Table 2.

Session-by-Session Outline of Group CBT for MVA-Related PTSD

Session	Treatment Components
1	Education and group building
	Introduction to the therapy group, group norms and rules
	Background about the treatment program
	Education about anxiety and PTSD
	Overview of treatment
2	Discussion of avoidance—continued group building
	Discussion of memories and avoidance
	Developing a hierarchy
	Mindfulness Part I
3	Mindfulness—tackling avoidance
	Mindfulness Part II
	Beginning to tackle avoidance (via exposure)
4	Revisiting your MVA—learning relaxation
	Writing about your MVA
	Learning how to relax: progressive muscle relaxation (PMR)
5	Continue revisiting your MVA—relaxation
	Working with your MVA description
	Learning how to relax: 7-muscle PMR
6	Developing positive self-talk—practicing relaxation
	Learning healthy self-talk
	Practicing how to relax: 7-muscle PMR (review)
7	Identifying and changing logical errors—cued relaxation
	Identifying and correcting logical errors
	Learning how to relax III: Cued PMR
8	Understanding the chain of your thinking—practicing relaxation
	The cycle of thoughts and feelings
	Practicing cue-controlled relaxation (review)
9	Anger Management I—relaxation by recall
	Anger management: cognitive techniques
	Relaxation by recall
10	Anger Management II—practice relaxation
	Anger management: behavioral techniques
	Relaxation by recall: practice
11	Pleasant activity scheduling
	Feeling down: how to fight it
12	Rebuilding social support
	Feeling alone: rebuilding your social world
13	General principles for coping with stresses
	Thinking ahead to the future
	Coping with a stressor: general principles
14	Summary of treatment and termination
	Review of treatment
	Termination: saying goodbye