Therapeutic Approach
Trauma-Focused Cognitive Behavioral Therapy
TF-CBT is one of the most researched trauma treatments available. It combines the power of cognitive therapy with trauma-specific techniques to help you understand your reactions, challenge distorted beliefs, and build a life no longer defined by what happened to you.
What is TF-CBT?
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment recognized by SAMHSA and the National Child Traumatic Stress Network. It was developed to address the unique ways trauma affects how we think, feel, and behave.
Unlike traditional CBT, TF-CBT is specifically designed for trauma survivors. It acknowledges that trauma does not just create negative thoughts — it rewires the nervous system, distorts core beliefs about safety and self-worth, and creates patterns of avoidance that can last for years.
TF-CBT works through a structured set of components that build on each other — starting with safety and coping skills, moving through cognitive processing, and ending with a focus on your future.
TF-CBT can help with
The components of TF-CBT
Psychoeducation
Understanding how trauma affects the brain and body removes shame and helps you make sense of your reactions. Knowledge is the first step toward change.
Relaxation & Coping Skills
You build a toolkit of grounding and regulation strategies before diving into trauma processing — so you always have a way to manage distress.
Cognitive Processing
Trauma distorts how we think about ourselves, others, and the world. TF-CBT helps identify and gently challenge those distorted beliefs so they no longer run your life.
Trauma Narrative
At your own pace, you develop a narrative of your trauma experience — not to relive it, but to process it in a safe, structured way that reduces its emotional charge.
In Vivo Mastery
Gradually facing avoided situations or reminders helps break the cycle of avoidance that keeps trauma symptoms alive.
Enhancing Safety & Future Development
Sessions close with a focus on safety planning, healthy relationships, and building a life that reflects who you are — not what happened to you.
Reclaim Your Life
Trauma shaped your story. It doesn't have to write the ending. TF-CBT is available in-person in Phoenix and via telehealth in AZ, MN, OH, and LA.
Frequently asked questions
Is TF-CBT only for children?
No. While TF-CBT was originally developed for children and adolescents, the core components are highly effective for adults — particularly those dealing with childhood trauma, complex PTSD, or developmental trauma that began early in life.
How many sessions does TF-CBT take?
TF-CBT is typically structured as a 12–25 session treatment, though the pace is always tailored to you. Complex trauma or co-occurring conditions may require a longer course of treatment.
Can TF-CBT be combined with other approaches?
Yes. TF-CBT integrates well with EMDR, IFS, and somatic approaches. An integrative treatment plan is often the most effective path for complex trauma.
What if I feel worse before I feel better?
This is normal and expected in trauma work. We build coping skills before any trauma processing begins, and we always move at a pace that feels manageable. You are never pushed to go faster than you are ready for.
Do you offer TF-CBT via telehealth?
Yes. TF-CBT is available via secure video sessions for clients in Arizona, Minnesota, Ohio, and Louisiana.
Related therapeutic approaches & services
Ready to Heal?
You deserve a treatment that meets you where you are. Schedule a free consultation to learn if TF-CBT is right for you.