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Psychotherapy TF-CBT Exam Questions and Complete Solutions Graded A+
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Psychotherapy TF-CBT Exam Questions and Complete Solutions Graded A+
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Psychotherapy TF-CBTExam Questions and
Complete Solutions
Graded A+
What is TF-CBT? - Answer: evidence-based, conjoint child and parent/caregiver psychotherapy model for
children and adolescents who are experiencing clinically significant emotional and behavioral difficulties
related to traumatic life events they have experienced. TF-CBT is a relatively brief (typically 12-20
sessions). For ages 3-17 y/o and their parents.
What are the goals? - Answer: enable children and youth who have experienced serious traumatic
events, and their supportive caregivers, 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.
What are the characteristics of TF-CBT - Answer: - structured (not just pt talking and directing sessions)
- truama focused
- short term
- goal to address trauma related difficulties
- play therapy only sees child, family therapy sees them both together every time. CF-CBT will see child
individually, parent individually, and then together for a few sessions.
Whats the rationale for TF-CBT? - Answer: If you develop fear, avoidance or other problems after
trauma, you have to face your difficulties and develop coping mechanisms for those problems. You also
need to realize the connection between your problems and the trauma in your past. By including a
caregiver in the process you have some support through the different phases
,What are the phases? - Answer: 1. Stabilization: Comprised of "PRAC" components with gradual
exposure. You start applying new skills to trauma related sxs.
- Gradual exposure: develop skills while building on the connection between the trauma and the need to
develop these skills. The caregivers skills are developed throughout as needed to help manage the childs
behavior.
2. Truama narrative: "T" component. gradual exposure with caregiver and child processing their
reactions.
- Trauma narrative: Once the skills are built, then a trauma narrative is done (talking about the trauma)
in order to face the experience instead of avoiding it
3. Integration/ Consolidation: includes In Vivo Matery of trauma reminders, conjoint sessions, and
enhacing future safety and development components ("ICE").
- Integrating: Integrate what you have done to face the truama and using those skills to move on.
Length: 12-25 sessions, the sessions are split evenly between the phases (1/3 each)
Goal: develop resiliency and move on
Note: Gradual exposure and Parenting skills are taught and done throughout all sessions
Who is TF-CBT for? - Answer: 3-18 y/o, all children demograpics with any traumatic experience
Note: if experiencing 4 or more PTSD sxs they will really benefit from TF-CBT. Can still benefit even after
co-morbidities develop (ADHD, ODD, Conduct disorders etc.)
Is a caregiver required for TF-CBT? - Answer: No, but it is best if there is one. If one isn't there then
substantial parts of tx aren't done.
When would TF-CBT not be done? - Answer: If a child isn't having truama related problems (highly
resilient with good support systems) or if there are severe cognitive challneges (can be used with mild
intellectual, cognitive or developmental problems if they can engage in cognitive therapy) such as
autism because they cannot participate in cognitive therapy.
, What problems need to be addressed before starting TF-CBT? - Answer: Imminent safety (active SI,
abusive guardian etc.)
Severe disruptive/agressive behavior problems
Active problematic substance use (infrequent use wihtout interfening in daily functioning is okay)
Guiding principles of TF-CBT - Answer: CRAFTS:
- components based
- respectful of cultural values
- adapatable and flexible
- family focused
- therapeutic relationship is central
- self efficacy is emphasized
How often is the pt and caregiver seen conjointly? - Answer: About half the sessions, in order to improve
the support for the child.
TF-CBT tx components - Answer: PRACTICE:
- Psychoeducation/ Parenting skills: instill hope, normalize the truama and behaviors, teach skills to help
parents with behaviors of child
- Relaxation: skills to help with fear and anxiety
- Affective Identification and Regulation: help understand and regulate negative feelings (both pt and
caregiver)
- Cognitive coping: explain connections between thoughts, feelings, and behavior. Develop skills to
generate alternative thoughts, important for later cognitive processing.
- Trauma narration and processing: guide child through trauma story to try and help manage related
thoughts/feelings through gradual exposure (do this in small doses).
- In Vivo Mastery: means "real life", if fears from trauma are to non-dangerous things (e.g. rooms in
house) then exposure activities are done to overcome fears.
- Conjoint Child-Parent Sessions: share truama with caregiver (beforehand, prep caregiver to ensure
validating experience for child).
- Enhancing Safety and Future Development: enhance family communication and childs safety skills to
minimize risk for future vicitmization and enhance self-competence.
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