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Post-Traumatic Stress Disorder (PTSD) can be profoundly disruptive, interfering with relationships, work or school, sleep, and one’s basic sense of safety. For some, trauma leads to daily distress and constant hypervigilance; for others, it brings emotional numbing, avoidance, or the feeling of being permanently changed. Whether your trauma was recent or occurred years ago, effective, evidence-based treatments are available, and healing is possible.
At CBTTexas™, our PTSD Program offers the two most effective, research-supported therapies for PTSD: Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). These treatments are considered gold-standard interventions and are recommended by the American Psychological Association, the Department of Veterans Affairs, and the International Society for Traumatic Stress Studies as first-line approaches to trauma recovery.
Both PE and CPT are short-term, structured therapies, and can be tailored to meet the unique needs of each client. These treatments don’t require clients to relive trauma in unsafe ways; they are designed to create safety, mastery, and meaning, not overwhelm.
PE is a behavioral therapy designed to help individuals gradually reclaim their lives from fear, avoidance, and hyperarousal. After a trauma, it’s natural to want to avoid reminders of what happened, including thoughts, emotions, people, places, or even internal sensations. While avoidance can offer short-term relief, it tends to reinforce fear and prolong suffering.
PE helps clients safely confront what they’ve been avoiding, both in their memories and in real life. This happens through two main strategies:
Through repeated, structured exposure, clients learn that the trauma is in the past, that reminders are not dangerous, and that they can handle distress without avoiding it. PE is especially effective for individuals struggling with re-experiencing symptoms, avoidance behaviors, and hyperarousal, and is often life-changing for those who feel trapped by the ripple effects of trauma.
Cognitive Processing Therapy is a cognitive-behavioral treatment that focuses on helping clients make sense of what happened and resolve the “stuck points”, trauma-related beliefs that interfere with recovery. After trauma, it’s common to develop distorted or rigid beliefs about the event, oneself, or others. These beliefs may sound like:
CPT provides a structured, supportive way to identify these beliefs, examine their accuracy, and replace them with more balanced, adaptive perspectives. Clients learn to challenge cognitive distortions, reduce self-blame, and rebuild trust in themselves and others.
CPT is particularly effective for those struggling with guilt, shame, moral injury, or meaning-making after trauma. By working through the beliefs that keep trauma “stuck,” clients are able to reduce distress, reconnect with values, and regain a sense of identity that extends beyond the trauma.
Co-Director & Licensed Psychologist
Co-Director & Licensed Psychologist
Licensed Psychological Associate
6575 West Loop South, Suite 603, Bellaire, Texas 77401, United States
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