Cognitive Processing Therapy (CPT)
Reframing Traumatic Events Through Cognitive Insight
Cognitive Processing Therapy (CPT) is an evidence-based treatment for PTSD and trauma, blending cognitive restructuring with elements of exposure therapy. It is particularly effective for individuals whose trauma has led to deeply held, negative beliefs about themselves, others, or the world.
CPT is a top-down therapeutic approach, meaning it engages the prefrontal cortex to help regulate emotional responses while working through trauma-related thoughts and memories.
How CPT Works
CPT guides clients to:
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Stop avoidance by safely revisiting the traumatic event through structured reflection.
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Reinterpret the trauma using logic and facts, shifting the narrative from self-blame or fear to clarity and understanding.
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Challenge stuck points — rigid or extreme beliefs that may have developed after trauma (e.g., “I’m to blame” or “The world is completely unsafe”).
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Reduce emotional reactivity by helping the brain reprocess misinterpreted or exaggerated conclusions linked to the trauma.
CPT helps diminish overwhelming emotions caused by misinformation, distorted beliefs, or overgeneralisations, supporting a balanced and more adaptive worldview (Resick et al, 2024).