OxCADAT RESOURCES
Resources for cognitive therapy for PTSD, social anxiety disorder and panic disorder.
PTSD Training Videos
Recommendations for training in & using CT-PTSD
There are two components to the recommendations for using CT-PTSD. What is required for core training and what is required for ongoing supervision.
Training: We recommend that clinicians have completed:
- A widely recognised core training in CBT, such as those accredited by the BABCP.
- A multi-day workshop (approximately 4 days) on CT for PTSD delivered by acknowledged experts in this treatment model.
- Successfully completed the treatment of at least two cases of CT-PTSD while attending weekly supervision, including reviewing audio/video recordings of sessions. The recordings should include memory focused work. Early dropouts from therapy do not count.
Supervision: We strongly recommend ongoing supervision following completion of training.
- Clinical supervision should be provided by a clinician who has received training in CT-PTSD and has demonstrable experience of using the treatment in clinical practice.
- Supervision focused on the detailed delivery of CT-PTSD should be provided on a regular planned schedule. For most effective delivery of the treatment such supervision should be weekly, as this ensures that decisions made in a supervision session can influence what is done with the patient in their next session. At the least, supervision should be monthly, but this less frequent schedule is less effective because it does not allow therapists to immediately implement ideas developed in supervision.
- Supervision should cover:
- Formulation and individualised treatment planning.
- Planning and reviewing key interventions (e.g. reclaiming/rebuilding life; updating trauma memories procedure; then vs now trigger discrimination; site visits; addressing the full range of cognitive themes relevant to the patient; addressing unhelpful cognitive and behavioural strategies; behavioural experiments; therapy blueprint). This should include reviewing audio/video recordings of sessions. The recordings should include memory focused work.
- Managing treatment challenges and adaptations (e.g. beliefs and other problems that interfere with engagement with the therapy procedures; interpersonal difficulties; dissociation; comorbidities; cultural considerations).
- Maintaining fidelity to the CT-PTSD model and monitoring progress (e.g. using routine outcome and process measures).
- Clinician wellbeing and opportunity to reflect on the emotional impact of the work.
- Reflective practice and ongoing skill development.
- Working with therapist beliefs that might impact on the delivery of CT-PTSD.
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