Cognitive Processing Therapy (CPT) for trauma
A structured, well-researched approach to healing from trauma and PTSD.
Susan Robens, Licensed Professional Counselor (LPC), Oregon. About Susan
- Trained in Cognitive Processing Therapy (CPT)
- Certified in Somatic Trauma Therapy
What is Cognitive Processing Therapy?
Cognitive Processing Therapy, or CPT, is one of the most extensively researched treatments for post-traumatic stress disorder. It was developed in the late 1980s and has been studied with people who have experienced abuse, combat, sexual assault, accidents, natural disasters and other life-altering events.
CPT helps you understand how trauma has changed the way you think about yourself, other people and the world. These changed beliefs, called “stuck points,” are the thoughts that keep you trapped in cycles of guilt, shame, fear or numbness. Thoughts like “it was my fault,” “I cannot trust anyone” or “the world is never safe” are common examples.
CPT is not about forgetting what happened or pretending it did not matter. It is about changing your relationship to the memory so it has less hold on your daily life.
How CPT works
CPT is usually delivered over about 12 weekly sessions. In each session, you learn to identify your stuck points, look at whether they are accurate, and develop more balanced beliefs that let you move forward. Between sessions, you practice with short worksheets and exercises.
Many people find the structure reassuring. You know what to expect from each session, you have clear goals, and we track your progress together along the way.
Who CPT is for
CPT may be a good fit if you have been through a traumatic event and are dealing with flashbacks, nightmares, trouble sleeping, emotional numbness, being constantly on guard, guilt, shame, or avoiding reminders of what happened. It suits people who like a practical, structured approach and are willing to do short exercises between sessions.
I use CPT with adults. For younger children who have been through something frightening, play therapy is usually a better fit.
The evidence
CPT is recommended for PTSD in the clinical practice guidelines of the American Psychological Association and of the US Department of Veterans Affairs and Department of Defense. Like any therapy, it helps some people more than others, and we will review honestly how it is working for you.
My training
I am trained in Cognitive Processing Therapy. Alongside CPT, I draw on cognitive behavioral therapy and mindfulness, which help you stay grounded while we do the work. I am also certified in Somatic Trauma Therapy, which pays attention to how trauma is held in the body, and some people find the two work well together.
What sessions involve
We start with an assessment of your history, your symptoms and your goals, and decide together whether CPT is the right approach. CPT can be done with or without writing a detailed account of what happened; we will talk about which suits you. Either way, the focus is on the meaning you have made of the experience, not on reliving it in graphic detail.
In person or telehealth
Sessions are at my office in King City, a few minutes from central Tigard, or by secure video anywhere in Oregon: telehealth.
Frequently asked questions
How many sessions does CPT take?
CPT is usually about 12 weekly sessions. Some people benefit from a few sessions before starting, to build coping skills, or after finishing, to work on related concerns. We decide together what you need and review progress as we go.
Will I have to describe my trauma in detail?
Not necessarily. CPT can be delivered with or without a detailed written account. We will discuss which approach is right for you. Either way, the focus is on the meaning you have made of the experience, not on reliving it.
What is the difference between CPT and EMDR?
Both are evidence-based treatments for PTSD. CPT focuses on changing the thoughts and beliefs connected to trauma through structured cognitive work. EMDR uses bilateral stimulation to help the brain reprocess traumatic memories. CPT tends to suit people who like a structured, practical approach. I offer CPT and somatic trauma therapy, not EMDR.
Is CPT only for PTSD?
CPT was designed for PTSD, and that is where most of its research is. Trauma often comes with anxiety or depression too, and we can address those alongside it.
Is CPT covered by insurance?
CPT is billed as outpatient counseling, which many plans cover when it is medically necessary. I accept the Oregon Health Plan (OHP) through CareOregon / Health Share of Oregon, Trillium, Yamhill CCO and PacificSource Community Solutions, and Regence BlueCross BlueShield, Providence and Moda. See insurance and fees.
Ready to talk?
Call 503-495-5072 or send a message to arrange a free phone consultation. If you are not sure whether CPT is right for you, we can talk through your options.
Send a message
I will get back to you to arrange a free phone consultation.
