TF-CBT CERT EXAM WITH ANSWERS 100% PASS
1. Alexa is an 8-year-old girl 1. Alexa's statements are examples of:
who disclosed sexual abuse a) Healthy or functional thoughts.
by her two older adoles- b) Cognitive distortions.
cent stepbrothers. While de- c) Cognitive realities.
veloping the first part of her d) Accurate but unhelpful thoughts.
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."
2. 2. How should the therapist a) Tell Alexa that it is not her fault and immedi-
proceed? (Alexa case) ately begin to process her statements.
b) Allow Alexa to complete her trauma narra-
tive 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 exam-
ple of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative
again but this time tell her to only include de-
tails about the sexual abuse, not any state-
ments about herself or any thoughts.
3. Justin is an 11-year-old boy 3. How should the therapist proceed?
who witnessed his father a) Due to the problems associated with "false
brutally attack his mother memories," confront Justin about the inaccu-
with a baseball bat. During racy immediately.
the middle of writing his b) Talk to Justin about the difference between
trauma narrative, he wrote the "truth" and a "lie."
that he intervened and at- c) Recognize that it is not unusual for children
tempted to defend his moth- to make fantasy or rescue statements; allow
er by fighting his father. Justin to complete his trauma narrative and
However, during individual gently challenge his statements.
sessions with his mother, it d) Talk with Justin's father to determine
became apparent that Justin whether Justin or his mother is telling the truth;
had hidden behind the sofa then share this information with Justin.
and cried during the attack.
, TF-CBT CERT EXAM WITH ANSWERS 100% PASS
4. In the example above, there 4. How should the therapist proceed?
is a concern that the fa- a) Meet with the child's father and discuss the
ther may have access to safety concerns.
the home and the therapist b) Do not discuss safety because Justin and
is worried about Justin's his mother would then blame themselves for
safety. The therapist is con- the domestic violence.
cerned about following the c) Engage in short-term safety planning with
TF-CBT model with fidelity Justin and his mother.
and is not sure whether it d) Engage Justin in In Vivo Desensitization as
is okay to implement "En- his concern about safety is a cognitive distor-
hancing Safety and Future tion.
Development" without com-
pleting the earlier compo-
nents.
5. Monty is a 7-year-old boy 5. What should the therapist have done in-
who was a victim of sexual stead?
abuse for two years by his a) Listened to Monty for a few minutes and
adoptive parents. As part redirected him; initiated Psychoeducation and
of the assessment, he com- subsequent skills-based components before
pleted the UCLA PTSD Re- moving to the trauma narrative.
action Index and his total b) Briefly reviewed the initial four TF-CBT com-
score was in the severe ponents and started the trauma narrative the
range, including very seri- next week.
ous re-experiencing symp- c) Nothing. It is imperative to follow a child's
toms. When the therapist cues and wishes rather than a more directive
discussed the TF-CBT treat- approach.
ment approach with him, in- d) Skipped the trauma narrative entirely be-
cluding that he would be cause it is important to do just the opposite of
writing his story about the what a child believes he/she needs.
sexual abuse, Monty be-
came excited and began to
discuss the trauma in great
detail. So, the therapist, en-
couraged by Monty's will-
ingness to talk, complied
with his wishes and allowed
him to create his trauma nar-
rative over the first three
, TF-CBT CERT EXAM WITH ANSWERS 100% PASS
treatment sessions. During
and after the completion of
the trauma narrative, Mon-
ty's behavior began to dete-
riorate, including acting-out
sexually, soiling himself, re-
fusing to sleep in his own
room, and engaging in oth-
er dangerous behaviors that
warranted a short-term hos-
pitalization.
6. 6. Which component of a) Trauma Narrative, particularly if a child is
TF-CBT sometimes needs to extremely anxious.
be implemented out of or- b) Conjoint sessions to share the narrative,
der, usually toward the be- especially for older teens or foster children
ginning of treatment? who resist having their foster parents involved
in treatment.
c) Cognitive Coping, especially if a child has
distortions about the abuse.
d) Psychoeducation; sometimes this compo-
nent can be left for later in treatment or skipped
altogether.
e) In Vivo Mastery, such as in cases of
school avoidance or other highly problematic
avoidant behaviors
7. Jody is a 6 year-old girl . In the first TF-CBT session, the therapist
who was attacked by a dog would typically:
and left with severe scars a) Give Jody the freedom to talk about any-
all over her legs. Since the thing she likes throughout the session.
dog attack, Jody has expe- b) Provide psychoeducation and express opti-
rienced severe PTSD symp- mism about her ability to help mother and child
toms and significant oppo- in 12 to 16 sessions.
sitional behavior problems. c) Explain to mother that Jody has serious
Her mother has felt in- PTSD symptoms and that treatment will likely
tense guilt as Jody almost continue for 1-2 years.
died from the attack. She d) Strongly encourage Jody to talk about the
now cannot say no to any-
1. Alexa is an 8-year-old girl 1. Alexa's statements are examples of:
who disclosed sexual abuse a) Healthy or functional thoughts.
by her two older adoles- b) Cognitive distortions.
cent stepbrothers. While de- c) Cognitive realities.
veloping the first part of her d) Accurate but unhelpful thoughts.
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."
2. 2. How should the therapist a) Tell Alexa that it is not her fault and immedi-
proceed? (Alexa case) ately begin to process her statements.
b) Allow Alexa to complete her trauma narra-
tive 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 exam-
ple of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative
again but this time tell her to only include de-
tails about the sexual abuse, not any state-
ments about herself or any thoughts.
3. Justin is an 11-year-old boy 3. How should the therapist proceed?
who witnessed his father a) Due to the problems associated with "false
brutally attack his mother memories," confront Justin about the inaccu-
with a baseball bat. During racy immediately.
the middle of writing his b) Talk to Justin about the difference between
trauma narrative, he wrote the "truth" and a "lie."
that he intervened and at- c) Recognize that it is not unusual for children
tempted to defend his moth- to make fantasy or rescue statements; allow
er by fighting his father. Justin to complete his trauma narrative and
However, during individual gently challenge his statements.
sessions with his mother, it d) Talk with Justin's father to determine
became apparent that Justin whether Justin or his mother is telling the truth;
had hidden behind the sofa then share this information with Justin.
and cried during the attack.
, TF-CBT CERT EXAM WITH ANSWERS 100% PASS
4. In the example above, there 4. How should the therapist proceed?
is a concern that the fa- a) Meet with the child's father and discuss the
ther may have access to safety concerns.
the home and the therapist b) Do not discuss safety because Justin and
is worried about Justin's his mother would then blame themselves for
safety. The therapist is con- the domestic violence.
cerned about following the c) Engage in short-term safety planning with
TF-CBT model with fidelity Justin and his mother.
and is not sure whether it d) Engage Justin in In Vivo Desensitization as
is okay to implement "En- his concern about safety is a cognitive distor-
hancing Safety and Future tion.
Development" without com-
pleting the earlier compo-
nents.
5. Monty is a 7-year-old boy 5. What should the therapist have done in-
who was a victim of sexual stead?
abuse for two years by his a) Listened to Monty for a few minutes and
adoptive parents. As part redirected him; initiated Psychoeducation and
of the assessment, he com- subsequent skills-based components before
pleted the UCLA PTSD Re- moving to the trauma narrative.
action Index and his total b) Briefly reviewed the initial four TF-CBT com-
score was in the severe ponents and started the trauma narrative the
range, including very seri- next week.
ous re-experiencing symp- c) Nothing. It is imperative to follow a child's
toms. When the therapist cues and wishes rather than a more directive
discussed the TF-CBT treat- approach.
ment approach with him, in- d) Skipped the trauma narrative entirely be-
cluding that he would be cause it is important to do just the opposite of
writing his story about the what a child believes he/she needs.
sexual abuse, Monty be-
came excited and began to
discuss the trauma in great
detail. So, the therapist, en-
couraged by Monty's will-
ingness to talk, complied
with his wishes and allowed
him to create his trauma nar-
rative over the first three
, TF-CBT CERT EXAM WITH ANSWERS 100% PASS
treatment sessions. During
and after the completion of
the trauma narrative, Mon-
ty's behavior began to dete-
riorate, including acting-out
sexually, soiling himself, re-
fusing to sleep in his own
room, and engaging in oth-
er dangerous behaviors that
warranted a short-term hos-
pitalization.
6. 6. Which component of a) Trauma Narrative, particularly if a child is
TF-CBT sometimes needs to extremely anxious.
be implemented out of or- b) Conjoint sessions to share the narrative,
der, usually toward the be- especially for older teens or foster children
ginning of treatment? who resist having their foster parents involved
in treatment.
c) Cognitive Coping, especially if a child has
distortions about the abuse.
d) Psychoeducation; sometimes this compo-
nent can be left for later in treatment or skipped
altogether.
e) In Vivo Mastery, such as in cases of
school avoidance or other highly problematic
avoidant behaviors
7. Jody is a 6 year-old girl . In the first TF-CBT session, the therapist
who was attacked by a dog would typically:
and left with severe scars a) Give Jody the freedom to talk about any-
all over her legs. Since the thing she likes throughout the session.
dog attack, Jody has expe- b) Provide psychoeducation and express opti-
rienced severe PTSD symp- mism about her ability to help mother and child
toms and significant oppo- in 12 to 16 sessions.
sitional behavior problems. c) Explain to mother that Jody has serious
Her mother has felt in- PTSD symptoms and that treatment will likely
tense guilt as Jody almost continue for 1-2 years.
died from the attack. She d) Strongly encourage Jody to talk about the
now cannot say no to any-
