Types of Traumatic Events (6) - 1) experiencing or witnessing interpersonal violence, such as
sexual abuse/assault, physical abuse/assault, intimate partner violence, bullying, shootings, or other
forms of violence in the home, school, or community.
2) Unexpected, traumatic death of a loved one
...
TF-CBT Notes
Types of Traumatic Events (6) - 1) experiencing or witnessing interpersonal violence, such as
sexual abuse/assault, physical abuse/assault, intimate partner violence, bullying, shootings, or other
forms of violence in the home, school, or community.
2) Unexpected, traumatic death of a loved one
3) Motor vehicle accident
4) Experiencing a natural or man-made disaster such as a tornado, flood, earthquake, or hurricane,
chemical spill, train or airplane crash
5) Dog or other animal attack
6) Exposure to war, combat violence, or torture.
How are sessions paced? - Abut one-third of the sessions should be devoted to the components
that make up the Stabilization phase, about one-third to the Trauma Narrative phase, and about one-
third to the Integration/Consolidation phase.
Approximately what portion of the treatment involves conjoint sessions with a supportive caregiver? -
Close to half of sessions.
Can treatment be conducted without caregiver involvement? - TF-CBT can be done with children
without a supportive caregiver, substantial parts of the treatment will be lost. Every effort should be
made to locate and engage.
Co-morbid Diagnoses for which TF-CBT is effective (3) - ADHD, oppositional defiant disorder, and
conduct disorder.
, Emotions commonly associated with children who have experienced traumatic events. -
Incongruency,, sadness, anger, fear, anxiety, guilt, shame, and disgust.
How does research support the efficacy of TF-CBT? - It has been tested in multiple randomized
controlled trial's with ages 3 to 18 with subjects who have experienced many types of traumatic events.
Has been applied internationally in diverse cultural and ethnic backgrounds with effective outcomes.
How does the treatment address 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.
They face and integrate the events rather than internalize, externalizations, or avoid symptoms related to
it.
Helps build resiliency for future events.
How is the cognitive triangle incorporated into the cognitive coping component? - 1) Therapist
explains the connections between thoughts, feelings, and behavior.
2) Generating alternative thoughts that are more accurate or helpful to alter emotions.
3) May be delved in deeper during parent and family sessions.
4) Lays foundation for later, more complex cognitive processing in treatment.
How long is the treatment? - Relatively brief (typically 12-20 sessions)
How many symptoms of PTSD should the child present to be eligible for TF-CBT? - 4 or more
***des noted to meet full diagnostic criteria
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