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.
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.
TF-CBT helps individuals by addressing three core areas:
Sessions are typically short-term, lasting about 12–20 weeks, and are conducted in a supportive, collaborative environment.
TF-CBT typically follows a structured framework summarized by the PRACTICE model:
Provides information about trauma, its effects, and how therapy can help.
Teaches stress management techniques, such as deep breathing or mindfulness.
Encourages healthy ways to express and understand emotions.
Identifies and reframes unhelpful thoughts related to the trauma.
Gradually helps individuals create a detailed narrative of the traumatic event(s) to process emotions.
Reduces avoidance behaviors by gradually confronting trauma-related triggers in a safe manner.
Challenges and replaces distorted or negative beliefs about oneself or the trauma.
Focuses on building skills for safety, resilience, and future prevention of harm.
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 |
TF-CBT is effective for individuals of all ages, but it is particularly helpful for children, adolescents, and families coping with trauma-related issues:
Reduces flashbacks, nightmares, and hyperarousal symptoms.
Addresses trauma-related anxiety and helps manage fears.
Processes unresolved trauma contributing to depressive symptoms.
Provides children with tools to understand and express their emotions in healthy ways.
Supports individuals coping with the emotional impact of loss or bereavement.
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.