Ptsd and Trauma Focused Cbt

4144 Words17 Pages
PTSD and Trauma Focused Cognitive Behavioral Therapy Many children are exposed to traumatic events before they even become adults. All around the world they are exposed to child abuse, rape, natural disasters, terrorism, car accidents, and school violence among many others. Studies have shown that these traumatic events, if left untreated, can result in significant psychological problems, such as post traumatic stress disorder (PTSD) or other anxiety disorders, depression, or a number of other behavioral difficulties (Cohen, Mannarino, Berliner & Deblinger, 2000). These difficulties can become chronic and produce negative effects which could last into adulthood. It is therefore imperative that effective treatment strategies be…show more content…
Along with TF-CBT, if trauma symptoms are primary, their other psychiatric problems will also need to be addressed (Cohen & Mannarino, 2008). TF-CBT consists of both individual child and parent sessions and child-parent sessions. There are eight components to TF-CPT represented by the acronym PRACTICE (Cohen, et al, 2008). One of the core principles of TF-CBT is that of “gradual exposure” in that each of the components involves a graded exposure to the traumatic experience. As the child and parent move through the hierarchy, the intensity of the exposure increases. The use of gradual exposure in decreasing PTSD symptoms is supported by research (Kendall, Chansky, Kane, Kim, Kortlander & Ronan, 1992). This can be done in a number of ways, including the use of creative media in order to develop a trauma narrative and also to desensitize the child to trauma triggers within a safe therapeutic environment (Yule, Smith & Perrin, 2005). In particular, sand play therapy has been shown to be clinically useful for children in processing abuse and violence (Grubbs, 1994; Parson, 1997). The therapist can help the child to learn that they can approach their fears without consequences, leading to a reduction in both anxiety and trauma symptoms in their everyday life. The first component in TF-CBT is psychoeducation and parenting skills. It is
Open Document