The prevalence of trauma in people with a serious mental illness (SMI) is high and poses a significant health problem. In addition, trauma exposure often leads to the development of posttraumatic stress disorder (PTSD). People with comorbid PTSD and a SMI have significantly poorer treatment outcomes. Despite the high occurrence of these two disorders, people with a SMI are often excluded from research on PTSD. To address this gap, Mueser, Rosenberg, and Rosenberg developed a cognitive restructuring (CR) program. This article describes a case study utilizing the CR program. The program is specifically tailored for people with psychotic and mood disorders with a focus on modifying dysfunctional beliefs and behaviors. Results suggest that addressing PTSD in people with a SMI is necessary and that the CR program can promote recovery in this population.
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