traumaCBT

Trauma-focused cognitive-behavioral therapy (traumaCBT) is a structured psychotherapy designed to reduce the emotional and behavioral difficulties that accompany exposure to traumatic events. It combines cognitive-behavioral techniques with trauma-specific interventions and is most commonly used with children and adolescents, though adapted forms exist for adults and diverse cultural groups. The approach aims to help individuals process the trauma, develop coping skills, and restore functioning by addressing thoughts related to the trauma, improving emotional regulation, and strengthening social support.

Core components typically include psychoeducation about trauma and its effects; parental or caregiver involvement and training; relaxation and affect modulation strategies; development of coping skills; gradual exposure to trauma memories and reminders; cognitive processing and restructuring of maladaptive beliefs; creation of a trauma narrative or written account; and safety planning. Therapy is often delivered over a fixed course of sessions with a mix of individual, parent, and joint sessions tailored to developmental level.

Evidence indicates that traumaCBT produces reliable reductions in PTSD symptoms and comorbid emotional problems in children and adolescents, with effects that generalize to functional outcomes and school performance. It can be delivered in outpatient clinics, schools, or via telehealth, and is adaptable for different cultures and languages. Limitations include the need for trained therapists, access barriers, and the potential distress during exposure work, necessitating careful monitoring and ethical safeguards.

TraumaCBT is sometimes referred to as trauma-focused CBT or TF-CBT and shares principles with broader CBT and exposure-based therapies.