Two-Week Accelerated Cognitive Processing Therapy for a Spanish-Speaking Adult With PTSD: A Case Study

• Accelerated Cognitive Processing Therapy (CPT) provided in Spanish was effective. • Findings included high patient satisfaction and meaningful symptom reduction. • Clinicians should consider implementing accelerated CPT in Spanish. This case study evaluated the use of accelerated Cognitive Processing Therapy (CPT) in Spanish. A 55-year-old Hispanic American woman with PTSD received 10 daily Cognitive CPT sessions over a two-week period. Symptom assessments were collected at baseline, prior to each CPT session, and 2- and 3-month follow-up. Questionnaires assessing posttraumatic stress disorder (PCL-5) and depression (PHQ-9) were utilized to evaluate treatment effects over time. Treatment satisfaction and qualitative feedback were also provided at 2-months posttreatment. A treatment description details the course of accelerated CPT, as well as notable observations related to both the accelerated course of treatment and the use of Spanish language in treatment. Analyses demonstrated clinically meaningful reductions in both PTSD and depression symptoms over the course of treatment, and both remained ameliorated at the follow-up assessment time point. Patient satisfaction with the treatment format was also shown to be high following treatment. The case demonstrated that CPT can be delivered in Spanish and in an accelerated treatment format using minor, fidelity-consistent adaptations related to language and culture (e.g., using Spanish language worksheets, exploring culturally relevant themes with Socratic questions) while maintaining strong symptom reduction. Delivering CPT in Spanish daily over the course of two weeks appears to be feasible and potentially effective.