Andrea Lynn Piazza

CPT works on what trauma made you believe.

A structured, evidence-based therapy for PTSD. By video with a CPT-trained clinician, in eight states.

Book a free 15-minute consultFees and insurance
A green notebook on a desk

What CPT is

Cognitive Processing Therapy is one of the most studied treatments for PTSD. It focuses on "stuck points": beliefs that formed during or after trauma and never got updated. Things like "it was my fault," "I can't trust anyone," or "if I relax, something bad will happen."

We look at those beliefs closely, check them against what actually happened, and build more accurate ones. The memories do not disappear, but they stop dictating how you see yourself and other people.

What it looks like

CPT is usually around 12 weekly sessions, with short worksheets between them. You write an impact statement early on about how the trauma has affected you. Writing a detailed account of the event is optional.

The structure suits people who like a clear plan. For ADHD clients, I adapt the worksheets so the homework is realistic.

Who it suits

  • PTSD from a specific event, or a series of events
  • People who want a defined, time-limited treatment
  • People who blame themselves for what happened

Cost

Sessions are $180 for 60 minutes after a $200 initial assessment. I am in network with Anthem, Aetna and United through Alma, and provide superbills for other plans. See all fees.

Questions

How many sessions is CPT?

Usually about 12, sometimes more for complex trauma.

Does CPT work online?

Yes. Research supports CPT delivered by video.

CPT or EMDR?

Both are first-line treatments for PTSD. CPT is more structured and thought-focused. EMDR works more through memory and body sensation. We can talk through which fits you.

Want a clear plan for PTSD?

Book a free 15-minute consult and we can talk about whether CPT fits.

Book a free consult