Cognitive-behavioral Couple's Treatment for Post-traumatic Stress Disorder
| Manual Title |
Cognitive-behavioral Couple's Treatment for Post-traumatic Stress Disorder |
| Creators |
Candice Monson, Ph.D., Karen Guthrie, Ph.D., and Susan Stevens, Ph.D. |
| Reference |
Monson, C.M., Stevens, S.P. & Schnurr, P.P. (2005). Cognitive-behavioral couple's treatment for posttraumatic stress disorder. In T. Corales (Ed.), Focus on Posttraumatic Stress Disorder Research, p. 245-274. Nova Sciences Publishers. |
| Price |
To be determined |
| Contact Information: |
Candice M. Monson, Ph.D.
Deputy Director, Women's Health Sciences Division
VA National Center for PTSD
VA Boston Healthcare System
150 South Huntington Avenue (116-B3)
Boston, MA 02130
617-232-9500, X2525
617-278-4145 FAX
Email: Candice.Monson@med.va.gov
|
Program Overview:
Theoretical Orientation:
Cognitive-behavioral
Format:
Program evolved out of the Family I.M.P.A.C.T.(Family Integration
in the Management, Prevention, Assessment, and Counseling of Trauma)
Project at the White River Junction VA and National Center for PTSD,which
involves veterans dealing with military-related PTSD (primarily combat-related
trauma).
15 weekly 75-minute sessions are provided to individual couples
Phases of Treatment:
- Orientation,Psychoeducation about PTSD and Ensuring Safety (3 sessions)
- Includes review of treatment expectations(including out-of-session
assignments), signing a treatment contract, establishing"catching
your partner doing something good," education about PTSD and conflict management
skills, etc.
- Communication Skills Training (5 sessions)
- Involves teaching traditional communication skills (e.g., listening,
assertiveness, etc.), including weekly review of 5-10minute audiotape
of couple's practicing communication skills from the week.
- Cognitive Interventions (5 sessions)
- Introduces five themes (adapted from Patti Resick's Cognitive Processing
Therapy (1992) and outlined by McCann &Pearlman, 1990) to guide
exploration of couples' beliefs. Themes include:safety, trust, power/control,
intimacy and esteem
- Review and Reinforcement of Gains (1 session)
Involves review of program and anticipation of possible future challenges
Research: Uncontrolled trial of six couples found clinically
reliable decreases in clinician-rated PTSD symptoms in all of the veterans.
Many of the veterans also reported decreased PTSD, anxiety and depression
symptoms. Monson, Guthrie, Stevens & Schnurr (2004). Authors plan to do a randomized clinical trial.
Note: Above description reviewed and approved by Dr. Monson, 2-19-03
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