A TF-CBT technique for helping a child or adolescent process trauma with developmentally appropriate skills, caregiver support, and gradual movement through the PRACTICE components.
Step-by-step guide
- Define the immediate clinical target and confirm safety.
- Explain the rationale in simple, concrete language.
- Choose a manageable first step and set a clear frame.
- Track distress, avoidance, body signals, or caregiver response as relevant.
- Process what changed and decide the next step.
When to use
- Child or adolescent trauma symptoms
- When caregiver support and developmentally adapted pacing are required
- As part of the PRACTICE sequence
Key phrases
Let's approach therapy closure and relapse prevention in a way that fits this child's age, safety, and readiness.
Follow-up questions
What did you notice while staying with it?
What was different from what you expected?
Alternative phrasings
Let's slow this down and make it specific.
What is the smallest safe next step?
Warnings
- ⚠️ Do not begin trauma narrative work while the child is in active danger.
- ⚠️ Do not bypass caregiver preparation before conjoint sessions.
- ⚠️ Adapt language, pacing, and format to the child's developmental level.
Source: Cohen, Mannarino & Deblinger (2017), Treating Trauma and Traumatic Grief in Children and Adolescents
Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.