Table 1.
Session-by-Session Outline of Blanchard and Hickling's Individual CBT
| Session | Treatment Components |
|---|---|
| 1 | Review symptoms and diagnosis |
| Psychoeducation about PTSD | |
| Progressive muscle relaxation (PMR) training | |
| 2 | Reading (aloud) written description of the MVA |
| Discussion of avoidance | |
| PMR | |
| 3 | Coping self-statements |
| Creation of avoidance hierarchy—exposure instruction (in vivo and imaginal) | |
| Meeting with significant other | |
| PMR (8-muscle version) | |
| 4 | Cognitive reappraisal |
| Discussion of avoidance hierarchy—exposure continued | |
| PMR (4-muscle version) | |
| 5 | Discussion of avoidance hierarchy—exposure continued |
| Relaxation by recall | |
| 6 | Discussion of avoidance hierarchy—exposure continued |
| Cue-controlled relaxation | |
| 7–9 | Exploring existential issues (especially concerning mortality) |
| Interventions to address estrangement and social isolation | |
| Anger management | |
| Discussion of avoidance hierarchy—exposure continued | |
| 10 | Review all treatment procedures |