TF-CBT Exam Questions with Correct Answers| Latest Update Guaranteed Success
Length of treatment typically 12-20 sessions
goals of TF-CBT 1) to learn effective skills to cope with trauma-related emotional and
behavioral problems, 2) to face and resolve those problems in a safe and therapeutic way, and
3) to effectively integrate their trauma experiences and help them move on with their lives in a
safe and positive manner.
age range for TF-CBT 3-18
Demographic Characteristics: Children from any racial, ethnic, cultural, or country of origin
group living in urban, suburban or rural areas. To date, there is no demographic group of
traumatized children or youth for which TF-CBT has been found to be ineffective.
True or false: a child must meet full clinical criteria for PTSD to benefit from TF-CBT False
Research has found that children consistently experiencing 4 or more PTSD symptoms can
benefit from TF-CBT.
Co-morbid Diagnoses TF-CBT can be used successfully with traumatized children and youth
with co-occurring difficulties such as ADHD, oppositional defiant disorder, and conduct
disorder.
When is TF-CBT not indicated -no history of trauma-related events
-no trauma-related problems
-severe cognitive challenges
problems to manage prior to beginning TF-CBT 1) Imminent safety.
2) Severe disruptive or aggressive behavior problems.
3) A child or youth is exhibiting a high level of disruptive or aggressive behavior that makes it
very difficult to focus on trauma treatment.
,4)Active suicidal ideation.
5) Active, problematic substance use.
guiding principles of TF-CBT-CRAFTS Components Based
Respectful of cultural values
Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-efficacy is emphasized
Components Based TF-CBT is comprised of a set of treatment components, each of which
has a specific therapeutic purpose and set of techniques. Each component builds on the
previous one to achieve the therapeutic effect. There is not a specifically prescribed set of
procedures for each therapy session. Rather, therapists work through the treatment
components in the proper order, utilizing pacing that accommodates to clients' needs.
Respectful of Cultural Values At all times therapists should be respectful of the culture and
values of client families. Procedures and techniques should be adapted as necessary to
accommodate cultural norms and values. Research has shown that TF-CBT can be used
successfully with children from a wide range of cultural, ethnic, racial, and country of origin
backgrounds.
Adaptable and Flexible TF-CBT treatment components, techniques, and procedures can be
adapted to many different clinical settings, situations, and families. The pacing of treatment
components is somewhat flexible, and techniques are adaptable for specific families. Therapist
creativity in treatment delivery is encouraged, as long as the fundamental goals and principles
of each treatment component are followed.
Family Focused TF-CBT is a family treatment. Nearly half of the treatment involves a
supportive caregiver being seen conjointly with the child or individually. A key goal of TF-CBT is
improving effective parental/caregiver support for the child.
,Therapeutic Relationship is Central As with all effective psychotherapies, developing a
strong therapeutic relationship with the child and caregiver is critical in TF-CBT and necessary
for client engagement. Research has shown that the quality of the therapeutic relationship is
even more important to the success of therapies such as TF-CBT that include skill development
procedures and practice activities outside of session.
Self-Efficacy is Emphasized A purpose of TF-CBT is to help traumatized children face up to
the traumatic events they have experienced, effectively cope with them, integrate them into
their life history, and get on with their lives. Doing so results in a strong sense of self-efficacy.
Children completing TF-CBT should develop both a sense of competence because they are no
longer overwhelmed by trauma-related problems, and hope for the future because they have
learned how to manage other difficulties that may come along.
TF-CBT Treatment Components (PRACTICE) Psychoeducation and parenting skills
Relaxation skills
Affect expression and regulation skills
Cognitive coping skills and processing
Trauma narrative
In vivo exposure (when needed)
Conjoint parent-child sessions
Enhancing safety and future development.
Psychoeducation This module focuses on providing the child and caregiver with education
about the prevalence of abuse or other traumatic events the child may have experienced,
normal reactions to abuse and trauma, and the benefits of treatment. The therapist seeks to
instill hope and positive expectations about the outcome of therapy. Psychoeducation begins
treatment and continues throughout the treatment process.
Parenting skills Providing caregivers with parenting guidance is important because child
victimization often results in behavior problems. This component provides caregivers with
effective strategies for managing disruptive, aggressive, or non-compliant behavior; and/or
, fears, sleep problems, and inappropriate sexual behaviors. Many caregivers of abused and
traumatized children struggle with parenting skills, or they may feel guilty about disciplining
their children who have experienced trauma.
Relaxation skills The child and the caregiver learn a set of relaxation skills to help them
manage the physiological symptoms of fear and anxiety. Having the body physiologically relax
reduces the child's perceptions of fear and anxiety and encourages a sense of empowerment
and mastery over symptoms.
Affect identification and regulation Children who have experienced traumatic events may
experience intense levels of negative emotion, such as sadness, anger, fear, anxiety, guilt,
shame, and disgust. They may have difficulties identifying, understanding, expressing, and
regulating their feelings, particularly negative feelings. Similarly, caregivers often experience a
range of difficult emotions following a traumatic event, and they may need help learning how
to express and regulate their emotions in a healthy manner. This module helps address all these
needs.
Cognitive coping The therapist explains the connections between thoughts, feelings, and
behavior. The therapist helps the child and caregiver develop the skills to generate alternative
thoughts that are more accurate or helpful, in order to feel differently, laying the foundation for
later cognitive processing. In parent sessions, caregivers explore specific thoughts related to the
traumatic event and how they are connected to specific feelings and behaviors.
Trauma narration and processing Children are guided through the creation of a narrative
describing the traumatic events with a goal of helping them better manage trauma-related
thoughts and feelings. Developing the trauma narrative is a form of gradual exposure therapy
that allows the child to experience the negative feelings associated with the trauma in small
doses in a safe, controlled environment. This process allows children to manage the feelings
associated with the trauma and incorporate them into their life, rather than avoid them. The
narrative might be accomplished using a variety of methods, including writing a book, drawing a
set of pictures, writing poems or writing songs that describe the traumatic event(s) and the
child's reactions.
In vivo mastery Many traumatized kids experience specific, trauma-related fears of things
that are not actually dangerous (e.g., rooms in the house). If those fears persist after the
Length of treatment typically 12-20 sessions
goals of TF-CBT 1) to learn effective skills to cope with trauma-related emotional and
behavioral problems, 2) to face and resolve those problems in a safe and therapeutic way, and
3) to effectively integrate their trauma experiences and help them move on with their lives in a
safe and positive manner.
age range for TF-CBT 3-18
Demographic Characteristics: Children from any racial, ethnic, cultural, or country of origin
group living in urban, suburban or rural areas. To date, there is no demographic group of
traumatized children or youth for which TF-CBT has been found to be ineffective.
True or false: a child must meet full clinical criteria for PTSD to benefit from TF-CBT False
Research has found that children consistently experiencing 4 or more PTSD symptoms can
benefit from TF-CBT.
Co-morbid Diagnoses TF-CBT can be used successfully with traumatized children and youth
with co-occurring difficulties such as ADHD, oppositional defiant disorder, and conduct
disorder.
When is TF-CBT not indicated -no history of trauma-related events
-no trauma-related problems
-severe cognitive challenges
problems to manage prior to beginning TF-CBT 1) Imminent safety.
2) Severe disruptive or aggressive behavior problems.
3) A child or youth is exhibiting a high level of disruptive or aggressive behavior that makes it
very difficult to focus on trauma treatment.
,4)Active suicidal ideation.
5) Active, problematic substance use.
guiding principles of TF-CBT-CRAFTS Components Based
Respectful of cultural values
Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-efficacy is emphasized
Components Based TF-CBT is comprised of a set of treatment components, each of which
has a specific therapeutic purpose and set of techniques. Each component builds on the
previous one to achieve the therapeutic effect. There is not a specifically prescribed set of
procedures for each therapy session. Rather, therapists work through the treatment
components in the proper order, utilizing pacing that accommodates to clients' needs.
Respectful of Cultural Values At all times therapists should be respectful of the culture and
values of client families. Procedures and techniques should be adapted as necessary to
accommodate cultural norms and values. Research has shown that TF-CBT can be used
successfully with children from a wide range of cultural, ethnic, racial, and country of origin
backgrounds.
Adaptable and Flexible TF-CBT treatment components, techniques, and procedures can be
adapted to many different clinical settings, situations, and families. The pacing of treatment
components is somewhat flexible, and techniques are adaptable for specific families. Therapist
creativity in treatment delivery is encouraged, as long as the fundamental goals and principles
of each treatment component are followed.
Family Focused TF-CBT is a family treatment. Nearly half of the treatment involves a
supportive caregiver being seen conjointly with the child or individually. A key goal of TF-CBT is
improving effective parental/caregiver support for the child.
,Therapeutic Relationship is Central As with all effective psychotherapies, developing a
strong therapeutic relationship with the child and caregiver is critical in TF-CBT and necessary
for client engagement. Research has shown that the quality of the therapeutic relationship is
even more important to the success of therapies such as TF-CBT that include skill development
procedures and practice activities outside of session.
Self-Efficacy is Emphasized A purpose of TF-CBT is to help traumatized children face up to
the traumatic events they have experienced, effectively cope with them, integrate them into
their life history, and get on with their lives. Doing so results in a strong sense of self-efficacy.
Children completing TF-CBT should develop both a sense of competence because they are no
longer overwhelmed by trauma-related problems, and hope for the future because they have
learned how to manage other difficulties that may come along.
TF-CBT Treatment Components (PRACTICE) Psychoeducation and parenting skills
Relaxation skills
Affect expression and regulation skills
Cognitive coping skills and processing
Trauma narrative
In vivo exposure (when needed)
Conjoint parent-child sessions
Enhancing safety and future development.
Psychoeducation This module focuses on providing the child and caregiver with education
about the prevalence of abuse or other traumatic events the child may have experienced,
normal reactions to abuse and trauma, and the benefits of treatment. The therapist seeks to
instill hope and positive expectations about the outcome of therapy. Psychoeducation begins
treatment and continues throughout the treatment process.
Parenting skills Providing caregivers with parenting guidance is important because child
victimization often results in behavior problems. This component provides caregivers with
effective strategies for managing disruptive, aggressive, or non-compliant behavior; and/or
, fears, sleep problems, and inappropriate sexual behaviors. Many caregivers of abused and
traumatized children struggle with parenting skills, or they may feel guilty about disciplining
their children who have experienced trauma.
Relaxation skills The child and the caregiver learn a set of relaxation skills to help them
manage the physiological symptoms of fear and anxiety. Having the body physiologically relax
reduces the child's perceptions of fear and anxiety and encourages a sense of empowerment
and mastery over symptoms.
Affect identification and regulation Children who have experienced traumatic events may
experience intense levels of negative emotion, such as sadness, anger, fear, anxiety, guilt,
shame, and disgust. They may have difficulties identifying, understanding, expressing, and
regulating their feelings, particularly negative feelings. Similarly, caregivers often experience a
range of difficult emotions following a traumatic event, and they may need help learning how
to express and regulate their emotions in a healthy manner. This module helps address all these
needs.
Cognitive coping The therapist explains the connections between thoughts, feelings, and
behavior. The therapist helps the child and caregiver develop the skills to generate alternative
thoughts that are more accurate or helpful, in order to feel differently, laying the foundation for
later cognitive processing. In parent sessions, caregivers explore specific thoughts related to the
traumatic event and how they are connected to specific feelings and behaviors.
Trauma narration and processing Children are guided through the creation of a narrative
describing the traumatic events with a goal of helping them better manage trauma-related
thoughts and feelings. Developing the trauma narrative is a form of gradual exposure therapy
that allows the child to experience the negative feelings associated with the trauma in small
doses in a safe, controlled environment. This process allows children to manage the feelings
associated with the trauma and incorporate them into their life, rather than avoid them. The
narrative might be accomplished using a variety of methods, including writing a book, drawing a
set of pictures, writing poems or writing songs that describe the traumatic event(s) and the
child's reactions.
In vivo mastery Many traumatized kids experience specific, trauma-related fears of things
that are not actually dangerous (e.g., rooms in the house). If those fears persist after the
