Summary: <p>Cognitive Processing Therapy with Anxiety, Trauma and Chronic Conditions<br> Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC<br> Executive Director: AllCEUs.com Counselor Continuing Education<br> Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery</p> <p>Counseling CEUs can be earned for this presentation at <a href="https://www.allceus.com/member/cart/index/product/id/336/c/">https://www.allceus.com/member/cart/index/product/id/336/c/</a><br> Objectives<br> ~ Learn the goals of CPT<br> ~ Discuss how CPT can be applied to people with chronic conditions, anxiety or trauma issues<br> ~ Identify some of the common tools used in CPT which can be helpful with many clients<br> Introduction<br> ~ CPT is based on a social cognitive theory that focuses on how the event or symptoms are construed and coped with by a person who is trying to regain a sense of mastery and control in his/her life (chronic illness dx, trauma, GAD)<br> ~ Emotions such as fear, anger, or sadness may emanate directly from the trauma or condition (primary emotions), because the situation is interpreted as dangerous, and/or resulting in losses.<br> ~ Secondary, or manufactured, emotions also result from faulty interpretations made by the patient.<br> Social-Cognitive Theory<br> ~ Social-cognitive theories focus more on the content of cognitions and the effect that distorted cognitions have upon emotional responses and behavior.<br> ~ In order to reconcile the information about the current situation with prior schemas, people tend to do one or more of 3 things:<br> ~ Assimilation is altering the information to match prior beliefs (“Because a bad thing happened to me, I must deserve punishment”).<br> ~ Accommodation is altering beliefs enough to incorporate the new information (“Although I didn’t use good judgment in that situation, most of the time I make good decisions”).<br> ~ Over-accommodation is altering ones beliefs about oneself and the world to the extreme in order to feel safer and more in control (“I can’t ever trust my judgment again”).<br> Dimensions of Disruption<br> ~ 5 major dimensions that may be disrupted by traumatic events:<br> ~ Safety<br> ~ Trust<br> ~ Power and Control<br> ~ Esteem<br> ~ Intimacy<br> 12-Session Protocol<br> ~ Introduction<br> ~ Meaning of the event<br> ~ Identification of Thoughts and Feelings<br> ~ Remembering the Event<br> ~ Identifying “Stuck” Points<br> ~ Challenging Questions<br> ~ Problematic Thinking<br> ~ Safety<br> ~ Trust<br> ~ Power and Control<br> ~ Esteem<br> ~ Intimacy and Meaning</p> <p>Natural and Manufactured Feelings<br> ~ 2 kinds of emotions that follow traumatic events.<br> ~ Natural/universal: fear when in real danger, anger when being intentionally harmed, joy or happiness with positive events, or sadness with losses.<br> ~ Natural emotions have a natural course. They will not continue on forever unless there is something that you do to feed them<br> ~ Manufactured feelings, result not directly in response to the event, but based on how you interpret the event.<br> Goals<br> ~ Help clients recognize and modify what they are saying to themselves “stuck points”<br> ~ Help clients identify:<br> ~ How the condition or event impacted on your views of yourself, other people, and the world.<br> ~ Why this event happened to you<br> ~ How has it changed or strengthened your views about yourself, other people and the world in general?<br> ~ Address the content of the meaning derived from the traumatic memory.<br> ~ Help clients accommodate, or accept that the traumatic event occurred and discovering ways to successfully integrate the experience into the one’s life<br> Goals cont…<br> ~ Determine the impact of the traumatic event or condition on beliefs about self and others<br> ~ Begin to normalize the grief process and differentiate it from PTSD, anxiety or depressive symptoms<br> ~ Ident</p>
