Trauma- Focused Cognitive Behavioral Therapy:
An Effective treatment modality for children and Adolescents who have experienced traumatic incidents
* What is TF-CBT and What is it Best Suited for:
Trauma Focused Cognitive Behavioral Therapy (TF-CBT) was developed by psychologists J.A. Cohen and, Mannarino, Knudset and Sharon. TF-CBT has been developed for those who have experienced psychological trauma, often on a great scale of magnitude. It is important to define trauma; “There are two types of trauma — physical and mental........A response could be fear. It could be fear that a loved one will be hurt or killed. It is believed that more direct exposures to traumatic events causes greater harm. For instance, in a school shooting, an injured student will probably be more severely affected emotionally than a student who was in another part of the building. However, second-hand exposure to violence can also be traumatic. This includes witnessing violence such as seeing or hearing about death and destruction after a building is bombed or a plane crashes.” Trauma Focused Cognitive Behavior Therapy is a short-term treatment designed for children experiencing post-traumatic stress disorder symptoms (PTSD) and/or emotional or behavioral difficulties resulting from a traumatic experience. The intervention is used in many situations but clinicians often use TF-CBT to address the trauma of sexual abuse; TF-CBT is also used to treat he trauma related to domestic violence etc. The victims of sexual abuse often have maladaptive or unhelpful beliefs and attributions relate to the abusive events. Victims often have a sense of guilt for their role in the abuse, or are angry with their parents for not knowing about the abuse. Victims of child sexual abuse of have feelings of powerlessness and they have a sense that they are in some sense “damaged goods”, or that people will treat them differently due to this event. The target outcomes of TF-CBT is to reduce the psychological symptoms and increase the parent or guardian's ability to deal with the child's effects of the abuse. TF-CBT is designed specifically for children aged 13-18 and is usually used to treat those who have been subjected to sexual abuse, domestic violence, physical abuse, neglect, bereavement and other traumas, including terrorist attacks and conflict situations. * How Does TF-CBT work; treatment modalities:
TF-CBT works my integrating several established treatment approaches. TF-CBT combines elements drawn from cognitive therapy, behavioral therapy, and family therapy. Cognitive therapy aims to change behavior by addressing a person's thoughts or perceptions, particularly those thinking patterns that create distorted or unhelpful views. Behavioral therapy focuses on modifying the habitual responses (such as anger and fear) to identify situations or stimuli. Family therapy examines the patterns of interactions among family members to identify and alleviate problems. Through TF-CBT, both parent and children learn how to process their emotions and thoughts that relate to the traumatic experience. They are given the necessary tools to alleviate overwhelming thoughts that can cause stress, anxiety and depression and are taught how to manage their emotions in a healthier way. The goal of TF-CBT is to allow both the child and the parent to continue to develop their skills and communication techniques in a healthy manner. This form of therapy integrates interventions that are specifically tailored to meet the needs of people experiencing emotional and psychological difficulties as a result of a trauma and combines them with humanistic, cognitive behavioral and familial strategies. Children, specifically adolescents, who are suffering severe emotional repercussions due to trauma respond extremely well to this technique. The therapy helps children who have experienced repeated episodes of trauma, as in abuse or neglect, or those who have suffered one...
Cited: Shearing, Vanessa. How do clients experience reliving as part of trauma focused cognitive behavioral therapy for post traumatic stress disorder? Journal of Psychology and Psychotherapy: Theory Research and Practice (2011), 84, 458-472.
[ 4 ]. Shearing, Vanessa. How do clients experience reliving as part of trauma focused cognitive behavioral therapy for post traumatic stress disorder? Journal of Psychology and Psychotherapy: Theory Research and Practice (2011), 84, 458-472.
[ 5 ]. Scheeringa, Michael. Trauma-focused cognitive behavioral therapy for post traumatic stress disorder in three through six year old children: a randomized clinical trial. Journal of Child Psychology and Psychiatry 52:8 (2011).
[ 7 ]. Trauma focused cognitive behavioral therapy reduces PTSD more effectively than child centered therapy in children who have been sexually abused. Evidence Based Mental Health, Vol. 7, No. 4. (1 November 2004), pp. 113-113,
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