![]() ![]() The death of a parent or sibling could also be a traumatic event. They may have witnessed or been the direct victim of violence, severe motor vehicle or other accidents, or natural and human-made disasters. Someone that has experienced a traumatic event may have gone through physical, emotional, or sexual abuse or neglect. Traumatic events are evidenced by a sense of horror, helplessness, serious injury, or the threat of serious injury or death. However, broadly speaking, trauma can be defined as when an extremely stressful event overwhelms your child’s ability to cope. No parent wants their child to go through trauma every child is different regarding the level of stress they can effectively cope with. The treatment has since expanded to serve youth who have experienced many different forms of trauma or abuse. TF-CBT incorporates trauma-sensitive interventions with cognitive behavioral, family, and humanistic principles and techniques.Īccording to Psychology Today, this trauma-focused approach to therapy was first developed in the 1990s by psychiatrist Judith Cohen and psychologists Esther Deblinger and Anthony Mannarino, whose intent was to better serve children and adolescents who had experienced sexual abuse. Research studies have consistently proven that TF-CBT effectively reduces symptoms of post-traumatic stress in children. The intervention typically lasts between four and six months, but can vary on a case-by-case basis, and can be offered both in-person and virtually via telehealth. However, in cases of severe intellectual disability, neurocognitive disability, neurodevelopmental disorder, autism spectrum disorder, or other problems that make it impossible for someone to benefit from a cognitive therapy, TF-CBT is not indicated.Trauma-Focused Cognitive Behavioral Therapy, or TF-CBT, is a therapeutic intervention created to help children from age three to 18, and their parents or caregivers, overcome the impact of traumatic events. TF-CBT can be used with children and youth who have intellectual, cognitive, or other developmental problems if their level of functioning allows them to engage in and benefit from a cognitive therapy. If a child does not have clinically significant problems related to traumatic events, TF-CBT is not indicated. Consequently, they may not have significant mental health symptoms related to those experiences. Some children are highly resilient, possess effective coping skills, and have strong familial and social support systems to help them manage potentially traumatic experiences effectively. If a child does not have a known history of traumatic events, TF-CBT is not indicated. Every effort should be made to locate and engage a supportive parent or other caregiver in the treatment process. ![]() While TF-CBT can be done with children without a supportive caregiver, substantial parts of the treatment will be lost. Parent/Caregiver Involvement: Having a supportive parent or other caregiver such as a grandparent, other kinship caregiver, or foster parent involved in treatment is highly desirable.Co-morbid Diagnoses: TF-CBT can be used successfully with traumatized children and youth with co-occurring difficulties such as ADHD, oppositional defiant disorder, and conduct disorder. ![]() ![]() Other Trauma-related Problems: Children may have other trauma-related problems such as depression, anxiety, fear, shame, self-blame, behavior problems, sexual behavior problems, or traumatic grief.Research has found that children consistently experiencing 4 or more PTSD symptoms can benefit from TF-CBT. The child does not have to meet full diagnostic criteria for PTSD. PTSD Symptoms: Child has significant symptoms of PTSD. ![]()
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