TF-CBT CERT Exam Newest 2025/ 2026 Complete All
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Alexa is an 8-year-old girl who disclosed sexual abuse by
her two older adolescent stepbrothers. While developing
the first part of her 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." - Answer-1. Alexa's
statements are examples of:
a) Healthy or functional thoughts.
b) Cognitive distortions.
c) Cognitive realities.
d) Accurate but unhelpful thoughts.
2. How should the therapist proceed? (Alexa case) -
Answer-a) Tell Alexa that it is not her fault and immediately
begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then
begin cognitive processing of the trauma narrative,
including her statements.
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c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the therapy
not "sinking in."
d) Ask Alexa to start the trauma narrative again but this
time tell her to only include details about the sexual abuse,
not any statements about herself or any thoughts.
Justin is an 11-year-old boy who witnessed his father
brutally attack his mother with a baseball bat. During the
middle of writing his trauma narrative, he wrote that he
intervened and attempted to defend his mother by fighting
his father. However, during individual sessions with his
mother, it became apparent that Justin had hidden behind
the sofa and cried during the attack. - Answer-3. How
should the therapist proceed?
a) Due to the problems associated with "false memories,"
confront Justin about the inaccuracy immediately.
b) Talk to Justin about the difference between the "truth"
and a "lie."
c) Recognize that it is not unusual for children to make
fantasy or rescue statements; allow Justin to complete his
trauma narrative and gently challenge his statements.
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d) Talk with Justin's father to determine whether Justin or
his mother is telling the truth; then share this information
with Justin.
In the example above, there is a concern that the father
may have access to the home and the therapist is worried
about Justin's safety. The therapist is concerned about
following the TF-CBT model with fidelity and is not sure
whether it is okay to implement "Enhancing Safety and
Future Development" without completing the earlier
components. - Answer-4. How should the therapist
proceed?
a) Meet with the child's father and discuss the safety
concerns.
b) Do not discuss safety because Justin and his mother
would then blame themselves for the domestic violence.
c) Engage in short-term safety planning with Justin and his
mother.
d) Engage Justin in In Vivo Desensitization as his concern
about safety is a cognitive distortion.
Monty is a 7-year-old boy who was a victim of sexual
abuse for two years by his adoptive parents. As part of the
assessment, he completed the UCLA PTSD Reaction
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Index and his total score was in the severe range,
including very serious re-experiencing symptoms. When
the therapist discussed the TF-CBT treatment approach
with him, including that he would be writing his story about
the sexual abuse, Monty became excited and began to
discuss the trauma in great detail. So, the therapist,
encouraged by Monty's willingness to talk, complied with
his wishes and allowed him to create his trauma narrative
over the first three treatment sessions. During and after
the completion of the trauma narrative, Monty's behavior
began to deteriorate, including acting-out sexually, soiling
himself, refusing to sleep in his own room, and engaging
in other dangerous behaviors that warranted a short-term
hospitalization. - Answer-5. What should the therapist
have done instead?
a) Listened to Monty for a few minutes and redirected him;
initiated Psychoeducation and subsequent skills-based
components before moving to the trauma narrative.
b) Briefly reviewed the initial four TF-CBT components and
started the trauma narrative the next week.
c) Nothing. It is imperative to follow a child's cues and
wishes rather than a more directive approach.
d) Skipped the trauma narrative entirely because it is
important to do just the opposite of what a child believes
he/she needs.