TF-CBT: Evidence-Based Trauma Care for Children and Teens
SUDDEN MOOD SHIFTS
Unexplained anger or irritability that goes from “0 to 60” that may feel out of the blue.
ANXIETY & WORRIES
New or intensely increased fears, worries, general anxious behaviors, or new hyperactivity.
Sleep & appetite Shift
Navigating sudden difficulties sleeping, nightmares, or changes in eating habits.Â
SCHOOL PERFORMANCE
Worsened school performance, poor attention span, change in attitude or sudden school refusal.
SOCIAL
WITHDRAWAL
Isolating from friends, peers, or pulling away from the family system.Â
TRAUMA
REACTIVITY
Heightened safety concerns or lack of safety, reacting to reminders, or thoughts about death/dying about self or others.Â
What exactly is TF-CBT?
Phase one focuses on symptom management and effective coping.Â
The child and caregiver learn vital information about trauma and coping strategies through psychoeducation and parenting skills. The therapist helps the child master physical and emotional triggers by teaching relaxation techniques, like controlled breathing, and affect modulation skills to safely express intense feelings.Â
Afterward, the clinician helps the child separate thoughts from feelings using cognitive coping, supporting them to identify how their interpretations influence their moods, with the eventual goal of expanding their window of tolerance before entering the narrative phase.
Phase 2 works on confronting and processing the traumatic experience.Â
A Tailored Approach to Youth Trauma
This integrative model directly links the distinct ways that experiences or memories are stored in our mind and body:
- Matt Merriman, LMFT
- Andrea Patten, LICSWÂÂ