Trauma-Focused Cognitive Behavioral Therapy Analysis

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Core Phase, Specificity of Interventions & Relevance to Theory
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) helps address the needs of children/youth and their parents/caretakers with Posttraumatic Stress Disorder (PTSD) or other related traumatic experiences. Trauma endured can range from: sexual abuse, child abuse, domestic violence, disasters, traumatic loss and multiple traumas. Researchers have the need to deliver evidence-based practices (EBPs) that are culturally sensitive and responsive to the client’s needs, TF-CBT is culturally responsive and acceptable of diverse populations. TF-CBT incorporates cultural beliefs and norms during the therapeutic process. “TF-CBT is considered best practice and the U.S Department of Justice
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TF-CBT integrate between 12 to 16 individual and parent-child sessions into different components of treatment through the PRACTICE Model: Psycho-education and Parenting Skills; Relaxation Skills; Affect Expression and Regulation Skills; Cognitive Coping Skills and Processing; Trauma Narrative; In Vivo Exposure; Conjoint Parent-Child sessions; Enhancing Safety and Future Development (Cohen & Mannarino, 2008). In addition, there are homework activities that can be assigned each week for the client and the parent to practice learned skills at home.
Psycho-education is important to educate the client and the family about the impact of trauma, cause of PTSD, symptoms, and TF-CBT treatment. Psychoeducation involves getting specific information about the client’s trauma experience and their perspective of their traumatic event. To obtain such information, the therapist can utilize worksheets with specific questions or use an activity like a question-and-answer game, where the therapist ask a question and client answers. To provide psychoeducation on
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Control breathing teaches clients that they can control parts of their body, learn how to reduce negative feelings, and can help distract negative thoughts (Cohen, Mannarino, Deblinger, 2010). Client’s homework activity is to practice controlled breathing at home with parent or by themselves while parent monitors practice technique. Parents can be taught the same controlled breathing technique that the client learned during the parent session. Muscle relaxation technique can help the client decrease tension in their bodies. By doing so, clients learn to recognize tense feelings and neutralize them. Client’s homework is to practice progressive muscle relaxation at home with parent or by themselves while parent monitors the practice technique. Lastly, Thought Stopping technique helps clients disrupt their negative thoughts. Though stopping teaches clients that they can have control over their thoughts (Cohen, Mannarino, Deblinger, 2010). Homework for adolescents can be to keep a log when they use the technique, including what the thought was, and how effective thought stopping was for them. Parents can also learn the thought stopping technique to utilize when unpleasant thought of the trauma occur during the parent session. They can help the client practice at home. Being culturally competent to other

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