Understanding Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
When a child or teen has experienced trauma it can impact nearly every part of their life. Trauma isn’t always visible from the outside, and its symptoms can show up in surprising ways. That’s why early support and the right kind of therapy make such a big difference.
One of the most effective, evidence-based treatments for children and adolescents dealing with trauma is Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). This structured approach is designed to help young people process what happened in a safe and supportive way, while also teaching them the skills to manage difficult emotions and regain a sense of control.
Common Signs of Trauma in Children and Teens
Trauma can look different for every child, but here are some common symptoms that may signal a young person is struggling:
Intrusive thoughts or memories (flashbacks, nightmares)
Avoidance of places, people, or conversations related to the trauma
Changes in mood like sadness, anger, or numbness
Difficulty concentrating or sudden drop in school performance
Heightened startle response or always being “on edge”
Regression in behavior (e.g., bedwetting, separation anxiety)
Withdrawal from friends, family, or activities they once enjoyed
TF-CBT is specifically designed to address these symptoms while also supporting caregivers in understanding and helping their child heal.
What Is TF-CBT?
Trauma-Focused Cognitive Behavioral Therapy is a short-term, structured therapy (typically 12–20 sessions) that incorporates:
Psychoeducation about trauma and its impact
Coping skills training to manage emotions, anxiety, and behavior
Gradual exposure to trauma memories in a safe, supportive environment
Cognitive processing to help shift unhelpful beliefs (like guilt or shame)
Caregiver involvement to strengthen support at home
TF-CBT empowers teens and children to feel safe again while also teaching caregivers important tools to support their functioning.
Get Help and Learn More
If your child or teen has gone through a traumatic experience and is showing signs of distress, TF-CBT might help. You can learn more about TF-CBT through the National Child Traumatic Stress Network (NCTSN). The site offers resources for families, clinicians, and schools.
If you’re unsure whether TF-CBT is the right fit or just want to talk through your concerns, please reach out. Therapy can feel like a big step, but it’s also a brave and hopeful one. I’m here to support your child’s healing every step of the way.