Tf-cbt Study Guide Questions with Correct
Answers
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
Answers
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
