jon

About Jon Finch

Clinicians PTSD blog is written by Dr Jon Finch a Clinical Psychologist, a clinician treating PTSD and traumatised individuals for over 10 years. It is mainly for clinicians treating people who have PTSD and other trauma related conditions. It is focused on evidence-based therapy, trauma focused therapy and Cognitive Processing Therapy.

My client does not seem to be progressing. Should I make changes to the therapy?

This is a question often heard in supervision. When it comes to Cognitive Processing Therapy and this question, there is research to help guide clinicians. LoSavio, et al. (2019) examined unhelpful beliefs that therapist might have about CPT (in CPT language "stuck points") and PTSD treatment. For example, "If I press my client about completing [...]

By |2020-09-13T22:06:07+10:00September 13th, 2020|

You can treat co-morbid PTSD and TBI with a cognitive therapy?

It might seem counter intuitive, but there is evidence that supports the treatment of co-morbid PTSD and mild traumatic brain injury (mTBI) with CPT. Crocker et al. (2019) trialed a variation of CPT modified for mTBI; SMART-CPT combined compensatory cognitive training components of Cognitive Symptom Management and Rehabilitation Therapy (CogSMART) with CPT. Crocker et al. [...]

By |2020-08-10T22:20:00+10:00August 10th, 2020|

Can I use CPT with young people?

The simple answer is YES. Rosner and colleagues (2019) put this to test via a multicenter, randomized clinical trial of 88 participants (aged 14-21 years), with developmentally adapted Cognitive Processing Therapy (D-CPT). Cognitive Processing Therapy was adapted by the addition of some of the following: • Inclusion of a motivational and alliance-building phase • Inclusion [...]

By |2020-07-12T17:16:14+10:00July 12th, 2020|

Will treating PTSD increase the risk of suicide?

Clients with PTSD are often distressed. Concern about their wellbeing is often part of the process for a clinician. Sometimes part of this concern is because of the client's suicidal ideation. At times this concern includes if treatment will reduce or increase suicidal ideation. Brown et al. (2019) examined prolonged exposure and found that treatment [...]

By |2020-06-05T17:30:43+10:00June 5th, 2020|

CPT the more you do the better you get

Conversations about dropout and attendance can often be difficult with client’s who have PTSD and may feel compelled by avoidance to stay away from therapy. Now there is more CPT research to help your client understand the importance of completing therapy. Holmes et al. (2019) examined patterns of dose response for clients who do and [...]

By |2020-05-03T22:33:50+10:00May 3rd, 2020|

HOW CAN I HELP MY CLIENT STAY IN THERAPY – WHAT PREDICTS DROP OUT FROM CPT?

In 2019 two studies looked at why clients drop out of PTSD therapy. Browne et al. (2019) examined veterans self-reported reasons for non-attendance in psychotherapy for posttraumatic stress disorder. Holder et al. (2019) looked at predictors of dropout from a randomized clinical trial of Cognitive Processing Therapy (CPT) for female veterans with military sexual trauma-related [...]

By |2020-03-12T12:31:03+10:00March 12th, 2020|

Prazosin for PTSD Patients with Nightmares and Suicidal ideation.

PTSD and nightmares have had a long association, there is also believed to be a link between the occurrence of PTSD related nightmares and suicidal ideation. If a change in the intensity and frequency of  PTSD related nightmares is linked to reduction of suicide due to PTSD then it makes sense to work towards reducing [...]

By |2020-02-02T13:20:12+10:00February 2nd, 2020|

Can I do CPT over video conferencing, will it be effective?

With the potential for people in rural and remote areas of Australia to now access services via video conferencing the question is, can Cognitive Processing Therapy delivered by video work? There are now four noninferiority trials (yes trials to find out if video conference delivery was inferior or not) showing that Cognitive Processing Therapy (CPT) [...]

By |2020-01-28T07:56:59+10:00January 28th, 2020|

Bushfire Emergency-Reminders

The current bushfire emergency may be a reminder for those who have been through a traumatic event. For some survivors this can mean an increase in stress and reactions ranging from feeling mildly upset for a day or two to more extreme reactions with more severe symptoms. This can be a time when clinicians should [...]

By |2020-01-25T13:37:36+10:00January 13th, 2020|