Trauma and Healing: Understanding Cognitive Processing Therapy

Trauma can deeply affect how you see yourself, others, and the world. You may feel stuck in the past, overwhelmed by guilt or fear, or uncertain about your safety, identity, and worth. Even long after the traumatic event, you might still struggle with intrusive memories, emotional numbness, or anxiety that disrupts daily life.

As a trauma-informed psychologist providing online therapy for adults in Massachusetts, Rhode Island, and Vermont, I use Cognitive Processing Therapy (CPT) to help clients move beyond these pain points—and reclaim their lives.

What Is Cognitive Processing Therapy?

Cognitive Processing Therapy (CPT) is a structured, evidence-based treatment developed specifically to treat Post-Traumatic Stress Disorder (PTSD) and trauma-related symptoms. It is a form of Cognitive Behavioral Therapy (CBT) designed to help you understand how trauma has shaped your beliefs and behaviors—and to shift the unhelpful patterns that keep you feeling stuck.

Through CPT, you can:

• Understand how trauma has impacted your thoughts, emotions, and behaviors.

• Identify and challenge distorted beliefs such as self-blame, mistrust, or hopelessness.

• Reduce PTSD symptoms like hypervigilance, flashbacks, or emotional avoidance.

• Reconnect with a sense of safety, trust, and self-worth.

• Develop more balanced, compassionate ways of thinking.

  
  

Who Is CPT For?

CPT is highly effective for adults who have experienced:

• Childhood abuse or neglect.

• Sexual or physical assault.

• Military trauma or combat-related PTSD.

• Medical trauma, accidents, or natural disasters.

• Complex, repeated trauma (such as interpersonal or developmental trauma).

• Traumatic grief or loss.

  
  

You may benefit from CPT if you:

• Feel emotionally stuck or “frozen in time.”

• Struggle with guilt, shame, or persistent self-blame.

• Avoid reminders of the trauma or suppress painful memories.

• Experience intense anxiety, depression, or emotional detachment.

• Want to heal but aren’t sure how to move forward.

  
  

What Happens in CPT?

Cognitive Processing Therapy is typically delivered over 12 sessions, either weekly or biweekly, and follows a structured, collaborative process. Sessions often include writing exercises and worksheets that guide you through key themes. Here’s what to expect:

1. Psychoeducation

   Learn how trauma impacts the brain and body—and why your responses are understandable, even if they feel disruptive.

   
   

2. Identifying “Stuck Points”

   We’ll identify beliefs that are keeping you in distress, such as “I’m to blame,” or “The world is dangerous.”

   
   

3. Cognitive Restructuring

   You’ll challenge and shift unhelpful beliefs through guided reflection and practical exercises.

   
   

4. Processing the Trauma

   Without having to repeatedly relive the trauma, you’ll write about the event in a safe, structured way to clarify its meaning and reduce avoidance.

   
   

5. Integration and Healing

   We’ll explore how new insights apply to themes like trust, safety, power, control, esteem, and intimacy—building a foundation for long-term resilience.

   
   

CPT and Online Therapy: Does It Work?

Yes—Cognitive Processing Therapy is highly effective via telehealth. I offer secure, HIPAA-compliant online therapy for adults across Massachusetts (MA), Vermont (VT), and Rhode Island (RI). Whether you live in Boston, Burlington, Providence, or a more rural area, you can access expert trauma care from the comfort of your home.

CPT translates well to online therapy, offering structure, clarity, and a clear roadmap for healing—without needing to be in person.

Trauma Therapy That Honors Your Strength

At Brenner Psychological Associates, I specialize in helping adults heal from trauma with compassion and evidence-based care. CPT is not about forgetting the past—it’s about finding the tools and perspective to live more fully in the present. You’re not broken. You’re not alone. And with the right support, healing is possible.

The Importance of Seeking Help

Many individuals hesitate to seek help for trauma. They may feel ashamed or believe they should be able to cope on their own. However, reaching out for support is a sign of strength. It shows a willingness to confront pain and work towards healing.

Understanding the Healing Process

Healing from trauma is not linear. It involves ups and downs, and everyone’s journey is unique. CPT provides a structured approach that can help you navigate this process. By understanding your trauma and its effects, you can begin to reclaim your life.

Building a Support System

In addition to therapy, having a support system is crucial. Friends, family, or support groups can provide comfort and understanding. Sharing your experiences with trusted individuals can help alleviate feelings of isolation.

Practicing Self-Care

Self-care is an essential part of the healing journey. Engage in activities that bring you joy and relaxation. This could include exercise, art, reading, or spending time in nature. Prioritizing self-care can enhance your overall well-being and support your healing process.

The Role of Mindfulness

Incorporating mindfulness techniques can also be beneficial. Mindfulness helps you stay present and can reduce anxiety. Simple practices, such as deep breathing or meditation, can help ground you in the moment.

Ready to Take the First Step?

If you're seeking online trauma therapy in Massachusetts, Vermont, or Rhode Island, I invite you to schedule a free consultation. Together, we’ll explore whether CPT is the right fit—and take steps toward healing, growth, and renewed confidence.

Healing is a journey, and with the right support, you can move forward. Remember, you are not alone in this process.