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. Author manuscript; available in PMC: 2014 Feb 6.
Published in final edited form as: J Consult Clin Psychol. 2008 Apr;76(2):259–271. doi: 10.1037/0022-006X.76.2.259

Table 1.

Overview of Cognitive-Behavioral Therapy Program for PTSD

Module Topic Goals # of
Sessions
1 Introduction
  • Engage client in program

  • Provide treatment overview

1
2 Crisis Plan Review
  • Decide on a crisis plan with client

  • Clarify with client’s treatment team plan for managing any crises

1
3 Psychoeducation Part I:
Core Symptoms of PTSD
  • Help client understand the nature of PTSD

  • Make information relevant to client’s own experience of symptoms

1-2
4 Breathing Retraining
  • Improve client’s ability to manage tension and anxiety associated with PTSD

1+
5 Psychoeducation Part II:
Associated Symptoms of
PTSD
  • Help client understand how other problems and symptoms are related to PTSD & trauma

1-2
6 Cognitive Restructuring
Part I: Common Styles of
Thinking
  • Establish relationship between thoughts and feelings

  • Discuss role of life experiences, including trauma, in causing thoughts and beliefs

  • Teach client how to recognize common but incorrect thinking patterns that lead to distress

1-3
7 Cognitive Restructuring
Part II: The Five Steps of
Cognitive Restructuring
  • Teach client step-by-step process for using cognitive restructuring when distressed:
    1. Describe situation
    2. Identify strongest feeling,
    3. Identify thought underlying feeling,
    4. Challenge thought
    5. Take action by either changing thought or making a plan to deal with the situation
  • Help client first practice using cognitive restructuring to deal with distressing feelings

  • Then help client use cognitive restructuring to deal with trauma-related thoughts and beliefs

7+
8 Generalization Training &
Termination
  • Bring treatment to closure

  • Conduct session where client explains cognitive restructuring to case manager

  • Ease transition from PTSD treatment to care as usual with treatment team

2