Lesson 1Session 11: Interpersonal trust rebuilding: communication skills, boundaries, and rebuild social supportsThis session works on rebuilding trust between people and social help. Clients try talk skills, firm limits, and safe tie choices to fight alone feeling and trauma link people troubles.
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, face avoidance ways, and check key TF-CBT tools for long keep and quick help if signs return.
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, actions. Clients spot quick thoughts and trauma beliefs, ready for later change and meaning 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 overviewThis session aims at sleep breaks and bad dreams, brings steady skills, and gives action overview. Clients learn routines, control signs, and plan activities to cut avoidance and aid mood, trauma heal.
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 thoughts with action tests, and learn to meet not avoid spots that keep PTSD signs in daily life.
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 aims at guilt, shame, self-blame from trauma. Clients check duty, after-look bias, moral hurt, using thought ways and kind views to change wrong meanings and self-think.
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 watch and change skills. Clients try challenging bad views and start looking at trauma meanings, like safety, trust, control, worth, closeness in their lives.
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, left aims. It sets keep plan, plans follow talks, and boosts self-power, noting wins and ready for future hard 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 grounding, breathing skills to handle tension, detach, pain in and between sessions safely.
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-facing or trauma story work with high point check. Focus on full telling, feeling join, thought change of stuck spots, keeping safety and dosing pain 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 focuses on checks, joint case plan feedback, first safety plan. It brings education on common trauma replies, making signs normal and ready 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 precautionsThis session readies for mind-facing or story work. It stresses handling pain, using grounding, set detach warnings, like pacing, watch tolerance, and set stop signs for safety.
Clarifying goals of imaginal exposureReviewing coping and grounding skillsSetting distress and SUDS monitoringPlanning dissociation precautionsEstablishing stop and pause signals
