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TF-CBT CERT EXAM QUESTIONS AND ANSWERS 2026

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TF-CBT CERT EXAM QUESTIONS AND ANSWERS 2026

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TF-CBT CERT EXAM

1. Which of the following is not a cognitive processing intervention? -
ANSWERS-a) Best friend role play.
b) Socratic questioning.
c) Presenting factual information inconsistent with the cognitive
distortion.
d) In vivo mastery.


Angel is a 12-year-old girl who has witnessed domestic violence for
many years between her biological parents, both of whom are
alcoholics. She was placed in foster care after a severe incident of
abuse in which her mom sustained serious injuries and her father was
arrested. Angel lives in a foster home with her two younger biological
siblings. The foster mom reports that Angel is withdrawn and sad and
not paying attention in school. When you meet with Angel, she
minimizes the violence in her family of origin and avoids talking
about it. She expresses feeling most distressed about being away from
her mom. The biological mother is in an inpatient detoxification
program and will be referred for her own therapy. The biological
father is in jail and not engaged in any services at this time.12. Who
would be an appropriate caregiver to engage in Angel's TF-CBT
treatment at the start of therapy? - ANSWERS-12. Who would be an
appropriate caregiver to engage in Angel's TF-CBT treatment at the
start of therapy?
a) Foster mother
b) Biological mother
c) Biological father

,d) No caretaker should be involved. Provide individual therapy with
child only since she is in foster care.


3. Angel reports panic feelings when she remembers the worst
incidents of violence in her family. Which of the following would be
the best TF-CBT relaxation skill to reduce Angel's panic symptoms? -
ANSWERS-a) Talking on the phone with friends.
b) Progressive muscle relaxation for only the abdominal muscles and
only if Angel is highly athletic.
c) Thinking about the violence and convincing herself that it was
accidental.
d) Deep breathing exercises.


4. Angel resists doing the trauma narrative because of distressing
flashbacks and concern about being disloyal to her biological parents.
What should you do? - ANSWERS-a) Decide not to do a trauma
narrative because it is too upsetting for Angel.
b) Tell Angel that she can tell her story but leave out the parts about
the violence.
c) Tell Angel that she has to do a trauma narrative because it is a
mandatory part of TF-CBT.
d) Normalize and validate Angel's fears and concerns and remind her
that she can gradually share the details about the domestic violence.


You are working with a 10 year-old girl who has a history of sexual
abuse and exposure to domestic violence. She has been diagnosed
with severe PTSD. You are about to start the Trauma Narrative as you
just finished the last PRAC component with her in the previous

, session. You introduce the idea of talking about details of her
traumatic experiences. - ANSWERS-15. What is the appropriate next
step in treatment?
a) Tell her that she will be doing a Trauma Narrative and will be
focusing on either the sexual abuse or the exposure to domestic
violence but she does not have to talk about both. The Trauma
Narrative focuses on only one traumatic experience.
b) Suggest different options (e.g., book, song, poem, drawings,
timeline) for talking/telling about the traumatic experiences she has
been through, including ideas that relate to things that she is interested
in.
c) You cannot do a trauma narrative with children who have been
through multiple types of traumatic experiences. You should focus
instead on continuing the PRAC components so that she can manage
distress in her daily life.
d) Given this girl's severe PTSD symptoms, you plan to delay the start
of the narrative by a few weeks if she expresses some hesitation or
anxiety when you introduce the Trauma Narrative component.


6. If implementing the Trauma Narrative component with this child is
appropriate, what should you do if she becomes very distressed when
sharing details and indicates that she is at a "9" on the Fear
Thermometer? - ANSWERS-a) Tell the child to stop the narrative and
inform her that you will work on it again at the next treatment session
when she is feeling more relaxed and calm.
b) Tell the child to stop the narrative and assist her in doing relaxation
for the remainder of this treatment session.

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