Cognitive Processing Therapy (CPT)
A focused, research-backed treatment for PTSD that helps you get unstuck from the beliefs trauma can leave behind.
What it is
Cognitive Processing Therapy (CPT) is a form of cognitive behavioral therapy developed for trauma survivors. It was first created by clinicians working with survivors of sexual violence, and it is now widely used by the VA and strongly supported by research.
After a trauma, it's common to come away with beliefs that keep the pain going: that the world is never safe, that you should have stopped it, that you can't trust anyone, or that something is wrong with you. CPT helps you notice these beliefs, look at them closely and decide whether they still fit. As they loosen, the symptoms of PTSD usually ease too.
CPT can help with the effects of sexual and physical violence, accidents, military service and other traumatic events, whether or not you've ever been diagnosed with PTSD.
Beliefs CPT often works on
- Safety
- Trust
- Power and control
- Self-worth
- Closeness with others
- Guilt and self-blame
What sessions look like
CPT is usually a structured course of about 12 sessions. You'll learn how trauma can shape beliefs about safety, trust, control, self-worth and closeness, identify the "stuck points" that keep you from recovering, and practice looking at them in new ways.
Between sessions, you'll complete short practice worksheets. Some people choose to write about the trauma as part of treatment, and your therapist will talk this through with you first. CPT works in person or by telehealth.
You don't need to pick an approach
If you have a preference, mention it when you request an appointment and we'll match you with a clinician who uses it. Every person responds to different things, so your clinician may combine approaches, with or without medication.
