Cognitive Behavioral Therapy for Prolonged Postdisaster Distress Jessica L. Hamblen National Center for PTSD and Dartmouth Medical School Laura E. Gibson National Center for PTSD and University of Vermont Kim T. Mueser Dartmouth Medical School Fran H. Norris National Center for PTSD and Dartmouth Medical School In this article, we present and illustrate cognitive-behavioral therapy for postdisaster distress. The treatment is for individuals who show more than normal transient stress after disaster and functions as an intermedi- ate step between traditional crisis counseling and longer-term mental health treatments. Thus, it is one part of a larger mental health disaster response and is designed to be implemented no sooner than 60 days post disaster. A clinical case demonstrates its process and technique in a community practice setting. © 2006 Wiley Periodicals, Inc.* J Clin Psy- chol: In Session 62: 1043–1052, 2006. Keywords: disaster; psychotherapy; crisis; posttraumatic stress disorder (PTSD); cognitive-behavioral therapy *This article is a U.S. Government work and, as such, is in the public domain in the United States of America. Correspondence concerning this article should be addressed to: Jessica L. Hamblen, National Center for PTSD, VA Medical Center (116D), 215 North Main Street, White River Junction, VT 05009; e-mail: jessica.hamblen@ dartmouth.edu JOURNAL OF CLINICAL PSYCHOLOGY: IN SESSION, Vol. 62(8), 1043–1052 (2006) © 2006 Wiley Periodicals, Inc. Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jclp.20288