15.9%
and
26.2%
The percentages of clients who drop out of cognitive behavioral therapy (CBT) during pretreatment and treatment, respectively, according to an article recently published online in the Journal of Clinical & Consulting Psychology -- Meta-Analysis of Dropout From Cognitive Behavioral Therapy: Magnitude, Timing, and Moderators.
Does anyone else have their fingers crossed that researchers will start finding evidence of which PTSD treatments work best with which specific patients? Happily, it seems like researchers are starting to ask those questions as well, and the recent article comparing Cognitive Processing Therapy standard protocol to Cognitive Processing Therapy - Cognitive Only may have inadvertently started to answer this question.
As both a therapist using Cognitive Processing Therapy (CPT) with my PTSD patients and a CPT Trainer, I was eagerly awaiting the revision of the treatment manual. And my wait was finally over in May 2014! But then I found I was faced with a dilemma - do I throw out my old manual along with notes and reprint the new one? Or can I simply keep the old manual and replace a few pages here and there. It seems others were wondering also given the number of times during trainings and within my own clinic I've been asked this. So, I did an in-depth comparison of the two manuals, and here is what I found along with my suggestions.
Socratic Dialogue is a well-known and often used method of assisting clients to identify potentially harmful thoughts and then challenge their thinking. This approach is based on the practice of disciplined, thoughtful dialogue devised by Socrates and delivered between therapist and client.
After a recent case conference discussion with clinical psychology interns about treatment options to offer patients when the window for treatment is abbreviated, I decided to consult with my colleagues about their opinions , and summarize my findings along with my own opinion. One thing we all agreed on-for a provider, there should be no such thing as "no time" window available for PTSD treatment.