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TF-CBT Tips

TF-CBT Tips. Lynn Geiger, Ph.D. The Cognitive Triangle. We are one whole body made of thoughts, feelings, & behavior Usually our thoughts, feelings, & behavior match Usually they are connected or related to one another. Let’s Try an Experiment. Think of a time you really enjoyed yourself

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TF-CBT Tips

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  1. TF-CBT Tips Lynn Geiger, Ph.D.

  2. The Cognitive Triangle • We are one whole body made of thoughts, feelings, & behavior • Usually our thoughts, feelings, & behavior match • Usually they are connected or related to one another

  3. Let’s Try an Experiment Think of a time you really enjoyed yourself • How do you feel? • How do you act? How do you behave? • What were you thinking? Remembering it now what are your thoughts? • Let’s try another: Describe a time you felt really great.

  4. Describe a time that was really unpleasant for you. (Not the trauma) • How do you feel, act/behave, what are your thoughts • See how these are related/connected with each other

  5. Coping When faced with unpleasant times, what are thoughts & actions that can help us? • Positive self-talk • Breathing • Reward yourself I Can Do It. I’m Brave.

  6. Coping cont’d • Rewards from others • Remember other times of success, courage, bravery • Imagine a cartoon character who is good at coping

  7. Oh Yes! Oh No A 4 yr. old girl who had been sexually abused by Mom’s boyfriend • He came to live with us Oh Yes! • He yelled and was mean Oh No! • He gave me a present Oh Yes! • He touched me in my vagina Oh No! • I told Mommy & he left us Oh Yes! • I still had bad dreams Oh No! • I came to see you & feel better Oh Yes!

  8. Oh Yes! Oh No A 7 yr. old boy emotionally + physically abused by step father • Mom got married to him Oh Yes! • He watched me when she Oh No! went to work • He called me names + yelled Oh No! and was mean • He took us shopping Oh Yes! • I got nothing Oh No!

  9. Oh Yes! Oh No cont’d • I cried with Mom & she was Oh Yes! nice • He hit me & threw me Oh No! across the room • I told Mom + she said I was Oh Yes! Brave • She made him leave Oh Yes! • I came to see you and I Oh Yes! got over it

  10. Attention • Mix up Yes’ and No’s to decrease superstitious or symmetrical expectations. • That if a positive event occurs it will be followed by a negative event.

  11. Anger • Early on we understand anger as a scary, hurtful, threatening, unsafe feeling • As adults we learn about constructive anger versus destructive anger So use metaphors, symbols for kids such as Dragons • All dragons breathe fire. • Generally, dragons want the fire to be safe/ to breathe the fire out safely.

  12. Dragons • If you were a dragon what would you do? • Where could you go if you feel angry? • What can you o to get the anger (fire) out? • What’s safe for you to show anger – not to hurt others when angry?

  13. Dragons cont’d Anger • Just like when the dragon can feel their fire starting to get too hot, can you feel the anger in you starting to build? • Turn and breathe our fire out over the “lake” • Connection between breathing for anger management and breathing for relaxing

  14. Anger - Volcano

  15. Anger – Volcano • Also can be used as example of safe expression of anger • Volcanoes erupt, that’s just what they do sometimes • Kids can draw pictures of what’s erupting from their volcano • Volcanoes don’t want to hurt villagers so they warn them to keep them safe

  16. Anger - Volcano • One warning sign from a volcano is steam • What warning signals do you get that you’re going to explode?

  17. Barnyard Friends • Sometimes a longer relaxation time is needed so I use a guided visualization • Imagine we are taking a trip to a farm:

  18. If you see it, you can put it away

  19. Resiliency Training • Crisis Care Network – crisiscare.com • “Hope is Alive” Hope

  20. Positive Adaption to Trauma • Accept the unexpected • Believe in your child’s strength • Believe in YOUR strengths • Assume recovery • Seek transformational coping & Myself I Believe in You

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