Guide to Trauma-Focused Cognitive Behavioral Therapy

 

The detrimental impacts of early trauma are addressed for children, adolescents, and families undergoing trauma-focused cognitive behavioral therapy (TF-CBT). The treatment is especially considerate of the unique issues faced by young people who have experienced physical abuse, violence, grief. Or sexual abuse, in addition to post-traumatic stress disorder and mood disorders. TF-CBT frequently includes non-offending parents or other caregivers in treatment and integrates family therapy concepts as the client is typically a child.

Psychiatrist Judith Cohen and psychologists Esther Deblinger and Anthony Mannarino created the trauma-focused approach to therapy in the 1990s to help children and teenagers who had been sexually abused. Over time, TF-CBT has grown to offer services to young people who have been subjected to a variety of severe traumas or abuses.

 

What Is Trauma?

Trauma is caused by highly upsetting, frightening, or stressful situations that are beyond our control, and thus our nervous system is unable to cope, resulting in the traumatic response cycle. It could be a single incident, a series of related events that occur over time, or complex trauma, which is exposure to various traumatic incidents over time so that the body never has time to regulate.

The majority of us will go through something in our lives that might be categorized as traumatic. However, not everyone will be impacted in the same manner. Any age can experience trauma. Furthermore, it might have an impact on us at any point in time, even years after the incident.

It’s critical to acknowledge that if you have experienced trauma, you made it through as best you could. You’re responding in a typical, expected way. 

Ask for help at any moment you feel necessary, even if you’re not sure if you would characterize your encounter as traumatizing or as experiencing trauma.

 

What Is Trauma-Focused Cognitive Behavioral Therapy? 

Though its initial focus was on supporting children who had been sexually abused, TF-CBT is now used to treat children and adolescents who have been sexually, physically, or mentally abused once or more, as well as those who have developed post-traumatic symptoms, depression, or anxiety.

Various treatment modalities, such as dialectical behavior therapy, could be a better fit for an initial intervention. If a child or adolescent exhibits severe behavioral issues, substance abuse, or suicidal thoughts, a trauma-sensitive approach could be used as a follow-up.

TF-CBT is a brief intervention that typically consists of 8 to 25 sessions. It can be conducted in an in-home environment, hospital, community center, group home, outpatient mental health clinic, or school. A non-offending caregiver or parent provides treatment. Treatment often starts with the kid and the non-offending caregiver attending separate therapy sessions, then progresses to joint sessions.

Cognitive behavioral strategies are applied to improve negative reactions and behaviors, as well as erroneous or unhelpful thinking. A patient might rearrange their thinking more positively and healthfully by learning to confront intrusive ideas of shame and dread.

Who Can Benefit From Trauma-Focused Cognitive Behavioral Therapy

TF-CBT is primarily used to treat posttraumatic stress disorder (PTSD). This therapy helps trauma survivors address and resolve their distress to reduce negative behavior patterns and emotional reactions that often result from sexual abuse, physical abuse, or other trauma. 

Childhood traumas like abuse, domestic violence, and neglect frequently result in anxiety, sadness, and PTSD symptoms. TF-CBT may be helpful for those who have been subjected to domestic violence, sexual abuse, or physical abuse. This applies regardless of whether the trauma occurred once or repeatedly. Also, research has demonstrated that TF-CBT is highly beneficial for children who are learning how to deal with the death of a loved one.

 

Trauma-Focused Cognitive Behavioral Therapist

Although there are further training and courses available, trauma-focused cognitive behavioral therapy is not officially accredited. Finding someone with knowledge in the field and someone you feel comfortable talking to about personal issues is crucial.

You can ask your TF-CBT therapist about the following: 

• Degree of their exposure to trauma-focused cognitive behavioral therapy
• Assessment process for patients to monitor their progress 

 

Therapists can receive training in the TF-CBT treatment methodology through a recognized introductory training course or web-based training program. To obtain certification, professionals holding a master’s degree or above must complete a two-day in-person training. Follow up with training or consultation twice a month for six months or once a month for an entire year. And attend nine of the twelve consultation or supervisory sessions offered by a treatment developer or TF-CBT Train the Trainer Program graduate. 

Additionally, a practitioner must finish three distinct TF-CBT cases, at least two involving caregiver engagement. When practitioners fulfill the prerequisites listed above, they must pass a knowledge-based exam. 

 

Conclusion

Any adult who has gone through a traumatic experience, is experiencing symptoms of mental illness. Or is worried about a child’s welfare can get support by consulting a mental health expert.

Treatment with TF-CBT typically entails 8–25 sessions, depending on the case’s complexity. It’s possible that people can use TF-CBT through their health insurance. As an alternative, there are private choices. Some therapists provide sliding scales or affordable options for people who require them.

In short, if something is troubling you, whether you can understand why or not, you should find a trauma-focused cognitive behavioral therapist. They will help you release the stress and negative emotions in your mind and body. With time, you will notice how you feel more in control, and you don’t feel the same about that particular event or series of events. 

 

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