TF-CBT CERTIFICATION ACTUAL EXAM 2025-2026
\COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS\REAL EXAM TF –CBT CERT \GRDAED A+
LATEST VERSION
In the example above, there 4. How should the therapist proceed?
is a concern that the father a) Meet with the child's father and discuss the safety concerns.
may have access to the b) Do not discuss safety because Justin and his mother
home and the therapist is would then blame themselves for the domestic
worried about Justin's violence.
c) Engage in short-term safety planning with Justin and his mother.
safety. The therapist is
d) Engage Justin in In Vivo Desensitization as his
concerned about following
concern about safety is a cognitive distortion.
the TF-CBT model with
fidelity and is not sure
whether it is okay to
implement "Enhancing
Safety and Future
Development" without
completing the
earlier components.
,Monty is a 7-year-old boy who 5. What should the therapist have done instead?
was a victim of sexual abuse a) Listened to Monty for a few minutes and redirected him;
for two years by his adoptive initiated Psychoeducation and subsequent skills-based
parents. As part of the components before moving to the trauma narrative.
assessment, he completed the b) Briefly reviewed the initial four TF-CBT components
UCLA PTSD Reaction Index and started the trauma narrative the next week.
and his total score was in the c) Nothing. It is imperative to follow a child's cues and
severe range, including very wishes rather than a more directive approach.
serious re- experiencing d) Skipped the trauma narrative entirely because it is
symptoms. When the important to do just the opposite of what a child
therapist discussed the TF-CBT believes he/she needs.
treatment
approach with him, including
that he would be writing his
story about the sexual abuse,
Monty became excited and
began to discuss the trauma
in great detail. So, the
therapist, encouraged by Monty's
willingness to talk, complied
with his wishes and allowed
him to create his trauma
narrative over the first three
treatment sessions. During
and after the completion of
the trauma narrative, Monty's
behavior began to
deteriorate, including acting-
out sexually, soiling himself,
refusing to sleep in his own
room, and engaging in other
dangerous behaviors that
warranted a short-term
hospitalization.
a) Trauma Narrative, particularly if a child is extremely anxious.
b) Conjoint sessions to share the narrative,
especially for older teens or foster children who
6. Which component of TF-
resist having their foster parents involved in
CBT sometimes needs to be
treatment.
implemented out of order, c) Cognitive Coping, especially if a child has distortions about the
usually toward the beginning abuse.
of treatment?
d) Psychoeducation; sometimes this component can be
, left for later in treatment or skipped altogether.
e) In Vivo Mastery, such as in cases of school avoidance
or other highly problematic avoidant behaviors
Jody is a 6 year-old girl . In the first TF-CBT session, the therapist would typically:
who was attacked by a dog a) Give Jody the freedom to talk about anything she likes
throughout the session.
and left with severe scars all
b) Provide psychoeducation and express optimism
over her legs. Since the
about her ability to help mother and child in 12 to 16
dog attack, Jody has
experienced severe PTSD sessions.
symptoms and c) Explain to mother that Jody has serious PTSD
significant oppositional
symptoms and that treatment will likely continue for
behavior problems.
Her mother has felt 1-2 years.
intense guilt as Jody d) Strongly encourage Jody to talk about the details of
almost died from the the dog attack, no matter how much anxiety this
attack. She now strategy would cause.
cannot say no to anything
her daughter wants. The
mother also reported that
Jody's behavior is
extremely difficult to
manage
and the mother just cannot
take her
anywhere. Jody has
tantrums at the drop of a pin
and becomes fearful when
there is any mention of a
dog.
\COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS\REAL EXAM TF –CBT CERT \GRDAED A+
LATEST VERSION
In the example above, there 4. How should the therapist proceed?
is a concern that the father a) Meet with the child's father and discuss the safety concerns.
may have access to the b) Do not discuss safety because Justin and his mother
home and the therapist is would then blame themselves for the domestic
worried about Justin's violence.
c) Engage in short-term safety planning with Justin and his mother.
safety. The therapist is
d) Engage Justin in In Vivo Desensitization as his
concerned about following
concern about safety is a cognitive distortion.
the TF-CBT model with
fidelity and is not sure
whether it is okay to
implement "Enhancing
Safety and Future
Development" without
completing the
earlier components.
,Monty is a 7-year-old boy who 5. What should the therapist have done instead?
was a victim of sexual abuse a) Listened to Monty for a few minutes and redirected him;
for two years by his adoptive initiated Psychoeducation and subsequent skills-based
parents. As part of the components before moving to the trauma narrative.
assessment, he completed the b) Briefly reviewed the initial four TF-CBT components
UCLA PTSD Reaction Index and started the trauma narrative the next week.
and his total score was in the c) Nothing. It is imperative to follow a child's cues and
severe range, including very wishes rather than a more directive approach.
serious re- experiencing d) Skipped the trauma narrative entirely because it is
symptoms. When the important to do just the opposite of what a child
therapist discussed the TF-CBT believes he/she needs.
treatment
approach with him, including
that he would be writing his
story about the sexual abuse,
Monty became excited and
began to discuss the trauma
in great detail. So, the
therapist, encouraged by Monty's
willingness to talk, complied
with his wishes and allowed
him to create his trauma
narrative over the first three
treatment sessions. During
and after the completion of
the trauma narrative, Monty's
behavior began to
deteriorate, including acting-
out sexually, soiling himself,
refusing to sleep in his own
room, and engaging in other
dangerous behaviors that
warranted a short-term
hospitalization.
a) Trauma Narrative, particularly if a child is extremely anxious.
b) Conjoint sessions to share the narrative,
especially for older teens or foster children who
6. Which component of TF-
resist having their foster parents involved in
CBT sometimes needs to be
treatment.
implemented out of order, c) Cognitive Coping, especially if a child has distortions about the
usually toward the beginning abuse.
of treatment?
d) Psychoeducation; sometimes this component can be
, left for later in treatment or skipped altogether.
e) In Vivo Mastery, such as in cases of school avoidance
or other highly problematic avoidant behaviors
Jody is a 6 year-old girl . In the first TF-CBT session, the therapist would typically:
who was attacked by a dog a) Give Jody the freedom to talk about anything she likes
throughout the session.
and left with severe scars all
b) Provide psychoeducation and express optimism
over her legs. Since the
about her ability to help mother and child in 12 to 16
dog attack, Jody has
experienced severe PTSD sessions.
symptoms and c) Explain to mother that Jody has serious PTSD
significant oppositional
symptoms and that treatment will likely continue for
behavior problems.
Her mother has felt 1-2 years.
intense guilt as Jody d) Strongly encourage Jody to talk about the details of
almost died from the the dog attack, no matter how much anxiety this
attack. She now strategy would cause.
cannot say no to anything
her daughter wants. The
mother also reported that
Jody's behavior is
extremely difficult to
manage
and the mother just cannot
take her
anywhere. Jody has
tantrums at the drop of a pin
and becomes fearful when
there is any mention of a
dog.
