Cognitive Processing Therapy for Childbirth-Related PTSD: A Case Study and Considerations for Treatment

Abstract

In sharp contrast to societal narratives framing the birth of a new baby as a time of unequivocal joy, childbirth-related trauma is relatively common and can result in postpartum PTSD. Research indicates that postpartum PTSD can have serious psychosocial implications during the perinatal period, a known critical developmental window shaping child and maternal heath across the lifespan. However, empirical research on the effectiveness of specific treatment approaches for childbirth-related trauma remains limited. Given the extensive effects and prevalence of postpartum PTSD, determining effective treatment options is a high priority. Cognitive Processing Therapy (CPT) is a gold-standard evidence-based psychotherapy for PTSD that has not been evaluated in the context of postpartum PTSD, and may be particularly well-suited for treating birth trauma. In the current case study, we describe the assessment and treatment of childbirth-related PTSD using CPT. By the end of the 14-session therapy course, the patient experienced a reduction in symptoms (City Birth Trauma Scale score dropped from 38 to 14), associated distress, and functional impairment. This case study suggests that CPT is an effective treatment for postpartum PTSD. We conclude with considerations to guide future research and treatment efforts.