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A Case Report of Cognitive Processing Therapy Delivered over a Single Week
Philip Held1, Brian J Klassen1, Charles F Small1
1Rush University Medical Center, Chicago, IL 60612.
Cognitive and Behavioral Practice
|October 12, 2020
Summary
Intensive Cognitive Processing Therapy (CPT-5) delivered in one week significantly reduced PTSD and depression symptoms in a combat veteran. This efficient treatment format showed lasting benefits and was well-tolerated, suggesting a promising alternative delivery method.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Evidence-based treatments for posttraumatic stress disorder (PTSD), like Cognitive Processing Therapy (CPT), face low engagement and completion rates among veterans.
- Barriers to treatment attendance and avoidance can hinder the effectiveness of standard therapy delivery models.
- Intensive delivery formats may offer a solution to overcome these practical and psychological barriers.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of an intensive, five-day delivery format of Cognitive Processing Therapy (CPT-5) for a combat veteran with PTSD.
- To assess symptom reduction in PTSD, depression, and guilt cognitions following CPT-5.
- To determine the tolerability and patient-reported benefits of the intensive treatment schedule.
Main Methods:
- A single combat veteran diagnosed with PTSD received 10 sessions of Cognitive Processing Therapy (CPT) delivered twice daily over one five-day work week (CPT-5).
- Symptom severity for PTSD and depression, along with guilt cognitions, were assessed pre- and post-treatment.
- Treatment outcomes were evaluated at a six-week follow-up to assess persistence of effects.
Main Results:
- The veteran experienced large, clinically meaningful reductions in PTSD and depression symptom severity post-treatment.
- Significant decreases in guilt cognitions, a key treatment mechanism, were observed.
- These improvements were maintained at the six-week follow-up, indicating lasting effects.
- Despite its intensity, the veteran found CPT-5 tolerable and reported benefits of the concentrated format.
Conclusions:
- CPT-5 represents a potentially efficient and effective method for delivering evidence-based PTSD treatment.
- This intensive format may improve treatment accessibility and adherence by overcoming common barriers.
- Further rigorous clinical trials are warranted to validate CPT-5 in larger veteran populations.
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