PTSD stuck points worksheet

What is the theory behind this PTSD stuck points worksheet?

This worksheet is based on the Cognitive Processing Therapy model for PTSD survivors that focuses on how individuals develop maladaptive cognitions in attempts to understand and process the traumatic event. These are referred to as ‘stuck points’ because they prevent the individual from moving forward on the road to recovery. 

Stuck points are always a brief statement based on thoughts about why the traumatic event happened and its effect on oneself, others and the world in general. They are not behaviours, feelings, facts, questions or morals. They usually are structured in an ‘if-then’ format, are black and white statements and make use of extreme language such as ‘never’ and ‘always’. A therapist uses Socratic Dialogue to encourage clients to respond with their ‘stuck points’.

How will the worksheet help?

The primary goal of CPT is to identify as many of these maladaptive cognitions or stuck points throughout the therapy process so that they can be challenged and modified.  This worksheet will help the client in compiling all the stuck points that have been identified using multiple strategies in the therapy process. They can track their progress by marking which they no longer believe in. 

How to use the worksheet?

Instruct the client to keep a log of their stuck points as they are identified throughout the therapy process. They have to attach it on the front in their therapy workbook/binder and kepe revisiting it to mark off the ones that they have worked through and no longer believe in. 

PTSD stuck points worksheet

What are Stuck Points?

  • They are thoughts. NOT feelings, behaviour, questions, facts or morals
  • ‘If-then’ brief statements
  • They are based on ‘Black and White’ or ‘All or nothing’ thinking
  • Not necessarily just ‘I’ statements

This Worksheet will be used by you to keep a record of all the ‘stuck points’ as you identify them throughout the therapy process. Keep this log on top of your therapy workbook/binder after your ’Impact Statement’. By the end of every therapy session, look over it with your therapist to add on newly discovered ones  or mark off the ones you don’t believe in anymore. 



You can download this worksheet here.

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