Client’s Alternative Thoughts Worksheets
- Introducing the Trust Theme
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 13.1. Trust Issues Module
- Handout 13.2. Practice Assignment after Session 8 of CPT
- Chapter 14. Session 9: Trauma Themes—Trust
- Goals for Session 9
- Procedures for Session 9
- Reviewing the Client’s Alternative Thoughts Worksheets
- Introducing the Power/Control Theme
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 14.1. Trust Star Worksheet
- Handout 14.1a. Trust Star Worksheet: Example
- Handout 14.2. Power/Control Issues Module
- Handout 14.3. Practice Assignment after Session 9 of CPT
- Chapter 15. Session 10: Trauma Themes—Power/Control
- Goals for Session 10
- Procedures for Session 10
- Reviewing the Client’s Power/Control Alternative Thoughts Worksheets
- Introducing the Esteem Theme
- Discussing Therapy Termination
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and the Practice Assignment
- Handout 15.1. Esteem Issues Module
- Handout 15.2. Tracking Sheet: Giving/Receiving Compliments and Doing Something Nice for Self
- Handout 15.3. Practice Assignment after Session 10 of CPT
- Chapter 16. Session 11: Trauma Themes—Esteem
- Goals for Session 11
- Procedures for Session 11
- Reviewing the Client’s Alternative Thoughts Worksheets
- Reviewing the Assignments on Giving and Receiving Compliments and Engaging in Pleasant Activities
- Discussing Therapy Termination
- Introducing the Intimacy Theme
- Giving the New Practice Assignment
- Checking the Client’s Reactions to the Session and Practice Assignment
- Handout 16.1. Intimacy Issues Module
- Handout 16.2. Practice Assignment after Session 11 of CPT
- Chapter 17. Session 12: Intimacy and Facing the Future
- Goals for Session 12
- Procedures for Session 12
- Reviewing the Client’s Alternative Thoughts Worksheets
- Reviewing the Client’s Original and New Impact Statements
- Reviewing the Course of Treatment and the Client’s Progress
- Identifying the Client’s Goals for the Future
- A Note on Aftercare
- Part III Alternatives in Delivery and Special Considerations
- Chapter 18. Variations in CPT
- CPT with Written Accounts
- Personalized-Length CPT
- CPT for Acute Stress Disorder
- Telehealth
- Intensive CPT
- Handout 18.1. Practice Assignments for CPT+A
- Chapter 19. Group CPT
- Why Use Group CPT?
- Prescreening and Information Sessions
- Setting the Stage
- Managing CPT in a Group Setting
- Conducting CPT+A in a Group Format
- Aftercare Groups
- CPT for Sexual Abuse
- Chapter 20. Individual Variation in Client Presentations
- Combat and the Warrior Ethos
- First Responders
- Sexual Assault
- Intimate Partner Violence
- Disasters and Accidents
- Clients with Cognitive Impairments and Disabilities
- PTSD Complicated by Grief
- Trauma in Adolescence and Its Effects on Other Developmental Periods
- Race, Ethnicity, and Culture
- Religion and Morality
- LGBTQIA+
- Adaptations of CPT for Other Languages/Cultures
- Appendices
- A. Materials for Therapists
- Appendix A.1. Case Conceptualization Form
- Appendix A.2. Quick Guide to Patient Handouts for Each CPT Session
- B. Simplified Worksheets
- Appendix B.1. Visual ABC Worksheet
- Appendix B.2. Outline Alternative Thoughts Worksheet
- Appendix B.3. Simplified Alternative Thoughts Worksheet
- References
- Index
- About Guilford Press
- Discover Related Guilford Books