Crisis: 988 then press 1

Cognitive Processing Therapy (CPT)

Strong VA/DoD recommendation

What it is

Structured talk therapy that targets “stuck points” — beliefs trauma welded in place. Written work and Socratic questioning. Often run in groups.

Evidence

Strong-for in the VA/DoD PTSD guideline. Large veteran evidence base. Different homework than PE or EMDR; same evidence tier.

Access for veterans

Widely available in VA. Also Community Care and civilian CPT-trained clinicians.

Cautions

Requires showing up and doing the worksheets. Group format is common in VA and is still CPT when the protocol is followed.

Evidence reviewed September 2026. Named sources are being added room by room; start with VA/DoD PTSD guideline (2023) for first-line care.

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