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TF-CBT Exam Questions with Complete Solutions Graded A+
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TF-CBT Exam Questions with Complete Solutions Graded A+
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TF-CBT Exam Questionsand Complete Solutions
Graded A+
Length of treatment - Answer: typically 12-20 sessions
goals of TF-CBT - Answer: 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 - Answer: 3-18
Demographic Characteristics: - Answer: 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 - Answer: False
Research has found that children consistently experiencing 4 or more PTSD symptoms can benefit from
TF-CBT.
Co-morbid Diagnoses - Answer: 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 - Answer: -no history of trauma-related events
-no trauma-related problems
-severe cognitive challenges
problems to manage prior to beginning TF-CBT - Answer: 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 - Answer: Components Based
Respectful of cultural values
Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-efficacy is emphasized
Components Based - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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) - Answer: 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 - Answer: 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 - Answer: Providing caregivers with parenting guidance is important because child
victimization often results in behavior problems. This component provides caregivers with effective
strategies for managing disruptive, aggressive, or non-compliant behavior; and/or fears, sleep problems,
and inappropriate sexual behaviors. Many caregivers of abused and traumatized children struggle with
parenting skills, or they may feel guilty about disciplining their children who have experienced trauma.
, Relaxation skills - Answer: The child and the caregiver learn a set of relaxation skills to help them
manage the physiological symptoms of fear and anxiety. Having the body physiologically relax reduces
the child's perceptions of fear and anxiety and encourages a sense of empowerment and mastery over
symptoms.
Affect identification and regulation - Answer: Children who have experienced traumatic events may
experience intense levels of negative emotion, such as sadness, anger, fear, anxiety, guilt, shame, and
disgust. They may have difficulties identifying, understanding, expressing, and regulating their feelings,
particularly negative feelings. Similarly, caregivers often experience a range of difficult emotions
following a traumatic event, and they may need help learning how to express and regulate their
emotions in a healthy manner. This module helps address all these needs.
Cognitive coping - Answer: The therapist explains the connections between thoughts, feelings, and
behavior. The therapist helps the child and caregiver develop the skills to generate alternative thoughts
that are more accurate or helpful, in order to feel differently, laying the foundation for later cognitive
processing. In parent sessions, caregivers explore specific thoughts related to the traumatic event and
how they are connected to specific feelings and behaviors.
Trauma narration and processing - Answer: Children are guided through the creation of a narrative
describing the traumatic events with a goal of helping them better manage trauma-related thoughts and
feelings. Developing the trauma narrative is a form of gradual exposure therapy that allows the child to
experience the negative feelings associated with the trauma in small doses in a safe, controlled
environment. This process allows children to manage the feelings associated with the trauma and
incorporate them into their life, rather than avoid them. The narrative might be accomplished using a
variety of methods, including writing a book, drawing a set of pictures, writing poems or writing songs
that describe the traumatic event(s) and the child's reactions.
In vivo mastery - Answer: Many traumatized kids experience specific, trauma-related fears of things that
are not actually dangerous (e.g., rooms in the house). If those fears persist after the creation of the
trauma narrative, in vivo (or "real life," as opposed to imaginal) exposure activities can be developed to
help children overcome these fears.
Conjoint parent-child sessions - Answer: Virtually all components of TF-CBT involve use of conjoint
sessions, but this module focuses on the sharing of the trauma narrative with the caregiver(s).
Significant caregiver preparation is usually necessary before sharing the narrative to ensure that the
sharing sessions are supportive and validating experiences for the children.
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