On this website you can find more information about posttraumatic stress disorder and the contents of the BEPP treatment.
GP's and other professsionals can find information about the possibilities for application of BEPP.
Therapists can find information when the next workshops and trainings in BEPP will take place..
News about BEPP
Brief Eclectic Psychotherapy for PTSD (BEPP) is an evidence based treatment for posttraumatic stress disorder (PTSD). It is recommended by the American Psychological Association (APA) and the International Society for Traumatic Stress Studies (ISTSS).
What distinguishes BEPP from other trauma-focused treatments is that it focuses on the acknowledgment of the array of intense emotions that the person experiences in relation to the trauma, and that its aim is to learn from the trauma in terms of life-changing lessons. The five essential elements of BEPP are psychoeducation, imaginal exposure, writing letters and bringing memorabilia, making meaning of what has happened, and a farewell ritual. BEPP is called eclectic because it combines insights and interventions from cognitive behavioral, grief and psychodynamic approaches. BEPP is a 16-session, manualized treatment.
When first developed in the 1980s and 1990s, BEPP was used and evaluated for treating police officers with PTSD in the Netherlands (Gersons et al., 2000). When it proved to be effective in this population, the application of the treatment gradually broadened to other patients with PTSD and to other countries with translations of the protocol in several languages . Further studies have demonstrated the treatment to be efficacious in patients with PTSD resulting from various trauma backgrounds (Lindauer et al., 2005, Schnyder et al., 2011,) and have shown that the treatment is as effective as other trauma treatments (Nijdam et al., 2012).
target group of participants
The BEPP training has been developed for psychotherapists who are working with clients who have experienced traumatic events (psychiatrists, psychologists and other mental health professionals).
objectives and program
- to understand the framework of this effective treatment for PTSD;
- to understand and become familiarized with the different modules of this treatment-protocol;
- to be able to start practicing BEPP with supervision.
methods used in the training workshop
During the training the participants will get acquainted with all five elements of the BEPP protocol: psychoeducation, imaginal exposure to the traumatic event, writing assignments, the domain of meaning and integration, and the farewell ritual.
Theoretical introductions will be alternated with practical case demonstrations on DVD, roleplaying and personal exercises. This will help to understand and fine-tune the treatment when applying the protocol. There will also be space for discussion and for sharing experiences with own clients and ideas.
The 70 page BEPP protocol is available in English, Spanish, German, Italian, Polish, Dutch, Georgian and Lithuanian.
For further information see www.traumatreatment.eu.
Registration through English form
If you wish to register for this course in English, please use the English registration form
Information about [the terms and conditions->/voorwaarden]
Prof. dr. Berthold Gersons is a professor of psychiatry at the Academic Medical Center (AMC) of the University of Amsterdam and a senior scientific consultant at the Psychotrauma Expert Group at the Arq Foundation.
DRs. Pepita David is a health care psychologist and psychotherapist. She is a trainer and supervisor in Brief Eclectic Psychotherapy for PTSD.
Police officers exposed to potentially traumatic events (PTE) are at a heightened risk of developing posttraumatic stress disorder (PTSD). Little is known about trauma-focused psychotherapy outcomes in the police. In this naturalistic study, we evaluated whether PTE exposure and baseline clinical characteristics predicted PTSD symptom reduction during treatment and residual PTSD symptoms posttreatment.
In consecutive referrals to a specialized mental health service for police officers (N = 665), PTSD was measured pre- and posttreatment using structured clinical interviews. Treatment consisted of brief eclectic psychotherapy for PTSD. We grouped PTE as follows: injury/maltreatment, loss (colleague or private), other job-related, other private traumatic events. Data were analyzed multivariable using structural equation modeling and logistic regression. Treatment effect size was large, d=3.6, 95% CI [3.4, 3.8]. Police officers who reported more injury/maltreatment or private traumatic had more baseline PTSD symptoms as well as larger symptom reduction during treatment; police officers who reported more losses of loved ones showed smaller PTSD symptom reduction. Concentration problems persisted in 17.7% of police officers posttreatment, and these were predicted by baseline PTSD symptoms and loss of loved ones. Proportions of variance explained by the multivariable models ranged from 0.08 to 0.14. Our findings increase insight into the type of PTE and clinical
characteristics of police officers with PTSD who benefit most from trauma-focused treatment. Because the loss of loved ones can be presumed to have a profound impact on social and interpersonal functioning, a more specific treatment focus on grief processes may further enhance
“I enjoyed the training, it was a high-quality experience. I favour the BEPP protocol because it is existential and eclectic as well as evidence-based; it will sit well alongside my equine-facilitated psychotraumatology approach too.”
Sarah Paton Briggs, The Grove Practice, Ashlar Evolution, The IFEEL Centre, UK
'Thank you so much Berthold for a great couple of days training; informative, comprehensive and insightful. I think the BEPP protocol is my number one tool now as the mix of cognitive elements of exposure, the psychodynamic elements of making meaning and the healing element of emotions makes it a very powerful authentic tool’.
Sun Founder of CEO IFEEL Method of Equine Facilitated Pyscho-Traumatology
Indications for BEPP
The BEP-treatment is designed for clients with a post-traumatic stress disorder as a result of a single traumatic event. When someone has experienced multiple traumatic events, clients need to be assessed individually to determine whether BEPP treatment is indicated. To apply BEPP in the case of multiple traumatic experiences, it is important that the onset of PTSD is preceded by one core-traumatic event.
Contra-indications are other serious psychiatric disorders, which make the application of this treatment protocol more difficult, or other disorders for which application of the treatment involves a risk of deterioration of functioning. Severe depressive disorder has priority over the treatment of PTSD, because of the worsening of cognitive functions, and the risk of suicide. In the case of dependence on alcohol or drugs, it depends on whether the abuse is done to suppress intrusions (secondary to PTSD), and whether an agreement can be made with the client to stop the substance abuse during the treatment.
BEPP treatment is not indicated when the person has a primary severe personality disorder. In the case of an acute psychotic disorder or a severe dissociative disorder BEPP can not be applied.