1. TF-CBT Tips Lynn Geiger, Ph.D.

2. The Cognitive Triangle  We are one whole body made of thoughts, feelings, & behavior  Usually our thoughts, feelings, & behavior match  Usually they are connected or related to one another

3. Let’s Try an Experiment Think of a time you really enjoyed yourself  How do you feel?  How do you act? How do you behave?  What were you thinking? Remembering it now what are your thoughts?  Let’s try another: Describe a time you felt really great.

4. Describe a time that was really unpleasant for you. (Not the trauma)  How do you feel, act/behave, what are your thoughts  See how these are related/connected with each other

5. Coping When faced with unpleasant times, what are thoughts & actions that can help us?  Positive self-talk  Breathing  Reward yourself I Can Do It. I’m Brave.

6. Coping cont’d  Rewards from others  Remember other times of success, courage, bravery  Imagine a cartoon character who is good at coping

7. Oh Yes! Oh No A 4 yr. old girl who had been sexually abused by Mom’s boyfriend  He came to live with us Oh Yes!  He yelled and was mean Oh No!  He gave me a present Oh Yes!  He touched me in my vagina Oh No!  I told Mommy & he left us Oh Yes!  I still had bad dreams Oh No!  I came to see you & feel better Oh Yes!

8. Oh Yes! Oh No A 7 yr. old boy emotionally + physically abused by step father  Mom got married to him Oh Yes!  He watched me when she Oh No! went to work  He called me names + yelled Oh No! and was mean  He took us shopping Oh Yes!  I got nothing Oh No!

9. Oh Yes! Oh No cont’d  I cried with Mom & she was Oh Yes! nice  He hit me & threw me Oh No! across the room  I told Mom + she said I was Oh Yes! Brave  She made him leave Oh Yes!  I came to see you and I Oh Yes! got over it

10. Attention  Mix up Yes’ and No’s to decrease superstitious or symmetrical expectations.  That if a positive event occurs it will be followed by a negative event.

12. Anger  Early on we understand anger as a scary, hurtful, threatening, unsafe feeling  As adults we learn about constructive anger versus destructive anger So use metaphors, symbols for kids such as Dragons  All dragons breathe fire.  Generally, dragons want the fire to be safe/ to breathe the fire out safely.

13. Dragons  If you were a dragon what would you do?  Where could you go if you feel angry?  What can you o to get the anger (fire) out?  What’s safe for you to show anger – not to hurt others when angry?

14. Dragons cont’d  Just like when the dragon can feel their fire starting to get too hot, can you feel the anger in you starting to build?  Turn and breathe our fire out over the “lake”  Connection between breathing for anger management and breathing for relaxing Anger

15. Anger - Volcano

16. Anger – Volcano  Also can be used as example of safe expression of anger  Volcanoes erupt, that’s just what they do sometimes  Kids can draw pictures of what’s erupting from their volcano  Volcanoes don’t want to hurt villagers so they warn them to keep them safe

17. Anger - Volcano  One warning sign from a volcano is steam  What warning signals do you get that you’re going to explode?

18. Barnyard Friends  Sometimes a longer relaxation time is needed so I use a guided visualization  Imagine we are taking a trip to a farm:

19.  If you see it, you can put it away

20. Resiliency Training  Crisis Care Network – crisiscare.com  “Hope is Alive” Hope

21. Positive Adaption to Trauma  Accept the unexpected  Believe in your child’s strength  Believe in YOUR strengths  Assume recovery  Seek transformational coping I Believe in You & Myself