2-Day Intensive Training: Cognitive Processing Therapy: An Evidence-Based Approach to Treat PTSD and Related Conditions

Credit

Program Information

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Speaker

Kathleen M. Chard, PhD Related seminars and products

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Kathleen M. Chard, Ph.D., is a co-developer of CPT and director of the Trauma Recovery Center at the Cincinnati VA Medical Center. Serving as the VA CPT Implementation Director, Dr. Chard oversees the dissemination of CPT to mental health clinicians across the United States. She is the co-author of Cognitive Processing Therapy for PTSD: A Comprehensive Model (The Guilford Press, 2017) and author of CPT for Sexual Abuse treatment manual (2012). A sought-after speaker, Dr. Chard has personally trained over 5,000 clinicians throughout the United States on using CPT with veterans, active-duty personnel, and civilians in addition to overseeing the training of tens of thousands of others via the trainers she supervises. She is co-chair of a 17-site study comparing CPT to Prolonged Exposure in US veterans in addition to conducting a $6 million-dollar Department of Defense study on the assessment of PTSD. She served as a past editor of the Journal of Traumatic Stress and is a professor of Clinical Psychiatry and Behavioral Neuroscience at the University of Cincinnati.

 

Speaker Disclosures:
Financial: Kathleen Chard has employment relationships with CPT Training Institute, the Cincinnati Veterans Administration Medical Center, the University of Cincinnati, and the Department of Veterans Affairs. She receives royalties as a published author. She has a research activity that is grant funded through Health Services Research and Development Service, PESI Foundation, IAA with USAMMDA and CVAMC. Kathleen Chard receives a speaking honorarium, recording, and book royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kathleen Chard is an ad hoc reviewer for several peer review journals, for a complete list contact PESI, Inc. She is a member of the International Society for Traumatic Stress Studies.

Alternate Dates

Additional Info

Program Information

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. 

Please Note: You will NOT have access to an archived copy of the webcast after the program has ended.

Please note: Each day there will be a 70-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.

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Objectives

1. Examine the empirical evidence supporting the use of Cognitive Processing Therapy for Post-Traumatic Stress Disorder and related conditions.
2. Employ the 12-session CPT treatment protocol in its entirety, including assessments, handouts, scripts, and homework assignments.
3. Utilize clinical strategies and evidence-based assessments to identify traumatic events and potential co-morbid conditions.
4. Utilize psychoeducation to help clients understand the impact of trauma, normalize their experience, and identify areas where they are “stuck”.
5. Assess for and challenge the client’s assimilated beliefs related to the traumatic event.
6. Differentiate between the client’s thoughts and feelings versus facts regarding the traumatic event.
7. Distinguish among the 5 themes of trauma; determine which are most prevalent for the client.
8. Evaluate the client’s progress at the mid-point of CPT treatment using evidence-based assessments.
9. Implement clinical strategies to help the client identify maladaptive coping skills.
10. Construct a comprehensive CPT aftercare plan for the client to follow once treatment has ended.
11. Integrate specific therapeutic strategies to address client resistance, non-adherence, or lack of progress in CPT treatment.
12. Develop CPT skills to apply to special client populations including sexual abuse survivors and those with brain injuries, low intelligence, and/or dementia. 

Outline

• The evolution of the approach – and why that matters today
• CPT and CPT+A
• Empirical evidence supporting CPT
• Limitations of the research and potential risks
• Structure: Review, Content, Check in, Assignment

• The who, when and how of CPT
• How to gather trauma history to identify the index event
• Assessment: PCL-5 and PHQ-9, co-morbidities and risk of harm
• Family involvement considerations
• Discerning between assimilated and overaccommodated beliefs
• Balancing structure with ongoing case conceptualization and flexibility

• Core competencies of the CPT therapist
• Common areas of therapist uncertainty: client readiness, using a manualized approach and more
• CPT errors most clinicians make (and what to do about them)

• Explaining PTSD symptom clusters (and how they interact) in an understandable way
• PTSD as a problem of non-recovery; why people get “stuck”
• Cognitive theory within the context of trauma
• How CPT will help clients move forward
• “Stuck Points” and the Impact Statement

• What are “Stuck Points” and how do I identify them?
• Introduction of trauma-related ABC model
• Identification and labeling of emotions (accurately)
• Differentiating between thoughts, feelings and facts
• “I think” v. “I feel”
• Listening for logic, proportion and patterns
• Challenging assimilated cognitions

• A deeper dive into assimilated beliefs
• Differentiating among intention, responsibility and the unforeseeable
• 80/20 rule for clarifying v. examining evidence
• Getting to the feelings under the thoughts/assumptions
• Introduction of “Challenging Questions” worksheet
• Identification of patterns of problematic thinking

• Conduct treatment midpoint assessments
• What to do if progress is minimal at this point
• Introduction of Challenging Beliefs worksheet
• 5 themes of trauma – safety, trust, power/control, esteem and intimacy

• Safety: Addressing generalized fears and safety obsessions; exploring probability and likelihood
• Trust beliefs related to self v. others
• Examining the continuum of power and control
• Possible resolutions to negative beliefs about trust, power and control

• Examining beliefs about self-worth and capabilities
• Challenging overgeneralizations about groups of people based on the trauma
• Self-intimacy and intimacy with others
• Addressing maladaptive attempts to self-soothe
• Comparing the original impact statement with the new one
• Review of treatment, goals for the future, aftercare planning

• Nonadherence to treatment: do’s and don’ts
• Variations on CPT
• CPT in a group setting, specifically for sexual abuse
• Issues in working with different types of trauma
• Trauma among clients with brain injuries, low intelligence, or aging/dementia
• PTSD complicated by grief
• Trauma in adolescence; its effects on other developmental periods
• Diversity and cross-cultural adaptations

Target Audience

• Psychologists
• Counselors
• Social Workers
• Addictions Professionals
• Marriage & Family Therapists
• Psychotherapists
• Case Managers
• Physicians
• Other Mental Health Professionals

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