Day 1: Tf-CBT Intro And Psychoeducation

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Day 1: Tf-CBT Intro And Psychoeducation - Quiz

This test covers Day 1 of TF-CBT Training


Questions and Answers
  • 1. 
    Which statement is NOT true about TF-CBT
    • A. 

      TF-CBT is appropriate for a wide range of traumatic events

    • B. 

      TF-CBT can typically handle even extreme behavioral problems

    • C. 

      Both parents and children have individual therapy sessions

    • D. 

      The UCLA-PTSD index is used to assess children

  • 2. 
    Children who have experienced trauma have a typical behavior pattern of desperately trying to trust people and form relationships.
    • A. 

      True

    • B. 

      False

  • 3. 
    What best characterizes how children view TF-CBT or any kind of treatment to address their trauma?
    • A. 

      Help has finally arrived and they will do whatever they can to feel better

    • B. 

      They are often wary about the therapist and it is expected that they may be resistant

    • C. 

      They will listen to what their parents say about the benefits of treatment

    • D. 

      The therapist is a neutral figure who should be trusted

  • 4. 
    The Trauma Narrative aspect of TF-CBT must be started by session 4.
    • A. 

      True

    • B. 

      False

  • 5. 
    What is not true about psychoeducation?
    • A. 

      It is important to follow the same timing and sequence of psychoeducation with every child

    • B. 

      It validates a child's feelings

    • C. 

      It can answer questions they have been afraid to ask

    • D. 

      It should be geared to the level of the child's cognitive capabilities

  • 6. 
    Affective trauma symptoms (e.g., fear, anger, sadness, affective dsyregulation) also overlap with other diagnoses such as depression and anxiety.
    • A. 

      True

    • B. 

      False

  • 7. 
    Trauma related problems such as PTSD, dissociation, and self- harm typically have affective, behavioral and cognitive trauma symptoms. What is not one of these typical symptoms?
    • A. 

      Automatic thoughts that authority figures are malignent

    • B. 

      Psychotic thought processes

    • C. 

      Emotion dsyregulation

    • D. 

      Behavioral avoidance

  • 8. 
    It is essential that the child experiences no discomfort through the in vivo exposure and in the trauma narrative development and processing. 
    • A. 

      True

    • B. 

      False

  • 9. 
    All are key components of reinforcing accurate cognitions, except:
    • A. 

      Providing reassurance that things will be okay

    • B. 

      Helping a child question the evidence

    • C. 

      Psychoeducation that provides corrective information about trauma related issues

    • D. 

      Guided discovery and psychoeducation

  • 10. 
    Traumatized children can get stuck during treatment when they believe they need to protect an abuser?
    • A. 

      True

    • B. 

      False

  • 11. 
    All of the following describes parental involvement in TF-CBT for children, except?
    • A. 

      The non-offending parent benefits from stress management and self-care skills

    • B. 

      Parents are better able to manage their own emotional distress regarding their child's trauma and improve their communication and parenting skills

    • C. 

      Children get substantially more therapy time than parents in TF-CBT

    • D. 

      Parent sessions generally are parallel to child sessions

  • 12. 
    In vivo exposure requires: 
    • A. 

      Gradual exposure to the images of traumatic events

    • B. 

      Talking with the abuser to overcome their fear

    • C. 

      The therapist to develop a hierarchy from less to more severe trauma reminders in the child's environment

    • D. 

      The child write down everything about the trauma as quickly as possible

  • 13. 
    Cognitive coping and processing is mainly about: 
    • A. 

      Helping a child and parent understand the mutual influences of thoughts, behaviors, and feelings

    • B. 

      Reframing cognitive distortions

    • C. 

      Diverting attention away from painful thoughts

    • D. 

      Focusing on the past trauma and talking about it to promote cartharsis

  • 14. 
    If symptoms worsen as a result of exposure, what formulation is most adherent to the TF-CBT approach?
    • A. 

      Discontinue exposure interventions because they are likely not to work

    • B. 

      Consider that the pace and order of TF-CBT interventions may need to be modified

    • C. 

      Consider that this reaction is temporary and resume exposure fully in next session

    • D. 

      This reflects the phenomenon of getting worse before feeling better

  • 15. 
    All of the following are desirable outcomes for TF-CBT except?
    • A. 

      Show improved interpersonal trust and social competence

    • B. 

      No longer have any fear of the trauma

    • C. 

      Show capacity to cope with reminders of the trauma despite experiencing some anxiety and fear

    • D. 

      Decrease the frequency and intensity of intrusive thoughts

  • 16. 
    Which statement best characterizes the TF-CBT approach?
    • A. 

      It is important to view parents always as willing participants in the TF-CBT treatment

    • B. 

      It is important to identify the difference between parental involvement in TF-CBT and the need for an additional referral for individual therapy to address the parent's own mental health needs

    • C. 

      Parental involvement in TF-CBT should be sufficient to address their individual mental health needs that may impact treatment with the child

    • D. 

      When parents are effective at self-care it is almost always the case that this carries over to their children

  • 17. 
    In TF-CBT, the timing of naming the trauma should occur when?
    • A. 

      The therapist should determine when the time is right

    • B. 

      It is better to wait before naming the trauma as it help child and caretaker establish a safe, therapeutic alliance with the therapist

    • C. 

      Naming trauma early in the therapy process benefits both child and caretaker as it helps build a solid foundation for psychoeducation and understanding the trauma work of TF-CBT

    • D. 

      TF-CBT has no clear statement in protocol when to name the trauma and discuss with child and caretaker

  • 18. 
    All are true about cognitive trauma symptoms, except:
    • A. 

      It is important that children focus heavily on accurate cognitions even if they are unhelpful

    • B. 

      Irrational beliefs about adults are common

    • C. 

      Children have a fundamental sense of betrayal of the social contract

    • D. 

      Accurate but unhelpful cognitions can be identified but not given particular focus

  • 19. 
    How does TF-CBT account for behavioral symptoms or co-morbid conditions that are not directly related to trauma?
    • A. 

      Certain co-morbid conditions should be excluded

    • B. 

      The therapist uses clinical judgment to include other behavioral symptoms (e.g,, encopresis/ enuresis, hoarding) that may be relevant for the case formulation

    • C. 

      Only symptoms directly related to trauma should be included in case formulation

    • D. 

      Co-morbid diagnoses just confuse the situation

  • 20. 
    It is important to provide psychoeducation about "Avoidance" as a behavioral trauma symptom because: 
    • A. 

      Avoidance is one of the most prevalent mal-adaptive behavioral coping skills for trauma and anxiety

    • B. 

      Avoidance can be an effective coping skill to manage trauma symptoms

    • C. 

      Children may have difficulty accepting that avoidance can be more harmful than helpful to their well-being

    • D. 

      All of the above

  • 21. 
    In TF-CBT, Psychoeducation is:
    • A. 

      Emphasized early in treatment but not later

    • B. 

      A key component of the early stage of treatment and utilized over the course of treatment

    • C. 

      Of only minor importance

    • D. 

      Not considered "therapy," only information

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