What is TF-CBT? An Introduction to Trauma-Focused Cognitive Behavioral Therapy
Many children and teens face traumatic experiences, whether that be abuse, neglect, loss, violence, or other distressing events. When these experiences begin affecting their thoughts, feelings, and behaviors, it is important to provide the right support. That is where TF-CBT, or Trauma-Focused Cognitive Behavioral Therapy, comes in.
What is TF-CBT?
As mentioned above, TF-CBT stands for Trauma-Focused Cognitive Behavioral Therapy. This is a specialized form of therapy designed to help children, teens, and their caregivers work through the effects of trauma.
TF-CBT is an evidence-based practice, meaning it has been researched and shown to be effective. It combines the principles of cognitive behavioral therapy (CBT) with trauma-sensitive interventions, creating a structured and supportive approach to healing.
Who would Benefit from TF-CBT?
TF-CBT is for:
Children and teens (ages 3-18) who have experienced trauma
Youth dealing with symptoms of PTSD (post-traumatic stress disorder), such as anxiety, depression, or behavioral concerns resulting from trauma
Caregivers who need tools to support their child’s healing process
How Does TF-CBT Work?
TF-CBT typically involves both the child and a safe/stable caregiver. The therapy generally takes 12-20 sessions and follows a structured model often remembered by the acronym PRACTICE:
Psychoeducation: teaching about trauma and its effects
Relaxation: learning ways to manage stress and calm the body utilizing coping skills, deep breathing, grounding exercises, etc.
Affect Regulation: helping kids identify and manage emotions
Cognitive Coping: understanding the connection between thoughts, feelings, and behaviors
Trauma Narrative: creating a safe story about the traumatic experience
In Vivo Exposure: gradually facing trauma reminders in real life
Conjoint Sessions: child and caregiver working together to share and support experiences
Enhancing Safety: building future safety skills and resilience
Why TF-CBT Works
A key strength of TF-CBT is that it does not just focus on talking about trauma. It teaches children and families tools to cope, process, and move forward from trauma. Research has shown that TF-CBT can significantly reduce PTSD symptoms, as well as depression and anxiety in children. TF-CBT also empowers caregivers, helping them understand what their child is going through and how to support them.
Healing from trauma takes time and the right support. TF-CBT provides a roadmap for recovery that is backed by science and guided by compassion. If you know a child who has experienced trauma, reaching out to a TF-CBT trained therapist can be a powerful first step!
Get started today
If you’re ready to take the next step, we’re here to help. Contact us through our website or call us at
(517) 322-3050 to get started.