Trauma-Focused Cognitive Behavioral Therapy
(TF-CBT)

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a specialized, evidence-based form of psychotherapy designed to help individuals—especially children, adolescents, and their families—cope with the emotional and psychological effects of trauma. By combining cognitive-behavioral techniques with trauma processing, TF-CBT fosters healing and resilience.

What is TF-CBT?

TF-CBT is a structured therapy approach that addresses the interplay between trauma, thoughts, emotions, and behaviors. It helps individuals understand and process traumatic experiences while teaching practical coping skills to manage distressing feelings, improve self-regulation, and rebuild a sense of safety.

How TF-CBT Works

TF-CBT helps individuals by addressing three core areas:

  1. Understanding Trauma: Psychoeducation and emotional support reduce fear and confusion surrounding traumatic experiences.
  2. Cognitive Restructuring: Reframing negative thoughts and beliefs fosters healthier perspectives.
  3. Skill Building: Relaxation and coping skills help manage triggers and reduce emotional distress.

Sessions are typically short-term, lasting about 12–20 weeks, and are conducted in a supportive, collaborative environment.

Key Components of TF-CBT

TF-CBT typically follows a structured framework summarized by the PRACTICE model:

P - Psychoeducation

Provides information about trauma, its effects, and how therapy can help.

R - Relaxation

Teaches stress management techniques, such as deep breathing or mindfulness.

A - Affective Expression

Encourages healthy ways to express and understand emotions.

C - Cognitive Coping

Identifies and reframes unhelpful thoughts related to the trauma.

T - Trauma Narrative

Gradually helps individuals create a detailed narrative of the traumatic event(s) to process emotions.

I - In Vivo Exposure

Reduces avoidance behaviors by gradually confronting trauma-related triggers in a safe manner.

C - Cognitive Restructuring

Challenges and replaces distorted or negative beliefs about oneself or the trauma.

E - Enhancing Safety

Focuses on building skills for safety, resilience, and future prevention of harm.

Benefits of TF-CBT

Emotional Benefits

Behavioral Benefits

Cognitive Benefits

Reduced fear, guilt, and shame

Improved emotional regulation

Positive reframing of traumatic events

Increased resilience and confidence

Reduced avoidance behaviors

Enhanced problem-solving skills

Enhanced emotional expression

Healthier interpersonal relationships

Better understanding of triggers

Benefit from TF-CBT?

TF-CBT is effective for individuals of all ages, but it is particularly helpful for children, adolescents, and families coping with trauma-related issues:

Post-Traumatic Stress Disorder (PTSD)

Reduces flashbacks, nightmares, and hyperarousal symptoms.

Anxiety Disorders

Addresses trauma-related anxiety and helps manage fears.

Depression

Processes unresolved trauma contributing to depressive symptoms.

Childhood Trauma

Provides children with tools to understand and express their emotions in healthy ways.

Grief and Loss

Supports individuals coping with the emotional impact of loss or bereavement.

What to Expect During TF-CBT

  1. Safe and Structured Environment: Sessions create a supportive atmosphere to explore trauma.
  2. Parental Involvement (For Children): Parents or caregivers are often included in sessions to provide additional support.
  3. Gradual Progress: Therapy proceeds at a pace comfortable for the individual, ensuring that they are never overwhelmed.

Why Choose TF-CBT at Micgra Psych LLC

At Micga Psych LLC our trained therapists specialize in Trauma-Focused CBT, offering compassionate, evidence-based care. Whether you’re dealing with recent trauma or long-term effects, we’re here to help you regain control, build resilience, and rediscover joy.

Contact Us Today

Online Booking

www.micgrapsych.com

Phone

206-905-3600

Email Us

info@micgrapsych.co

Mnemonic to Remember TF-CBT Key Components

"People Rarely Accept Chocolate Treats In Class Events"

  • P – Psychoeducation
  • R – Relaxation
  • A – Affective Expression
  • C – Cognitive Coping
  • T – Trauma Narrative
  • I – In Vivo Exposure
  • C – Cognitive Restructuring
  • E – Enhancing Safety