TF-CBT is a collaborative, talk therapy that is based primarily on CBT principles, with a direct focus on the impact of the trauma.  Below is a description of the components that are slightly different from CBT.

How It Works

Working with memories

Under the careful direction and guidance of the therapist, exposure to memories of the traumatic event(s) would be carried out. This could involve talking in detail about what happened, imagining past scenes, writing or drawing about it. 

Working with beliefs 

When we encounter trauma, we want to make sense of it. Sometimes, the event(s) can alter our beliefs about the world, ourselves and others and we tend to see things very negatively afterwards. When we address these beliefs with a therapist, we are able to understand and re-evaluate how objective, realistic or helpful these beliefs are and decide whether or not we need to change them.

Grounding and Stabilisation Techniques

Our sensitivity to threat and danger tends to be heightened after trauma. This may show up in uncomfortable bodily sensations such as muscle tension, shortness of breath, chest pain, headaches, nausea and so on. To manage the overwhelming feelings that PTSD brings, grounding, mindfulness and relaxation techniques are often taught and practiced as well.

TF-CBT vs EMDR

It is important to note that TF-CBT itself may not be able to fully process the traumatic memories as it may only address the symptoms and not the origins. CBT aims to challenge beliefs in order to change behaviour and feelings, but trauma can often be stored physiologically (in the body and brain) and be very resistant to change. As such, EMDR may be a more effective treatment approach as it engages all three levels of distress - body, mind and emotions. CBT can be used in combination with EMDR to help clients address inaccurate beliefs that are unsafe and unhelpful but may not be the most effective when done alone. 

Curious to find out more about our trauma-informed interventions and how they may be able to help you? Find out more by contacting us at info@restingtree.ca or book your free consultation today