Page 1 of 30
TF-CBT CERT EXAM | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
An 11- year- old boy has been referred to you for TF - CBT. You have
reports from his social worker indicating exposure to extreme
domestic violence in which his mother was killed and physical
abuse by his father. There is also a police report providing detail s
about the domestic violence. The boy is now living with a
maternal aunt. During the intake process, the client reports zero
traumatic events. - ✔✔✔ CORRECT ANSWER > 31. What would be
the appropriate next step?
a) You do not go forward with TF - CBT as there is no clear trauma
history. You refer the child instead for play therapy.
b) Since children readily disclose trauma, the reports from the
social worker and the police must be wrong. Offer general
mental health treatment for behavioral problems.
c) Close the referral; this child clearly does not need therapy.
d) Normalize the avoidance with the child and acknowledge that
you know what he was exposed to based on the re ports that
were provided. Begin psychoeducation.
,Page 2 of 30
Sasha is a 14 year - old who was raped by her neighbor as she
was walking home from school. She is afraid that her father, who
is very religious, will either not believe her or will try to kill the
neighbor. Either way it will end badly for her family. Sasha does
not want anyone to know about the rape and called a hotline to
find out where she could get help without involving her parents.
Also, she was deathly afraid that she would be pregnant and her
first thought was how to get the morning after pill so tha t this
would not happen. Once she got this pill she came to your clinic
for counseling. She has not agreed to include her mother in
therapy since she knows her mother will just tell her father.
Cont. - ✔✔✔ CORRECT ANSWER > She has severe PTSD
symptoms: flashbacks, nightmares, avoidance, sleep problems,
and self - blame. She is also considering suicide but this is a sin in
her religion so she would not go through with it. Nevertheless,
she believes her life is basically ruined .
18. Sasha agrees to participate in TF - CBT but absolutely refuses
to allow her mother to know about the rape. You are very
concerned about her social isolation. You:
a) Tell her that it is critical that she consider group therapy.
b) Tell her that if she doesn't tell someone in her family you may
have to commit her to the hospital.
c) Ask if she has any relatives (e.g., older sister, cousin, aunt, or
grandmother) who might be able to participate in therapy and
who would keep the rape confidential.
, Page 3 of 30
d) Refuse to see her without the participation of one of her
parents as TF - CBT cannot be implemented without caregiver
involvement.
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. Le ila is
very supportive and agrees to continue to participate in
treatment. Sasha says that in her religion any girl who los es 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.
TF-CBT CERT EXAM | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
An 11- year- old boy has been referred to you for TF - CBT. You have
reports from his social worker indicating exposure to extreme
domestic violence in which his mother was killed and physical
abuse by his father. There is also a police report providing detail s
about the domestic violence. The boy is now living with a
maternal aunt. During the intake process, the client reports zero
traumatic events. - ✔✔✔ CORRECT ANSWER > 31. What would be
the appropriate next step?
a) You do not go forward with TF - CBT as there is no clear trauma
history. You refer the child instead for play therapy.
b) Since children readily disclose trauma, the reports from the
social worker and the police must be wrong. Offer general
mental health treatment for behavioral problems.
c) Close the referral; this child clearly does not need therapy.
d) Normalize the avoidance with the child and acknowledge that
you know what he was exposed to based on the re ports that
were provided. Begin psychoeducation.
,Page 2 of 30
Sasha is a 14 year - old who was raped by her neighbor as she
was walking home from school. She is afraid that her father, who
is very religious, will either not believe her or will try to kill the
neighbor. Either way it will end badly for her family. Sasha does
not want anyone to know about the rape and called a hotline to
find out where she could get help without involving her parents.
Also, she was deathly afraid that she would be pregnant and her
first thought was how to get the morning after pill so tha t this
would not happen. Once she got this pill she came to your clinic
for counseling. She has not agreed to include her mother in
therapy since she knows her mother will just tell her father.
Cont. - ✔✔✔ CORRECT ANSWER > She has severe PTSD
symptoms: flashbacks, nightmares, avoidance, sleep problems,
and self - blame. She is also considering suicide but this is a sin in
her religion so she would not go through with it. Nevertheless,
she believes her life is basically ruined .
18. Sasha agrees to participate in TF - CBT but absolutely refuses
to allow her mother to know about the rape. You are very
concerned about her social isolation. You:
a) Tell her that it is critical that she consider group therapy.
b) Tell her that if she doesn't tell someone in her family you may
have to commit her to the hospital.
c) Ask if she has any relatives (e.g., older sister, cousin, aunt, or
grandmother) who might be able to participate in therapy and
who would keep the rape confidential.
, Page 3 of 30
d) Refuse to see her without the participation of one of her
parents as TF - CBT cannot be implemented without caregiver
involvement.
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. Le ila is
very supportive and agrees to continue to participate in
treatment. Sasha says that in her religion any girl who los es 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.
