1 / 10

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. A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principles

nathan
Download Presentation

Trauma-Focused CBT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D. Allegheny General Hospital Esther Deblinger, Ph.D. New Jersey CARES Institute

  2. 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

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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).

  8. 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.

  9. TF-CBTWeb www.musc.edu/tfcbt • Each module has: • Concise explanations • Video demonstrations • Clinical scripts • Cultural considerations • Clinical Challenges

  10. 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.

More Related