All About TF-CBT
P-R-A-C-T-I-C-E
Essential Elements
Trauma Symptoms
Using a Trauma Lens
100
Judy Cohen, Tony Mannarino, and Esther Deblinger
Who are the developers of TF-CBT?
100
These two components start with the same letter.
What is Psychoeducation and Parenting?
100

Essential Element #5 addresses both physical and psychological ____________.

What is Safety?

100
This hallmark trauma response of preschool age children may involve the traumatized child losing previously mastered skills such as toileting.
What is regressive behavior?
100
This common reaction in traumatized children may cause a child to be misdiagnosed with AD/HD.
What are concentration difficulties or hyperarousal?
200
The age range of children appropriate for TF-CBT.
What is 3-18?
200
This component teaches the cognitive triangle, positive self-talk, and analyzing thoughts for feelings and accuracy.
What is "Cognitive Coping"?
200

Essential Element #6 speaks to the need to do this not just when a child/family engages initially for services, but at regular intervals 

Screen for trauma-related needs
200
Nightmares about the traumatic event are an example of this type of posttraumatic stress symptom.
What is re-experiencing?
200
These symptoms commonly associated with trauma may be mistaken for depression.
What are "negative alterations in mood and cognition"?
300
The symptoms that TF-CBT is most effective in treating.
What is traumatic stress symptoms including PTSD, depression, anxiety, externalizing behaviors, and sexualized behaviors?
300
This component may include teaching skills such as diaphragmatic breathing, guided imagery, and progressive muscle relaxation.
What is "Relaxation"?
300

This essential element emphasizes the importance of "Be Well to Do Well" and suggests identifying ways you can use active coping to decrease STS, review area of professional training that might increase your competence and confidence, and learning to utilize Low Impact Debriefing

What is "Enhance the well-being and resilience of those working in the system"? (Element #2)

300
This means of coping with traumatic memories may provide immediate relief, but can interfere with long-term recovery.
What is avoidance?
300
Hoarding and stealing food is often a longstanding reaction to this type of trauma.
What is "neglect"?
400
The trauma type that TF-CBT was initially developed to treat.
What is sexual abuse?
400
This component may occur throughout treatment and requires preparation of both the child and caregiver.
What are "Conjoint Sessions"?
400

This essential element uses a continuum that begins with Engagement, builds towards Involvement, and places Partnership as the goal when looking at shared power. 

What is "systems that interact with children and families (Essential Element #3)"?

400
This symptom cluster includes hypervigilance, difficulty sleeping, exaggerated startle response, and increased irritability and anger outbursts.
What is hyperarousal?
400
Many of traumatized children's current problematic behaviors were previously behaviors that helped them to _________ their environment.
What is "survive"?
500
Based on research trials, ____% of traumatized children will show significant improvement with 12-to-16 weeks of treatment.
What is "80%"?
500
The goals of this component include desensitization and meaning making. The child will be directly discussing his/her traumatic memories and related thoughts and feelings.
What is "Trauma Narrative"?
500

Essential Element 8 emphasizes the importance of addressing and understanding this. 

What is parent trauma?

500
This type of trauma presentation includes difficulties in the areas of attachment, biology, behavioral control, affect regulation, cognition, dissociation, and self-concept.
What is complex trauma?
500
Difficulties in caregiver and peer relationships, distrust of others, and defiance towards authority figures may be understood in the context of ______ difficulties, commonly associated with traumatic experiences.
What is "attachment"?
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