Delivered as Described: A Successful Case of Cognitive Processing Therapy With an Older Woman Veteran With PTSD

Cogn Behav Pract. 2022 Nov;29(4):914-923. doi: 10.1016/j.cbpra.2021.06.004. Epub 2021 Jul 27.

Abstract

Cognitive processing therapy (CPT) is a first-line, evidence-based treatment for posttraumatic stress disorder (PTSD). Little is known, however, about the use of CPT for older adults. As the United States population continues to grow and age, an understanding of the utility of CPT for older adults is vital. We present a case study describing the assessment and cognitive treatment of a 74-year-old woman veteran with PTSD secondary to military sexual trauma. CPT was associated with decreased PTSD symptoms as measured before and after treatment. Factors contributing to the veteran's response, as well as contextual and environmental factors, are discussed. The case demonstrates that CPT may be effective for older adults without major modification.

Keywords: Cognitive Processing Therapy; PTSD; military sexual trauma; older women; rape; women veterans.