Trauma Focused Cognitive Behavioral Therapy (CBT) Part 2

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~ Define Trauma Focused CBT
~ Explore the components of Trauma Focused CBT and their intended functions
~ Explore ways to use TF-CBT with adult clients
Facts about TF-CBT
~ Works for children who have experienced any trauma, including multiple traumas.
~ Is effective with children from diverse backgrounds.
~ Works in as few as 12 treatment sessions.
~ Has been used successfully in clinics, schools, homes, foster care, residential treatment facilities, and inpatient settings.
~ Works even if there is no parent or caregiver to participate in treatment.
Facts About Trauma
~ TF-CBT is intended for children with a trauma history whose primary symptoms or behavioral reactions are related to the trauma.
~ Traumatic stress reactions can be more than simply symptoms of PTSD and often present as difficulties with
~ Affect regulation
~ Relationships
~ Attention and consciousness
~ Somatization
~ Self-perception
~ Systems of meaning.
~ These effects can also interfere with adaptive functioning
Components of TF-CBT
~ Psychoeducation
~ Parenting skills
~ Relaxation and stress management skills
~ Affect expression and modulation
~ Cognitive coping and processing are enhanced by illustrating the relationships among thoughts, feelings and behaviors.
~ Trauma narration
~ In-vivo mastery of trauma reminders
~ Conjoint parent-child sessions
Effects of TF-CBT
~ Reduction in:...
Inappropriate Populations
~ Primary issue is defiant or conduct disordered
~ Child is suicidal or homicidal
~ Child is severely depressed
~ Child is actively abusing substances
Challenges
~ Potential barriers and obstacles may include the following: The parent caregiver…
~ Does not agree that the trauma occurred
~ Is suspicious, distrustful, or does not believe in the value of therapy.
~ Is facing many concrete problems such as housing, that consume a great deal of energy.
~ Is not willing or prepared to change parenting practices even though this may be important for treatment to succeed.
Interventions to Strengthen Parental Alliance
~ Specific strategies that can be undertaken include:
~ Perseverance in establishing a therapeutic alliance
~ Exploring past negative interactions with social service agencies or therapy
~ Exploring the parent/caretaker’s potential concerns that may make them feel as if they are not being understood, accepted, believed, listened to, or respected
~ Delaying joint sessions until the parent/caregiver can offer the child support
~ Educate about how therapy works
~ Instilling optimism about the child’s potential for recovery
Information about Trauma
~ When children are traumatized, they may:
~ Be confused
~ Not completely understand what has happened
~ Blame themselves
~ Hold on to myths because they've been misled and deliberately given incorrect information.
~ One of the best ways to help is to provide accurate information.
Psychoeducation
~ Psychoeducation helps to
~ Clarify inappropriate information children may have obtained directly from the perpetrator or on their own
~ Identify safety issues.
~ Provide another way to target faulty or maladaptive beliefs by helping to normalize thoughts and feelings about the traumatic experience(s).
~ Get the child to start talking about the specific trauma(s) that he or she has experienced in a less anxiety-provoking way by talking, in general about the type of trauma
~ www.samhsa.gov/capt/practicin...
~ Psychoeducation typically involves:
~ Specific information about the traumatic events the child has experienced
~ Body awareness/sex education in cases of physical or sexual maltreatment
~ Risk reduction skills to decrease the risk of future traumatization.
~ Information needs to be tailored to fit the child's particular experiences and level of knowledge.
~ Provide caregivers with handout materials to reinforce the information discussed in-session.
~ Encourage caregivers to discuss information at home

[@nicoleliller1808]

Thank you for explaining TF-CBT so clearly. This video is so helpful!

[@DocSnipes]

Glad I was able to help! Thanks for watching.

[@jadephillips2505]

This was incredibly informative. I'd like to know if there's any information on handling cases where the child never reaches the TN building - how does TF-CBT move if there's a case of a child being unable to desensitize to a trauma enough that forming a narrative becomes something that would do more harm than good? Does treatment terminate, or is there a form of TF-CBT that accounts for those potentials.

[@georginajovanovic]

My family are very checked out emotionally until it turns into a crisis. Then they would not listen or ask questions

[@DocSnipes]

Thanks for watching

[@tenaglec]

Are they writing the narrative in session or at home?

[@DocSnipes]

Thank you for watching the video. They can write it at home and read it in session. What did you find most helpful from the video?

[@tenaglec]

@@DocSnipes I love the step by step process. I’d love to see a mock session at some point and how you apply your process