Specialty Treatments Offered at the Madison VA PTSD Clinic
Cognitive Processing Therapy (CPT). The way you think about things influences how you feel and what you do. Traumatic experiences can influence how you think about things, and this can keep you stuck feeling anxious or angry, even though the experience is over. The focus of CPT is to help you overcome the impact of trauma on how you think about the world, yourself, and others. You will learn strategies through written assignments that help you realistically challenge and change unhelpful thoughts and reactions related to trauma memories and triggers that are maintaining PTSD. CPT requires weekly 50-60 minute appointments for 12 weeks.
Prolonged Exposure (PE). It’s natural to avoid things that make us uncomfortable. Unfortunately, avoidance maintains symptoms of PTSD (especially anxiety) because you don’t have an opportunity to disconfirm your fears or get used to them. The focus of PE is to help people slowly face uncomfortable trauma related memories, triggers, and situations until they feel in control again. Therapy involves approaching avoided memories and situations in a gradual and safe way with the support of a therapist and doing weekly homework assignments. You’ll meet with your therapist for 90min/week for 9-12 weeks.
Written Exposure Therapy (WET). This is a brief 5-7 session exposure-based therapy with emerging evidence that shows it is effective for reducing PTSD symptoms. Veterans engage in therapist-led writing exercises during their appointments. This therapy differs from standard PTSD treatment as it is a shorter course and has fewer structured between session assignments.
Cognitive Behavioral Conjoint Therapy for PTSD (CBCT). CBCT is a PTSD intervention delivered in a conjoint format (i.e. patient with spouse, family member, etc.). This treatment is 15 sessions in length and also focuses on changing unhelpful thoughts, beliefs, and behaviors that prevent recovery. Emphasis is placed on addressing PTSD symptoms within a relationship context. This treatment is meant to be a front-line intervention for PTSD (i.e., not an adjunct to PE or CPT, above) for patients that opt for a conjoint approach, and there is a growing research literature behind it.
Cognitive Processing Therapy (CPT) Group. This group follows the same protocol described for the individual modality listed above. Again, the emphasis is on identifying unhelpful thoughts and beliefs related to self, world, and others; and challenging those thoughts in way that increases coping with PTSD and related triggers. The group does not include writing about your most traumatic experience, which is sometimes done in individual therapy. The group meets for 90 minutes per week for 12 weeks. Runs Tuesdays 9- 10:30am.
Post 9-11 Veterans’ Essentials Group. This is an information/topic-based group with open enrollment. This group is designed for OEF/OIF veterans who are struggling with trauma-related or transition concerns and may be helpful for those considering treatment, are engaged in treatment and want to start connecting with others, or have completed EBP and want to gain continued support. Topics are veteran-centered and revolve around the main areas of getting grounded in times of stress, finding meaning and motivation, and overcoming obstacles for change. This is a drop in group, although we encourage regular attendance. This groups meets Tuesdays 3-4:30pm.
STAIR (Skills Training in Affective and Interpersonal Regulation). This is a 12 week, 90 minute, closed group. This group is designed for individuals with a history of trauma, problems with emotion regulation and/or relationship problems. This group can be useful for veterans who may benefit from increasing emotion regulation skills before or while engaging in other trauma-focused treatments. Veterans who participate in the group can expect to learn about emotional awareness, emotional regulation/living an emotionally engaged life, and understanding/changing relationship patterns. The target population for this group are veterans with a primary diagnosis of PTSD or those with significant sub-threshold PTSD symptoms that are the intended focus of treatment. This group is intended as an adjunct skills-focused treatment that can be completed concurrently or prior to trauma-focused therapy.
PTSD Resources for Clinicians
Special Issues in Working with Veterans with Stress Disorders
Other Resources
Educational Opportunities