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Cognitive-Behavioral Therapy of Complex PTSD and Common Co-Morbid Conditions with Youth
Original Recording Date :

Course Format

Recorded webinar.

This course will provide an overview of evidence-based cognitive-behavioral therapy (CBT) with youth with complex trauma and common co-morbid conditions. Content will be drawn from evidence based treatments for youth trauma including: Integrative Treatment of Complex Trauma for Adolescents (ITCT-A) and Trauma-Focused CBT (TF-CBT).  In addition, evidence based interventions for common co-morbid conditions including depression, anxiety, disruptive behavior disorders, substance abuse and Borderline Personality Disorder (traits) will be covered. Training will involve didactic instruction, case study and small group discussion.  Content will cover: diagnosis and assessment of complex trauma & PTSD; therapeutic relationship development; psycho-education of PTSD, complex trauma and the “PRACTICE” Model; emotional processing theory of PTSD; stress inoculation therapy; distress reduction & affect regulation training; gradual exposure therapy; creating a “trauma narrative”; cognitive processing and restructuring of trauma distortions; parent, family & community involvement; integrating homework assignments; and personal & community safety enhancement.  Use of evidence based CBT with common co-morbid disorders including depression, anxiety, disruptive behavior disorders, Borderline Personality Disorder (traits) and substance abuse will be incorporated. In addition, innovative “Third Wave” interventions including methods to enhance resilience, positive emotions and personal growth will be reviewed. 

Learning Objectives:  

Upon successful completion of this course, students will be able to:

  1. Identify DSM-V diagnostic criteria for Post-Traumatic Stress Disorder (PTSD)
  2. Identify associated symptoms/characteristics of “complex” trauma in youth
  3. Identify the etiological factors of both discrete and “complex” trauma
  4. Identify the fundamental principles and techniques of CBT with PTSD including social work values and ethics
  5. Identify the fundamental principles of TF-CBT including: psycho-education, distress/affect regulation, cognitive processing/restructuring, exposure therapy and the use of the “trauma narrative”, in vivo exposure, and safety planning
  6. Identify the fundamental principles and techniques of ITCT-A including: characteristics of “complex” trauma, Initial Trauma Review for Adolescents, Assessment Treatment Flowchart, Problems to Components Grid, safety intervention, Trigger Grid, titrated exposure, and written trauma homework
  7. Identify the fundamental principles and techniques of CBT with common co-morbid disorders including mood, anxiety, disruptive behavioral disorders, Borderline Personality Disorder (traits) and substance abuse.
  8. Learn advanced “Third Wave” CBT methods to promote resilience, positive emotions and personal growth
  9. Gain an understanding of effective methods to involve family members and caretakers in treatment
  10. Gain an understanding of effective community interventions

Research: CBT is a widely studied form of evidence-based psychotherapy. Select information can be found at The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses as well as numberous publications at National Institutes of Health

Target Audience: social workers, mental health practitioners, creative arts therapists, marriage and facility therapists, psychologists, and other interested individuals

Customer Service

ADA Accommodations: If you require any support for your ADA needs in the United States, please contact us by email at least 3 weeks prior to the event by email at or by phone at 716-829-5841.

Customer Service: We are happy to respond to any concerns or questions you may have. Please contact us at by email at or by phone at 716-829-5841.

David M. Pratt, MSW, PhD

David M. Pratt, Ph.D., MSW, is a New York State Licensed Psychologist with 40+ years’ experience working with children, adolescents and families. Dr. Pratt is in private practice at the Western New York Psychotherapy Services in Amherst, NY and a trainer with PESI, Inc. He is presently on faculty with the University at Buffalo, School of Social Work, Office of Continuing Education and a member of New York State, Office of Mental Health Advisory Board on Evidence-Based Treatments for Youth. He was the Principal Psychologist at the Western New York Children’s Psychiatric Center, Clinical Assistant Professor of Psychiatry at the University at Buffalo and Adjunct Professor/Lecturer, University at Buffalo Counseling, School and Educational Psychology department.

Dr. Pratt has conducted numerous trainings in Cognitive Behavioral Therapy at local, state, national and international forums. He is the author of CBT Toolkit for Depressed, Anxious and Suicidal Children and Adolescents (PESI Publishing, Inc., 2019) and Advanced CBT Toolbox for Children and Adolescents: Promoting Resilience, Positive Emotions and Personal Growth (in press, PESI, Publishing, Inc.).


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