Lesson 1Session 11: Interpersonal trust rebuilding: communication skills, boundaries, and rebuild social supportsThis meeting works on rebuilding trust with others and support networks. Clients try talking skills, firm limits, and safe ties to fight alone feelings and trauma's harm on relations.
Assessing current relationships and supportsPsychoeducation on trust after traumaAssertive communication skill practiceBoundary setting and saying no safelyPlanning to strengthen social networksLesson 2Session 10: Relapse prevention: coping plan, reducing avoidance, and consolidation of skillsStresses stopping slips and firming skills. Clients improve coping plans, face avoidance, review main TF-CBT tools for long keep and quick help if signs come back.
Reviewing core TF-CBT skills learnedIdentifying high-risk triggers and cuesDeveloping a written coping planStrategies to reduce future avoidanceEarly warning signs and action stepsLesson 3Session 4: Cognitive model introduction, identifying automatic thoughts and trauma-related beliefsIntroduces thought model linking thoughts, feelings, actions. Clients spot quick thoughts and trauma beliefs, ready for later fixing and sense work on guilt, shame, safety.
Explaining the CBT cognitive modelIdentifying automatic trauma thoughtsLinking thoughts, emotions, and behaviorsSpotting trauma-related core beliefsThought records for recent triggersLesson 4Session 3: Sleep and nightmare management, stabilizing skills, and behavioral activation overviewTargets sleep breaks and bad dreams, adds steady skills, overviews action starting. Clients learn habits, control signs, plan activities to cut avoidance and aid mood, trauma mend.
Assessment of sleep patterns and routinesSleep hygiene and stimulus controlNightmare rescripting introductionDistress tolerance and self-soothingBehavioral activation and activity planningLesson 5Session 6: Gradual in vivo exposure planning (hierarchy) and behavioral experiments for safety beliefsPlans slow real-life facing of trauma signs. Clients make fear lists, test safety thoughts with action trials, learn to meet not flee spots that hold PTSD signs.
Identifying avoided situations and cuesConstructing a graded fear hierarchyDesigning in vivo exposure tasksBehavioral experiments for safety beliefsCoping plans for exposure homeworkLesson 6Session 9: Cognitive work focused on guilt, shame, and self-blame (processing meanings and responsibility)Targets guilt, shame, self-blame from trauma. Clients look at duty, after-sight wrong, moral hurt, using thought ways and kind views to fix bent senses and self-calls.
Mapping guilt, shame, and self-blame themesResponsibility pie and realistic appraisalChallenging hindsight and moral judgmentsDeveloping compassionate self-talkAddressing cultural and moral injuryLesson 7Session 5: Thought monitoring and cognitive restructuring practice; introduce work on meanings of traumaBuilds thought watching and fixing skills. Clients try challenging bad views, start looking at trauma senses, like safety, trust, hold, worth, close ties.
Daily thought monitoring exercisesEvidence for and against thoughtsGenerating balanced alternative thoughtsExploring trauma meanings and themesHomework planning and review processLesson 8Session 12: Review of progress, outcome measurement, maintenance plan, and follow-up schedulingLast meeting checks steps, measures, left aims. Sets keep plan, times check-ins, boosts self-trust, notes wins, readies for future tests without steady therapy.
Reviewing symptom change and measuresReflecting on goals and treatment gainsRefining long-term maintenance plansPlanning follow-up and booster optionsEnding therapy and celebrating progressLesson 9Session 2: Psychoeducation about PTSD and trauma memory, rationale for TF-CBT interventions, and introduction to grounding and breathingDeepens teaching on PTSD, trauma memory, why TF-CBT parts, adds grounding, breathing to handle high feelings, cut-off, pain in and between meetings.
PTSD symptoms and maintaining cyclesTrauma memory, triggers, and remindersRationale for TF-CBT componentsTeaching diaphragmatic breathing skillsSensory grounding and orienting skillsLesson 10Session 8: Imaginal exposure / trauma narrative sessions with peak processing and cognitive restructuringDoes mind-facing or story work with high point handling. Focus on full telling, feeling join, thought fixing of stuck spots, keeping safe, easing pain slow.
Structuring the trauma narrative processFacilitating detailed imaginal recountingProcessing emotions during narrationIdentifying cognitive stuck pointsRestructuring key trauma appraisalsLesson 11Session 1: Assessment, formulation feedback, safety planning, and psychoeducation about trauma responsesFocuses on checks, joint case plan, first safety map. Adds teaching on usual trauma replies, making signs normal, readying client for TF-CBT setup and aims.
Screening tools and structured trauma assessmentCollaborative formulation and treatment goalsRisk, safety, and crisis response planningPsychoeducation on PTSD and trauma responsesExplaining TF-CBT structure and expectationsLesson 12Session 7: Imaginal exposure or narrative work preparation, managing distress, and dissociation precautionsReadies for mind-facing or story work. Stresses handling pain, using grounding, cut-off guards, like pace, watch safe limits, set stop signs.
Clarifying goals of imaginal exposureReviewing coping and grounding skillsSetting distress and SUDS monitoringPlanning dissociation precautionsEstablishing stop and pause signals
