Cognitive-Behavioral Cojoint Therapy for PTSD: Harnessing by Candice M. Monson, Steffany J. Fredman

By Candice M. Monson, Steffany J. Fredman

Providing an evidence-based remedy for within which one or either companions be afflicted by posttraumatic tension illness (PTSD), this step by step guide is choked with sensible scientific assistance and instruments. The treatment is punctiliously dependent to handle either PTSD signs and linked courting problems in a time-limited framework. it truly is grounded in state of the art wisdom approximately interpersonal elements of trauma and its remedy. particular consultation outlines and therapist scripts facilitate the total strategy of evaluation, case conceptualization, and intervention. In a large-size structure for simple photocopying, the publication contains 50 reproducible handouts and types.

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In this approach, the fourth session with the couple would be the first session of the CBCT for PTSD protocol. Individual‑Level Objective Assessment PTSD In conducting the individual assessments, it is important for the therapist to establish whether either or both individuals meet diagnostic criteria for PTSD or have at least subthreshold levels. 28 B AC KGR OU N D A N D OV E RV I E W A careful assessment of the traumatic event(s) informs diagnosis but also helps the therapist to anticipate the couple’s likely avoidance issues and the nature of the trauma-­focused cognitive work that will ensue in the third phase of the therapy.

Emotional process 16 B AC KGR OU N D A N D OV E RV I E W disturbances such as alexithymia and difficulty identifying and expressing emotions have also been associated with PTSD (Price, Monson, Callahan, & Rodriguez, 2006). These emotional content and process disturbances are suspected to contribute to emotional communication deficits and their related relationship impairments, such as an inability to relate on an emotionally intimate level. As we discuss in Session 4, emotions are the “glue” that hold couples together.

Is there a balance in the amount of time each person spends communicating? , eye rolling, heavy sighing)? • Is there any name calling? , “always,” “never,” “all the time”)? • Is there mind reading? , openness, defensiveness, indifference, closeness) • Do they interrupt each other? Feedback When you end the sample period, be sure to thank the couple for giving you the opportunity to observe their communication and tell them how helpful it will be to you in planning their treatment. ”). Then be sure to point out at least one strength that you observed to instill hope for change.

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