tf-cbt cert exam EXAM NEWEST 2025-2026
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
hospitalization. a) Trauma Narrative, particularly if a child is extremely
anxious.
b) Conjoint sessions to share the narrative, especially
for older teens or foster children who resist having
Which component of
their foster parents involved in treatment.
TF-CBT sometimes needs
c) Cognitive Coping, especially if a child has
to be implemented out of
distortions about the abuse.
order, usually toward the
d) Psychoeducation; sometimes this component can
beginning of treatment?
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
,Monty is a 7-year-old boy 5. What should the therapist have done instead?
who was a victim of sexual a) Listened to Monty for a few minutes and redirected
abuse for two years by his him; initiated Psychoeducation and subsequent skills-
adoptive parents. As part based components before moving to the trauma
of the assessment, he narrative.
completed the UCLA b) Briefly reviewed the initial four TF-CBT components
PTSD Reaction Index and and started the trauma narrative the next week.
his total score was in the c) Nothing. It is imperative to follow a child's cues and
severe range, including wishes rather than a more directive approach.
very serious re- d) Skipped the trauma narrative entirely because it is
experiencing symptoms. important to do just the opposite of what a child
When the therapist believes he/she needs.
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
,8/21/25, 5:26 PM tf-cbt cert exam EXAM NEWEST 2025 -2026QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY …
warranted a short-term
Alexa is an 8-year-old girl 1. Alexa's statements are examples of:
who disclosed sexual a) Healthy or functional thoughts.
abuse by her two older b) Cognitive distortions.
adolescent stepbrothers. c) Cognitive realities.
While developing the first d) Accurate but unhelpful thoughts.
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."
… 1/31
, 8/21/25, 5:26 PM tf-cbt cert exam EXAM NEWEST 2025 -2026QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY …
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.
How should the
c) Repeat the earlier components, beginning with
therapist proceed? (Alexa
Psychoeducation as this is a clear example of the
case)
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 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 inaccuracy
with a baseball bat. During immediately.
the middle of writing his b) Talk to Justin about the difference between the
trauma narrative, he wrote "truth" and a "lie."
that he intervened and c) Recognize that it is not unusual for children to make
attempted to defend his fantasy or rescue statements; allow Justin to complete
mother by fighting his his trauma narrative and gently challenge his
father. However, during statements.
individual sessions with his d) Talk with Justin's father to determine whether Justin
mother, it became or his mother is telling the truth; then share this
apparent that Justin had information with Justin.
hidden behind the sofa
and cried during the
attack.
… 2/31
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
hospitalization. a) Trauma Narrative, particularly if a child is extremely
anxious.
b) Conjoint sessions to share the narrative, especially
for older teens or foster children who resist having
Which component of
their foster parents involved in treatment.
TF-CBT sometimes needs
c) Cognitive Coping, especially if a child has
to be implemented out of
distortions about the abuse.
order, usually toward the
d) Psychoeducation; sometimes this component can
beginning of treatment?
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
,Monty is a 7-year-old boy 5. What should the therapist have done instead?
who was a victim of sexual a) Listened to Monty for a few minutes and redirected
abuse for two years by his him; initiated Psychoeducation and subsequent skills-
adoptive parents. As part based components before moving to the trauma
of the assessment, he narrative.
completed the UCLA b) Briefly reviewed the initial four TF-CBT components
PTSD Reaction Index and and started the trauma narrative the next week.
his total score was in the c) Nothing. It is imperative to follow a child's cues and
severe range, including wishes rather than a more directive approach.
very serious re- d) Skipped the trauma narrative entirely because it is
experiencing symptoms. important to do just the opposite of what a child
When the therapist believes he/she needs.
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
,8/21/25, 5:26 PM tf-cbt cert exam EXAM NEWEST 2025 -2026QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY …
warranted a short-term
Alexa is an 8-year-old girl 1. Alexa's statements are examples of:
who disclosed sexual a) Healthy or functional thoughts.
abuse by her two older b) Cognitive distortions.
adolescent stepbrothers. c) Cognitive realities.
While developing the first d) Accurate but unhelpful thoughts.
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."
… 1/31
, 8/21/25, 5:26 PM tf-cbt cert exam EXAM NEWEST 2025 -2026QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY …
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.
How should the
c) Repeat the earlier components, beginning with
therapist proceed? (Alexa
Psychoeducation as this is a clear example of the
case)
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 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 inaccuracy
with a baseball bat. During immediately.
the middle of writing his b) Talk to Justin about the difference between the
trauma narrative, he wrote "truth" and a "lie."
that he intervened and c) Recognize that it is not unusual for children to make
attempted to defend his fantasy or rescue statements; allow Justin to complete
mother by fighting his his trauma narrative and gently challenge his
father. However, during statements.
individual sessions with his d) Talk with Justin's father to determine whether Justin
mother, it became or his mother is telling the truth; then share this
apparent that Justin had information with Justin.
hidden behind the sofa
and cried during the
attack.
… 2/31
