Presentation on theme: "Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D."— Presentation transcript:
1Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D. Allegheny General HospitalEsther Deblinger, Ph.D.New Jersey CARES Institute
2Theoretical Underpinnings of TF-CBT A hybrid model incorporating CBT, attachment, family, psychodynamic and empowerment principlesGoals: 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
3TF-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 traumasTF-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.
4Evidence That TF-CBT Works Six randomized controlled trials have been conducted for sexually abused/multiply traumatized children comparing TF-CBT to other active treatmentsIn 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.
5Evidence 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.
6TF-CBT Components: PRACTICE PsycoeducationParent Component includes parenting skillsRelaxationAffect identification and regulationCognitive copingTrauma narration and cognitive processing of these experiencesIn vivo desensitization to trauma remindersConjoint child-parents sessionsEnhancing safety and future development
7TF-CBTWebTF-CBTWeb is a web-based, distance education training course for learning Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT).
8TF-CBTWebWeb-based learningLearn at your own paceLearn when you wantLearn where you wantReturn anytime10 hours of CETF-CBTWeb is offered free of charge.