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Alexa is an 8-year-old girl who disclosed sexual abuse by
her two older adolescent stepbrothers. While developing
the first part of her trauma narrative, she wrote "I am a bad
girl. I think they messed up my body. I was really dumb
because I never told anyone." - ANSWER-1. Alexa's
statements are examples of:
a) Healthy or functional thoughts.
b) Cognitive distortions.
c) Cognitive realities.
,d) Accurate but unhelpful thoughts.
A 12 year-old male is brought to your clinic to receive TF-
CBT by his new foster parent who is complying with the
CPS case manager's recommendation/referral. The boy
was physically abused by his biological father, emotionally
neglected by his stepmother, and is unaware of his
substance-abusing mother's whereabouts. The boy
appears "shut-down" and is mildly aggressive in his verbal
interactions at his new school with peers and teachers. He
only talks about feeling "mad". - ANSWER-27. What will be
important to focus on during the first few weeks of therapy
with this boy?
a) Delay using standardized assessment instruments until
trust and rapport are established; this is not likely to occur
,until 2-3 months into treatment since he has complex
trauma.
b) Provide Psychoeducation and Affective Modulation
(e.g., encourage him to talk about his "mad" feelings)
without gradual exposure, since referring to trauma
experiences early in treatment with a child who is so
emotionally shut down would interfere with effective
engagement.
c) Do not introduce Psychoeducation until he initiates
talking about his trauma experiences as this would likely
worsen his avoidance.
d) Do not include the new foster parents in treatment,
since they are too new for him to trust; they may be
trauma triggers and incite the boy's anger.
, e) Provide Psychoeducation and Affective modulation
skills with gradual exposure and actively engage foster
parents in TF-CBT.
In the first individual TF-CBT session with a 10 year-old
girl named Janie, the therapist learns that "mom cries all
the time" when the abuse is brought up at home so Janie
never really talks about it. She expresses that she does
not want to make mom sad or angry. When you meet with
the mother individually, she expresses that she wants to
support her daughter but she is constantly thinking about
what Janie endured and feels guilty that she did not "pick
up on it" before her daughter disclosed the sexual abuse. -
ANSWER-28. When a well-meaning, non-offending
parent's emotional distress (related to the child's abuse