TF-CBT UPDATED ACTUAL Questions and CORRECT Answers
1. Length of treat- typically 12-20 sessions
ment
2. 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.
3. age range for 3-18
TF-CBT
4. Demographic Children from any racial, ethnic, cultural, or country of origin group living in urban,
Characteristics: 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.
5. True or false: a False Research has found that children consistently experiencing 4 or more PTSD
child must meet symptoms can benefit from TF-CBT.
full clinical cri-
teria for PTSD
to benefit from
TF-CBT
6. Co-morbid Diag- TF-CBT can be used successfully with traumatized children and youth with co-oc-
noses curring diflculties such as ADHD, oppositional defiant disorder, and conduct
disorder.
7. When is TF-CBT -no history of trauma-related events
not indicated -no trauma-related problems
-severe cognitive challenges
8. problems to 1) Imminent safety.
manage prior 2) Severe disruptive or aggressive behavior problems.
3) A child or youth is exhibiting a high level of disruptive or aggressive behavior
, to beginning that makes it very diflcult to focus on trauma treatment.
TF-CBT 4)Active suicidal ideation.
5) Active, problematic substance use.
9. guiding prin- Components Based
ciples of Respectful of cultural values
TF-CBT-CRAFTS Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-eflcacy is emphasized
10. Components TF-CBT is comprised of a set of treatment components, each of which has a
Based 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.
11. Respectful of Cul- At all times therapists should be respectful of the culture and values of client
tural Values families. Procedures and techniques should be adapted as necessary to accom-
modate 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.
12. Adaptable and TF-CBT treatment components, techniques, and procedures can be adapted to
Flexible 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.
13. 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.
,14. Therapeutic Rela- As with all effective psychotherapies, developing a strong therapeutic relation-
tionship is Cen- ship with the child and caregiver is critical in TF-CBT and necessary for client
tral 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.
15. Self-Efficacy is A purpose of TF-CBT is to help traumatized children face up to the traumatic events
Emphasized 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-ef-
ficacy. 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 diflculties that
may come along.
16. TF-CBT Treat- Psychoeducation and parenting skills
ment Compo- Relaxation skills
nents (PRACTICE) 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.
17. 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 experi-
enced, 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.
18. Parenting skills Providing caregivers with parenting guidance is important because child victim-
ization 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 experi-
enced trauma.
19. 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.
20. Affect identifica- Children who have experienced traumatic events may experience intense levels of
tion and regula- negative emotion, such as sadness, anger, fear, anxiety, guilt, shame, and disgust.
tion They may have diflculties identifying, understanding, expressing, and regulating
their feelings, particularly negative feelings. Similarly, caregivers often experience
a range of diflcult 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.
21. Cognitive coping The therapist explains the connections between thoughts, feelings, and behavior.
The therapist helps the child and caregiver develop the skills to generate alterna-
tive thoughts that are more accurate or helpful, in order to feel differently, laying
the foundation for later cognitive processing. In parent sessions, caregivers ex-
plore specific thoughts related to the traumatic event and how they are connected
to specific feelings and behaviors.
22. Trauma narra- Children are guided through the creation of a narrative describing the traumatic
tion and process- events with a goal of helping them better manage trauma-related thoughts and
ing 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
1. Length of treat- typically 12-20 sessions
ment
2. 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.
3. age range for 3-18
TF-CBT
4. Demographic Children from any racial, ethnic, cultural, or country of origin group living in urban,
Characteristics: 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.
5. True or false: a False Research has found that children consistently experiencing 4 or more PTSD
child must meet symptoms can benefit from TF-CBT.
full clinical cri-
teria for PTSD
to benefit from
TF-CBT
6. Co-morbid Diag- TF-CBT can be used successfully with traumatized children and youth with co-oc-
noses curring diflculties such as ADHD, oppositional defiant disorder, and conduct
disorder.
7. When is TF-CBT -no history of trauma-related events
not indicated -no trauma-related problems
-severe cognitive challenges
8. problems to 1) Imminent safety.
manage prior 2) Severe disruptive or aggressive behavior problems.
3) A child or youth is exhibiting a high level of disruptive or aggressive behavior
, to beginning that makes it very diflcult to focus on trauma treatment.
TF-CBT 4)Active suicidal ideation.
5) Active, problematic substance use.
9. guiding prin- Components Based
ciples of Respectful of cultural values
TF-CBT-CRAFTS Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-eflcacy is emphasized
10. Components TF-CBT is comprised of a set of treatment components, each of which has a
Based 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.
11. Respectful of Cul- At all times therapists should be respectful of the culture and values of client
tural Values families. Procedures and techniques should be adapted as necessary to accom-
modate 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.
12. Adaptable and TF-CBT treatment components, techniques, and procedures can be adapted to
Flexible 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.
13. 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.
,14. Therapeutic Rela- As with all effective psychotherapies, developing a strong therapeutic relation-
tionship is Cen- ship with the child and caregiver is critical in TF-CBT and necessary for client
tral 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.
15. Self-Efficacy is A purpose of TF-CBT is to help traumatized children face up to the traumatic events
Emphasized 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-ef-
ficacy. 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 diflculties that
may come along.
16. TF-CBT Treat- Psychoeducation and parenting skills
ment Compo- Relaxation skills
nents (PRACTICE) 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.
17. 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 experi-
enced, 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.
18. Parenting skills Providing caregivers with parenting guidance is important because child victim-
ization 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 experi-
enced trauma.
19. 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.
20. Affect identifica- Children who have experienced traumatic events may experience intense levels of
tion and regula- negative emotion, such as sadness, anger, fear, anxiety, guilt, shame, and disgust.
tion They may have diflculties identifying, understanding, expressing, and regulating
their feelings, particularly negative feelings. Similarly, caregivers often experience
a range of diflcult 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.
21. Cognitive coping The therapist explains the connections between thoughts, feelings, and behavior.
The therapist helps the child and caregiver develop the skills to generate alterna-
tive thoughts that are more accurate or helpful, in order to feel differently, laying
the foundation for later cognitive processing. In parent sessions, caregivers ex-
plore specific thoughts related to the traumatic event and how they are connected
to specific feelings and behaviors.
22. Trauma narra- Children are guided through the creation of a narrative describing the traumatic
tion and process- events with a goal of helping them better manage trauma-related thoughts and
ing 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
