Answers |Latest Version |Already Graded A+
How often should TF-CBT treatment sessions be conducted? ✔Correct Answer-Once a week or
more frequently
Weekly sessions are the TF-CBT standard, and treatment can be delivered more frequently if
circumstances make that possible.
What is the typical length of a full course of TF-CBT? ✔Correct Answer-12-25 sessions
A typical course of TF-CBT should take somewhere between 3-5 months of reqular weekly sessions.
For what age range of children has TF-CBT been found to be effective? ✔Correct Answer-3-18 years
Research demonstrating TF-CBT's efficacy has included children as young as 3 and as old as 18.
Which of the following statements is NOT true for TF-CBT? ✔Correct Answer-All children who have
experienced at least one potentially traumatic event are good candidates for TF-CBT
Simply experiencing a trauma does not make a child a good candidate for TF-CBT; trauma-related
symptoms must be present, as well.
Lila is a 10-year-old girl referred to you by a school counselor due to misbehavior in school and
decreased academic performance that both have become serious problems over the past 3 months.
Your trauma assessment revealed that she had been in a serious car crash about three years ago,
suffering some minor physical injuries. Neither she nor her parents report any other traumatic
events. Her mother reported no difficulties related to the car crash and Lila's score on a standardized
measure of PTSD symptoms was in the low normal range. Is Lila a good treatment candidate for TF-
CBT and why? ✔Correct Answer-No, she does not have clinically significant trauma-related
problems that require trauma-focused treatment.
TF-CBT should be provided to kids who have experienced trauma AND who report some symptoms
of PTSD
Which of the following is a TF-CBT treatment goal for participating parents and caregivers?
✔Correct Answer-To increase caregiver support of the child, parenting skills, and parent-child
communication
Some of the other response options may be ancillary benefits of TF-CBT in some cases, but they are
not explicit treatment goals.
Which of the following is NOT a problem that should be managed prior to beginning TF-CBT?
✔Correct Answer-Child has significant academic problems and is failing
Issues that pertain to the safety of the child or others in the child's environment need to be
addressed prior to beginning TF-CBT. Academic problems generally do not rise to this standard.
What treatment elements should be included in every session of TF-CBT? ✔Correct Answer-
Parenting Skills and Gradual Exposure
The trauma should be discussed in every session of TF-CBT (as the PRAC skills are applied to trauma-
related problems, for example), and parent sessions should include some discussion of parenting
Which TF-CBT treatment components make up the Integration/Consolidation Phase of treatment?
✔Correct Answer-In Vivo Mastery, Conjoint Sessions, and Enhancing Future Safety and Development
, Integration/Consolidation is the final phase of TF-CBT treatment and includes all the components
after the creation and processing of the Trauma Narrative.
Samuel is a 14-year-old boy with a cognitive disability who functions at about the level of a 5-year-
old. He was referred to you by a child welfare worker after a report of physical abuse by his mother.
Your trauma assessment found that Samuel had a long history of significant physical abuse by both
his parents. Samuel reported that when his parents beat him, it was his fault because he did
something wrong, and that he usually deserved the punishment. He often felt guilty about causing
his parents to hit him and ashamed of himself for being bad. A standardized measure of PTSD
symptoms completed by his current caregiver, an aunt, was in the high normal range. Is Samuel a
good treatment candidate for TF-CBT and why? ✔Correct Answer-Yes, Samuel's problems with
guilt, self-blame, and shame are clinically significant trauma related problems that can be treated
with TF-CBT.
Despite Samuel's disability, he is functioning at a developmental level for which TF-CBT is
appropriate, and his self-blame and emotional symptoms are appropriate treatment targets.
What are the two components of treatment fidelity? ✔Correct Answer-Adherence and
Competence
The degree to which therapists provide treatment "with fidelity" is dependent on how closely they
follow the prescribed treatment model (adherence) and their skill in delivering the treatment
components (competence).
What is TF-CBT? ✔Correct Answer-Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is an
evidence-based, conjoint child and parent/caregiver psychotherapy model for children and
adolescents who are experiencing clinically significant emotional and behavioral difficulties related to
traumatic life events they have experienced. TF-CBT is a relatively brief (typically 12-20 sessions),
components-based treatment model that incorporates interventions and techniques based on
cognitive, behavioral, family therapy, and humanistic principles.
The goals of TF-CBT are to enable children and youth who have experienced serious traumatic
events, and their supportive caregivers, 1) to learn effective skills to cope with trauma-related
emotional and behavioral problems, 2) to face and resolve those problems in a safe and therapeutic
way, and 3) to effectively integrate their trauma experiences and help them move on with their lives
in a safe and positive manner. Specifically, TF-CBT is designed to reduce symptoms of Posttraumatic
Stress Disorder (PTSD), trauma-related depression, anxiety, and behavior problems, and common
trauma-related cognitive and emotional problems such as fear, shame, embarrassment, guilt, and
self-blame. TF-CBT also improves caregiver support of the child, parenting skills, and parent-child
communication.
Who is TF-CBT not for? ✔Correct Answer-No history of traumatic events. If a child does not have a
known history of traumatic events, TF-CBT is not indicated.
No trauma-related problems. 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. Consequently, they may not have significant mental health symptoms related
to those experiences. If a child does not have clinically significant problems related to traumatic
events, TF-CBT is not indicated.
Severe cognitive challenges. 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. 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.