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 (esp. concerning mortality) ○ Interventions to address estrangement and social isolation ○ Anger management ○ Discussion of avoidance hierarchy - exposure continued
10	○ Review all treatment procedures