The therapist will speak with the child and parent, as well as other caregivers if there are any. 3,4 What to Expect During the TF-CBT Treatment PhasesĪ child must be thoroughly evaluated by a qualified professional before beginning trauma focused therapy. Just like TF-CBT for children, sessions with family members are not mandatory but recommended for additional support and to enhance interpersonal relationships.Īlthough several studies have demonstrated a reduction in PTSD symptoms and other trauma-related difficulties, research continues to explore TF-CBT’s efficacy with the adult population. Depending on the individual, components of this approach can be modified or utilized in combination with other trauma-focused therapies. TF-CBT can be adapted to adults with concerns related to trauma or diagnosed with PTSD. Is There TF-CBT for Adults?Īlthough TF-CBT is an intervention originally designed to help children and adolescents ages 3 to 18 recover from trauma, this therapeutic model can be used for adults. This can help prevent further trauma, create healing and promote overall resiliency. Parental guilt can be alleviated, and a sense of safety and trust can be rebuilt. It can change family dynamics by adding effective communication skills, situational awareness, emotional regulation, and stress management. Since there is a parental focus to treatment, TF-CBT can improve overall family relations. Triggers that create excessive emotional, physical, or behavioral responses.Somatic responses like bed wetting, stomachaches, headaches, night terrors, tantrums, self-harm.PTSD symptoms including sleeplessness, agitation, flashbacks, nightmares, anger, poor concentration, hypervigilance, emotional numbness, low self-worth.TF-CBT treatment targets feelings and issues like: TF-CBT treatment can alleviate many symptoms and improve mental health for both child and parent. There are some important parameters-TF-CBT is only beneficial if the child has at least one remembered trauma along with prominent PTSD symptoms, although a PTSD diagnosis is not necessary. The high success rate of TF-CBT to heal childhood trauma is great enough to encourage further research for other problems. TF-CBT has been refined into an evidenced-based, manualized treatment tested on traumatic bereavement, posttraumatic stress disorder, depression, anxiety, and behavioral problems. Over time, TF-CBT has moved beyond just treating childhood sexual abuse for which it was developed. Moreover, TF-CBT is a comprehensive psychosocial therapeutic approach consisting of a combination of principles and techniques from CBT, family therapy, and other modalities. TF-CBT, on the other hand, is specifically designed to address the unique needs of children and adolescents who have endured trauma and involves parental/family support and collaboration as part of the treatment (when these folks did not contribute to the trauma being treated). While CBT and TF-CBT are both skill-based, structured, time-efficient, and well-researched therapies, regular CBT doesn’t focus only on trauma, because it can be applied also to a variety of health conditions and people of all ages. Enhancing safety and future developmental trajectory.Cognitive coping: connecting thoughts, feelings and behaviors.Affective modulation skills tailored to child, family and culture.Relaxation skills individualized to youth and parent.Parenting component including teaching parenting skills.Psychoeducation about child trauma and trauma reminders.Practical components of TF-CBT follow the acronym PRACTICE: 2 This provides the parent with an opportunity to use the skills she/he learned during conjoint therapy. Finally, the child shares the story with the parent, allowing the parent to completely understand the child’s perspective. The therapist uses careful interventions to help the child build tolerance. The child creates a story, which is first shared with the therapist. Trauma focused-CBT has a narrative component that is critical to its success. TF-CBT uses a structured, three-phase format. It is important to note that only a non-offending parent can be part of the treatment. It includes psychoeducation for the parent while teaching new skills, including effective parenting, stress-management, and communication. An essential part of TF-CBT is providing equal time to the parent. All materials use age-appropriate language, skills building and examples. An offshoot of typical cognitive behavioral therapy, trauma focused-CBT techniques help children modify negative, unhelpful thoughts, emotions and behaviors that result from childhood traumatic experiences.
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