Cognitive processing therapy

There's prolonged exposure therapy, which is what we offer at Rebound, and there's cognitive processing therapy.

Prolonged exposure therapy and cognitive processing therapy have had excellent outcomes for decades with respect to PTSD.

We know that around 80 to 85% of people who get a really structured course of PE or CPT will no longer have PTSD at the end of their treatment.

And so we're really dedicated to monitoring and, um, upholding, like, the best possible outcomes at Rebound.

So we don't leave it to chance.

Yes and no, right? It's complicated, and yet we can try to portray it in a more simple way that's more concrete to help guide us.

So you know that I love cognitive processing therapy.

So this is an intervention from cognitive processing therapy, but I use it with clients who don't go through the CPT protocol.

It's called a trust star.

All right.

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Well, today we're going to be looking at CPT, so Cognitive Processing Therapy, which is easy to miss out.

People hear cognitive and picture affirmations.

People hear trauma therapy and picture a forced replay of the worst hour of someone's life.

CPT is actually neither.

The founder, Patricia Resick, built it as a short protocol-driven treatment for PT or post-traumatic stress and lasts about 12 sessions.

And there's homework between them, a theory you can write on one page.

Good people are not raped, so I must have caused it could be a thought process.

All right, now I want to switch gears a little bit and talk more about your trauma work.

So you use a wide range of interventions, including EMDR, CPT, narrative therapy, and DBT.

So how do you decide which modality to use with a client?

For the most part, there is definitely a lot of assessment with clients.

They're just moving through it and I'm just taking essentially some temperature checks with them to see how they're doing, whether it's subjective units of distresses, any of like the messages and seeing how those are changing or how the emotions are changing for them.

I would say the bulk of my clients who are needing to do a specific modality, the majority of my clients go through EMDR because a lot of them aren't wanting to verbalize what they're processing through.

CPT is really great for my clients who are my thinkers more than my feelers because that one actually focuses on shifting the thoughts or stuck points that individuals take away from trauma events.

That one's really impactful for my clients who like structure.

And yet we can try to portray it in a more simple way that's more concrete to help guide us.

So you know that I love cognitive processing therapy.

So this is an intervention from cognitive processing therapy, but I use it with clients who don't go through the CPT protocol.

It's called a trust star.

All right.

Dr. Diana Ali is a clinical psychologist licensed in California and Colorado with over 20 years of experience working with survivors of complex trauma.

She uses a variety of trauma therapies, including EMDR, cognitive processing therapy, the DBT PTSD protocol, brain spotting, the trauma resiliency model, havening techniques, and sensory motor psychotherapy.

Diana is also certified in Ashira Darwish's Ashira Active Meditation Protocol, a community-based intervention involving a series of somatic release practices that were developed for working with survivors of ongoing chronic trauma.

She has been honored to be able to offer Ashira Active Meditation workshops to Palestinian refugees from Gaza.

The next one, developed by Patricia Rezek, is cognitive processing theory, especially effective for sexual assault, shame-based, and interpersonal traumas.

Essential idea of CPT, trauma changes, beliefs about safety, trust, power, control.

esteem, and intimacy.

PTSD symptoms are maintained by distorted interpretations.

Over-accommodation is making excessively broad negative conclusions.

All relationships are dangerous.

CPT techniques include Socratic questioning, so guided questioning to examine beliefs logically, what evidence supports your belief, thought records, worksheets, tracking, thoughts, emotions, evidence, alternative interpretations, trauma, written narrative of traumatic experiences, increased emotional processing, identify cognitive distortions and reduce avoidance, cognitive restructuring, replace distorted experiences, Replacing distorted thoughts with balanced alternatives.

Changing I'm weak to I survived overwhelming circumstances.