Flexible Online Cognitive Processing Therapy Options

At Grouport, we offer multiple ways to access Cognitive Processing Therapy, all led by licensed clinicians. Whether you prefer individual sessions for focused work on your stuck points, group therapy where shared experiences normalize recovery, or a higher-intensity program, our CPT-informed offerings are designed to help you challenge the beliefs keeping you stuck. Many members choose to combine formats for the most comprehensive support.

Online Group Therapy

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Online Group Therapy

Join a therapist-led group with up to 12 members. Group CPT has been shown to be effective in RCTs, and hearing others identify similar stuck points can be powerful. The group format normalizes post-trauma beliefs, reduces shame, and provides multiple perspectives as you work through your cognitive worksheets together.

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Online Individual Therapy

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Online Individual Therapy

Work one-on-one with a licensed therapist trained in CPT to identify and challenge your stuck points. Individual Cognitive Processing Therapy uses Socratic questioning and cognitive worksheets to help you develop more balanced, accurate beliefs about yourself, others, and the world.

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Virtual Intensive Outpatient Program (IOP)

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Virtual Intensive Outpatient Program (IOP)

For those who need a higher level of support, our virtual IOP offers multiple therapy sessions each week, combining individual and group care with evidence-based interventions including CPT, CBT, and DBT at a more intensive cadence tailored to your needs.

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Online Family Therapy

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Online Family Therapy

Trauma changes how you see yourself, others, and the world, and that affects the whole family. CPT-informed family therapy helps family members understand how trauma beliefs impact relationships and supports the healing process for everyone.

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Online Teen Therapy

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Online Teen Therapy

CPT has been used with adolescents to help them identify and challenge the beliefs that developed after their traumatic experiences. By learning to evaluate their thoughts, teens develop critical thinking skills that serve them well beyond trauma recovery. We offer separate therapy groups for Adults (18+) and Teens & Adolescents (under 18) to ensure age-appropriate support.

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Online Couples Therapy

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Online Couples Therapy

Trauma often disrupts beliefs about trust, intimacy, and safety in relationships. CPT-informed couples therapy helps partners understand how these changed beliefs affect their connection and works to rebuild trust and closeness as part of the recovery process.

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Looking for a Self-Paced DBT Option?

Build DBT skills at your own pace with our therapist-developed program — featuring video lessons, worksheets, and tools you can access anytime.

Start Your Online Cognitive Processing Therapy in 3 Simple Steps

Our online Cognitive Processing Therapy is designed to help you challenge the beliefs keeping you stuck after trauma through a structured, evidence-based approach. Here is how to get started.

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01   Choose the Right Therapy Format & Plan

Whether you want individual CPT sessions, group therapy for shared recovery, a combination of both, or our IOP program for more intensive care, you will start by selecting the format that fits your needs and schedule. Complete our onboarding form and sign up directly.

02   Have a 1:1 Consultation with a Care Coordinator

After signing up, you will connect with a dedicated care coordinator who will discuss your challenges, goals, and where you are in the change process. They will match you with a therapist trained in CPT and trauma-focused approaches and walk you through your options. You will make the final choice about your care, including which therapists you will meet with and session times.

03   Begin CPT Sessions

Start your recovery. Your therapist will guide you through Cognitive Processing Therapy's structured approach: understanding the impact of trauma, identifying your stuck points, and learning to challenge unhelpful beliefs using cognitive worksheets and Socratic questioning. Most people begin to see significant improvement within the first several sessions. Our team will be here to support you at every step.

Understanding Cognitive Processing Therapy: How It Works

Cognitive Processing Therapy (CPT) was developed by Dr. Patricia Resick in 1988, originally for survivors of sexual assault. It is now one of the most studied and recommended treatments for PTSD, with over 30 randomized controlled trials and multiple meta-analyses confirming its effectiveness. A meta-analysis found CPT produced a large effect size (g=1.24) compared to controls, with the average treated person doing better than 89% of those in control conditions.

CPT is based on the understanding that after trauma, people develop "stuck points": distorted beliefs about why the trauma happened and what it means. These beliefs fall into two patterns:

  • Assimilation: distorting the trauma to fit existing beliefs ("It must have been my fault" or "I should have known better"), leading to guilt, shame, and self-blame.
  • Over-accommodation: changing beliefs about the entire world to fit the trauma ("Nobody can be trusted," "I am permanently broken," "The world is completely dangerous"), leading to fear, withdrawal, and emotional numbness.

CPT targets stuck points across five themes that trauma commonly disrupts: safety, trust, power/control, esteem, and intimacy. Through structured worksheets and Socratic questioning, your therapist helps you examine your stuck points, evaluate the evidence for and against them, and develop more balanced, accurate beliefs. CPT can be delivered individually or in groups, with your therapist tailoring the pace to your needs. It has been translated into 15 languages and proven effective across diverse populations, including refugees, veterans, and survivors of childhood abuse. Treatment gains have been shown to last 5 to 10 years.

Understanding Cognitive Processing Therapy

How Cognitive Processing Therapy Changes the Way You Think and Feel

CPT does not just reduce PTSD symptoms. It changes the underlying beliefs that keep you trapped in cycles of guilt, fear, and disconnection.

Releasing Guilt, Shame, and Self-Blame

After trauma, many people carry crushing guilt: "I should have fought back," "I should have seen it coming," "It happened because of something I did." CPT helps you examine these beliefs carefully, evaluate the evidence, and recognize that what happened was not your fault. As self-blame loosens, the guilt and shame that have been weighing you down begin to lift.

Rebuilding Trust in Yourself and Others

Trauma often shatters trust: in other people, in your own judgment, in the world's basic fairness. CPT helps you distinguish between realistic caution and over-generalized distrust. You learn to evaluate relationships and situations based on actual evidence rather than trauma-driven assumptions, rebuilding your capacity for connection without ignoring genuine risk.

Feeling Safe Again Without Living in Fear

When trauma makes the world feel permanently dangerous, you organize your entire life around avoiding threat. CPT helps you recognize the difference between "something terrible happened to me" and "something terrible will always happen to me." As your beliefs about safety become more balanced, you can re-engage with life without constant hypervigilance.

Reclaiming Your Sense of Self-Worth

Trauma can leave you believing you are damaged, worthless, or fundamentally different from other people. CPT directly addresses beliefs about esteem and self-worth, helping you separate what happened to you from who you are. As you develop more accurate beliefs about yourself, your confidence and sense of identity strengthen.

Lifting Depression That Came With PTSD

Meta-analyses show CPT significantly reduces depression symptoms alongside PTSD. The hopelessness, withdrawal, and emotional flatness that often accompany trauma are frequently driven by the same stuck points CPT targets. As beliefs shift, mood lifts, energy returns, and you reconnect with activities and people that once brought you joy.

Developing Skills That Last a Lifetime

Unlike treatments that only work while you are in therapy, CPT teaches you a cognitive skill set you keep forever. The ability to identify unhelpful thoughts, evaluate evidence, and develop balanced beliefs applies far beyond PTSD. Treatment gains have been shown to last 5 to 10 years after treatment, and the skills you learn help you navigate future stressors with greater resilience.

What to Expect in Your Cognitive Processing Therapy Sessions

Cognitive Processing Therapy follows a structured protocol with distinct phases. Each session builds on the last, progressively shifting the beliefs that keep you stuck.

1

Understanding the Impact

Your therapist explains how PTSD develops and why certain beliefs keep you stuck. You write an impact statement describing how the trauma has affected your beliefs about yourself, others, and the world. This is not a detailed account of what happened; it is about what the event means to you. Together, you identify your first "stuck points."

2

Connecting Thoughts and Feelings

You learn to use ABC worksheets to identify the connection between events, thoughts, and emotions. This is where you start to see how specific beliefs about your trauma are driving your emotional reactions. Your therapist uses Socratic questioning, asking thoughtful questions rather than telling you what to think, to help you begin evaluating these beliefs.

3

Challenging Your Stuck Points

This is the core of CPT. Using challenging questions worksheets and patterns of problematic thinking worksheets, you systematically evaluate your stuck points. You examine the evidence for and against each belief, consider alternative explanations, and develop more balanced thoughts. Sessions focus on the five trauma-impacted themes: safety, trust, power/control, esteem, and intimacy.

4

Consolidation and Moving Forward

In the final sessions, you write a new impact statement reflecting how your beliefs have changed. Comparing this to your original statement makes the progress visible and concrete. You review the cognitive skills you have developed and discuss how to continue using them independently for any future challenges.

Trusted by Thousands of Patients

See how our therapy options have helped our members experience life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

Trauma Types Cognitive Processing Therapy Treats

CPT has been proven effective across virtually every type of traumatic experience and has been successfully implemented in diverse populations worldwide.

Sexual Assault and Abuseplus icon

CPT was originally developed for survivors of sexual assault and rape. The first RCT compared CPT to PE in female rape survivors, most of whom had experienced multiple traumas including childhood sexual assault. Both treatments produced significant improvement, with gains maintained 5 to 10 years after treatment. CPT is particularly effective for the guilt and self-blame that commonly follow sexual trauma.

Combat and Military Traumaplus icon

CPT is one of two PTSD treatments most strongly recommended by the VA/DoD Clinical Practice Guidelines. Multiple RCTs with combat veterans and active-duty service members demonstrate its effectiveness. A large trial of 916 veterans found CPT and PE were both effective. CPT addresses the moral injury and guilt that often accompany combat trauma, making it particularly well-suited for military populations.

Childhood Trauma and Complex PTSDplus icon

CPT targets the deep-seated beliefs that develop from childhood abuse and neglect: beliefs about your worth, your safety, and whether you deserve love and care. CPT can target PTSD from traumatic events that occurred as recently as 3 months ago or as long as 65 years ago, making it effective for both recent and long-standing childhood trauma.

Co-occurring Depression and Anxietyplus icon

Meta-analyses show CPT significantly reduces depression and anxiety symptoms alongside PTSD. Because stuck points like hopelessness, self-blame, and distrust drive both PTSD and depression, addressing them through CPT often lifts mood and reduces anxiety without needing a separate intervention.

Refugees and Survivors of Warplus icon

CPT has been successfully implemented in the Democratic Republic of Congo, Iraq, Germany, and with refugee populations worldwide. The manual has been translated into 15 languages and proven effective when delivered through interpreters. CPT's structured worksheet approach makes it adaptable across cultures and languages.

Accidents, Violence, and Natural Disastersplus icon

Whether your PTSD stems from a car accident, physical assault, robbery, mass violence, or natural disaster, CPT can help. The approach is effective for single-event and multiple-event trauma alike, targeting the specific beliefs that developed from your experience and helping you develop a more accurate understanding of what happened and what it means for your life going forward.

Meet Our Licensed Therapists

Every Grouport therapist is a licensed, accredited mental health professional with specialized training in evidence-based approaches including Cognitive Processing Therapy, and extensive clinical experience in PTSD, trauma, anxiety, depression, and co-occurring conditions.

PhDPsyDLCSWLMHCLMFT

Our therapists typically have over a decade of clinical experience across diverse settings, with specialized expertise in CPT, trauma-focused, and cognitive approaches, as well as PTSD, complex trauma, anxiety, and depression. Our therapists are trained in CPT and other proven modalities to provide the best fit for your needs.

We continually evaluate outcomes through internal studies and outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne.

MEET OUR THERAPISTS
Grouport network of licensed therapists trained in CPT

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Grouport’s Results

80%of our members start with moderate to severe mental health symptoms

70% of our members feel significantly better within just 8 weeks

50% of our members achieve remission levels within just 8 weeks

80%
of our members start with moderate to severe mental health symptoms

70%
of our members feel significantly better within just 8 weeks

50%
of our members achieve remission levels within just 8 weeks

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All Your Therapy Needs, All in One Place

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Group Therapy

$35/session
billed at $140/month

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Individual Therapy

$112/session
billed at $448/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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We Also Treat These Conditions

Cognitive Processing Therapy is a specialized PTSD treatment. Our licensed therapists also treat a wide range of related conditions using proven methods.

Frequently Asked Questions

What is Cognitive Processing Therapy?

Cognitive Processing Therapy (CPT) is a structured, evidence-based psychotherapy developed by Dr. Patricia Resick for the treatment of PTSD. CPT helps you identify and challenge the unhelpful beliefs (called stuck points) that developed after your trauma, such as self-blame, distrust, and beliefs about safety and control. With over 30 RCTs, CPT is recommended as a first-line PTSD treatment by the APA, VA/DoD, NICE, and ISTSS.

What conditions does CPT treat?

CPT is specifically designed for PTSD and has been proven effective across all trauma types: sexual assault, combat, childhood abuse, refugees and survivors of war, accidents, violence, and natural disasters. CPT also significantly reduces co-occurring depression and anxiety symptoms. It can target PTSD from events as recent as 3 months ago or as long as 65 years ago.

Are Grouport's licensed therapists qualified to provide CPT?

Yes. Our therapists are licensed mental health professionals (PhD, PsyD, LCSW, LMHC, LMFT) with training in Cognitive Processing Therapy and trauma-focused approaches for PTSD, complex trauma, anxiety, depression, and co-occurring conditions.

How is CPT different from PE?

Both CPT and PE are first-line PTSD treatments with strong evidence. CPT focuses primarily on cognition: identifying and challenging unhelpful beliefs about the trauma through worksheets and Socratic questioning. PE focuses primarily on exposure: revisiting the trauma memory and approaching avoided situations. A large RCT of 916 veterans found both equally effective. CPT may be preferred if guilt, self-blame, or distorted beliefs are the primary issue; PE may be preferred if avoidance of memories and situations is the main problem.

How long does CPT take?

The length of Cognitive Processing Therapy varies based on individual needs. Many people see significant improvement within 8 to 12 sessions, with some benefiting from additional sessions. At Grouport, 70% of our members feel significantly better within just 8 weeks. Treatment gains from CPT have been shown to last 5 to 10 years. Your therapist will work with you to determine the right pace for your recovery.

Can I do CPT online?

Yes. Research supports telehealth delivery of CPT with comparable outcomes to in-person treatment. The structured, worksheet-based nature of CPT adapts particularly well to online formats. All Grouport sessions are held via secure, HIPAA-compliant video chat.

How much does CPT cost at Grouport?

Group Therapy averages $32/session. Individual Therapy averages $103/session. Couples Therapy averages $114/session. Family Therapy averages $148/session. IOP is $311/week. Teen Therapy averages $103/session. Payment options include Monthly, Quarterly (Save 10%), and Biannually (Save 15%).

What services does Grouport offer?

Grouport provides online group therapy, individual therapy, couples therapy, family therapy, teen therapy, intensive outpatient program (IOP), and a DBT self-guided program. Many members combine multiple therapy types for comprehensive support.

What outcomes has Grouport seen with therapy?

Our therapy outcomes are backed by outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne. 80% of our members start therapy with moderate to severe symptoms. Within just 8 weeks, 70% of members see clinically significant reduction in anxiety and depression, and 50% achieve remission levels.

How do I cancel Cognitive Processing Therapy?

You can cancel anytime, and your membership will remain active until the end of your current billing period. Email support@grouporttherapy.com and we will send you a quick cancellation form to fill out.

Where is Grouport available?

Grouport is available worldwide for everyone. All sessions are held virtually over video chat. We offer separate therapy groups for Adults (18+) and Teens and Adolescents (under 18).

Do I get to choose my therapist?

Yes. After signing up, a care coordinator will reach out to understand your needs and match you with the right therapist and schedule. You can switch therapists anytime.

What are stuck points?

Stuck points are the unhelpful beliefs that develop after trauma and keep PTSD going. Examples include: It was my fault, I should have prevented it, No one can be trusted, The world is completely dangerous, and I am permanently broken. Stuck points fall into two categories: assimilation (distorting the trauma to fit existing beliefs) and over-accommodation (changing all your beliefs to fit the trauma). CPT helps you identify and challenge these specific beliefs.

Do I have to write a detailed trauma narrative?

No. The current standard version of CPT (CPT-C) does not require writing a detailed account of the trauma. You write an impact statement about how the trauma affected your beliefs, not a blow-by-blow account of what happened. Research shows CPT without the detailed narrative is equally effective, with faster improvement and lower dropout rates.

How is CPT different from CBT?

CPT is a specific type of cognitive-behavioral therapy designed specifically for PTSD. While general CBT addresses a broad range of thought patterns and behaviors across many conditions, CPT focuses exclusively on trauma-related stuck points across five specific themes: safety, trust, power/control, esteem, and intimacy. CPT uses specialized worksheets and a structured protocol tailored specifically to trauma recovery.

Can CPT be done in a group?

Yes. RCTs have demonstrated CPT is effective in both individual and group formats. Group CPT allows members to learn from each other's stuck points and provides multiple perspectives during cognitive challenging. However, research suggests individual CPT may produce slightly greater PTSD symptom improvement, while both formats are equally effective for depression.

Can children and teens benefit from CPT?

Yes. CPT has been used with adolescents to help them identify and challenge trauma-related beliefs. At Grouport, we offer separate therapy groups for Adults (18+) and Teens and Adolescents (under 18) to ensure age-appropriate support.

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Ready To Start Your Cognitive Processing Therapy Journey?

Whether you are living with PTSD from sexual assault, combat, childhood trauma, an accident, or any other traumatic experience, Cognitive Processing Therapy can help you challenge the beliefs keeping you stuck and reclaim your life. With licensed therapists, over 30 RCTs of gold-standard evidence, and flexible online formats, Grouport makes it easy to get started. Take the first step toward recovery today.

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