TF-CBT - the trauma narrative Answered
Correctly!!
Treating Trauma and Traumatic Grief in Children & Adolescents - Objectives
CORRECT ANSWERS ⮚ Continue learning about TF-CBT
⮚ Cognitive Triangle
⮚ Creating the Trauma Narrative
⮚ Cognitive Processing
⮚ Behavior Management
⮚ Parent-Child Sessions
⮚ Explore ways to use TF-CBT with adult clients
Cognitive Coping CORRECT ANSWERS ⮚ Recognize and understand the difference
between
-accurate and inaccurate cognitions
- helpful and unhelpful cognitions
⮚ Recognize the distinction and relation among feelings,
thoughts, and behavior
⮚ Generate alternative thoughts that are more accurate or
more helpful
⮚ Attempt to change their feelings and behavior by thinking
differently
the cognitive triangle CORRECT ANSWERS thoughts, feelings, behavior
Cognitive Triangle CORRECT ANSWERS ⮚ Application
- Differentiate between thoughts, feelings and behaviors
- Generate scenarios to illustrate how thoughts impact feelings and
behaviors
-Explore how changing a thought impacts the feelings and behaviors
⮚ Apply the skill to real life
⮚ Not everyone will be able to differentiate between thoughts
and feelings
⮚ Children under 8 will likely struggle identifying their personal thoughts. Ask what
someone else might think
Parent Sessions During Cognitive Triangle (common and alternative thoughts)
CORRECT ANSWERS Common Thoughts
⮚ I can only be happy if my child is happy
⮚ I can't trust anyone anymore.
, ⮚ Being strong for my child means I should never feel upset.
⮚ Good parents always know the
right thing to say to their
children
Alternative thoughts
⮚ I can find things to be happy about,
is happy to show my child that happiness is possible
⮚ Most people are good at heart and
many are trustworthy. ⮚ Being strong means doing what you
have to do, and I am doing that.
⮚ Although we try our best, even the best parents sometimes don't know the best thing
to say.
Creating the Trauma Narrative : purpose CORRECT ANSWERS ⮚ Helping to control
intrusive and upsetting trauma-related imagery
⮚ Helping to reduce avoidance of cues, situations, and feelings
associated with trauma exposure
⮚ Identifying unhelpful cognitions about traumatic events
⮚ Helping the child recognize, anticipate, and prepare for reminders of
the trauma.
⮚ Break apart thoughts, reminders, or discussions of the trauma from
overwhelming negative emotions
Creating the Trauma Narrative : legal issues CORRECT ANSWERS ⮚ Encouraging
discussion of the trauma may be
perceived as "coaching," "implanting
memories," or "tampering with testimony"
⮚ In TF-CBT, the therapist does not lead children by suggesting details or asking
leading questions
Creating the Trauma Narrative 1/3 CORRECT ANSWERS ⮚ Decide on the best format
(poem, book, pictures) Creating the Trauma Narrative
⮚ Start with a general introduction of the child/person
⮚ Next (3 Approaches)
-start with what happened before the day of the trauma and work forward
-start with the day of the trauma
-from the present and work backwards
⮚ Encourage sharing of thoughts and feelings during the event
-If feelings are overwhelming, start with thoughts and add emotions
later
⮚ Present/read the narrative
Correctly!!
Treating Trauma and Traumatic Grief in Children & Adolescents - Objectives
CORRECT ANSWERS ⮚ Continue learning about TF-CBT
⮚ Cognitive Triangle
⮚ Creating the Trauma Narrative
⮚ Cognitive Processing
⮚ Behavior Management
⮚ Parent-Child Sessions
⮚ Explore ways to use TF-CBT with adult clients
Cognitive Coping CORRECT ANSWERS ⮚ Recognize and understand the difference
between
-accurate and inaccurate cognitions
- helpful and unhelpful cognitions
⮚ Recognize the distinction and relation among feelings,
thoughts, and behavior
⮚ Generate alternative thoughts that are more accurate or
more helpful
⮚ Attempt to change their feelings and behavior by thinking
differently
the cognitive triangle CORRECT ANSWERS thoughts, feelings, behavior
Cognitive Triangle CORRECT ANSWERS ⮚ Application
- Differentiate between thoughts, feelings and behaviors
- Generate scenarios to illustrate how thoughts impact feelings and
behaviors
-Explore how changing a thought impacts the feelings and behaviors
⮚ Apply the skill to real life
⮚ Not everyone will be able to differentiate between thoughts
and feelings
⮚ Children under 8 will likely struggle identifying their personal thoughts. Ask what
someone else might think
Parent Sessions During Cognitive Triangle (common and alternative thoughts)
CORRECT ANSWERS Common Thoughts
⮚ I can only be happy if my child is happy
⮚ I can't trust anyone anymore.
, ⮚ Being strong for my child means I should never feel upset.
⮚ Good parents always know the
right thing to say to their
children
Alternative thoughts
⮚ I can find things to be happy about,
is happy to show my child that happiness is possible
⮚ Most people are good at heart and
many are trustworthy. ⮚ Being strong means doing what you
have to do, and I am doing that.
⮚ Although we try our best, even the best parents sometimes don't know the best thing
to say.
Creating the Trauma Narrative : purpose CORRECT ANSWERS ⮚ Helping to control
intrusive and upsetting trauma-related imagery
⮚ Helping to reduce avoidance of cues, situations, and feelings
associated with trauma exposure
⮚ Identifying unhelpful cognitions about traumatic events
⮚ Helping the child recognize, anticipate, and prepare for reminders of
the trauma.
⮚ Break apart thoughts, reminders, or discussions of the trauma from
overwhelming negative emotions
Creating the Trauma Narrative : legal issues CORRECT ANSWERS ⮚ Encouraging
discussion of the trauma may be
perceived as "coaching," "implanting
memories," or "tampering with testimony"
⮚ In TF-CBT, the therapist does not lead children by suggesting details or asking
leading questions
Creating the Trauma Narrative 1/3 CORRECT ANSWERS ⮚ Decide on the best format
(poem, book, pictures) Creating the Trauma Narrative
⮚ Start with a general introduction of the child/person
⮚ Next (3 Approaches)
-start with what happened before the day of the trauma and work forward
-start with the day of the trauma
-from the present and work backwards
⮚ Encourage sharing of thoughts and feelings during the event
-If feelings are overwhelming, start with thoughts and add emotions
later
⮚ Present/read the narrative
