Cognitive Processing Therapy for Birth Trauma

(CB-PTSDCPT Trial)

This trial explores Cognitive Processing Therapy (CPT) to assist individuals who have experienced trauma during childbirth. The goal is to determine if an 8-session online therapy can reduce posttraumatic stress symptoms, such as flashbacks or anxiety related to the birth experience. Participants will attend therapy sessions, complete symptom surveys, and provide feedback on their experience. The trial seeks women and birthing people who are at least one month postpartum, experiencing significant distress from a traumatic birth, and not currently in other psychological treatment. As an unphased trial, it offers a unique opportunity to contribute to understanding how online therapy can support postpartum recovery.

You don't have to stop taking your current medications, but you must have been on a stable dose and type for at least 8 weeks before the study and remain stable throughout the study.

Research has shown that Cognitive Processing Therapy (CPT) is generally safe and well-tolerated. Studies have found that CPT helps reduce symptoms of posttraumatic stress disorder (PTSD) without causing major negative effects. For instance, one study found that CPT significantly improved PTSD and depression symptoms. Another study showed that CPT is safe for pregnant women, with no major negative effects reported.

CPT has also been tested in different settings, such as at home and online, demonstrating its flexibility and safety in various formats. While some people may stop the therapy early, research indicates that fewer people drop out when using at-home or online options compared to in-office sessions.

Unlike standard treatments for birth trauma that often involve general talk therapy or medication, Cognitive Processing Therapy (CPT) specifically targets the thoughts and beliefs that arise after a traumatic birth experience. Researchers are excited about CPT because it provides structured sessions that help individuals process and reframe their trauma-related thoughts, potentially leading to more effective and quicker emotional recovery. Additionally, CPT's focus on cognitive restructuring is unique as it empowers patients to alter their perception of the trauma, which can lead to lasting change.

Research has shown that Cognitive Processing Therapy (CPT) helps reduce symptoms of PTSD (post-traumatic stress disorder), including those related to childbirth. Studies have found that CPT can significantly lower PTSD symptoms and improve related issues like depression. For example, one study reported a significant drop in PTSD symptoms in patients after they received CPT for trauma related to childbirth. These improvements persisted even after the therapy ended, indicating long-term benefits. Overall, CPT successfully helps people manage and reduce trauma-related symptoms.²³⁵⁶⁷