Trauma Focused Cognitive Behavioral Therapy

A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2012). Trauma-focused CBT for youth with complex trauma. Child abuse & neglect, 36(6), 528-541.

For this assignment, I will examine how cognitive behavior therapy (CBT) is effective approach for clients with post-traumatic stress disorder (PTSD). Post-traumatic stress disorder is defined as "a mental health condition that is triggered by exposure to actual or threatened death, serious injury or sexual violation," (American Psychiatric Association, 2013). It is natural to feel afraid during and after a distressing experience and most people can recover after the initial symptoms. But, people with PTSD continue to feel stressed and frightened after the experience is over.

As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.

Evidence-based practices have been gaining a lot importance recently and it was so interesting to search the online libraries to actually see how many exist. It was stimulating to go onto the National Registry of Evidence-based Programs and Practices websites and be in awe of abundance of programs. There were programs for almost every type of social work practice. While looking through the different databases in regards to evidence-based practice (EBP), one in particular really caught my attention. The particular EBP that will be discussed is known as Cognitive Processing Therapy for Post Traumatic Stress Disorder (PTSD). I chose this specific one because I have a great interest in therapies with those suffering from PTSD.

Once my client is stabilized from the initial concerns of severe depression and suicide attempts, TF-CBT could be introduced. Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse or Trauma. (2012) suggests that the following areas be covered psychoeducation and parenting skills, relaxation techniques, affective expressions and regulation, cognitive coping and processing, trauma narrative and processing, in vivo exposure, conjoint parent/child sessions and enhancing personal safety and future

Recognizing a need for mental health professionals efficient in trauma-informed care for these children, Judy Cohen, MD, Ester Deblinger, PhD, and Anthony Manarino, PhD, developed Trauma-Focused Cognitive Behavior Therapy (TF-CBT), to serve as a specialized treatment approach to responding to the needs to these youth. TF-CBT helps children that have experienced traumatic events overcome the symptoms that may be left behind. According to the National Center for Child Traumatic stress, TF-CBT provides education and understanding of common reactions and symptoms that may result from sexual abuse and other forms of trauma. This type

The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.

Posttraumatic Stress Disorder (PTSD) is characterized as a psychological condition in which a person has persistent mental and emotional distress after experiencing a traumatic event. In the United States alone, there is an 8.7% projected lifetime risk for developing PTSD by the age of seventy-five years old. Furthermore, rates of PTSD are commonly higher amongst people whose occupation increases their risk of traumatic exposure. Examples of occupations that increase the risk of traumatic exposure include law enforcement, military personnel, and firefighters. But it is important to note that the highest rates of PTSD are found among survivors of rape and captivity (American Psychiatric Association, 2013).

TF-CBT is an evidence-based practice that is used for trauma caused by violence, abuse, sexual abuse or other traumatic events. Usually, this evidence-based practice is used for children ages 3-17. The Modular approach to therapy for children (MATCH) is focused on overcoming the current challenges and provide with various treatment to address the current problem (Lucassen et al., 2015). The MATCH is an evidence-based practice that is used for anxiety, trauma and behavior problems with children from ages 6-15 years old. There have been more studies using qualitative research that TF-CBT is effective evidence-based practice and has positive outcomes for clients. TF-CBT is a short-term therapy that will help the client overcome their trauma and have a positive outcome once therapy is over. As for MATCH, there has not been a lot of qualitative research because it is used rarely in other countries. There have been more quantitative research reports that have been conducted based on the client and the statistics. Therefore, based on the research that was conducted with the two evidence-based practice the writer prefer to used TF-CBT because it provides with human behavior and the data that is used is with the current participants that were using TF-CBT and their experience.

The literature has shown children dealing with PTSD have many intervention tools that can be administered by clinicians in direct practice. PTSD can present symptoms that are often diagnosed as anther disorder such as oppositional defiant, conduct, mild TBI, and separation anxiety. There are many evidence-based intervention tools used in treatment such as recovery techniques, pharmacotherapy, psychoeducation, psychodynamic and cognitive behaviour therapy. Cognitive Behaviour Therapy (CBT) is the most used intervention tool in direct practice, and it is used in countries around the world. CBT is used with children with different ethnicities with ages ranging from preschool to high school. Many clinicians use CBT with other intervention treatment

“With effective treatment, children can recover from sexual abuse and other traumas. In TF-CBT, one key to recovery is encouraging children to open up and talk freely about their trauma (Getz, 2012).” First trauma-Focused cognitive-Behavioral Therapy is an evidence based treatment is a model designed to assist children and their families in overcoming the negative effects of traumatic experience. There are many types of trauma events such as child abuse, domestic violence, rape violent and community violence and etc. I will be discussing three main section which are: Facing trauma, Evidence based treatment and what differentiates TF-CBT.

Presenting Problem: it is reported that CHKD recommended that Thomas receive Trauma Focused Cognitive Behavioral Therapy in October 2013. Its reported that in each instance Thomas got into trouble with relatives and community members due to behavioral problems. In Sewptember 2013 he was sexually abused by his oldest brother. Its reported that he experiences severe trauma due to the assault . After breaking in his grandmothers home with a knife on May 31, 2016 and was placed into Norfolk Detention Center. he is becoming increasingly violent and does not respect authority. He has a hx of absconding and problematic behaviors.

#2. Anthony, Anita’s son, has become increasingly defiant. He may have PTSD resulting from his father’s aggressive behaviors towards his mother during Anthony’s younger years. Since Anita is confused about how to parent Anthony, the use of trauma-focused cognitive behavioral therapy (TF-CBT) might be an accurate intervention approach. TF-CBT is a short-term treatment program that lasts for approximately 8-20 sessions (Cooper & Lessler, 2014). TF-CBT can aid Anita and

What do you do when you experience a life threatening, traumatic event, and months later you are still experiencing the same frightening responses? Individuals who experience trauma are often forced to face their problems long after the event has happened. The first step to dealing with this issue would be to seek professional help as soon as possible so that they may be properly diagnosed and receive accurate treatment to overcome the intrusive symptoms. An individual who is suffering from symptoms of post-traumatic stress disorder (PTSD) have experienced, witnessed, or was affected by a life

One of the most commonly used psychological therapies is the cognitive behavioral therapy (CBT, found by Kanfer and Saslow), that focuses on changing the behavioral problems by changing the abused child's way of thinking. It also helps in terms of managing the abused child's mental illness symptoms and emotions. Moreover, CBT can replace medications to treat the child's mental illness. Another advantage of the CBT is teaching the abused child how to cope with his/ her experience, and that is by applying specific steps which are: identifying the behavior, evaluating the severity of the child's case and defining the possible ways to change these behaviors