BHAT® aka Bubble, Highlight & Annotate Technique by Laureen Jandroep

Effective Jan 1st, 2018, we provide one introductory video explaining the BHAT® method inside the BHAT® Cave. The actual BHAT® method which explains the markup for the individual CPT® manual alcohol rehab and recovery information chapters are now embedded PDF documents that you can view on any computer, smartphone, tablet or device. The videos were removed due to AMA Copyright issues related to the CPT® manual.

cpt techniques

CPT can be provided in individual and group treatment formats. Your provider will start off by giving you an overview of the treatment. Together, you will review some information about PTSD in order to help you better understand your symptoms.

This is where you list the experiences that you had early in life that may have contributed to the behavior. First, they identify predisposing factors, which are those external or internal and can add to the likelihood of someone developing a perceived problem (“The Problem”). Examples might include genetics, life events, or their temperament.

For example, people who undergo CPT may experience fewer feelings of hopelessness compared to people who go through other forms of therapy. This is true even if addressing hopelessness isn’t a specific goal of treatment. Your initial sessions will deal with psychoeducation about PTSD and the CPT approach. Your therapist will likely ask about your symptoms and talk about your goals for treatment. They will go over the ways in which your thoughts about your trauma impact your emotions and daily experience. Educating the patient about the specific post-traumatic stress disorder symptoms and the way the treatment will help them.


Your loved one’s decision to think about or start CPT is a great first step in recovery. Understanding the basics of CPT will help you support your loved one during the treatment process. CPT helps people recognize how trauma has changed their view about themselves, others, and the world.

And there a lot of ways to get there with this type of therapy. It can be easy to succumb to negative thoughts as a default setting. If you find yourself immediately thinking a negative thought when you see something new, such as entering an unfamiliar room and thinking “I hate the color of that wall,” give reframing a try .

Or ask your doctor or mental healthcare provider for a referral. Many hospitals run by the Department of Veteran’s Affairs also offer CPT treatment programs specially designed for military veterans. J. Lang’s information processing theory and the social cognitive theory of PTSD. Information processing theory holds that when a person who has experienced trauma encounters a stimulus that reminds them of that experience, a fear reaction is triggered in their memory. This effort reinforces the fear response, making it more likely the cycle will repeat itself. This form of therapy was initially designed to help victims of sexual assault and other forms of violent crime to more effectively manage their PTSD-related symptoms.

Many survivors were not able to feel their feelings during the traumatic event. Reading the account often allows people to feel these feelings now that the trauma is over and they are in a safe place. Individual and Group Combined includes practice fetal alcohol syndrome assignments and the written trauma account, which are processed in additional individual therapy sessions. CPT is a viable treatment option for most adults who have received a diagnosis of PTSD; it may also be used to treat older adolescents.

How CPT Works

If the person tires easily, the order of the positions can be varied, but all areas of the chest should be percussed or clapped. Although insurance providers often do not cover equipment of this kind, check with your insurance provider for your specific plan’s benefits. Sometimes, companies that make this equipment offer assistance programs.

  • If you’re an American veteran, CPT services are available through the Department of Veterans Affairs .
  • Reframing involves countering the negative thought by noticing things you feel positive about as quickly as possible.
  • That part of the lung is then drained using percussion, vibration, and gravity.

Last, they identify protective factors, to understand the client’s strengths, social supports, and adaptive behavioral patterns. Once you have defined the problems and understand why you are struggling with them, you then list coping strategies. These are not solutions to your problems, but ways to deal with the effects of those problems that can have a temporary impact. Next, you list the effectiveness of the coping strategies, such as how they make you feel in the short- and long-term, and the advantages and disadvantages of each strategy.

Your provider probably will ask about the type of trauma you experienced, but you will not need to go into great detail right away. Your provider will also ask you to do some writing about how your trauma has affected you. You will use worksheets in session and at home that help you learn this strategy. CPT can also include writing about the details of your trauma . This may sound difficult at first, but you may be more able to cope with emotions like anger, sadness and guilt by talking it over with your therapist.

Instructions for CPT

These disrupted beliefs are manifested in inaccurate self-statements that interrupt or “stall” the normal recovery process. CPT is designed to address the aftereffects of traumatic events. When first developed, it was used in treatment with individuals who had survived violent crimes such as rape and assault. But it is now also used in treatment with people who have experienced traumatic grief or military trauma, among other issues.

A significant reduction in the symptoms of both PTSD and depression was reported across all groups who received a course of CPT therapy. John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor’s degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life. Although CPT has been proven very effective in the treatment of PTSD, there are certain limitations to its effectiveness. More research is needed to determine the effectiveness of the treatment with different populations.

cpt techniques

Providing support if your loved one is nervous about doing the worksheets. Encouraging your loved one to face the difficult or uncomfortable feelings may actually help them stick with and finish the treatment. Asking your loved one if to talk about treatment and respecting the answer. You are providing support by asking to talk even if your loved one is not ready to do so. There are resources listed at the end of this page to help you start learning. The business is growing but Laureen”s desire to share this incredible method with people is still the foundation….

In CPT, you will learn skills that can help you decide whether there are more helpful ways to think about your trauma. You will learn how to examine whether the facts support your thought or do not support your thought. And ultimately, you can decide whether or not it makes sense to take a new perspective. Your therapist will ask about your thought process in certain situations so you can identify negative patterns. Once you’re aware of them, you can learn how to reframe those thoughts so they’re more positive and productive. The effect of integrating psychodrama and cognitive behavioral therapy on reducing cognitive distortions in interpersonal relationships.

It emphasizes how negative or incorrect thoughts about past trauma can fuel powerful secondary emotions that keep clients trapped in a negative spiral. This guide shares what you need to know about how CPT works, what studies show about its effectiveness, and how you can get certified if you’re interested in incorporating the techniques into your practice. Cognitive processing therapy is a therapeutic technique designed to help people deal with traumatic life events and the lasting impact these events may have on their lives. CPT is a specific type of cognitive behavioral therapy that helps patients learn how to modify and challenge unhelpful beliefs related to the trauma.

The BHAT® Method’s Stories

Never disregard professional psychological or medical advice or delay in seeking professional advice or treatment because of something you have read on GoodTherapy. Individuals who experience PTSD symptoms are likely to experience other mental health issues, such as substance abuse, depression, and dissociation. You may be asked to write an impact statement that explores your thoughts and beliefs about the trauma. This statement will talk about why you think the trauma occurred and the ways you believe it has affected your life.

Have your child sit up and lean forward on a pillow over the back of a sofa or soft chair at a 30-degree angle. Stand or sit behind your child and clap both sides of the upper back. Your child should sit upright and reach across his or her chest to clap on front of chest over the muscular area between the collarbone and the top of the shoulder blade. Your child can also clap his or her own upper back if able to reach it.

I am currently taking one of the courses available at CCO and I love this technique for my coursework. Also, I work as a remote medical coder in a high production roll , and marking my books helps with my daily coding job. I plan to continue to use the BHAT® method every year it has truly made a difference in my coding career. I took the Christiana Care Health sponsored CPC coding course in Newark, Delaware.

Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates.

This is usually done for three to five minutes and is sometimes followed by vibration over the same area for approximately 15 seconds . The person is then encouraged to cough or huff forcefully to get the mucus out of the lungs. Yes, CPT Coach is a mobile app that you can use with a provider during CPT. CPT Coach can help you to learn more about CPT and PTSD symptoms and helps you stay organized with worksheets as you complete CPT. CPT Coach is free and can be downloaded on most mobile devices. After your initial download, you will not be required to use any of your personal minutes or data to use the app.

Contact the company (or visit the company’s website) for details. Infants can be positioned with or without pillows in the caregiver’s lap. The caregiver should not lean forward when doing percussion, but should remain in what is the difference between an upright position to protect his or her back. The surface that the person with CF lies on should be at a comfortable height for the caregiver. Both the person with CF and the caregiver should be comfortable during CPT.