Cognitive Processing Therapy (CPT), a variant of Cognitive Behavioral Therapy (CBT), is a treatment specifically designed to address posttraumatic stress disorder (PTSD) (Shou et al. 2017). In this group format, CPT will be used to treat individuals who have experienced PTSD, resulting from police brutality. CPT is typically run in a group setting; this form of treatment can be utilized in individual treatment as well (Monson et al. 2013). CPT captures information utilizing; exercise techniques in order for individuals with PTSD to express their internal emotions regarding their traumatic life event that is stored within the brain. Through this technique, clients can associate intrusive or distressing thoughts, nightmares, and flashbacks to …show more content…
CPT within group therapy, can provide a framework that exposes the client to their traumatic experiences by engaging in activities that allow the client to accurately process the trauma and utilize healthy coping mechanisms (Castillo, 2004). This method is similar to exposure therapy. Exposure therapy is one type of trauma-forced psychotherapy. PE teaches an individual to progressively approach trauma-related memories, feelings, and situations that one has been avoiding since their trauma. By confronting these challenges, one can decrease their PTSD symptoms (Lanier et. al, 2012). CPT is based on accessing and modifying altered cognitive structures, rather than direct emotional processing (Castillo, 2004). Research states that CPT has a higher rate of success in a group format versus individual (Monson et al, …show more content…
(2002). Cognitive processing therapy for PTSD in a survivor of the World Trade Center bombing: A case study. Journal of Trauma Practice, 1, 155–165.
Dubovsky, S (2016). Individual treatment beats group therapy for PTSD. NEJM Journal watch. Psychiatry
Lanier, S.H., Mott, J.M., Ready, D.J., Sutherland, R.J., & Williams, W. (2012). A Pilot Study of a 12-Week Model of Group-Based Exposure Therapy for Veterans With PTSD. Journal of Tramatic Stress; 25, 150-156
Monson CM, Schnurr PP, Resick PA, Friedman MJ, Young-Xu Y, Stevens SP. Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. J Consult Clin Psychol. 2013;74(5):898-907.
Resick, P. A., & Schnicke, M. K. (2007). Cognitive therapy for posttraumatic stress disorder. Journal of Cognitive Psychotherapy, 15(4), 321–329.
Shou, Haochang, Zhen Yang, Theodore D. Satterthwaite, Philip A. Cook, Steven E. Bruce, Russell T. Shinohara, Benjamin Rosenberg, and Yvette I. Sheline. "Cognitive behavioral therapy increases amygdala connectivity with the cognitive control network in both MDD and PTSD." NeuroImage: Clinical 14 (2017): 464-70.
... J. (2011) “Cognitive behavior therapy enables client and therapist to work on cycles of thought and behavior that perpetuate low mood” (Pp. 1). Finally, the Trauma Focused Cognitive Behavior Therapy will aid the family to understand the traumatizing stress they have endured. According to Cohen & Mannarino (2008) “Children may develop different problems in response to traumatic exposure” (Pp. 1).
CBT helps the person learn the symptoms of PTSD and help them understand how it affects the person’s life (Hawk, 2012). A person’s emotions, thinking and actions are not separated, they overlap with each other. This approach is used to change the client’s way of thinking and behaving into a more positive and healthier way of thinking and behaving (Corey, 2013).
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
Whealin, J.M., Decarvahlo, L.T. and Edward, M.V. (2008) Clinician’s Guide to Treating Stress After War. New-Jersey: John Wiley and Sons, pp.20-30.
Several functional imaging studies using both testing paradigms illustrate this dysfunction. When participants with PTSD were shown fearful faces in a cognitive activation paradigm, there was a corresponding increase in cBRF using fMRI, indicating hyper-responsiveness of the amydgala to threat-related stimuli (Bryant et al., 2008). Liberzon et al. (1999) also measured cBRF in Vietnam veterans with PTSD using SPECT during a symptom provocation paradigm of combat-related sounds. The results revealed exclusive activation of the left amygdala and nucleus accumbens in PTSD patients and not in combat controls and normal
The current criteria for assessment of PTSD is only suitable if criterion A is met. Every symptom must be bound to the traumatic event through temporal and/or contextual evidence. The DSM-5 stipulates that to qualify, the symptoms must begin (criterion B or C) or worsen (symptom D and E) after the traumatic event. Even though symptoms must be linked to a traumatic event, this linking does not imply causality or etiology (Pai, 2017, p.4). The changes made with the DSM-5 included increasing the number of symptom groups from three to four and the number of symptoms from 17 to 20. The symptom groups are intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and
Post-Traumatic Stress Disorder, also known as PTSD, is an anxiety disorder that can develop after a traumatic event (Riley). A more in depth definition of the disorder is given by Doctor’s Nancy Piotrowski and Lillian Range, “A maladaptive condition resulting from exposure to events beyond the realm of normal human experience and characterized by persistent difficulties involving emotional numbing, intense fear, helplessness, horror, re-experiencing of trauma, avoidance, and arousal.” People who suffer from this disease have been a part of or seen an upsetting event that haunts them after the event, and sometimes the rest of their lives. There are nicknames for this disorder such as “shell shock”, “combat neurosis”, and “battle fatigue” (Piotrowski and Range). “Battle fatigue” and “combat neurosis” refer to soldiers who have been overseas and seen disturbing scenes that cause them anxiety they will continue to have when they remember their time spent in war. It is common for a lot of soldiers to be diagnosed with PTSD when returning from battle. Throughout the history of wars American soldiers have been involved in, each war had a different nickname for what is now PTSD (Pitman et al. 769). At first, PTSD was recognized and diagnosed as a personality disorder until after the Vietnam Veterans brought more attention to the disorder, and in 1980 it became a recognized anxiety disorder (Piotrowski and Range). There is not one lone cause of PTSD, and symptoms can vary from hallucinations to detachment of friends and family, making a diagnosis more difficult than normal. To treat and in hopes to prevent those who have this disorder, the doctor may suggest different types of therapy and also prescribe medication to help subside the sympt...
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
Increased and safety, support, and therapy are few treatments that are the most effective. When the victim feels safe from the danger, the feeling of the situation never happening again also brings peace to the mind. Cognitive therapy (CT) or cognitive therapy and cognitive behavioral therapy are two of the greatest ways to help out both the victim and the abuser according to The National Center Domestic, Trauma & Mental Health. Cognitive behavioral therapy is learning to think about something differently education and skill-building to put new thoughts into practice. Cognitive therapy address three areas of concern to abused women. Areas such as trauma-related guilt, histories of other traumatic experiences, and likelihood of ongoing stressful contact with the abuser in relation to
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Cognitive behavioral therapy (CBT) is among the most extensively tested psychotherapies for depression. Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. This paper will provide background information about the intervention, address the target population, and describe program structure and key components. It will also provide examples of program implementation, challenges/barriers to implementing the practice, address how the practice supports recovery from a serious mental illness standpoint and provide a summary. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely used. It is thought to be very effective in treating depression in adolescents and adults. CBT is targeted to quickly resolve maladaptive thoughts and behaviors without inquiring greatly into why those thoughts and behaviors occur as opposed to other forms of psychotherapy.
Cognitive behavioral therapy is an approach used by psychotherapists to deal with emotional and behavioral behaviors. One of the issues associated with this type of therapy is the approach can be used in the treatment of other diseases related to emotional and physical stress. According to...
Schiraldi, G. R. (2009). The post-traumatic stress disorder sourcebook: A guide to healing, recovery, and growth. New York, NY: McGraw-Hill.
Early treatment of Post-traumatic stress disorder was often ineffective. Treatment for PTSD during WWI was a few days of rest, before being shipped back into a war zone. For the worst cases of PTSD, clients received electroconvulsive therapy, hydrotherapy and hypnosis (Friedman, 2015). During WWII, individuals with PTSD were treated using PIE. PIE was used in hopes of returning soldiers to battle as quickly as possible. The 1980s saw the most growth in the recognition and treatment of PTSD (Friedman, 2015). This is because returning soldiers from the Vietnam War provided new information for clinicians to learn about and treat PTSD. Around this time, CBT was becoming increasingly popular making it an easy choice to use on PTSD clients.
The U.S. Department of Veterans Affairs talks about several different treatments, and how they work in this article. Two of the major treatments that the US Department of Veterans Affair speaks about are cognitive processing therapy, and prolonged exposure therapy. With cognitive processing therapy, therapists teach you how to find your triggers, stressors, and feelings for Post-traumatic Stress Disorder and control them. Cognitive processing therapy teaches the trauma victim how to destress and cope with the world around them, and how to not place the blame on themselves which can cause bad episodes, and flashbacks. Prolonged exposure therapy is where therapist have you bring up traumatic memories from the past. The therapist can have you