Cognitive Processing Therapy (CPT) for Childhood Sexual Abuse: Treatment Overview

Lindsay-Bira
UT Health Science Center, San Antonio

Key Points

  1. The treatment approach to trauma is personalized based on the patient’s preferences and characteristics, enhancing adherence by allowing the patient to choose the modality.
  2. CPT emphasizes addressing stuck points and maladaptive beliefs that sustain PTSD symptoms through cultivating balanced and realistic thinking, which fosters cognitive flexibility and emotional regulation.
  3. The initial stages of CPT involve identifying stuck points related to guilt, shame, regret, and responsibility, with the guilt and responsibility module playing a crucial role in facilitating significant therapeutic progress and emotional self-regulation.
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Treatment Formulation

The treatment began with a comprehensive diagnostic interview, using the CAPS-5 and the PCL-5 assessments. These tools helped establish a detailed baseline of the patient’s severe PTSD symptoms.

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