About the Event
Cognitive Behavior Institute is excited to welcome Christina DiChiara, Psy.D., for a live interactive webinar on: Cognitive Processing Therapy (CPT for PTSD)
Dates/Times:
October 17th, 2024 from 9:00am-5:00pm EST
October 18th, 2024 from 9:00am-5:00pm EST
Location: online via Zoom Meetings
*Participants will have access to their cameras/microphones for participation
Cost: $99.99
Level: Introductory
Credit Hours: 13 clinical CEs
Description:
Cognitive Processing Therapy (CPT) is a frontline, evidence-based psychotherapy for treating posttraumatic stress disorder (PTSD; Asmundson et al., 2018; Chard, Schuster, & Resick, 2012) . CPT is a cognitive-behavioral therapy that focuses on addressing and reducing the symptoms of PTSD using traditional cognitive therapy methods, including Socratic dialogue, identifying cognitive distortions, and learning to challenge and adjust maladaptive cognitions that are keeping PTSD symptoms “stuck” for trauma survivors (Resick, Monson, & Chard, 2016). CPT additionally includes education and focus on five themes that are commonly difficult for PTSD survivors and are thematic of unhelpful beliefs about the meaning of a traumatic event, including safety, trust, power and control, esteem, and intimacy.
Agenda:
Day 1 Agenda - 9:00am - 5:00pm EST
9:00-9:20am Introductions, disclosures, course overview
9:20am-12:00pm Overview of CPT
- Define Cognitive Processing Therapy
- Describe diagnosis of PTSD and illustrate criteria necessary for diagnosis
- Summarize evidence-base for CPT
- Describe and summarize how existing evidence and literature have informed CPT protocol
- Present cognitive theory of PTSD
- Question and Answer period
10:30-10:45am 15 minute morning break
12:00-1:00pm break for lunch
1:00-2:00pm Present overview of the standard 12 session protocol for CPT
2:30-2:45pm 15 minute break
2:00-4:00pm Introduce rationale for CPT, core cognitive and emotional concepts
4:00-5:00 Introduce and describe stuck points.
- Small Group Exercise: Is it a Stuck Point?
Day 2 Agenda - 9:00am - 5:00pm EST
9:00-10:00am Introduce Impact Statement exercise and practice identifying stuck points
10:00am-12:00pm Describe and elaborate on cognitive therapy methods used in CPT (from ABC worksheets up to Challenge Beliefs Worksheets)
- Question and Answer period
10:30-10:44am 15 minute break
12:00-1:00pm break for lunch
1:00-2:30pm Introduce trauma account and review goals and examples
2:00-4:00pm Present the 5 theme modules of CPT and demonstrate the associated exercises
2:30-2:45pm 15 minute break
4:00-5:00pm Modifications and Multicultural Applications
- Final Question and Answer period
Learning Objectives:
Participants will define what CPT is as an evidence-based, cognitive-behavioral therapy for addressing the symptoms of PTSD.
Participants will summarize the diagnosis of PTSD.
Participants will distinguish CPT as an evidence-based treatment.
Participants will summarize how the existing literature on CPT has informed the current CPT protocol.
Participants will summarize cognitive theory for PTSD terms, including assimilation, over-accommodation, and accommodation.
Participants will identify the general overview of the CPT protocol.
Participants will describe the rationale for CPT.
Participants will describe key concepts of CPT, such as natural vs manufactured emotions, the "just world" belief, assimilation, over-accommodation and accommodation.
Participants will define stuck points.
Participants will identify stuck points as different from facts, feeling statements, and moral statements.
Participants will describe the cognitive therapy methods used in CPT.
Participants will describe the goal of a trauma account in CPT.
Participants will recall the 5 theme modules of CPT.
Participants will recognize the individual exercises in CPT associated with each theme module.
Participants will summarize how CPT can be adapted for unique cultural or ability considerations.
Instructor Bio:
Dr. DiChiara is an expert in evidence-based treatments for trauma, anxiety, and obsessive-compulsive disorders. She joined the Center for Anxiety & Behavior Therapy in 2016 and currently serves as the Director of Education, overseeing the local and international training and dissemination of evidence-based treatments for Obsessive-Compulsive Disorder (OCD) and Posttraumatic Stress Disorder (PTSD). Dr. DiChiara has extensive experience with Prolonged Exposure (PE) therapy for PTSD, and is a certified PE therapist and PE supervisor by Dr. Edna Foa, the developer of PE. She is similarly experienced in Cognitive Processing Therapy (CPT) for PTSD, is a certified CPT therapist by the Veteran's Administration (VA), and is a co-investigator in ongoing CPT research at the VA in Philadelphia. Dr. DiChiara developed her expertise in Exposure and Response Prevention (ERP) for OCD during her training, research, and practice at the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. She also specializes in cognitive-behavioral and exposure therapies for a broad range of anxiety disorders and obsessive-compulsive related disorders. In addition to her work at CABT, Dr. DiChiara served the veteran population through the VA in Philadelphia, both as a psychologist on the PTSD Clinical Team, as well as the Military Sexual Trauma (MST) Coordinator, the Evidence-Based Psychotherapy (EBP) Coordinator, and as Telemental Health Champion. She has been dedicated to the training and supervision of psychology trainees and licensed mental health professionals worldwide through individual and group supervision and consultation. She received a master’s degree in Counseling and Clinical Health Psychology, as well as her doctoral degree in Clinical Psychology, from the Philadelphia College of Osteopathic Medicine. Course bibliography:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Asamsama, H. O., Dickstein, B. D., & Chard, K. M. (2015). Do scores on the Beck Depression Inventory–II predict outcome in cognitive processing therapy? Psychological Trauma: Theory, Research, Practice and Policy, 7, 437–441.
Asmundson, G. J., Thorisdottir, A. S., Roden-Foreman, J. W., Baird, S. O., Witcraft, S. W., Stein, A. T., et al. (2018): A meta-analytic review of cognitive processing therapy for adults with posttraumatic stress disorder, Cognitive Behaviour Therapy, DOI: 10.1080/16506073.2018.1522371
Bass, J. K., Annan, J., McIvor Murray, S., Kaysen, D., Griffiths, S., Cetinoglu, T., . . . Bolton, P. A. (2013). Controlled trial of psychotherapy for Congolese survivors of sexual violence. New England Journal of Medicine, 368(23), 2182–2191.
Bishop, W., & Fish, J. M. (1999). Questions as interventions: Perceptions of Socratic, solution focused, and diagnostic questioning styles. Journal of Rational-Emotive and CognitiveBehavior Therapy, 12(2), 115–140.
Bryan, C. J., Clemans, T. A., Hernandez, A. M., Mintz, J., Peterson, A. L., Yarvis, J. S., . . . STRONG STAR Consortium. (2016). Evaluating potential iatrogenic suicide risk in trauma-focused group cognitive behavioral therapy for the treatment of PTSD in active duty military personnel. Depression and Anxiety, 33(6), 549–557.
Bryant, R. A., Mastrodomenico, J., Felmingham, K. L., Hopwood, S., Kenny, L., Kandris, E., Cahill, C., & Creamer, M. (2008). Treatment of acute stress disorder: A randomized controlled trial. Archives of General Psychiatry, 65, 659–667.
Butollo, W., Karl, R., König, J., & Rosner, R. (2015). A randomized controlled clinical trial of dialogical exposure therapy vs. cognitive processing therapy for adult outpatients suffering from PTSD after type I trauma in adulthood. Psychotherapy and Psychosomatics, 85, 16–26.
Chard, K. M. (2005). An evaluation of cognitive processing therapy for the treatment of posttraumatic stress disorder related to childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73(5), 965–971.
Chard, K. M., Ricksecker, E. G., Healy, E. T., Karlin, B. E., & Resick, P. A. (2012). Dissemination and experience with cognitive processing therapy. Journal of Rehabilitation Research and Development, 49(5), 667–678.
Chard, K. M., Schumm, J. A., Owens, G. P., & Cottingham, S. M. (2010). A comparison of OEF and OIF veterans and Vietnam veterans receiving cognitive processing therapy. Journal of Traumatic Stress, 23(1), 25–32.
Chard, K. M., Schuster, J. L., & Resick, P. A. (2012). Cognitive processing therapy. In J. G. Beck & D. M. Sloan (Eds.), The Oxford handbook of traumatic stress disorders (pp. 439– 448). New York: Oxford University Press.
Dondanville, K. A., Blankenship, A. E., Molino, A., Resick, P. A., Wachen, J. S., Mintz, J., . . . STRONG STAR Consortium. (2016). Qualitative examination of cognitive change during PTSD treatment for active duty service members. Behaviour Research and Therapy, 79, 1–6.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445–451.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 2–35.
Foa, E. B., Rothbaum, B., Riggs, D., & Murdock, T. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59(5), 715–723.
Foa, E. B., Zoellner, L. A., & Feeny, N. C. (2006). An evaluation of three brief programs for facilitating recovery after assault. Journal of Traumatic Stress, 19, 29–43.
Forbes, D., Lloyd, D., Nixon, R. D., Elliott, P., Varker, T., Perry, D., . . . Creamer, M. (2012). A multisite randomized controlled effectiveness trial of cognitive processing therapy for military-related posttraumatic stress disorder. Journal of Anxiety Disorders, 26(3), 442– 452.
Gallagher, M., & Resick, P. A. (2012). Mechanisms of change in cognitive processing therapy and prolonged exposure therapy for posttraumatic stress disorder: Preliminary evidence for the differential effects of hopelessness and habituation. Cognitive Therapy and Research, 36(6), 750–755.
Galovski, T. E., Blain, L. M., Mott, J. M., Elwood, L., & Houle, T. (2012). Manualized therapy for PTSD: Flexing the structure of cognitive processing therapy. Journal of Consulting and Clinical Psychology, 80, 968–981.
Galovski, T. E., Sobel, A., Phipps, K., & Resick, P. A. (2005). Trauma recovery: Beyond the treatment of symptoms of PTSD and other Axis I psychopathology. In T. A. Corales (Ed.), Trends in posttraumatic stress disorder research (pp. 207–227). Hauppauge, NY: Nova Science.
Gradus, J. L., Suvak, M. K., Wisco, B. E., Marx, B. P., & Resick, P. A. (2013). Treatment of posttraumatic stress disorder reduces suicidal ideation. Depression and Anxiety, 30, 1046–1053.
Haagen, J. F. G., Smid, G. E., Knipscheer, J. W., & Kleber, R. J. (2015). The efficacy of recommended treatments for veterans with PTSD: A metaregression analysis. Clinical Psychology Review, 40, 184–194.
Held, P., Klassen, B. J., Coleman, J. A., Thompson, K., Rydberg, T. S., & Van Horn, R. (2021). Delivering intensive PTSD treatment virtually: the development of a 2-week intensive cognitive processing therapy–based program in response to COVID-19. Cognitive and Behavioral Practice, 28(4), 543-554.
Kaysen, D., Lostutter, T. W., & Goines, M. A. (2005). Cognitive processing therapy for acute stress disorder resulting from an anti-gay assault. Cognitive and Behavioral Practice, 12(3), 278–289.
Kaysen, D., Schumm, J., Petersen, E. R., Seim, R. W., Bedard-Gilligan, M., & Chard, K. (2014). Cognitive processing therapy for veterans with comorbid PTSD and alcohol use disorders. Addictive Behaviors, 39(2), 420–427.
Keefe, J. R., Hernandez, S., Johanek, C., Landy, M. S., Sijercic, I., Shnaider, P., ... & Stirman, S. W. (2022). Competence in delivering Cognitive Processing Therapy and the therapeutic alliance both predict PTSD symptom outcomes. Behavior Therapy, 53(5), 763-775.
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445–451.
Lester, K., Artz, C., Resick, P. A., & Young-Xu, Y. (2010). Impact of race on early treatment termination and outcomes in posttraumatic stress disorder treatment. Journal of Consulting and Clinical Psychology, 78(4), 480–489.
Lloyd, D., Couineau, A.-L., Hawkins, K., Kartal, D., Nixon, R. D. V., & Forbes, D. P. (2015). Preliminary outcomes of implementing cognitive processing therapy for posttraumatic stress disorder across a national veterans’ treatment service. Journal of Clinical Psychiatry, 76(11), e1405–e1409.
Maieritsch, K. P., Smith, T. L., Hessinger, J. D., Ahearn, E. P., Eickhoff, J. C., & Zhao, Q. (2016). Randomized controlled equivalence trial comparing videoconference and in person delivery of cognitive processing therapy for PTSD. Journal of Telemedicine and Telecare, 22(4), 238–243.
Marques, L., Eustis, E. H., Dixon, L., Valentine, S. E., Borba, C. P. C., Simon, N., . . . WiltseyStirman, S. (2016). Delivering cognitive processing therapy in a community health setting: 296 References The Influence of Latino culture and community violence on posttraumatic cognitions. Psychological Trauma: Theory, Research, Practice, and Policy, 8(1), 98–106.
Monson, C. M., Schnurr, P. P., Resick, P. A., Friedman, M. J., Young-Xu, Y., & Stevens, S. P. (2006). Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 74(5), 898–907.
Morland, L. A., Hynes, A. K., Mackintosh, M., Resick, P. A., & Chard, K. M. (2011). Group cognitive processing therapy delivered to veterans via telehealth: A pilot cohort. Journal of Traumatic Stress, 24(4), 465–469.
Morland, L. A., Mackintosh, M. A., Rosen, C. S., Willis, E., Resick, P. A., Chard, K. M., & Frueh, B. C. (2015). Telemedicine versus in-person delivery of cognitive processing therapy for women with posttraumatic stress disorder: A randomized noninferiority trial. Depression and Anxiety, 32(11), 811–820.
Nixon, R. D. (2012). Cognitive processing therapy versus supportive counseling for acute stress disorder following assault: A randomized pilot trial. Behavior Therapy, 43(4), 825–836.
Owens, G. P., Pike, J. L., & Chard, K. M. (2001). Treatment effects of cognitive processing therapy on cognitive distortions of female child sexual abuse survivors. Behavior Therapy, 32, 413–424.
Price, J. L., MacDonald, H. Z., Adair, K. C., Koerner, N., & Monson, C. M. (2016). Changing beliefs about trauma: A qualitative study of cognitive processing therapy. Behavioural and Cognitive Psychotherapy, 44(2), 156–167.
Resick, P. A., Bovin, M. J., Calloway, A. L., Dick, A., King, M. W., Mitchell, K. S., . . . Wolf, E. J. (2012). A critical evaluation of the complex PTSD literature: Implications for DSM-5. Journal of Traumatic Stress, 25, 241–251.
Resick, P. A., Monson, C. M., & Chard, K. M. (2016). Cognitive Processing Therapy for PTSD: A Comprehensive Manual. New York, NJ: Guilford Press.
Resick, P. A., Galovski, T. E., Uhlmansiek, M. O., Scher, C. D., Clum, G., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76(2), 243–258.
Resick, P. A., Jordan, C. G., Girelli, S. A., Hutter, C. K., & Marhoeder-Dvorak, S. (1988). A comparative outcome study of group behavior therapy for sexual assault victims. Behavior Therapy, 19, 385–401.
Resick, P. A., Monson, C. M., & Chard, K. M. (2007). Cognitive processing therapy, veteran/ military version: Therapist’s manual. Washington, DC: Department of Veterans Affairs. (Revised in 2008, 2010, 2014).
Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive processing therapy, prolonged exposure and a waiting condition for the treatment of posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879.
Resick, P. A., Wachen, J. S., Dondanville, K. A., LoSavio, S. T., Young-McCaughan, S., Yarvis, J. S., ... & Strong Star Consortium. (2021). Variable-length cognitive processing therapy for posttraumatic stress disorder in active duty military: outcomes and predictors. Behaviour Research and Therapy, 141, 103846.
Resick, P. A., Wachen, J. S., Mintz, J., Young-McCaughan, S., Roache, J. D., Borah, A. M., . . . Peterson, A. L. (2015). A randomized clinical trial of group cognitive processing therapy compared with group present-centered therapy for PTSD among active duty military personnel. Journal of Consulting and Clinical Psychology, 83(6), 1058–1068.
Resick, P. A., Williams, L. F., Suvak, M. K., Monson, C. M., & Gradus, J. L. (2012). Long-term outcomes of cognitive-behavioral treatments for posttraumatic stress disorder among female rape survivors. Journal of Consulting and Clinical Psychology, 80(2), 201–210.
Schnurr, P. P., Chard, K. M., Ruzek, J. I., Chow, B. K., Resick, P. A., Foa, E. B., ... & Shih, M. C. (2022). Comparison of prolonged exposure vs cognitive processing therapy for treatment of posttraumatic stress disorder among US veterans: A randomized clinical trial. JAMA network open, 5(1), e2136921-e2136921.
Schnurr, P. P., Friedman, M. J., Engel, C. C., Foa, E. B., Shea, T., Chow, B. K., . . . Bernardy, N. (2007). Cognitive-behavioral therapy for posttraumatic stress disorder in women: A randomized controlled trial. Journal of the American Medical Association, 297, 820–830.
Schulz, P. M., Huber, L. C., & Resick, P. A. (2006). Practical adaptations of cognitive processing therapy with Bosnian refugees: Implications for adapting practice to a multicultural clientele. Cognitive and Behavioral Practice, 13(4), 310–321.
Shnaider, P., Vorrstenbosch, V., Macdonald, A., Wells, S. Y., Monson, C. M., & Resick, P. A. (2014). Associations between functioning and PTSD symptom clusters in a dismantling trial of cognitive processing therapy in female interpersonal violence survivors. Journal of Traumatic Stress, 27, 526–534.
Sijercic, I., Liebman, R. E., Stirman, S. W., & Monson, C. M. (2021). The effect of therapeutic alliance on dropout in cognitive processing therapy for posttraumatic stress disorder. Journal of traumatic stress, 34(4), 819-828.
Suris, A., Link-Malcolm, J., Chard, K., Ahn, C., & North, C. (2013). A randomized clinical trial of cognitive processing therapy for veterans with PTSD related to military sexual trauma. Journal of Traumatic Stress, 26(1), 28–37.
Wachen, J. S., Dondanville, K. A., Pruiksma, K. A., Molino, A., Carson, C. S., Blankenship, A. E., . . . Resick, P. A. (2016). Implementing cognitive processing therapy for posttraumatic stress disorder with active duty U.S. military personnel: Special considerations and case examples. Cognitive and Behavioral Practice, 23(2), 133–147.
Walter, K. H., Dickstein, B. D., Barnes, S. M., & Chard, K. M. (2014). Comparing effectiveness of CPT to CPT-C among U.S. veterans in an interdisciplinary residential PTSD/TBI treatment program. Journal of Traumatic Stress, 27, 438–445.
Watts, B. V., Schnurr, P. P., Mayo, L., Young-Xu, Y., Weeks, W. B., & Friedman, M. J. (2013). Meta-analysis of the efficacy of treatments for posttraumatic stress disorder. Journal of Clinical Psychiatry, 74, 541–550.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Available from the National Center for PTSD at www.ptsd.va.gov
Approvals:
Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 13 clinical continuing education credits.
Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.
Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.
Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program.
Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.
Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.
TICKETS TO THIS WEBINAR ARE NON-REFUNDABLE/NON-TRANSFERABLE. ALL SALES ARE FINAL. REFUNDS WILL NOT BE ISSUED FOR ANY REASON OTHER THAN THE EVENT’S CANCELLATION BY CBI
Have you read our FAQs? Before attending this event, be sure to visit our support page found here.
Process for Receiving Continuing Education Credit:
- Register
- Attend the Training
- Complete the Evaluation Survey
- Receive Continuing Education Certificate
*Courses remain open for 2 weeks following the end of the training