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Trauma-Focused CBT (TF-CBT) for Trauma and PTSD

Evidence-based therapy to help children, teens, and adults process trauma in a safe, structured way.

Quick Overview

Best for

Trauma, PTSD, abuse recovery, grief, complex stress

Session format

 Individual (often includes parent/caregiver for children), In person or Virtual

Typical cadence

Weekly, Session length: 45–60 minutes

Often combined with

EMDR, family therapy, group support, medication management

Evidence base

One of the most researched trauma therapies, highly effective for children and adolescents, also adapted for adults

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What Is TF-CBT?

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an adaptation of CBT created to help people especially children and adolescents recover from trauma. It combines cognitive-behavioral techniques with trauma-sensitive approaches to process difficult memories, reduce symptoms of PTSD, and restore a sense of safety.

Unlike traditional CBT, TF-CBT incorporates caregivers (for youth) to strengthen support systems and encourage healing at home. Adults may also benefit from TF-CBT when adapting its principles for individual recovery from trauma, abuse, or violence.

How TF-CBT Helps in Recovery

Healing Trauma with Structured, Evidence-Based Support

Reduces trauma symptoms

Reduces trauma symptoms

Calms intrusive thoughts, nightmares, flashbacks

Restores  safety

Restores safety

Builds coping strategies that reduce fear and anxiety in life

Improves emotional regulation

Improves emotional regulation

Teaches grounding, mindfulness, and communication skills

Strengthens support systems

Strengthens support systems

Involves family or trusted caregivers to promote stability

What to Expect in Sessions

TF-CBT typically lasts 12–25 sessions, depending on the severity of symptoms. Sessions begin with building trust and learning coping tools (such as relaxation, grounding, or journaling). Later, individuals gently process traumatic memories in a structured way, always at their own pace. For children, caregivers are included to reinforce skills and create safe, supportive routines.

The approach is collaborative, flexible, and focused on empowerment. The goal is not to re-live trauma, but to reduce its emotional weight and give individuals practical tools to feel stronger in daily life.

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Who Benefits from TF-CBT?

Support for Children, Teens, and Families Healing from Trauma

Children and Teens Healing Trauma

Children and Teens Healing Trauma

Children and teens recovering from abuse, violence, or traumatic events

Support for Adults with PTSD

Support for Adults with PTSD

Adults with PTSD or complex trauma histories

Families Building Supportive Homes

Families Building Supportive Homes

Families who want to build supportive home environments for recovery

Help with Grief and Stress

Help with Grief and Stress

Anyone experiencing grief, sudden loss, or chronic stress

Step-by-Step Trauma Recovery

Step-by-Step Trauma Recovery

Individuals needing a safe, step-by-step approach to healing from trauma

Why TruPaths Highlights TF-CBT

Providing Trauma-Focused Care for Lasting Recovery

TruPaths highlights ERP because it is considered the gold standard for treating OCD and related anxiety disorders. Programs on TruPaths feature ERP led by trained clinicians who combine evidence-based methods with compassion, safety, and collaboration.

FAQs about TF-CBT

No. While originally developed for youth, TF-CBT has been adapted successfully for adults.
Yes, especially for children and adolescents. Parents or trusted caregivers help reinforce progress at home.
No. Sessions use structured, safe approaches that reduce distress without overwhelming the person.
Most plans cover TF-CBT as a psychotherapy service. TruPaths providers list accepted insurance and financial options
Typically 12–25 sessions, though duration varies by individual needs.

Find Recovery Options Offering TF-CBT

Healing is possible. If you or your loved one is living with trauma, TF-CBT provides a compassionate, structured path to recovery. Explore programs that integrate TF-CBT with other trauma-informed services.

About TruPath's Recommendations

Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.