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Eight "PRACTICE" Components of TF-CBT

Psycho-education and Parenting Skill Building

  • Administration of the trauma assessment tools to assess a history of traumatic experiences and signs/symptoms of Posttraumatic Stress Disorder (PTSD).
  • Educating youth and caregivers about the impacts of trauma on the brain.
  • Naming and dispelling myths about trauma and providing a road map for treatment.

Relaxation Skill Building

  • Teaching/coaching/practicing breath-based strategies to calm the brain and body.
  • Helping to create a "green plan" of calming or soothing activities.
  • Teaching gratitude and kindness practices to down-regulate the brain's threat centers.

Affect Regulation

  • Helping youth/caregivers widen their feelings vocabulary in order to more specifically describe their 'inside feelings' to others.
  • Training youth to connect emotional feelings with body sensations so they can recognize distress.
  • Learning to use the 'Stress Thermometer' to communicate 'inside feelings'.

Cognitive Coping

  • Encouraging youth to recognize and share their internal dialogue and thoughts about their traumas.
  • Learning to identify and target inaccurate and unhelpful thoughts and training positive self-talk.
  • Introduces the idea that bodily sensations, emotional feelings and thoughts are connected and impact our well-being.

Trauma Narrative

  • Allow youth to tell the story of their traumas and capture record it in a journal or narrative.
  • Helping the youth and caregivers make meaning of the traumatic experiences in order to empower healing.

In-Vivo Desensitization

  • Desensitizes youth to emotional aspects of traumatic memories by pairing them with relaxation responses.
  • Encourage youth to master fear reactions and substitute healthy responses.

Conjoint Child-Parent Sessions

  • Therapist prepares caregiver to hear and respond to the Trauma Narrative reading
  • Youth practices reading the Trauma Narrative as if the caregiver is present
  • Youth reads Trauma Narrative to caregiver who witnesses and reassures youth

Enhancing Future Safety

  • Helping the youth name and practice ways to stay emotionally and physically safe
  • Building assertiveness and help-seeking skills
  • Supports youth and caregivers in creating a safety plan for the protection of the youth