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Trauma-Focused CBT. Judy Cohen, M.D. & Tony Mannarino, Ph.D. Allegheny General Hospital Esther Deblinger, Ph.D. New Jersey CARES Institute. Theoretical Underpinnings of TF-CBT. A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principles

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trauma focused cbt

Trauma-Focused CBT

Judy Cohen, M.D. & Tony Mannarino, Ph.D.

Allegheny General Hospital

Esther Deblinger, Ph.D.

New Jersey CARES Institute

theoretical underpinnings of tf cbt
Theoretical Underpinnings of TF-CBT
  • A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principles
  • Goals: resolve PTSD, depressive, anxiety and other trauma-related symptoms in children and adolescents; optimize adaptive functioning; and enhance safety, family communication and future developmental trajectory
tf cbt or not
TF-CBT Or Not?
  • Target symptoms: PTSD, depression, anxiety, and behavioral symptoms secondary to trauma.
  • Children presenting with predominance of behavioral problems may benefit more from a different treatment.
  • TF-CBT has been used for all types of traumas
  • TF-CBT has been used for children ages 3-18, with and without parental participation, in schools, group home, foster home and in-home settings but is most commonly provided individually to child and parent in clinical settings.
evidence that tf cbt works
Evidence That TF-CBT Works
  • Six randomized controlled trials have been conducted for sexually abused/multiply traumatized children comparing TF-CBT to other active treatments
  • In all six studies children receiving TF-CBT experienced significantly greater improvements in a variety of symptoms, both at immediate post-treatment and up to 2 years post-treatment.
  • PTSD symptoms consistently improved significantly more in the TF-CBT groups.
evidence that tf cbt works1
Evidence That TF-CBT Works
  • CATS Project: TF-CBT used following 9-11 terrorist attacks in NYC demonstrated significantly greater improvement in PTSD among children receiving TF-CBT than those receiving usual treatment.
  • Two open studies of TF-CBT for Childhood Traumatic Grief CTG) have offered preliminary support of effectiveness of adding grief-focused module to TF-CBT for children experiencing CTG.
  • Current ongoing randomized trial for children with PTSD secondary to domestic violence.
tf cbt components practice
TF-CBT Components: PRACTICE
  • Psycoeducation
  • Parent Component includes parenting skills
  • Relaxation
  • Affect identification and regulation
  • Cognitive coping
  • Trauma narration and cognitive processing of these experiences
  • In vivo desensitization to trauma reminders
  • Conjoint child-parents sessions
  • Enhancing safety and future development
slide7
TF-CBTWeb

www.musc.edu/tfcbt

TF-CBTWeb is a web-based, distance education training course for learning Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT).

slide8
TF-CBTWeb

www.musc.edu/tfcbt

  • Web-based learning
  • Learn at your own pace
  • Learn when you want
  • Learn where you want
  • Return anytime
  • 10 hours of CE

TF-CBTWebis offered free of charge.

slide9
TF-CBTWeb

www.musc.edu/tfcbt

  • Each module has:
  • Concise explanations
  • Video demonstrations
  • Clinical scripts
  • Cultural considerations
  • Clinical Challenges
slide10
TF-CBTWeb

www.musc.edu/tfcbt

TF-CBTWebis sponsored by:

TF-CBTWebwas developed and is maintained through grant No. 1-UD1-SM56070-01 from the Substance Abuse and Mental Health Services Administration.

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