Treating Trauma and Traumatic Grief in Children and Adolescents

This authoritative guide has introduced many tens of thousands of clinicians to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), a leading evidence-based treatment for traumatized children and their parents or caregivers. Preeminent clinical researchers provide a comprehensive framework for assessing posttraumatic stress disorder (PTSD), other trauma-related symptoms, and traumatic grief in 3- to 18-year-olds; building core coping skills; and directly addressing and making meaning of children's trauma experiences. Implementation is facilitated by sample scripts, case examples, troubleshooting tips, and reproducible client handouts that can also be downloaded and printed.

New to This Edition

• Incorporates a decade's worth of advances in TF-CBT research and clinical practice.
• Updated for DSM-5.
• Chapter on the model's growing evidence base.
• Chapter on group applications.
• Expanded coverage of complex trauma, including ways to adapt TF-CBT for children with severe behavioral or affective dysregulation.

See also the edited volume Trauma-Focused CBT for Children and Adolescents: Treatment Applications for more information on tailoring TF-CBT to children's varying developmental levels and cultural backgrounds.

Judith A. Cohen, MD, a board-certified child and adolescent psychiatrist, is Medical Director of the Center for Traumatic Stress in Children and Adolescents at Allegheny General Hospital in Pittsburgh, Pennsylvania, and Professor of Psychiatry at Drexel University College of Medicine. Since 1983, Dr. Cohen has conducted research on the assessment and treatment of traumatized children. With Anthony P. Mannarino and Esther Deblinger, she has developed and tested TF-CBT for children and their nonoffending parents. She has served on the boards of directors of the American Professional Society on the Abuse of Children (APSAC) and the International Society for Traumatic Stress Studies (ISTSS), and is a recipient of the Sarah Haley Memorial Award for Clinical Excellence from ISTSS, the Outstanding Professional Award from APSAC, and the Rieger Award for Scientific Achievement from the American Academy of Child and Adolescent Psychiatry (AACAP). She is coauthor of the treatment guidelines for treating posttraumatic stress disorder (PTSD) published by ISTSS and principal author of the practice parameters for treating PTSD in children and adolescents published by AACAP. Dr. Cohen consults on the treatment of childhood traumatic grief to Sesame Workshop and the Tragedy Assistance Program for Survivors. With Anthony P. Mannarino and Esther Deblinger, Dr. Cohen is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.

Anthony P. Mannarino, PhD, is Director of the Center for Traumatic Stress in Children and Adolescents and Vice Chair of the Department of Psychiatry at Allegheny General Hospital in Pittsburgh, Pennsylvania, and Professor of Psychiatry at Drexel University College of Medicine. A leader in the field of child traumatic stress since the 1980s, Dr. Mannarino has conducted extensive research on the clinical course of traumatic stress symptoms in children and the development of effective treatment approaches for traumatized children and their families. He is the recipient of honors including the Child Maltreatment Article of the Year Award from the American Professional Society on the Abuse of Children (APSAC) and the Legacy Award from the Greater Pittsburgh Psychological Association. A past president of APSAC and of the Section on Child Maltreatment of the Society for Child and Family Policy and Practice (Division 37) of the American Psychological Association, he maintains an active clinical practice. With Judith A. Cohen and Esther Deblinger, Dr. Mannarino is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.

Esther Deblinger, PhD, is Professor of Psychiatry at Rowan University School of Osteopathic Medicine in Stratford, New Jersey, where she is also Cofounder and Codirector of the CARES (Child Abuse Research Education and Service) Institute. Dr. Deblinger has conducted extensive research on the mental health impact of child abuse and the treatment of posttraumatic stress disorder and other abuse-related difficulties. She has written numerous scientific articles and book chapters, as well as books for professionals and educational books for children. Dr. Deblinger is a frequent invited speaker at local, national, and international conferences and has served on the board of the American Professional Society on the Abuse of Children (APSAC). She is a recipient of honors including the Outstanding Research Career Achievement Award from APSAC and the Rosenberry Award from the Children's Hospital Colorado. In addition to her administrative, research, and teaching responsibilities, she remains active as a clinician and supervisor. With Judith A. Cohen and Anthony P. Mannarino, she is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.
 

I. Trauma-Focused Cognitive-Behavioral Therapy: Overview and Conceptual Framework
1. The Impact of Trauma and Grief on Children and Families
2. Assessment Strategies for Traumatized Children
3. The TF-CBT Model: How It Works
4. Research on TF-CBT
5. The Role of the TF-CBT Therapist
II. Trauma-Focused Components
Introduction to the Trauma-Focused Components
6. Trauma-Focused Component 1. Trauma Psychoeducation
7. Trauma-Focused Component 2. Parenting Skills
8. Trauma-Focused Component 3. Relaxation Skills
9. Trauma-Focused Component 4. Affective Expression and Modulation Skills
10. Trauma-Focused Component 5. Cognitive Coping and Processing Skills: The Cognitive Triangle
11. Trauma-Focused Component 6. Trauma Narration and Processing, Part 1: Trauma Narration
12. Trauma-Focused Component 6. Trauma Narration and Processing, Part 2: Cognitive Processing
13. Trauma-Focused Component 7. In Vivo Mastery of Trauma Reminders
14. Trauma-Focused Component 8. Conjoint Child–Parent Sessions
15. Trauma-Focused Component 9. Enhancing Future Safety and Development
16. Group Application of Trauma-Focused Components
III. Grief-Focused Components Introduction to the Grief-Focused Components
17. Grief-Focused Component 1. Grief Psychoeducation
18. Grief-Focused Component 2. Grieving the Loss and Addressing Ambivalent Feelings: "What I  Miss and What I Don't Miss"
19. Grief-Focused Component 3. Preserving Positive Memories
20. Grief-Focused Component 4. Redefining the Relationship and Committing to Present Relationships
21. Treatment Review and Closure
Appendix 1. Handouts for Families
Appendix 2. Implementation Resources: Books and Games to Use during Treatment
Appendix 3. Additional Professional Resources: Training
References
Index