PTSD Exam 1

Question 1

PTSD DSM-5 Diagnostic Criteria

Answer 1

Direct or indirect exposure to trauma (actual or threatened injury/sexual violence).
Re-experiencing the event.
Persistent avoidance (thoughts/memories associated with TE).
Negative alterations in cognition and mood.
Hyperarousal (e.g. fight or flight, irritability, recklessness)
Must occur concurrently for at lest one month.
Disturbance causes impairment of functioning.
Symptoms not due to substance use or medical condition.

Question 2

PTSD Assessment

Answer 2

SCID for DSM-5
Clinician-Administered PTSD Scale (CAPS-5)
PTSD Symptom Scale (PSS-I-5)

Question 3

Theory for CPT for PTSD (cognitive theory)

Answer 3

Rigid schemas about how the world works and traumatic experiences creates a negative view of the world and self.
Trauma leads to cycle of re-experiencing and avoidance.

Question 4

Cognitive Processing Therapy (CPT) for PTSD

Answer 4

Utilizes core CBT techniques specifically for PTSD
Manualized flexible treatment
Focus on stuck points, how trauma impacts life, and how patient relates self to the world.

Question 5

CPT for PTSD sessions 1-3

Answer 5

Session 1:
Psychoeducation
Treatment overview
Discuss role of avoidance to increase commitment
Homework: impact statement (describe most TE)
Session 2:
Read impact statement aloud to work through emotions.
Introduce stuck point log.
Introduce Activating event-Belief-Consequence worksheets.
HW: Practice ABC worksheets & Stuck Point logs.
Session 3:
Review ABC worksheets & logs.
Identify thoughts vs emotions.
HW: Trauma account (write about TE and thoughts/emotions daily)

Question 6

CPT for PTSD sessions 4-6

Answer 6

Session 4:
Read trauma account aloud.
Socratic questioning.
HW: Detailed trauma account.
Session 5:
Read 2nd trauma account aloud.
Address stuck points.
Introduce challenging questions sheet (choose stuck point and challenge).
HW: Daily challenging questions sheet.
Session 6:
Review HW and focus on most difficult stuck point.
Teach patterns of problematic thinking.
HW: Identify problematic thinking in everyday life.

Question 7

CPT for PTSD sessions 7-12

Answer 7

Session 7:
Review HW.
Begin safety module.
HW: Challenging beliefs worksheet w/attention to safety.
Sessions 8-11:
Review HW.
Introduce Trust, Intimacy, Power, Esteem modules (TIPE)
HW: Challenging beliefs w/focus on module and final impact statement.
Session 12:
Read final impact statement aloud and compare to initial impact statement.
Review what was learned.
Pt’s goals moving forward.
Relapse prevention.
Schedule follow up for 1 month.