Day 2 - Virtual Cognitive Processing Therapy (CPT) for Co-Occurring Disorders (COD)

Who Should Attend: This event is sponsored by the adult mental health block grant and substance use disorder (SUD) grant and is intended for persons who serve adults through the mental health and/or SUD provider network (PIHP’s/CMHSP’s/SUD and/or their contract agencies) in the state of Michigan (This funding does not include parents (adults) who have children/adolescents served through the CMHSP system). It contains content appropriate for CEOs, COOs, clinical directors, supervisors, case managers, clinicians, and any other clinical practitioners.

Training Description: CPT is a frontline, evidence-based psychotherapy for treating posttraumatic stress disorder (PTSD). CPT is a cognitive-behavioral therapy that focuses on addressing and reducing the symptoms of PTSD using traditional cognitive therapy methods, including Socratic dialogue, identifying cognitive distortions, and learning to challenge and adjust maladaptive cognitions that are keeping PTSD symptoms “stuck” for trauma survivors. CPT additionally includes education and focuses on five themes that are commonly difficult for PTSD survivors and are thematic of unhelpful beliefs about the meaning of a traumatic event, including safety, trust, power and control, esteem, and intimacy.

This workshop will include the following components:

  1. Overview of supporting evidence-base for CPT in treating both PTSD and PTSD with concurrent SUDs.
  2. Theoretical understanding from a CPT perspective, including that rationale for why some people develop PTSD after a traumatic event, how PTSD symptoms are maintained, and the goals of CPT.
  3. Overview of a typical course of individual CPT.
  4. Instruction about the session-by-session agenda and included treatment components/skills.
  5. Instruction about modifications for using CPT to treat PTSD in clients with comorbid SUD.
  6. Additional elaboration on topics special and essential to CPT, including defining and identifying “stuck points,” understanding and using Socratic questioning in therapy, and how to develop meaningful alternative beliefs to maladaptive cognitions.
  7. Introduction to the five theme modules of CPT and instruction on these themes.

Day One Agenda

8:45 – 9 a.m.

Log in to Zoom through account on CMHA's training portal

9 a.m. – noon

(10:30 – 10:45 a.m. morning break)

Introductions, disclosures, course overview

Overview of CPT

Review diagnosis of PTSD and illustrate criteria necessary for diagnosis

Describe prevalence of comorbid PTSD and SUD

Summarize evidence-base for CPT

Describe and summarize how existing evidence and literature have informed CPT protocol, including evidence for CPT in treating PTSD and comorbid SUD

Present cognitive theory of PTSD

Question and answer period

Noon – 1 p.m.

Lunch

1 – 2 p.m.

Present overview of the standard 12 session protocol for CPT

2 – 2:15 p.m.

Afternoon break

2:15 – 4 p.m.

Introduce rationale for CPT, core cognitive, and emotional concept

4 – 5 p.m.

Introduce and describe stuck points

Small group exercise: Is it a Stuck Point?

5 p.m.

End of Day One

 

Day Two Agenda

8:45 – 9 a.m.

Log in to Zoom through account on CMHA's training portal

9 – 10 a.m.

Introduce Impact Statement exercise and practice identifying stuck points

10 a.m. – noon

(10:30 – 10:45 a.m. morning break)

Describe and elaborate on cognitive therapy methods used in CPT (from ABC worksheets up to Challenge Beliefs Worksheets)

Question and answer period

Noon – 1 p.m.

Lunch

1 – 2 p.m.

Introduce trauma account and review goals and examples

2 – 3 p.m.

(2:30 – 2:45 p.m. afternoon break)

Describe modifications for addressing comorbid SUD with using CPT to treat PTSD

3 – 4 p.m.

Present the five theme modules of CPT and demonstrate the associated exercises

4 – 5 p.m.

Modifications and Multicultural Applications

Final Question and Answer period

5 p.m.

Training ends

Objectives

Objective 1

Define what CPT is as an evidence-based, cognitive-behavioral therapy for addressing the symptoms of PTSD.


Objective 2

Summarize the diagnosis of PTSD.


Objective 3

Understand basic prevalence of comorbid PTSD and SUD.


Objective 4

Distinguish CPT as an evidence-based treatment.


Objective 5

Summarize how the existing literature on CPT has informed the current CPT protocol.


Objective 6

Summarize cognitive theory for PTSD terms, including assimilation, over-accommodation, and accommodation.


Objective 7

Identify the general overview of the CPT protocol.


Objective 8

Describe the rationale for CPT and key concepts, such as natural vs manufactured emotions, the "just world" belief, assimilation, over-accommodation, and accommodation.


Objective 9

Define and recognize stuck points.


Objective 10

Identify stuck points as different from facts, feeling statements, and moral statements.


Objective 11

Describe the cognitive therapy methods used in CPT.


Objective 12

Describe the goal of a trauma account in CPT.


Objective 13

Identify essential modifications to CPT protocol with clients who have comorbid CPT and SUD.


Objective 14

Recall the five theme modules of CPT and recognize the individual exercises in CPT associated with each theme module.


Objective 15

Summarize how CPT can be adapted for unique cultural or ability considerations.