1. persistent ptsd persistent ptsd current threat arousal symptoms
trauma characteristics/beliefs
prior experiences/coping subsequent events
thinking processes
during trauma
nature of trauma
memory
negative assessments of
trauma/subsequent events
persistent ptsd
persistent ptsd
matching
triggers
arrows indicate the following relationships
leads to
prevents
change in
influences
Ehlers A, Clark D
A cognitive model
of posttraumatic
stress disorder
Behav Res Therapy
2000; 38:
current threat
arousal symptoms
intrusions, strong emotions
strategies intended to control threat/symptoms

2. story: telling, tapes, writing & discussion
current threat
arousal symptoms
intrusions, strong emotions
nature of trauma
memory
negative assessments of
trauma/subsequent events
arrows indicate the following relationships
leads to
prevents
change in
influences
matching
triggers
reconstructing the
story: telling, tapes, writing & discussion
imagery rescripting,
behavioural experiments,
understanding & compassion
tackling substance
abuse, education,
desensitization, behav-
ioural experiments
strategies intended to control threat/symptoms
Ehlers A, Clark D
A cognitive model
of posttraumatic
stress disorder
Behav Res Therapy
2000; 38: