Impact Statement

 

 

 

 

 

 

 

 

 

Cognitive Processing Therapy

Veteran/Military Version:

 

CPT PATIENT WORKBOOK

 

 

 

 

Patricia A. Resick, Ph.D. and Candice M. Monson, Ph.D.
Duke University	Ryerson University
&   Kathleen M. Chard, Ph.D.
Cincinnati VA Medical Center and University of Cincinnati

 

 

May 2014

 

Session 1: Introduction and Education Phase

Practice Assignment:

Please write at least one page on why you think this traumatic event occurred. You are not being asked to write specifics about the traumatic event. Write about what you have been thinking about the cause of the worst event.

 

Also, consider the effects this traumatic event has had on your beliefs about yourself, others, and the world in the following areas: safety, trust, power/control, esteem, and intimacy. Bring this with you to the next session.

 

Also, please read over the handout I have given you on stuck points so that you understand the concept we are talking about.

 

Session 1Handouts:

PosttraumaReactions

Stuck Points—What Are They?

 

Recovery or Non-recovery from PTSD Symptoms Following Traumatic Events

 

 

 

 

 

 

 

 

 

The avoidance prevents the processing of the trauma that is needed for recovery and works only temporarily

 

 

Stuck Points—What Are They?

Throughout the rest of therapy we will be talking about stuck points and helping you to identify what yours are. Basically, stuck points are conflicting beliefs or strong negative beliefs that create unpleasant emotions and problematic or unhealthy behavior. Stuck points can be formed in a couple of different ways:

 

1.     Stuck points may be conflicts between prior beliefs and beliefs after a traumaticexperience.

 

 

 

STUCK

 

 

 

 

PriorBelief                                                                    Harmed During MilitaryService

I am able to protect myself indangerous situations.           I was harmed during my military service, and I am toblame.

 

Results

• If you cannot change your previous beliefs to accept what happened to you (i.e., it is possible that I cannot protect myself in all situations), you may find yourself saying, “I deserved it because of my actions or inactions. I am responsible for whathappened.”
• If you are questioning your role in the situation, you may be making sense of it by saying, “I misinterpreted what happened…I didn’t make myself clear…I acted inappropriately…I must be crazy or I must have done something to have caused it…”
• If you are stuck here, it may take some time until you are able to get your feelings out about thetrauma.

 

Goal

• To help you change the prior belief to “You may not be able to protect yourself in all situations.” When you are able to do this, you are able to accept that it happened and move on fromthere.

 

 

2.     Stuck points may also be formed if you have prior negative beliefs that seem to be confirmed or are reinforced by theevent.

 

 

 

 

 

 

CONFIRMED STUCKNESS

Traumatic Event

 

 

 

 

 

 

 

PriorBelief                                                        Harmed During MilitaryService

Authority is not tobe trusted.                              I was harmed during my military service, and because ofleadership.

 

Results

• If you see the trauma as further proof that authority (i.e., leadership) is not to be trusted, you believe this even morestrongly.
• If you are stuck here, you may have strong emotional reactions that interfere with your ability to have successful relationships with authority. It may feel “safe” for you to assume all authority is untrustworthy, but this belief may keep you distressed, negatively impact your relationships, and possibly lead to legal, work, and socialproblems.

 

Goal

• Tohelp you modifyyourbeliefssotheyarenotsoextreme. Forexample,“Someauthorityfigures canbetrustedinsomeways andtosome

extent.”

 

 

 

 

 

 

 

Cognitive Processing Therapy

Veteran/Military Version:

 

CPT PATIENT WORKBOOK

 

 

 

 

Patricia A. Resick, Ph.D. and Candice M. Monson, Ph.D.
Duke University	Ryerson University
&   Kathleen M. Chard, Ph.D.
Cincinnati VA Medical Center and University of Cincinnati

 

 

May 2014

 

Session 1: Introduction and Education Phase

Practice Assignment:

Please write at least one page on why you think this traumatic event occurred. You are not being asked to write specifics about the traumatic event. Write about what you have been thinking about the cause of the worst event.

 

Also, consider the effects this traumatic event has had on your beliefs about yourself, others, and the world in the following areas: safety, trust, power/control, esteem, and intimacy. Bring this with you to the next session.

 

Also, please read over the handout I have given you on stuck points so that you understand the concept we are talking about.

 

Session 1Handouts:

PosttraumaReactions

Stuck Points—What Are They?

 

Recovery or Non-recovery from PTSD Symptoms Following Traumatic Events

 

 

 

 

 

 

 

 

 

The avoidance prevents the processing of the trauma that is needed for recovery and works only temporarily

 

 

Stuck Points—What Are They?

Throughout the rest of therapy we will be talking about stuck points and helping you to identify what yours are. Basically, stuck points are conflicting beliefs or strong negative beliefs that create unpleasant emotions and problematic or unhealthy behavior. Stuck points can be formed in a couple of different ways:

 

1.     Stuck points may be conflicts between prior beliefs and beliefs after a traumaticexperience.

 

 

 

STUCK

 

 

 

 

PriorBelief                                                                    Harmed During MilitaryService

I am able to protect myself indangerous situations.           I was harmed during my military service, and I am toblame.

 

Results

• If you cannot change your previous beliefs to accept what happened to you (i.e., it is possible that I cannot protect myself in all situations), you may find yourself saying, “I deserved it because of my actions or inactions. I am responsible for whathappened.”
• If you are questioning your role in the situation, you may be making sense of it by saying, “I misinterpreted what happened…I didn’t make myself clear…I acted inappropriately…I must be crazy or I must have done something to have caused it…”
• If you are stuck here, it may take some time until you are able to get your feelings out about thetrauma.

 

Goal

• To help you change the prior belief to “You may not be able to protect yourself in all situations.” When you are able to do this, you are able to accept that it happened and move on fromthere.

 

 

2.     Stuck points may also be formed if you have prior negative beliefs that seem to be confirmed or are reinforced by theevent.

 

 

 

 

 

 

CONFIRMED STUCKNESS

Traumatic Event

 

 

 

 

 

 

 

PriorBelief                                                        Harmed During MilitaryService

Authority is not tobe trusted.                              I was harmed during my military service, and because ofleadership.

 

Results

• If you see the trauma as further proof that authority (i.e., leadership) is not to be trusted, you believe this even morestrongly.
• If you are stuck here, you may have strong emotional reactions that interfere with your ability to have successful relationships with authority. It may feel “safe” for you to assume all authority is untrustworthy, but this belief may keep you distressed, negatively impact your relationships, and possibly lead to legal, work, and socialproblems.

 

Goal

• Tohelp you modifyyourbeliefssotheyarenotsoextreme. Forexample,“Someauthorityfigures canbetrustedinsomeways andtosome

extent.”