<span>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.</span><span> From CPT's developers, the manual includes ses
Cognitive Processing Therapy for PTSD: A Comprehensive Therapist Manual
✍ Scribed by Patricia A. Resick, Candice M. Monson, Kathleen M. Chard
- Publisher
- The Guilford Press
- Year
- 2024
- Tongue
- English
- Leaves
- 347
- Edition
- 2
- Category
- Library
No coin nor oath required. For personal study only.
✦ Synopsis
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.K. National Institute for Health and Care Excellence (NICE).
See also Getting Unstuck from PTSD, by Patricia A. Resick, Shannon Wiltsey Stirman, and Stefanie T. LoSavio, which presents CPT in a guided self-help format for trauma survivors.
✦ Table of Contents
Cover
Half Title Page
Title Page
Copyright
About the Authors
Preface
Acknowledgments
Contents
Part I. Background on Posttraumatic Stress Disorder and Cognitive Processing Therapy
1. The Origins of Cognitive Processing Therapy
Theoretical Influences
Early Development of CPT
Dissemination of CPT
A Biological Model of PTSD and CPT
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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