Cognitive Processing Therapy for PTSD, Second Edition

Patricia A. Resick, PhD, ABPP, is Professor Emeritus of Psychiatry and Behavioral Sciences at Duke University School of Medicine. She developed cognitive processing therapy (CPT) in 1988 at the University of Missouri–St. Louis, where she founded the Center for Trauma Recovery and was an Endowed Professor. For a decade, she was Director of the Women’s Health Sciences Division of the National Center for PTSD. She has conducted numerous randomized controlled trials of CPT with civilians and active-duty military. Dr. Resick has served as president of the International Society for Traumatic Stress Studies (ISTSS) and the Association for Behavioral and Cognitive Therapies (ABCT). She is the recipient of numerous research and mentoring awards, including Lifetime Achievement Awards from Division 56 (Trauma Psychology) of the American Psychological Association, ISTSS, and ABCT.Candice M. Monson, PhD, is Professor of Psychology at Toronto Metropolitan University in Toronto, Ontario, Canada. A Fellow of the American and Canadian Psychological Associations and the Royal Society of Canada, she is a recipient of the Traumatic Stress Psychologist of the Year Award from the Canadian Psychological Association and the Distinguished Mentorship Award from the International Society for Traumatic Stress Studies. Dr. Monson is well known for her research on interpersonal factors in traumatization and the development, testing, and dissemination of treatments for posttraumatic stress disorder (PTSD), including cognitive processing therapy and cognitive-behavioral conjoint therapy for PTSD.Kathleen M. Chard, PhD, is Associate Chief of Staff for Research at the Cincinnati Veterans Affairs (VA) Medical Center and Professor of Psychiatry and Behavioral Neuroscience at the University of Cincinnati. She oversees the dissemination of cognitive processing therapy (CPT) to VA clinicians across the United States and is President of the CPT Training Institute. Dr. Chard is a recipient of the Mark Wolcott Award for Excellence in Clinical Care Leadership from the VA and the Heroes of Military Medicine Award from the United Service Organization. She is known for her research on dissemination and clinical implementation of evidence-based trauma treatments for civilians, first responders, and veterans, and she is the creator of the CPT for Sexual Abuse treatment manual.

"This book provides a comprehensive guide to treating the complexities of PTSD with CPT. Specific issues that arise when working with different client groups are handled with sensitivity and insight. No trauma therapist can fail to benefit from the exceptional levels of experience and wisdom to be found in the second edition of this manual."--Chris R. Brewin PhD, Department of Clinical, Educational, and Health Psychology (Emeritus), University College London, United Kingdom"Look no further, therapists working with clients with PTSD--the second edition of the CPT manual is the definitive resource you need. CPT is a first-line treatment for PTSD, recommended by clinical practice guidelines, the Departments of Veterans Affairs and Defense and more. Resick, Monson, and Chard harness their collective wisdom--accumulated through the treatment of tens of thousands of clients with PTSD--to include sample dialogues, real-world examples, and answers to common questions. A terminological change I find significant in this edition is the shift from 'challenging' to 'exploring' clients' thinking processes and habits. While this change may seem minor, it carries significant impact, fostering stronger therapist–client rapport."--Katy Dondanville, PsyD, ABPP, Director, STRONG STAR Training Initiative, University of Texas Health Science Center at San Antonio"This second edition builds on decades of extraordinary input from CPT clinicians, trainers, researchers, and clients. The authors have integrated the latest research with helpful materials and guidelines on how to apply CPT effectively with a variety of clients and in different practice settings. The book is engaging, empowering, practical, scientifically grounded, and replete with wisdom. It is well organized and written with a logical progression--from pretreatment considerations; to the structure, themes, and goals of each session; to adaptations and special considerations. A groundbreaking treatment has just become more easily and clearly accessible through this excellent second edition."--Patricia J. Watson, PhD, Senior Educational Specialist, National Center for PTSD"The second edition of this manual makes it even more straightforward to use CPT effectively with even the most complicated cases."--Sonya B. Norman, PhD, National Center for PTSD; Department of Psychiatry, University of California, San Diego-

• PrefaceI. Background on Posttraumatic Stress Disorder and Cognitive Processing Therapy1. The Origins of Cognitive Processing Therapy2. Research on CPT3. Pretreatment Assessment4. Cognitive Case Conceptualization5. Preparing to Deliver CPTII. CPT Manual6. Session 1: Overview of PTSD and CPT7. Session 2: Impact Statement8. Session 3: ABC Worksheets9. Session 4: Processing the Index Event10. Session 5: Exploring Questions11. Session 6: Thinking Patterns12. Session 7: Alternative Thoughts Worksheets13. Session 8: Trauma Themes--Safety14. Session 9: Trauma Themes--Trust15. Session 10: Trauma Themes--Power/Control16. Session 11: Esteem17. Session 12--Intimacy and Facing the FutureIII. Alternatives in Delivery and Special Considerations18. Variations in CPT19. Group CPT20. Individual Variation in Client PresentationsAppendix A: Materials for TherapistsAppendix B: Simplified WorksheetsReferencesIndex