Clinical and Administrative Insights From Delivering Massed Trauma-Focused Therapy to Service Members and Veterans

Edward Wright, Jennifer Schuster Wachen, Cynthia Yamokoski, Tara Galovski, Kris Morris, Elizabeth M. Goetter, Brian Klassen, Vanessa Jacoby, Liza Zwiebach, Jo Sornborger, Katherine A. Dondanville, Brooke A. Fina, Sheila A.M. Rauch

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Despite strong evidence of their effectiveness in reducing symptoms of posttraumatic stress disorder (PTSD), prolonged exposure therapy (PE) and cognitive processing therapy (CPT) remain challenging for some service members and veterans to access and complete. Delivering PE and CPT in time-condensed or “massed” formats may reduce barriers to receiving care. PE and CPT have now been implemented across a range of tempos (e.g., multiple sessions per day across 1 week, one session per day for 3 weeks) and to multiple target populations, in a variety of contexts from individual therapy alone to full intensive outpatient programs. A massed format of treatment delivery has advantages for both patients and providers, including quicker time to recovery, less opportunity for avoidance, and improved treatment completion rates. The time-limited nature of massed treatment also creates accompanying challenges, such as less time to practice homework and greater impact when factors delay or disrupt progress. This paper discusses lessons learned from providers across diverse settings who are experienced in both delivering massed PE and CPT and managing such programs, primarily with military populations.

Original languageEnglish (US)
JournalCognitive and Behavioral Practice
DOIs
StateAccepted/In press - 2022

Keywords

  • cognitive processing therapy
  • massed treatment
  • posttraumatic stress disorder
  • prolonged exposure therapy

ASJC Scopus subject areas

  • Clinical Psychology

Fingerprint

Dive into the research topics of 'Clinical and Administrative Insights From Delivering Massed Trauma-Focused Therapy to Service Members and Veterans'. Together they form a unique fingerprint.

Cite this