Strong VA/DoD recommendation
Structured talk therapy that targets “stuck points” — beliefs trauma welded in place. Written work and Socratic questioning. Often run in groups.
Strong-for in the VA/DoD PTSD guideline. Large veteran evidence base. Different homework than PE or EMDR; same evidence tier.
Widely available in VA. Also Community Care and civilian CPT-trained clinicians.
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.