Have you heard about Written Exposure Therapy (WET) yet? It’s a newer evidence-based psychotherapy (EBP) for PTSD, recently added as a first line, trauma-focused treatment in the latest VA/DoD Clinical Practice Guidelines. Last year I took the WET training taught by Dr. Brian Marx, one of the treatment originators. I must admit, I was skeptical about how it worked and whether it would be effective. Since the training, I have used it with 2 patients and now feel comfortable adding it to my PTSD toolbox.
Blog posts with the tag "Cognitive Processing Therapy"
The June 2019 issue of the Journal of Traumatic Stress (JTS) was devoted to Moral Injury (MI). As a clinical psychologist working at a military training hospital where nearly all patients are Warfighters, I was curious about current recommendations regarding the accepted definition of MI, what measure to use, and how to treat it.
In working with Psychology Interns, Psychiatry Residents, Social Workers, and all other types of mental health providers from the most experienced to least, I’ve found that people often forget the basis of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). CPT is a form of Cognitive Behavioral Therapy (CBT) and PE is a form of Exposure Therapy. They are not unique theories.
Cognitive Processing Therapy (CPT) is one of the gold-standard treatments available to adults with posttraumatic stress disorder (PTSD) and remains a first-line recommended treatment in the latest VA/DoD Clinical Practice Guideline for the Management of PTSD and Acute Stress Disorder (DVA & DoD, 2017). CPT is a robust and flexible treatment in that it can be delivered with or without a written trauma account, in person or via tele-health, and individually or in group format. Dozens of randomized control trials and effectiveness trials demonstrate that CPT is one of the most effective treatments for PTSD in both civilian and military-connected populations.
In late 2017, the Department of Veterans Affairs in conjunction with the Department of Defense published an update to their practice guidelines for the management of Posttraumatic Stress Disorder (PTSD). This two-part blog will highlight the major recommendations of the new practice guideline: part 1 will focus on recommendations for screening and assessment and part 2 will focus on treatment considerations. Although we hope that these blogs help to clarify the major elements of the new guideline, we strongly suggest that all clinicians review the guideline for themselves. The full guideline as well as the Clinician Summary and Pocket Guide can all be viewed and downloaded in PDF format here.