Cognitive Processing Therapy for Complex Cases
Description
Focusing on a front line treatment for posttraumatic stress disorder (PTSD) and related problems, this book bridges science and practice to provide clinicians with an important tool for use across populations and settings. It is a detailed, yet digestible, review of the literature supporting the use of Cognitive Processing Therapy (CPT) followed by relevant clinical implications for evidence-based practice. Clear connections are made between case conceptualization and actual treatment. Chapters include case examples with client-therapist dialogue to provide practical guidance for clinicians delivering CPT with each patient population. Additionally, guidance for implementing CPT in alternative treatment formats (e.g., group treatment, intensive delivery modalities, and telehealth) and advice for navigating systemic barriers and disseminating CPT across different healthcare settings are included. Each chapter, written by a leading expert in each topic area, ensures that this book provides a comprehensive guide to enhance clinicians' knowledge and skill in CPT treatment delivery across a wide range of complex patient populations, presentations, and treatment settings.
Reviews / Votes
"Viewed as a top line treatment for people with PTSD, Cognitive Processing Therapy (CPT) is now practiced on virtually all continents across the world. This text describes in detail how to apply CPT when various comorbid psychological conditions are present and when the practice setting differs from the typical one-on-one therapy clinic. Chapters written by experts in the field present specific details on the implementation of CPT in the context of TBI, Substance Abuse, Depression, Psychoses, and sleep disorders. Importantly, the editors and authors address the delivery of CPT using telehealth, in group therapy format, and in intense formats. Further, each chapter illustrates the use of CPT with a case example. In sum, this is the most comprehensive book on CPT written since its development some four decades ago. It belongs in every PTSD clinician's library." (Terry Keane, PhD, Associate Chief of Staff for Research at VA Boston Healthcare System, Director of the Behavioral Science Division of the National Center for PTSD, Professor of Psychiatry & Assistant Dean for Research, Chobanian and Avedisian School of Medicine at Boston University)
"This book is a vital companion to the CPT Comprehensive Manual for clinicians committed to honing their practice of CPT. Its focus on adapting the treatment to meet diverse patient needs and expanding its reach in community and healthcare settings is invaluable. With its practical insights, real-world case examples, and research-backed guidance, it stands as an indispensable tool for improving PTSD care and broadening the impact of evidence-based trauma-focused treatment for the many who need it." (Candice Monson, PhD, Professor, Toronto Metropolitan University)
"This edited book is a compilation of chapters written by experts on cognitive processing therapy (CPT) who are focusing on complexity of treatment of PTSD. For those people who have completed basic training in CPT, this book is a more in-depth review of complex presentations due to comorbid disorders such as depression, serious mental illness, or substance abuse. The book also considers particular populations (e.g., marginalized identities, intense psychosocial stressors) and alternative formats of CPT (e.g., intensive delivery, incorporating case formulation). The book is enriched with each chapter building a bridge between research and clinical implementation enhanced by case examples. This book will prove to be an excellent companion volume with the treatment manual." (Patricia A. Resick, Ph.D., ABPP, Emeritus Professor, Department of Psychiatry and Behavioral Sciences, Duke Health)
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Persons
Jennifer S. Wachen, Ph.D.: Dr. Jennifer S. Wachen is a Clinical Research Psychologist in the Women's Health Sciences Division of the National Center for PTSD and an Associate Professor in the Department of Psychiatry at Boston University Chobanian and Avedesian School of Medicine. She is a trainer and consultant in Cognitive Processing Therapy (CPT) and has trained numerous providers to implement CPT across a range of treatment settings including military facilities, the Department of Veterans Affairs, and community-based medical centers. Dr. Wachen's research focuses on improving the efficiency and effectiveness of CPT, including novel delivery modalities such as massed treatment. Other research interests include examining the effect of PTSD treatment on physical health and psychosocial functioning outcomes. Dr. Wachen has conducted several Department of Defense-funded clinical trials investigating CPT in military and veteran populations and serves as a consultant on a number of research studies and dissemination initiatives implementing CPT in diverse healthcare settings. She is the author of over 70 peer-reviewed publications and has co-authored over one dozen invited book chapters. She serves on the Editorial Boards of Psychological Trauma: Theory, Research, Practice, and Policy; Cognitive and Behavioral Practice; and Contemporary Clinical Trials .
Tara E. Galovski, Ph.D. Dr. Tara E. Galovski is the Director of the Women's Health Sciences Division of the National Center for PTSD and a Professor in the Department of Psychiatry at Boston University Chobanian and Avedesian School of Medicine. Her research examines the effects of exposure to traumatic events and the development of psychological interventions designed to treat PTSD and comorbid psychiatric disorders. She has conducted federally funded clinical trials within a variety of populations exposed to different trauma types including combat, sexual trauma, domestic violence, community violence, and motor vehicle accidents. The results of Dr. Galovski's program of research have been published in over 100 peer-reviewed publications and book chapters. She has also written two books on related topics. More specific areas of interest include investigations into the role of sleep impairment in recovery from trauma, anger, and physical health complications in the maintenance of and recovery from PTSD. Dr. Galovski is a national trainer of Cognitive Processing Therapy (CPT) and has disseminated the intervention across numerous patient populations and healthcare systems. Over the last decade, she has personally trained over 1100 mental health providers nationwide in CPT. Finally, Dr. Galovski continues to investigate gender differences in PTSD clinical presentations and treatment outcomes. She served as an Associate Editor of one of the top trauma journals, Journal of Traumatic Stress , for a decade.
Content
Part I Introduction.- The Development and Evolution of Cognitive Processing Therapy.- Part II Addressing Comorbidities with Cognitive Processing Therapy.- Delivering CPT in the Context of Depression.- Delivering CPT in the Context of Emotional Dysregulation.- Delivering CPT in the Context of Serious Mental Illness.- Delivering CPT in the Context of Substance Use Disorders.- Delivering CPT in the Context of Traumatic Brain Injury and Physical Health Conditions.- Delivering CPT in the Context of Sleep Disturbance.- Part III Cognitive Processing Therapy with Specific Populations.- Treating Survivors of Sexual Assault with CPT.- Treating Military Personnel and Veterans with CPT.- Treating Individuals with Marginalized Identities Using Cognitive Processing Therapy.- Delivering Cognitive Processing Therapy in the Context of Suicide Risk, Violence Risk, and Intense Psychosocial Stressos.- Cultural Adaptation of Cognitive Processing Therapy: Fidelity Consistent Treatment Adaptations for the Global Majority.- Part IV Alternative Formats of CPT Delivery.- Group Cognitive Processing Therapy.- Implementing CPT in an Intensive Delivery Format.- Incorporating Case Formulation (CF-CPT) in CPT Delivery.- Delivering CPT Using Telehealth.- Part V Dissemination of CPT.- Dissemination Efforts in Large Healthcare Settings.- CPT Dissemination in Community Settings.- Part VI Future Directions in CPT.- Looking Ahead: Future Directions in CPT.
