A PACKAGE DEAL FOR TRAUMA FOCUSED
COGNITIVE BEHAVIORAL THERAPY EXAM
2026/2027|Brand New Version ||Case Questions And
Answers!!
Alexa is an 8-year-old girl who disclosed sexual abuse by
her two older adolescent stepbrothers. While developing
the first part of her trauma narrative, she wrote "I am a bad
girl. I think they messed up my body. I was really dumb
because I never told anyone." - ANSWER-1. Alexa's
statements are examples of:
a) Healthy or functional thoughts.
,b) Cognitive distortions.
c) Cognitive realities.
d) Accurate but unhelpful thoughts.
2. How should the therapist proceed? (Alexa case) -
ANSWER-a) Tell Alexa that it is not her fault and
immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then
begin cognitive processing of the trauma narrative,
including her statements.
c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the therapy
not "sinking in."
,d) Ask Alexa to start the trauma narrative again but this
time tell her to only include details about the sexual abuse,
not any statements about herself or any thoughts.
Justin is an 11-year-old boy who witnessed his father
brutally attack his mother with a baseball bat. During the
middle of writing his trauma narrative, he wrote that he
intervened and attempted to defend his mother by fighting
his father. However, during individual sessions with his
mother, it became apparent that Justin had hidden behind
the sofa and cried during the attack. - ANSWER-3. How
should the therapist proceed?
a) Due to the problems associated with "false memories,"
confront Justin about the inaccuracy immediately.
, b) Talk to Justin about the difference between the "truth"
and a "lie."
c) Recognize that it is not unusual for children to make
fantasy or rescue statements; allow Justin to complete his
trauma narrative and gently challenge his statements.
d) Talk with Justin's father to determine whether Justin or
his mother is telling the truth; then share this information
with Justin.
In the example above, there is a concern that the father
may have access to the home and the therapist is worried
about Justin's safety. The therapist is concerned about
following the TF-CBT model with fidelity and is not sure
whether it is okay to implement "Enhancing Safety and
Future Development" without completing the earlier
COGNITIVE BEHAVIORAL THERAPY EXAM
2026/2027|Brand New Version ||Case Questions And
Answers!!
Alexa is an 8-year-old girl who disclosed sexual abuse by
her two older adolescent stepbrothers. While developing
the first part of her trauma narrative, she wrote "I am a bad
girl. I think they messed up my body. I was really dumb
because I never told anyone." - ANSWER-1. Alexa's
statements are examples of:
a) Healthy or functional thoughts.
,b) Cognitive distortions.
c) Cognitive realities.
d) Accurate but unhelpful thoughts.
2. How should the therapist proceed? (Alexa case) -
ANSWER-a) Tell Alexa that it is not her fault and
immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then
begin cognitive processing of the trauma narrative,
including her statements.
c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the therapy
not "sinking in."
,d) Ask Alexa to start the trauma narrative again but this
time tell her to only include details about the sexual abuse,
not any statements about herself or any thoughts.
Justin is an 11-year-old boy who witnessed his father
brutally attack his mother with a baseball bat. During the
middle of writing his trauma narrative, he wrote that he
intervened and attempted to defend his mother by fighting
his father. However, during individual sessions with his
mother, it became apparent that Justin had hidden behind
the sofa and cried during the attack. - ANSWER-3. How
should the therapist proceed?
a) Due to the problems associated with "false memories,"
confront Justin about the inaccuracy immediately.
, b) Talk to Justin about the difference between the "truth"
and a "lie."
c) Recognize that it is not unusual for children to make
fantasy or rescue statements; allow Justin to complete his
trauma narrative and gently challenge his statements.
d) Talk with Justin's father to determine whether Justin or
his mother is telling the truth; then share this information
with Justin.
In the example above, there is a concern that the father
may have access to the home and the therapist is worried
about Justin's safety. The therapist is concerned about
following the TF-CBT model with fidelity and is not sure
whether it is okay to implement "Enhancing Safety and
Future Development" without completing the earlier
