PTSD Diagnosis
TESI assesses for
Exposure to potentially traumatic events (Criterion A)
Acronym that describes components of TF-CBT
PRACTICE
Best time to begin practicing controlled breathing with children
When they are calm
Caregivers should first review a child's narration
In CG-only sessions while child is developing narration
Reason that discussion of safety issues is conducted at the end of TF-CBT
Fully processing the trauma narrative before talking about safety helps to avoid confusion about self-blame
UCLA PTSD Index assess for
Exposure to potentially traumatic events (Criterion A) AND trauma symptoms
Typical length of TF-CBT
12-25 sessions
The cognitive triangle is designed to teach children that
Behavior, feelings, and cognitions are related to one another
Inaccurate or unhelpful cognitions should be addressed by
First should be noted; when reviewing narration should challenge the child's beliefs
Primary long-term goal of the Enhancing Safety module is focused on
Minimizing additional risk for repeat victimization
Four categories of trauma symptoms
Intrusive, Avoidance, Negative alternations in cognitive or mood, Alterations in arousal/reactivity
Elements that should be included in every session of TF-CBT
Parenting skills & Gradual exposure
Main purpose of the psychoeducation module
Helping children and caregivers understand common reactions to trauma exposure
How to effectively obtain information from a child when developing a trauma narrative
Ask, Listen, Repeat, Write Down
Therapists should praise children’s responses to their previous traumas as part of the enhancing safety component
Reinforces the idea that the child was not responsible for preventing the trauma
Necessary but not sufficient for a diagnosis of PTSD (first step for evaluation)
Exposure to a potentially traumatic event (Criterion A)
Diagnosis that TF-CBT is appropriate for other than PTSD
Adjustment Disorder
A good first step when parents have an excessive level of distress about their child's abuse (e.g., can't stop crying when talking about it) is to
Encourage the parent to discuss their feelings with you and try to address them in parent sessions
When a child begins to feel distressed while constructing the Trauma Narrative and wants to stop the therapist should
Pause; remind the child that their distress is a normal reaction, but that it will get better; encourage the use of stress management skills they have already learned; then resume narrative development
Child should continue to tell trusted adults from the safety plan...
until someone takes action
Specifier for PTSD
With dissociative symptoms
Portion of TF-CBT that is expanded with Complex PTSD
Stabilization (PRAC) phase
Primary goal of teaching relaxation strategies to TF-CBT clients
Reducing physiological arousal symptoms common in trauma victims
Indication that the family is not ready to participate in parent-child sessions sharing narration
Caregiver shows a high level of distress when discussing the child's traumatic experience
In addition to discussing safety plans in session, caregivers and child should...
practice/role play the safety plan