TF-CBT CERT EXAM 2025-2026 Most Recent
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11. Which of the following is not a cognitive processing intervention? - CORRECT
ANSWER: a) Best friend role play.
b) Socratic questioning.
c) Presenting factual information inconsistent with the cognitive distortion.
d) In vivo mastery.
13. Angel reports panic feelings when she remembers the worst incidents of violence in
her family. Which of the following would be the best TF-CBT relaxation skill to reduce
Angel's panic symptoms? - CORRECT ANSWER: a) Talking on the phone with friends.
b) Progressive muscle relaxation for only the abdominal muscles and only if Angel is
highly athletic.
c) Thinking about the violence and convincing herself that it was accidental.
d) Deep breathing exercises.
14. Angel resists doing the trauma narrative because of distressing flashbacks and
concern about being disloyal to her biological parents. What should you do? -
CORRECT ANSWER: a) Decide not to do a trauma narrative because it is too upsetting
for Angel.
b) Tell Angel that she can tell her story but leave out the parts about the violence.
c) Tell Angel that she has to do a trauma narrative because it is a mandatory part of TF-
CBT.
d) Normalize and validate Angel's fears and concerns and remind her that she can
gradually share the details about the domestic violence.
,16. If implementing the Trauma Narrative component with this child is appropriate, what
should you do if she becomes very distressed when sharing details and indicates that
she is at a "9" on the Fear Thermometer? - CORRECT ANSWER: a) Tell the child to
stop the narrative and inform her that you will work on it again at the next treatment
session when she is feeling more relaxed and calm.
b) Tell the child to stop the narrative and assist her in doing relaxation for the remainder
of this treatment session.
c) Tell the child to temporarily stop the narrative, have her practice relaxation, praise her
for calming herself, and then return to the narrative during the same session.
d) Have the caretaker join the session to assist the child in working on the narrative.
19. Sasha agrees to ask her cousin Leila, age 25, to participate in treatment with her.
Leila agrees without knowing why Sasha is in treatment and promises to keep
everything confidential. During the next session Sasha tells Leila why she is in therapy.
Leila is very supportive and agrees to continue to participate in treatment. Sasha says
that in her religion any girl who loses her virginity, even through rape, is no longer pure
or fit for marriage. You: - CORRECT ANSWER: a) Validate Sasha's concerns and tell
her you to understand why she is so depressed. Engage her in psychodynamic
treatment for adolescent depression instead of TF-CBT.
b) Tell her that no religion holds girls responsible for having been forcibly raped.
c) Tell her that any religion that believes this is harmful to women.
d) Tell her that you are very interested in her understanding of how her religion
addresses the issue of rape. After she has explained this, ask her if she is interested in
hearing how you have heard it explained differently by a member of the clergy from her
religion.
2. How should the therapist proceed? (Alexa case) - CORRECT ANSWER: a) Tell Alexa
that it is not her fault and immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then begin cognitive processing of
the trauma narrative, including her statements.
c) Repeat the earlier components, beginning with Psychoeducation as this is a clear
example of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again but this time tell her to only include
details about the sexual abuse, not any statements about herself or any thoughts.
, 20. After several sessions of treatment, Sasha's mother becomes suspicious of all the
time she is spending with Leila. She asks Leila why she has been picking Sasha up
every week and taking her places. Leila does not feel comfortable lying to her aunt
about this and asks you how to handle this matter. You: - CORRECT ANSWER: a)
Suggest that they continue to come to therapy without telling Sasha's parents. Nothing
about Sasha's family situation has changed since therapy began.
b) Suggest that it is best that Sasha not continue therapy unless she is able to tell her
mother that she is coming to therapy.
c) Suggest that Sasha and Leila assess potential benefits and risks of being open about
therapy with Sasha's mother. Sasha has learned new skills and has gained significant
support from Leila that she did not have at the start of therapy.
d) Tell Sasha that family therapy, including the mother and father, would be more
appropriate than TF-CBT.
22. If including parenting skills is appropriate, what is the best place to start? -
CORRECT ANSWER: a) Parenting skills are not appropriate; it is more important to get
started right away with individual work with this child to help him learn skills to calm
down (Relaxation, Affective Modulation, Cognitive Coping) so that he can follow
directions more easily.
b) Parenting skills are appropriate; you should start with consequences, like time-out,
for not listening.
c) Parenting skills are appropriate; you should start with praise and attention for times
when this boy does listen to commands and directions.
d) Parenting skills are only appropriate if the caretaker is the biological parent.
25. A potential risk of sharing parts of their Trauma Narratives together in joint sessions
is secondary traumatization or vicarious trauma, wherein one sibling develops
posttraumatic stress symptoms (e.g., intrusive thoughts of the sibling's abuse) related to
hearing the details of the abuse his/her sibling experienced. - CORRECT ANSWER: a)
True
b) False
Version Comprehensive Questions and Verified
Answers Accurate Solutions Already Graded A+
Get it 100% Correct
11. Which of the following is not a cognitive processing intervention? - CORRECT
ANSWER: a) Best friend role play.
b) Socratic questioning.
c) Presenting factual information inconsistent with the cognitive distortion.
d) In vivo mastery.
13. Angel reports panic feelings when she remembers the worst incidents of violence in
her family. Which of the following would be the best TF-CBT relaxation skill to reduce
Angel's panic symptoms? - CORRECT ANSWER: a) Talking on the phone with friends.
b) Progressive muscle relaxation for only the abdominal muscles and only if Angel is
highly athletic.
c) Thinking about the violence and convincing herself that it was accidental.
d) Deep breathing exercises.
14. Angel resists doing the trauma narrative because of distressing flashbacks and
concern about being disloyal to her biological parents. What should you do? -
CORRECT ANSWER: a) Decide not to do a trauma narrative because it is too upsetting
for Angel.
b) Tell Angel that she can tell her story but leave out the parts about the violence.
c) Tell Angel that she has to do a trauma narrative because it is a mandatory part of TF-
CBT.
d) Normalize and validate Angel's fears and concerns and remind her that she can
gradually share the details about the domestic violence.
,16. If implementing the Trauma Narrative component with this child is appropriate, what
should you do if she becomes very distressed when sharing details and indicates that
she is at a "9" on the Fear Thermometer? - CORRECT ANSWER: a) Tell the child to
stop the narrative and inform her that you will work on it again at the next treatment
session when she is feeling more relaxed and calm.
b) Tell the child to stop the narrative and assist her in doing relaxation for the remainder
of this treatment session.
c) Tell the child to temporarily stop the narrative, have her practice relaxation, praise her
for calming herself, and then return to the narrative during the same session.
d) Have the caretaker join the session to assist the child in working on the narrative.
19. Sasha agrees to ask her cousin Leila, age 25, to participate in treatment with her.
Leila agrees without knowing why Sasha is in treatment and promises to keep
everything confidential. During the next session Sasha tells Leila why she is in therapy.
Leila is very supportive and agrees to continue to participate in treatment. Sasha says
that in her religion any girl who loses her virginity, even through rape, is no longer pure
or fit for marriage. You: - CORRECT ANSWER: a) Validate Sasha's concerns and tell
her you to understand why she is so depressed. Engage her in psychodynamic
treatment for adolescent depression instead of TF-CBT.
b) Tell her that no religion holds girls responsible for having been forcibly raped.
c) Tell her that any religion that believes this is harmful to women.
d) Tell her that you are very interested in her understanding of how her religion
addresses the issue of rape. After she has explained this, ask her if she is interested in
hearing how you have heard it explained differently by a member of the clergy from her
religion.
2. How should the therapist proceed? (Alexa case) - CORRECT ANSWER: a) Tell Alexa
that it is not her fault and immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then begin cognitive processing of
the trauma narrative, including her statements.
c) Repeat the earlier components, beginning with Psychoeducation as this is a clear
example of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again but this time tell her to only include
details about the sexual abuse, not any statements about herself or any thoughts.
, 20. After several sessions of treatment, Sasha's mother becomes suspicious of all the
time she is spending with Leila. She asks Leila why she has been picking Sasha up
every week and taking her places. Leila does not feel comfortable lying to her aunt
about this and asks you how to handle this matter. You: - CORRECT ANSWER: a)
Suggest that they continue to come to therapy without telling Sasha's parents. Nothing
about Sasha's family situation has changed since therapy began.
b) Suggest that it is best that Sasha not continue therapy unless she is able to tell her
mother that she is coming to therapy.
c) Suggest that Sasha and Leila assess potential benefits and risks of being open about
therapy with Sasha's mother. Sasha has learned new skills and has gained significant
support from Leila that she did not have at the start of therapy.
d) Tell Sasha that family therapy, including the mother and father, would be more
appropriate than TF-CBT.
22. If including parenting skills is appropriate, what is the best place to start? -
CORRECT ANSWER: a) Parenting skills are not appropriate; it is more important to get
started right away with individual work with this child to help him learn skills to calm
down (Relaxation, Affective Modulation, Cognitive Coping) so that he can follow
directions more easily.
b) Parenting skills are appropriate; you should start with consequences, like time-out,
for not listening.
c) Parenting skills are appropriate; you should start with praise and attention for times
when this boy does listen to commands and directions.
d) Parenting skills are only appropriate if the caretaker is the biological parent.
25. A potential risk of sharing parts of their Trauma Narratives together in joint sessions
is secondary traumatization or vicarious trauma, wherein one sibling develops
posttraumatic stress symptoms (e.g., intrusive thoughts of the sibling's abuse) related to
hearing the details of the abuse his/her sibling experienced. - CORRECT ANSWER: a)
True
b) False
