Cognitive Processing Therapy
Cognitive processing therapy is a structured trauma approach focused on the beliefs that formed after a traumatic event and how they shape your life today.
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What CPT is
Cognitive processing therapy, or CPT, is a structured approach developed specifically for the aftermath of trauma. It focuses less on retelling every detail and more on what you came to believe because of what happened: about yourself, other people, safety, trust, control, and closeness. These beliefs are sometimes called stuck points. They make sense given what you went through, but they can keep the event feeling present long after it is over.
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What sessions can include
CPT generally follows a planned sequence over a set number of sessions, with flexibility for your needs. Early sessions explain how trauma affects thinking and why recovery can stall. You may write about what the event has meant to you and identify the beliefs that hurt most. Later sessions use worksheets and conversation to examine those beliefs, gently and specifically. There is usually practice between sessions. Your clinician will walk through the plan before you begin so nothing comes as a surprise.
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Common themes it works with
Many people carry questions like: Why didn't I do more? Who can I trust now? Am I ever really safe? CPT looks at themes of safety, trust, power and control, esteem, and intimacy. Self-blame and guilt come up often, especially after accidents, combat, first responder calls, or medical events. The goal is not to argue you out of your feelings. It is to look more fully at what happened so your conclusions match the whole picture, not only the moment of fear.
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Who it can suit
CPT can be a fit for people who prefer a clear structure and are comfortable with some reading and writing between sessions. It is often used with veterans, first responders, and others whose trauma left them with heavy guilt or a changed sense of who they are. If writing is hard for you, including after a brain injury, say so. Approaches can be adapted, or another method may suit you better. That is a conversation to have with your clinician.
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Questions to ask
Before starting CPT you might ask: How many sessions would we plan for? What will I be asked to write or practice? What happens if I need to pause? How does CPT compare with EMDR for my situation? Sessions here are 55 minutes, online, for people located in Arizona during sessions. Ask during a free 15-minute consultation whether CPT makes sense for you right now, or whether another approach may fit better.
Questions
Before You Begin
Do I have to describe the trauma in detail?
CPT focuses mainly on the meaning of what happened. How much detail you share is discussed with your clinician.
How is CPT different from CBT?
CPT is a specific, structured form of cognitive therapy built for trauma, with a focus on beliefs formed by the event.
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