Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

Support for young people and the people who care for them.

TF-CBT is a structured, evidence-based treatment for children and adolescents affected by trauma. It combines coping skills, gradual trauma processing, and involvement from a safe parent or caregiver.

Young personCaregiver
Young person and caregiver, supported through each phase.

Skills and support before deeper trauma work.

Treatment is adapted to a young person’s development and needs. Sessions may include individual work with the young person, separate caregiver work, and joint sessions when appropriate.

What sessions may involve

  1. Build coping skillsLearn about trauma reactions, identify feelings, and practice relaxation and ways to manage distress.
  2. Process the experience graduallyWith support, work through trauma-related memories and meanings at a manageable pace.
  3. Strengthen support and safetyPractice communication with a safe caregiver and develop skills for future safety and everyday life.
Common questions

Understanding TF-CBT

Who is TF-CBT designed for?

The model was developed for children and adolescents, generally ages 3–18, and their caregivers. Contact the practice to confirm the ages currently served and clinician availability.

Does a caregiver attend every part?

Caregiver involvement is an important part of the model. Some work happens separately and some together, with attention to safety, privacy, and the young person’s needs.

Can sessions happen online?

Telehealth suitability depends on developmental needs, privacy, attention, caregiver support, and safety. The clinician will discuss whether online TF-CBT is an appropriate fit.

Learn more from the National Child Traumatic Stress Network.