Category: PTSD


Institute 7 - Conceptualizing Patient Beliefs in Cognitive Processing Therapy for PTSD

Thursday, November 16
1:00 PM - 6:00 PM
Location: Aqua Salon E, Level 3, Aqua Level

Keywords: Case Conceptualization / Formulation | Cognitive Schemas / Beliefs | CPT (Cognitive Processing Therapy)
Presentation Type: Institutes
Level of Familiarity: All

The ability to conceptualize patient beliefs is an essential therapist skill when delivering Cognitive Processing Therapy (CPT) for posttraumatic stress disorder (PTSD). This institute--appropriate for both those new to CPT as well as advanced CPT therapists--will explore how individuals think before trauma and how trauma may affect belief systems (e.g., assimilation, accommodation, overaccommodation; "shattered beliefs" vs. confirming preexisting negative beliefs). We will also cover how to conceptualize and prioritize patient beliefs, or "stuck points," in CPT. We will discuss how to identify "lynch pin" stuck points-high-priority beliefs that hold your patient's PTSD together. We will also cover how to explore the function of beliefs, which, when not addressed, may prevent your patient from making progress in treatment. Clinicians will gain an understanding of patient belief systems and how they are affected by trauma, and they will learn practical skills to apply that knowledge to the effective delivery of CPT.

Earn 5 continuing education credits

Learning Objectives:

Recommended Reading: Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social Cognition, 7(2), 113-136.
Farmer, C. C., Mitchell, K. S., Parker-Guilbert, K., & Galovski, T. E. (2016). Fidelity to the cognitive processing therapy protocol: Evaluation of critical elements. Behavior Therapy. doi:10.1016/j.beth.2016.02.009
Wachen, J. S., Dondanville, K. A., Pruiksma, K. E., Molino, A., Carson, C. S., Blankenship, A. E., ... & STRONG STAR Consortium. (2016). Implementing cognitive processing therapy for posttraumatic stress disorder with active duty US military personnel: Special considerations and case examples. Cognitive and Behavioral Practice, 23(2), 133-147.
Sobel, A. A., Resick, P. A., & Rabalais, A. E. (2009). The effect of cognitive processing therapy on cognitions: Impact statement coding. Journal of Traumatic Stress, 22(3), 205-211.
Schumm, J. A., Dickstein, B. D., Walter, K. H., Owens, G. P., & Chard, K. M. (2015). Changes in posttraumatic cognitions predict changes in posttraumatic stress disorder symptoms during cognitive processing therapy. Journal of Consulting and Clinical Psychology, 83(6), 1161.

Stefanie T. LoSavio

Duke University Medical Center


Send Email for Stefanie LoSavio

Patricia A. Resick

Professor in Psychiatry and Behavioral Sciences
Duke University School of Medicine


Send Email for Patricia Resick


Institute 7 - Conceptualizing Patient Beliefs in Cognitive Processing Therapy for PTSD

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