Aralin 1Session 11: Interpersonal trust rebuilding: communication skills, boundaries, and rebuild social supportsAng session na ito ay nakatuon sa pagre-rebuild ng interpersonal trust at social supports. Nagpra-practice ang mga kliyente ng communication skills, assertive boundary setting, at ligtas na relationship choices upang labanan ang isolation at trauma-related interpersonal difficulties.
Assessing current relationships and supportsPsychoeducation on trust after traumaAssertive communication skill practiceBoundary setting and saying no safelyPlanning to strengthen social networksAralin 2Session 10: Relapse prevention: coping plan, reducing avoidance, and consolidation of skillsAng session na ito ay nagbibigay-diin sa relapse prevention at consolidation ng skills. Pinapahusay ng mga kliyente ang mga coping plans, tinutugunan ang avoidance patterns, at nirere-review ang key TF-CBT tools upang suportahan ang long-term maintenance at maagang intervention kung muling lumitaw ang mga sintomas.
Reviewing core TF-CBT skills learnedIdentifying high-risk triggers and cuesDeveloping a written coping planStrategies to reduce future avoidanceEarly warning signs and action stepsAralin 3Session 4: Cognitive model introduction, identifying automatic thoughts and trauma-related beliefsAng session na ito ay nagpapakilala ng cognitive model, na nag-uugnay ng thoughts, feelings, at behaviors. Natututo ang mga kliyente na makilala ang automatic thoughts at trauma-related beliefs, na naghahanda para sa restructuring at meaning work tungkol sa guilt, shame, at safety.
Explaining the CBT cognitive modelIdentifying automatic trauma thoughtsLinking thoughts, emotions, and behaviorsSpotting trauma-related core beliefsThought records for recent triggersAralin 4Session 3: Sleep and nightmare management, stabilizing skills, and behavioral activation overviewAng session na ito ay tumutugon sa sleep disruption at nightmares, nagpapakilala ng stabilizing skills, at nagbibigay ng behavioral activation overview. Natututo ang mga kliyente ng routines, stimulus control, at activity scheduling upang mabawasan ang avoidance at suportahan ang mood at trauma recovery.
Assessment of sleep patterns and routinesSleep hygiene and stimulus controlNightmare rescripting introductionDistress tolerance and self-soothingBehavioral activation and activity planningAralin 5Session 6: Gradual in vivo exposure planning (hierarchy) and behavioral experiments for safety beliefsAng session na ito ay nakatuon sa pagpaplano ng gradual in vivo exposure sa trauma reminders. Binubuo ng mga kliyente ang fear hierarchy, tinite-test ang safety beliefs gamit ang behavioral experiments, at natututo kung paano lumapit sa halip na iwasan ang mga sitwasyon na nagpapanatili ng PTSD symptoms.
Identifying avoided situations and cuesConstructing a graded fear hierarchyDesigning in vivo exposure tasksBehavioral experiments for safety beliefsCoping plans for exposure homeworkAralin 6Session 9: Cognitive work focused on guilt, shame, and self-blame (processing meanings and responsibility)Ang session na ito ay tumutugon sa guilt, shame, at self-blame na may kaugnayan sa trauma. Sinusuri ng mga kliyente ang responsibility, hindsight bias, at moral injury, gamit ang cognitive techniques at compassionate perspectives upang baguhin ang distorted meanings at self-judgments.
Mapping guilt, shame, and self-blame themesResponsibility pie and realistic appraisalChallenging hindsight and moral judgmentsDeveloping compassionate self-talkAddressing cultural and moral injuryAralin 7Session 5: Thought monitoring and cognitive restructuring practice; introduce work on meanings of traumaAng session na ito ay nagpapatibay ng thought monitoring at cognitive restructuring skills. Nagpra-practice ang mga kliyente ng paghamon sa unhelpful appraisals at nagsisimula ng paggalugad ng meanings ng trauma, kabilang ang mga tema ng safety, trust, control, esteem, at intimacy.
Daily thought monitoring exercisesEvidence for and against thoughtsGenerating balanced alternative thoughtsExploring trauma meanings and themesHomework planning and review processAralin 8Session 12: Review of progress, outcome measurement, maintenance plan, and follow-up schedulingAng huling session na ito ay nirere-review ang progreso, outcome measures, at natitirang goals. Pinagtitibay ang maintenance plan, nagseschedule ng follow-up contacts, at nagpapatibay ng self-efficacy, na nagbibigay-diin sa mga gains at naghahanda para sa mga hinaharap na hamon nang walang ongoing therapy.
Reviewing symptom change and measuresReflecting on goals and treatment gainsRefining long-term maintenance plansPlanning follow-up and booster optionsEnding therapy and celebrating progressAralin 9Session 2: Psychoeducation about PTSD and trauma memory, rationale for TF-CBT interventions, and introduction to grounding and breathingAng session na ito ay nagpapalubog ng psychoeducation tungkol sa PTSD at trauma memory, nagpapaliwanag ng rationale para sa TF-CBT components, at nagpapakilala ng grounding at breathing skills upang pamahalaan ang arousal, dissociation, at distress sa panahon at pagitan ng mga session.
PTSD symptoms and maintaining cyclesTrauma memory, triggers, and remindersRationale for TF-CBT componentsTeaching diaphragmatic breathing skillsSensory grounding and orienting skillsAralin 10Session 8: Imaginal exposure / trauma narrative sessions with peak processing and cognitive restructuringAng mga session na ito ay nagsasagawa ng imaginal exposure o trauma narrative work na may peak processing. Nakatuon sa detalyadong recounting, emotional engagement, at cognitive restructuring ng stuck points, habang pinapanatili ang safety at tinitrate ang distress.
Structuring the trauma narrative processFacilitating detailed imaginal recountingProcessing emotions during narrationIdentifying cognitive stuck pointsRestructuring key trauma appraisalsAralin 11Session 1: Assessment, formulation feedback, safety planning, and psychoeducation about trauma responsesAng session na ito ay nakatuon sa assessment, kolaboratibong case formulation, at initial safety planning. Nagpapakilala rin ng psychoeducation tungkol sa karaniwang trauma responses, na nagno-normalize ng mga sintomas at naghahanda ng kliyente para sa istraktura at goals ng TF-CBT treatment.
Screening tools and structured trauma assessmentCollaborative formulation and treatment goalsRisk, safety, and crisis response planningPsychoeducation on PTSD and trauma responsesExplaining TF-CBT structure and expectationsAralin 12Session 7: Imaginal exposure or narrative work preparation, managing distress, and dissociation precautionsAng session na ito ay naghahanda para sa imaginal exposure o trauma narrative work. Nagbibigay-diin sa pamamahala ng distress, paggamit ng grounding, at pagtatakda ng dissociation precautions, kabilang ang pacing, monitoring ng windows of tolerance, at pagtatatag ng stop signals.
Clarifying goals of imaginal exposureReviewing coping and grounding skillsSetting distress and SUDS monitoringPlanning dissociation precautionsEstablishing stop and pause signals
