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What Is Cognitive Processing Therapy (CPT)?

Colorful puzzle-piece brain illustration on a blue background, symbolizing cognition and problem solving.
Cognitive Processing Therapy (CPT) works with the connection between thoughts, emotions, and behaviours.

Cognitive Processing Therapy (CPT) is a short-term, structured therapy that helps people heal from Post-traumatic Stress Disorder (PTSD) and related difficulties. It is founded in cognitive theory, and, like Cognitive Behavioural Therapy (CBT), works with the connection between thoughts, emotions, and behaviours.


CPT differs from CBT in its focus on the impacts of PTSD. It has been well studied and is considered an evidence-based, first-line treatment for many different types of trauma, including combat, sexual trauma, childhood abuse, accidents, and other distressing or life-threatening events.


During CPT therapy, your therapist helps you understand how a traumatic experience has affected your life and the way you see yourself, others, and the world. Some ways of thinking can keep you feeling “stuck” and make it harder to move forward. Together, we look at thoughts, beliefs and behaviours that are no longer helpful, and help you shift towards those that align with greater quality of life and functioning. Topics we explore include the meaning you’ve made of the traumatic experience, thoughts and emotions connected to the trauma, trust and safety issues, and beliefs about power and control, self-esteem and self-worth, and connection and intimacy.


What to Expect in CPT

CPT typically includes 12 sessions, each about 50 minutes long. During sessions, you will:

  • Learn about PTSD, common and normal reactions to trauma, and general principles of recovery

  • Identify and gently challenge thoughts in a supportive, structured way

  • Practice skills between sessions to help apply and reinforce what you are learning


Expected Outcomes of Cognitive Processing Therapy

CPT aims to help you:

  • Better understand PTSD and how trauma affects you

  • Feel less distressed by memories of the trauma

  • Reduce avoidance and emotional numbness

  • Feel calmer and less “on edge”

  • Lessen feelings of depression, anxiety, guilt, or shame


At the Centre for Treatment for Sexual Assault and Childhood Trauma, CPT is one of the many modalities offered by our Associate and Adjunct Therapists. Our team strives to provide accessible, trauma-focused and evidence-based treatment for clients of all ages, income levels and identities. If CPT treatment sounds like a good fit for you, please reach out to our intake coordinator to inquire about services and therapist availability.


You can also find more information about CPT therapy at:

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