Lesson 1Session 11: Interpersonal trust rebuilding: communication skills, boundaries, and rebuild social supportsThis session works on rebuilding trust with others and social help. Clients try talking skills, firm boundary setting, and safe relation picks to fight loneliness and trauma people problems in daily life.
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 skillsThis session stresses stopping backslides and firming skills. Clients improve coping plans, tackle dodging habits, and go over key TF-CBT tools to keep long-term hold 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 beliefsThis session brings in the thought model, linking thoughts, feelings, and actions. Clients learn to spot quick thoughts and trauma beliefs, readying for later fixes and meaning work on guilt, shame, and 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 overviewThis session aims at sleep breaks and bad dreams, brings in steadying skills, and gives action overview. Clients learn routines, sign control, and task planning to cut dodging and aid mood and trauma healing.
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 beliefsThis session plans slow real-life facing of trauma signs. Clients make fear lists, test safety beliefs with action trials, and learn to face not dodge spots that keep PTSD signs alive in real settings.
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)This session targets guilt, shame, and self-blame from trauma. Clients check duty, after-sight bias, and moral hurt, using thought methods and kind views to fix wrong meanings 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 traumaThis session builds thought watching and thought fixing skills. Clients try challenging bad views and start looking at trauma meanings, covering safety, trust, control, worth, and closeness themes.
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 schedulingThis last session checks progress, result tools, and left goals. It sets a keep plan, plans check-ins, and boosts self-power, noting wins and readying 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 breathingThis session deepens education on PTSD and trauma memory, explains why TF-CBT parts work, and brings in grounding and breathing skills to handle tension, spacing, and worry in and out of sessions.
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 restructuringThese sessions do mind exposure or trauma story work with high-point handling. Focus is on full telling, feeling join, and thought fixing of stuck spots, keeping safety and dosing worry levels.
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 responsesThis session centers on checks, joint case plans, and first safety setups. It also brings education on usual trauma replies, making signs normal and readying clients 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 precautionsThis session readies for mind exposure or story work. It stresses handling worry, using grounding, and spacing safeguards, like pacing, tolerance checks, and stop signs for safe progress.
Clarifying goals of imaginal exposureReviewing coping and grounding skillsSetting distress and SUDS monitoringPlanning dissociation precautionsEstablishing stop and pause signals
