Case Report on the Effects of Cognitive Processing Therapy on Psychological, Neuropsychological, and Speech Symptoms in Comorbid PTSD and TBI. Issue 2 (May 2016)

• Record Type: Journal Article
• Authors: Boyd, Briana; Rodgers, Carie; Aupperle, Robin; Jak, Amy
• Is Part Of: Cognitive and behavioral practice. Volume 23:Issue 2(2016)
• Page Start: 173
• Page End: 183
• Publication Date: 2016-05
• Subjects: PTSD -- posttraumatic stress disorder -- traumatic brain injury -- cognitive processing therapy; Behavior therapy -- Periodicals; Cognitive therapy -- Periodicals; Behavior Therapy -- Periodicals; Cognitive Therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.cbpra.2015.10.001
• Languages: English
• ISSNs: 1077-7229

Abstract

Abstract: Both posttraumatic stress disorder (PTSD) and history of traumatic brain injury (TBI) are prevalent conditions in military veterans, frequently co-occur in this population, and have substantial symptom overlap. Cognitive processing therapy (CPT) is an empirically supported treatment for PTSD but questions have arisen about its efficacy for individuals with a history of TBI, particularly those experiencing cognitive or other neurologic symptoms. Research examining the generalizability of CPT to veterans with both PTSD and a history of TBI has been limited. We describe the use of CPT with a veteran who presented with PTSD, a history of mild TBI, subjective cognitive complaints, objective cognitive deficits, and speech disturbance (stuttering). This case study demonstrates that CPT can effectively and significantly reduce core PTSD symptoms as well as cognitive symptoms and speech disturbances in this comorbid presentation. Highlights: We present a case of successful use of CPT-C in a veteran with comorbid PTSD and TBI CPT-C significantly reduces core PTSD symptoms in comorbid PTSD/TBI CPT-C significantly reduces cognitive and speech disturbances in comorbid PTSD/TBI