Cognitive Processing Therapy (CPT)

WHAT IS CPT?


Cognitive Processing Therapy, or CPT, is an evidence-based method used to treat post-traumatic stress and the impact of trauma on thoughts, feelings, and behaviors.

Trauma has a major impact on the way you think about and see yourself, other people, and the world. This change in the way you think also impacts the way you feel and behave. With CPT, you learn to identify and understand the ways in which trauma has impacted your thinking. It teaches you effective strategies to challenge your own thoughts and helps you develop a more balanced, helpful way of thinking. This, in turn, helps you to respond effectively to triggering situations, improve your symptoms, and find lasting healing from trauma.

Women psychologists developed this treatment to help women survivors of sexual assault and rape recover and find healing and peace. Today, the treatment is also used to help men and treat all sorts of trauma.

WHAT IS CPT USED FOR?


CPT is used to treat the symptoms of post-traumatic stress. Specifically, CPT identifies negative thought patterns and develops strategies to challenge and replace them with a more balanced way of thinking. You learn to “respond” versus “react” and be more in control of your feelings and behaviors. Here at Thrive, our clinicians use CPT to help women overcome traumas like sexual assault, child abuse, intimate partner violence, and many other forms of trauma.

HOW DOES CPT WORK?


CPT works primarily in two ways: exposure and habituation, and, cognitive restructuring.

CPT provides exposure to the trauma memories and the feelings associated with it, so that survivors can habituate. Habituation occurs when an emotional response gradually decreases with repeated exposure. This is how we overcome all fears. For example, the first time you discuss your trauma with your therapist it will likely be very anxiety-producing, but after doing it repeatedly, it will cause less anxiety.

The other important way that CPT works, is through cognitive restructuring. Cognitions are our thoughts and thinking patterns, and restructuring is what it sounds like – changing your thoughts and thinking patterns.

CPT involves a lot of thinking and writing. At first, your therapist will educate you about how trauma impacts people and help normalize your experiences. Your therapist will guide you in writing the story of your trauma and in particular, writing about the way it has impacted your perspective of yourself, other people, and the world in the areas of safety, power and control, trust, esteem, and intimacy. CPT focuses on these areas because these are what trauma tends to impact. After this writing exercise, you and your therapist will look for “stuck points,” which are thoughts that get you stuck, either stuck in feeling bad, stuck in behaviors you want to get away from, or stuck in ruminating.

Your therapist will teach you several effective strategies to overcome and change these stuck points so that your thinking becomes more balanced and more conducive to feeling and behaving the way you want.

WHAT ARE THE BENEFITS OF CPT?


CPT has been shown to be effective in treating post-traumatic stress regardless of the type of trauma or number of traumas.

It’s effective in reducing post-traumatic stress symptoms like hypervigilance (being on guard), anxiety, depression, irritability, poor sleep, nightmares, and intrusive, upsetting memories of the trauma. It’s particularly helpful when survivors find themselves ruminating and struggling with the “woulda, coulda, shouldas” like “If only I had done X, maybe the trauma wouldn’t have happened.” It also reduces the guilt, shame, and self-blame that often accompany trauma. Unlike some other trauma treatments that require a complete memory of the trauma, CPT is effective even if there are parts of the memory missing due to dissociation, head injury, or intoxication.

With time and practice, the skills you will learn in CPT will help you feel safer, more trusting, more in control of your emotions, more comfortable with vulnerability and intimacy. It will give you a more positive view of yourself, others, and life in general. This will then help you be able to do the things you want to do. For example, if you feel more trusting and connected to your own power, something like dating will become much easier and more pleasant.

If you'd like to learn more about CPT and how it might help you on your healing journey, schedule a free consultation with a Thrive therapist today.

woman taking therapy online in front of her computer

CPT ONLINE

CPT vs CBT: What Is The Difference

Cognitive Processing Therapy (CPT)

CPT is specifically designed to address the effects of trauma. It focuses on helping individuals process and understand traumatic events, challenging and modifying unhelpful beliefs related to the trauma, and fostering a healthier cognitive and emotional response.

Cognitive Behavioral Therapy (CBT)

woman comforting her patient

CBT, on the other hand, is a broader therapeutic approach that addresses a wide range of mental health concerns. It explores the connection between thoughts, feelings, and behaviors, aiming to identify and modify negative thought patterns and behaviors that contribute to distress.

Key Differences:

  • Focus: CPT is trauma-focused, while CBT addresses a broad spectrum of mental health challenges.

  • Purpose: CPT aims to process and reframe trauma-related thoughts, while CBT targets negative thoughts and behaviors across various issues.

  • Application: CPT is often used specifically for trauma survivors, while CBT is versatile and applicable to a wide range of conditions.

Meet Thrive’s CPT Specialists

 CPT THERAPY FAQs