Cognitive Processing Therapy (CPT)
Cognitive Processing Therapy (CPT) is an evidence-based therapy that helps people understand and shift unhelpful beliefs related to trauma, so they can reduce distress and rebuild a more balanced sense of safety, trust, and self-understanding.
“What keeps trauma painful is not only what happened, but the beliefs we form about what it means.”
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Cognitive Processing Therapy
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How does CPT work?
CPT helps you identify “stuck points” — unhelpful or untrue beliefs formed after trauma (such as “it was my fault” or “I am not safe anywhere”). Through structured exercises and guided reflection, you learn to challenge and reframe these thoughts in more balanced and helpful ways.
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“We are not healed from trauma by forgetting, but by understanding what it has made us believe.” - Bessel van der Kolk
Frequently asked questions about CPT
How many CPT sessions will I need?
CPT is typically structured and time-limited, often ranging from 8 to 16 sessions, depending on your needs and the complexity of your trauma history.
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Is CPT the same as CBT?
CPT is a specific type of Cognitive Behavioural Therapy focused on trauma. It uses CBT principles but is designed specifically to address trauma-related beliefs and symptoms.
Do I have to describe my trauma in detail?
Not necessarily. CPT does not require detailed recounting of traumatic events. The focus is more on how the trauma affected your thoughts and beliefs.
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What are “stuck points” in CPT?
Stuck points are unhelpful beliefs that keep trauma distress active, such as self-blame, mistrust, or overgeneralized danger beliefs. CPT helps you identify and work through them.
Is CPT effective for PTSD?
Yes. CPT is one of the most evidence-based treatments for PTSD and has strong research support across many types of trauma.
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Can CPT be done virtually?
Yes. CPT can be delivered effectively through secure online therapy, with worksheets and structured exercises adapted for virtual sessions.
What happens during a CPT session?
CPT sessions typically include reviewing thoughts related to trauma, completing structured worksheets, identifying stuck points, and practicing more balanced thinking patterns with your therapist’s guidance.
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How CPT Helps
Reduces trauma-related guilt and shame
Challenges unhelpful trauma beliefs
Improves emotional regulation