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    • Home
    • About
      • Our Team
      • What is CBT
      • Our Areas of Expertise
    • Therapy Services
      • OCD and Anxiety Program
      • Eating Disorders Program
      • PTSD Program
      • RO DBT Program
      • Women's Health Program
      • Schema Therapy Program
      • Intensives
    • Education & Consultation
    • Contact Us
      • New Patient Inquiry Form
      • Professional Inquiry Form

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  • Home
  • About
    • Our Team
    • What is CBT
    • Our Areas of Expertise
  • Therapy Services
    • OCD and Anxiety Program
    • Eating Disorders Program
    • PTSD Program
    • RO DBT Program
    • Women's Health Program
    • Schema Therapy Program
    • Intensives
  • Education & Consultation
  • Contact Us
    • New Patient Inquiry Form
    • Professional Inquiry Form

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A soldier standing at attention as the sun sets.

PTSD Program

Trauma is a word that gets thrown around too liberally these days

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.

Get Started Today

Contact us today to schedule a free 15-minute consultation.

Contact Us

Treatments Offered

Prolonged Exposure (PE)

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:

  • Imaginal exposure: Clients revisit the trauma memory in a detailed, intentional, and supported way, telling the story aloud with their therapist and processing the meaning and emotions attached to it. This helps the brain integrate the experience and reduces the “emotional charge” associated with the memory over time.
  • In vivo exposure: Clients gradually face trauma-related triggers in their day-to-day lives, such as driving, public places, or crowded rooms, so they can rebuild confidence and reengage with life.


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 (CPT)

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:


  • “It was my fault.”
  • “I should have done something differently.”
  • “I’ll never be safe again.”
  • “No one can be trusted.”
  • “I’m broken.”


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.

PTSD Program Therapists

Allie Appenzeller, Licensed Psychologist and Co-Director of CBTTexas

Allie Appenzeller, PsyD

Allie Appenzeller, PsyD

Allie Appenzeller, PsyD

Co-Director & Licensed Psychologist

About Me
Zach Appenzeller, Licensed Psychologist and Co-Director of CBTTexas

Zach Appenzeller, PsyD

Allie Appenzeller, PsyD

Allie Appenzeller, PsyD

Co-Director & Licensed Psychologist

About Me
Lexie Duhon, LPA and Therapist at CBTTexas

Lexie Duhon, MA, LPA

Allie Appenzeller, PsyD

Lexie Duhon, MA, LPA

Licensed Psychological Associate

About Me

6575 West Loop South, Suite 603, Bellaire, Texas 77401, United States

(954) 866-3584

Copyright © 2025 Texas Institute for Cognitive and Behavioral Therapies, PLLC- All Rights Reserved.

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