presentcentered

Present-centered therapy (PCT) is a form of psychotherapy used in the treatment of posttraumatic stress disorder (PTSD) and related conditions. It is non–trauma-focused, meaning that it does not center on recounting or deeply processing the traumatic event, but instead concentrates on current life problems and functioning.

Core elements of PCT include psychoeducation about PTSD and its effects, practical coping skills, and structured problem-solving and communication strategies aimed at reducing distress in daily life. The approach emphasizes present-day symptoms such as sleep difficulties, anxiety, irritability, and relationship challenges, with the goal of improving overall functioning.

The therapy is typically structured and time-limited, commonly delivered in about 6 to 12 sessions of 45 to 60 minutes each, though exact length can vary. While discussions about trauma may occur if they arise, they are not the central focus of the treatment.

Present-centered therapy is often used as an active control or comparison condition in randomized trials that evaluate trauma-focused therapies for PTSD. Evidence generally shows that PCT can improve PTSD symptoms and functioning, but its effects on trauma-specific symptoms are typically smaller than those achieved by trauma-focused therapies such as cognitive processing therapy or prolonged exposure. PCT can be particularly suitable for individuals who are not ready for trauma processing, have substantial comorbidity, or prefer a focus on present-day challenges.

Limitations include the absence of direct trauma processing, which may limit long-term resolution of PTSD symptoms for some patients. Nonetheless, PCT remains a recognized option within the broader spectrum of evidence-based treatments for PTSD.