Client presentation and choice of therapy is often a challenge for clinicians. There are often many facets of a client’s experience of PTSD. This includes dissociative experience, multiple traumas, chronicity, severity, experience of tonic immobility and self-blame. All these may be considerations in the choice of therapy. Research suggests that cognitive processing therapy (CPT) may be a particularly well?suited intervention for trauma survivors who endorse self?blame. However, the question, “Does it work with clients who don’t describe self-blame as a significant component of their PTSD”, has not been answered. In a June 2018 article in the Journal of Traumatic Stress (https://doi.org/10.1002/jts.22289) this was examined.
The authors examined veterans with PTSD. They divided them into two groups prior to treatment. Those who endorsed low levels of self-blame and those that endorsed high levels of self-blame. They found that there was no difference in treatment response between the low and high self-blame groups.
CPT is effective treatment for PTSD in client’s who endorse self-blame and those that don’t.