PE Session 1: Treatment Rationale Index Trauma

​This video demonstrates the rationale for treatment presented in session 1 followed by identification of the index trauma during the trauma discussion. Client presents with anger as a predominant emotion. In this case the therapist must help the client sort out one event from among many which seem similar and equally distressing.​

PE Session 3: Imaginal Rationale Imaginal Exposure Processing

This video demonstrates the rationale for imaginal exposure followed by a portion of the client’s imaginal exposure of a combat related trauma. After a break, the video picks up again at the end of imaginal exposure and demonstrates processing after the first imaginal exposure.​

PE Session 6: Imaginal Exposure Processing

This video demonstrates a way to discuss the function of anger in PTSD, and the importance of helping the client look beyond the anger to work with other emotions that may be present as well. Both the imaginal exposure and the processing demonstrate increased therapist activity that occurs in later sessions as the therapist prompts and focuses the client’s attention on important details and cognitions.

PE Session 1: Treatment Rationale Index Trauma

This video demonstrates the rationale for treatment presented in session 1 followed by identification of the index trauma during the trauma discussion. This client presents as depressed and numb as predominant emotional experiences. In this case the therapist must help the client sort out one event from among many which seem similar and equally distressing.​

PE Session 2A: Common Reactions

This video demonstrates a brief discussion of the common reactions to trauma. Despite the brevity of the discussion, the therapist engages the client in discussion and disclosure rather than simply presenting the reactions as a didactic lecture.​

PE Session 2B: In Vivo Rationale In Vivo Hierarchy

This video demonstrates the rationale for in vivo exposure, construction of the In vivo hierarchy, development of the SUDs scale, and assignment of the In vivo homework.

PE Session 3: Imaginal Rationale Imaginal Exposure

This video demonstrates the rationale for imaginal exposure, instruction and set-up for the first imaginal exposure, and implementation of imaginal exposure. The client is predominantly numb and matter of fact throughout the exposure. There is brief processing at the end of the clip.​

PE Session 5: Imaginal Exposure

This video demonstrates helping the client increase engagement in imaginal exposure in a predominantly numb presentation. Both the imaginal exposure and the processing demonstrate increased therapist activity that occurs in later sessions as the therapist prompts and focuses the client’s attention on important details and cognitions.​

PE Session 1: Treatment Rationale Index Trauma

This video demonstrates the rationale for treatment presented in session 1 followed by identification of the index trauma during the trauma discussion.​

PE Session 2A: Common Reactions to Trauma

This video demonstrates a discussion of the common reactions to trauma. The therapist begins by focusing on the presenting problem and proceeds through some of the symptoms mentioned initially by the client eventually covering most of the reactions listed in the protocol though not in the order listed in the protocol.​

PE Session 2B: In Vivo Rationale In Vivo Hierarchy

This video demonstrates the rationale for in vivo exposure, construction of the In vivo hierarchy, development of the SUDs scale, and assignment of the In vivo homework.​

PE Session 3: Imaginal Rationale Imaginal Exposure Processing

This video demonstrates the rationale for imaginal exposure, instruction and set-up for the first imaginal exposure, and implementation of imaginal exposure. The client is well engaged even though this is the first exposure and the therapist responses and prompts are accordingly minimal, though she maintains occasional supportive statements and calm, solicitous voice tone to maintain connection with the client. After a break, processing at the end of the clip focuses on validating the client’s efforts and normalizing distress reactions to the memory. The therapist also discusses using the imaginal recording for homework.

PE Session 6: Introduce Hot Spots Imaginal Exposure Processing

This video demonstrates a short rationale for hot spots, selection of hot spot portions of the memory, and implementation of the first hot spot. After a break, processing focuses on cognitions related to guilt and responsibility for the trauma. Processing in this clip is informal, and the therapist is not at this point challenging the client’s cognitions directly, but frequently restates and emphasizes details and cognitions that lay the groundwork for processing in future sessions.

PE Final Session

This video demonstrates review of successful treatment in the final season, including the final imaginal exposure and changes in the in vivo hierarchy. The client is able to discuss how his cognitions about the event and his role in the event have changed.​