TICKETED SESSIONS | Clinical Intervention Training

Cognitive Behavioral Therapy (CBT) has been an enormous empirical and practical success over its 50+ year history. The situation surrounding evidence-based care has dramatically changed, however, and it is important for CBT to change as well. For decades, evidence-based therapy has been defined in terms of scientifically validated protocols focused on syndromes. That era is now passing. This Clinical Intervention Training will feature didactic presentations, demonstration of practical strategies and exercises that focus on how to utilize the core competencies of CBT in a pragmatic way that honors the behavioral, cognitive, and acceptance and mindfulness wings of the tradition-in a new form of process-based CBT. Recommended Readings:

Hayes, S. C., & Hofmann, S. G. (2017). The third wave of CBT and the rise of process- based care. World Psychiatry, 16, 245-246. doi: 10.102/wps.20442

Hayes, S. C., & Hofmann, S. G. (Eds.). (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. Oakland, CA: New Harbinger. ISBN-13: 978-1626255968.

Hayes, S. C., & Hofmann, S. G. (in press). Survival circuits and therapy: From automaticity to the conscious experience of fear and anxiety. Current Opinion in Behavioral Sciences.

Hofmann, S. G., & Hayes, S. C. (in press). The future of intervention science: Process-based therapy. Clinical Psychological Science.

Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1-27. doi:10.1146/annurev.clinpsy.3.022806.091432

Klepac, R. K., Ronan, G. F., Andrasik, F., Arnold, K. D., Behar, C. D., Berry, S. L., . . . Strauman, T. J. (2012). Guidelines for cognitive behavioral training within doctoral psychology programs in the United States: Report of the inter-organizational task force on cognitive and behavioral psychology doctoral education. Behavior Therapy, 43, 687-697. doi: 10.1016/j.beth.2012.05.002

Paul, G. L. (1967). Strategy of outcome research in psychotherapy. Journal of Consulting Psychology, 31, 109-118. doi: 10.1037/h0024436.

The purpose of this Clinical Intervention Training is to discuss and consult on difficult cases with PTSD or those cases that are disrupted by other serious life events while conducting cognitive processing therapy (CPT) for PTSD. The presenters will discuss common difficulties with comorbid disorders, traumatic brain injury or issues with aging, complicated trauma histories, and disruptions during therapy and how to handle them while keeping fidelity to the CPT protocol. Having emergency sessions or conducting variable-length therapy will be discussed. The presenters will show videotaped examples and may conduct role-plays with participants. Participants should be using CPT in their practice and should bring in questions and/or case material to be discussed. This will not be a basic training in CPT and is for participants who have been implementing it regularly. The presenters will also help participants differentiate between client readiness for CPT and therapist stuck points. Recommended Readings:

Bovin, M. J., Wolf E. J., Resick, P. A. (2017). Longitudinal associations between posttraumatic stress disorder severity and personality disorder features among female rape survivors. Frontiers in Psychiatry, 8, 1-11. doi: 10.3389/fpsyt.2017.00006

Resick, P. A., Monson, C. M. & Chard, K. M. (2017). Cognitive Processing Therapy for PTSD: A comprehensive manual. New York: Guilford.

Wachen, J. S., Dondanville, K. A., Pruiksma, K. E., Molino, A., Carson, C. S., Blankenship, A. E., . . . STRONG STAR Consortium. (2016). Implementing cognitive processing therapy for posttraumatic stress disorder with active duty U.S. military personnel: Special considerations and case examples. Cognitive and Behavioral Practice, 23, 133-147. doi:10.1016/j.cbpra.2015.08.007

Walter, K. H., Barnes, S. M., & Chard, K. M. (2012) The influence of comorbid MDD on outcome after residential treatment for veterans with PTSD and a history of TBI. Journal of Traumatic Stress, 25, 1-7.