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Trauma is an experience that causes a person to feel helpless, threatened, or fearful. Do not wait too long before you get over it or help someone heal from it. It only takes you a booked appointment with one of our licensed therapists and counselors at BetterHelp.

Traumatic experiences are difficult to cope with and can result in long-term negative effects on people. Trauma is not the same as violence; it does not necessarily involve physical harm. Most children experience some trauma before the age of 18. These kinds may include bullying, emotional abuse, neglect, missing loved ones, sexual abuse, and lots more.

However, Trauma-focused Cognitive Behavioral Therapy (TF-CBT) is an effective treatment for post-traumatic stress disorder in children, adolescents, and adults.

What is trauma focused cognitive behavioral therapy (TF-CBT)?

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children and adolescents who have experienced trauma or abuse.

TF-CBT helps children and adolescents gain insight into their past experiences, understand the impact of these experiences on their current functioning, develop strategies for coping with those challenges, and learn new ways to relate to others. The process involves the child’s parents or guardian in the sessions to make the healing faster.

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What are the goals of TF-CBT?

The goals of TF-CBT are to help the victims who went through traumatic situations develop new ways to get over the past. In TF-CBT, the therapist works with the child and the parents to identify the victim’s thoughts and actions related to their symptoms for better improvement.

The therapist also helps the clients develop new ways of thinking about themselves and others to understand better why they feel anxious or stressed out and what kinds of things are likely to make things worse.

TF-CBT has been proven to be the best model for eliminating depression and suicide attempts among children who have experienced trauma or other forms of adversity.

What are the Phases of trauma-focused cognitive behavioral therapy (TF-CBT)?


The first phase of trauma-focused CBT is stabilization. It’s a time to get your mind and body back under control after a traumatic event. During this phase, the therapist works to help the clients gain balance, strength, and self-care skills.

The therapist will also help the clients find ways to cope with their feelings and emotions so that they can make decisions about their lives.

Trauma narration and processing

In this phase, the client begins telling his story of what happened and processing it with the therapist. This phase may include discussing their feelings about the incident, sharing their thoughts and beliefs about what happened, retelling the story differently, etc.

The goal is to help individuals understand why they feel the way they do after an event like trauma or abuse.

Integration and consolidation

After trauma processing, an individual must integrate the new information into their life, so they do not remain stuck in old patterns of thinking or behaving.

In this phase, clients learn how to make sense of their experiences, improve their self-esteem, develop new coping skills, and learn ways to prevent future traumas from affecting them again. Doing so prepares them for the next stage, where they can start taking action on their recovery journey.

What are the core features of TF-CBT?

Coping skills

Coping skills are the most basic yet most important and effective aspect of trauma-focused cognitive-behavioral therapy (TF-CBT). Coping skills are learned behaviors, such as relaxation techniques and problem-solving skills. They can be learned from a therapist or fooks.

Exposure therapy

Exposure therapy is a type of behavioral therapy that involves exposing the patient to their trauma in a safe and controlled environment. Exposure therapy aims to help patients process and understand their trauma so they can move past it and feel better.

For example, during exposure therapy, the therapist will ask the client to watch a certain type of video or listen to a song that reminds them of their trauma. The goal is to help the client accept that the memory is not real and allow them to be more comfortable with it.

Cognitive Restructuring

Cognitive restructuring is a process where the therapist helps patients recognize and challenge negative thoughts preventing them from being successful.

It’s helpful for people who struggle with self-esteem issues or negative thinking patterns that keep them depressed or anxious about the future.

Interpersonal Therapy

Interpersonal therapy involves working one-on-one with your therapist to explore your relationship with others, your feelings about yourself, and your past experiences. This type of therapy can help the clients identify how other people have influenced their behavior in the past.


Psychoeducation is a key feature of trauma-focused cognitive behavioral therapy. It helps clients understand their approaches to traumatic experiences and why it is important to take responsibility instead of going through guilt.

The therapist guides the person through a review of the trauma and its effects on their life, including any subsequent problems or issues that may have arisen from it. This process can explain how memory works and how memory can affect behavior in the present.

What are the treatment sessions of trauma-focused cognitive behavioral therapy (TF-CBT)?

TF-CBT is a structured, time-limited appointment for adults who have experienced abuse, neglect, or trauma in childhood. The treatment sessions of trauma-focused cognitive behavioral therapy (TF-CBT) focus on helping the clients to change the thoughts and behaviors that underlie their experiences of trauma. The appointment may take between eight to twenty sessions, but some therapists may choose to do more or less frequent sessions.

The first step will focus on establishing the foundation of the therapy. The therapist and patient will discuss goals and expectations and any underlying issues affecting the relationship between the two parties in therapy.

The second step will focus on building a foundation for change. Patients will learn how to identify problematic thinking patterns associated with their trauma history and ways to replace these thoughts with healthier ones. This step can include reviewing past medical records and psychological treatment sessions.

This information goes with other factors such as family history, personality traits, and cultural background. Patients will also begin to develop skills for upsetting and handling situations in their lives, including those triggered by flashbacks or triggers from traumatic events.

The third step will focus on understanding the relationship between past abuse and current problems. The therapist and patient will work together to identify stressors in the client’s life that have contributed to their symptoms since childhood and help them develop strategies for dealing with these challenges more effectively.

This part reveals the root cause of the problem: environmental or psychological factors. You may also find out if there is any overlap between the two types of problems you have been dealing with since childhood (for example, if you were abused as a child but now have anxiety about relationships).

In addition to working with the therapist, participants in TF-CBT may also benefit from working with family members, friends, or other people who have been supportive during their recovery process.

How does TF-CBT work for children?

The TF-CBT model is designed to help children understand and manage their emotions and thoughts to prevent emotional and behavioral problems.

In some cases, this model may involve teaching affected children new skills in managing their emotions and thoughts. For example, a child with past trauma may learn relaxation techniques such as breathing exercises or visualizations to help them overcome it.

Some children may also benefit from learning how to recognize and express how they feel when they are having difficulties or if someone else is acting out of character. For example, a child who is angry at their parents for not providing enough attention could learn what it feels like to be angry and how they can express that anger without causing harm.

Some of the key principles of TF-CBT to help victimized children are:

1. Encouraging the children to speak up

A professional TF-CBT therapist will help the parents or caregivers of such children know how to engage in a conversation about the experiences and feelings of their children.

2. Ensuring the safety of the children

Children must be able to feel safe enough with their therapist or counselor. This means that you should feel comfortable talking about your child’s experience and that the person they are seeing understands how trauma affects children and has experience working with them in this way.

3. Proving guidance for the children

The therapist or counselor will listen without judgment or criticism and guide while respecting the child’s boundaries.

4. Self-realization

The TF-CBT therapist works with the child to help them see that their emotions are normal and not bad. The therapist also teaches the child how to deal with difficult situations using problem-solving skills and making decisions.

5. Emotion control

In addition to helping children learn how to manage their emotions, TF-CBT helps them develop new ways of thinking about themselves and their world. This can make it easier for them to make friends at school, get along with their parents, handle stress well, and feel more in control of their lives.

What should you expect from a TF-CBT Therapist as an adult?

The first step is to meet an experienced licensed TF-CBT therapist. A good trauma-focused therapist will guide you to discover the best techniques that work better for you. Using a combination of cognitive behavioral and exposure therapies will help change negative thoughts and behaviors related to your trauma.

During your sessions with him, you’ll learn more about what it means to be a trauma survivor and how TF-CBT can help you cope with your own experiences and those of others. Your therapist will also address any concerns about disclosing details about your past abuse or other aspects of your life that may make it difficult for you to feel comfortable talking about them during treatment.

What is the Evaluation of the effectiveness of trauma-focused cognitive behavioral therapy sessions?

The Evaluation of the effectiveness of trauma-focused cognitive behavioral therapy sessions is important because it helps determine whether or not this type of therapy is effective. This Evaluation also involves analyzing the results in terms of change. This change includes measuring how much someone has changed over time or how much they have improved over time. Some people may not see any changes, while others may see significant ones.


What is trauma-focused cognitive behavioral therapy (TF-CBT)?

Trauma-focused cognitive behavioral therapy (TF-CBT) is a form of psychotherapy that helps people who have experienced trauma manage their symptoms and cope with their problems. It is based on the theory that people who have been traumatized are often stuck in a pattern of thinking and behaving that has become dysfunctional.
By focusing on how you think about your experiences instead of what happened, you can change your behavior to help you feel better.

Who can benefit from TF-CBT?

While TF-CBT is effective for treating PTSD in adults and children, it is most commonly used by clinicians for individuals between the ages of 12 and 18 due to its focus on childhood trauma and adolescents’’ unique developmental stage.

How does TF-CBT work?

In TF-CBT, a therapist works with a patient to identify the thoughts and feelings that are causing them distress and other problems such as anxiety or depression. The therapist then teaches the patient new ways of thinking and behaving so they can overcome their problems more effectively.

Is there any difference between TF-CBT and CBT?

The first difference between TF-CBT and CBT is that TF-CBT focuses on the patient’s trauma experience. In contrast, CBT focuses on how patient experiences their thoughts, feelings, and behaviors. TF-CBT is also a more direct form of treatment than CBT. It includes focusing on the current situation rather than using techniques to change earlier behaviors.

Another difference between TF-CBT and CBT is that TF-CBT focuses on self-care as part of therapy. The therapist will listen to the patient’s experiences of trauma but also help them take steps towards improved self-care, such as relaxation techniques or journaling. This can help patients feel like they are taking control of their recovery.

How long are TF-CBT sessions?

The duration of TF-CBT sessions is individualized to meet the needs of the parents and child. The length of a TF-CBT session depends on how long it takes to complete, but generally, the average length of a TF-CBT session is 60 minutes.

Each session will begin with an assessment and psychoeducation, followed by a brief review of the previous session. The parent and child will then work together on a homework assignment that relates to the session’s focus topic (for example, anxiety). There is no set duration for these homework assignments.

After completing their homework assignment, children and parents may be asked to participate in activities designed to help them practice skills learned during the session and reinforce what was discussed in earlier sessions.

Who are not good candidates for TF-CBT? 

The TF-CBT model aims to help children or youths who experienced abuse or assault understand their traumatic experiences and develop ways to cope with them. However, the parents and guardians who are involved in the abuse or assault of the child cannot participate. These patients must receive specialized treatment from trained professionals familiar with this situation.

What is post-traumatic stress disorder (PTSD)?

Post-traumatic stress disorder is a mental health condition that can develop after exposure to a traumatic event. The symptoms of PTSD can be mild, severe, and disabling. PTSD is one of the most common mental health conditions in the world, affecting approximately 7.7 million adults in the United States alone. The symptoms of PTSD include:

  • Recurrent and intrusive memories, images, and thoughts about an event that caused you distress
  • Disturbed sleep, insomnia, or hypersomnia (excessive sleeping)
  • Irritability or outbursts of anger, especially if you feel your safety could be threatened
  • Flashbacks: Recollection of the traumatic event (for example, visual flashbacks) that occur without warning when you least expect it; these may happen suddenly and vividly when you least expect them.

What is the best procedure to find a TF-CBT therapist?

The first step in finding the right TF-CBT therapist is finding out if they are licensed and registered with one of the major professional associations, such as the American Psychological Association (APA). If they’re not licensed or registered with an organization like this, it could mean that they’re not qualified to treat your condition or that they don’t specialize in treating PTSD or trauma-related disorders.

You should also ask about their experience treating PTSD or other trauma-related disorders. You want someone who has experience working with these types of clients because this will help them understand your situation better than someone without any experience working with people who have experienced


Trauma-focused cognitive behavioral therapy (TF-CBT) is a form of mental health treatment for children between the ages of 3 and 18. TF-CBT focuses on trauma and its long-term effects. If you think you might benefit from TF-CBT, but your doctor doesn’t recommend it, it’s important to find a therapist who specializes in TF-CBT.

In addition, if you think someone in your family might benefit from TF-CBT, talk with them about finding a therapist who specializes in this type of therapy. At BetterHelp, we have over forty thousand experienced and licensed therapists who will give you the necessary care and ensure the treatment plan is safe for your child’s needs and situation.

Use this medium to schedule an appointment today and get 20% off your booking here.

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