Trauma-Focused Cognitive Behavioral Therapy for Childhood Traumatic Separation |
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| Institution: | 1. Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, 373 Goncalves Chaves, 416C room, Zip code 96015-560. Pelotas-RS, Brazil;2. Department of Psychiatry & Behavioral Sciences, The University of Texas Health Science Center at Houston, USA;3. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada;1. School of Social Work, University of South Florida, Tampa, FL, USA;2. The Study Design and Data Analysis Center, College of Public Health, University of South Florida, Tampa, FL, USA;3. Department of Psychology, University of South Florida, Tampa, FL, USA;4. Department of Psychiatry, Tulane University School of Medicine, New Orleans, LA, USA;5. Department of Psychiatry, Allegheny Health Network, Drexel University College of Medicine, Pittsburgh, PA, USA;6. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA |
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| Abstract: | ObjectivesIn light of the current U.S. family separation crisis, there is growing attention to Childhood Traumatic Separation, defined here as a significant traumatic stress reaction to a familial separation that the child experiences as traumatic. When living in a family setting, Childhood Traumatic Separation may interfere with the child's relationships with the current caregiver(s). Effective treatments for Childhood Traumatic Grief can be modified to address Childhood Traumatic Separation. This article describes current applications of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for Childhood Traumatic Separation.MethodsUsing two composite clinical cases, TF-CBT applications for Childhood Traumatic Separation are described. These include: (1) implementing the safety component first; (2) tailoring coping skills to address the uncertainty of Childhood Traumatic Separation; (3) integrating past traumas into trauma narration and processing of the traumatic familial separation; (4) providing Childhood Traumatic Separation-focused components to address challenges of committing to new relationships while retaining connections to the separated parent; and (5) addressing role changes.ResultsThese modifications have been implemented for many youth with Childhood Traumatic Separation and have anecdotally resulted in positive outcomes. Research is needed to document their effectiveness.ConclusionsThe above practical strategies can be incorporated into TF-CBT to effectively treat children with Traumatic Separation.Practical implicationsPractical strategies include starting with safety strategies; tailoring skills components to address the ongoing uncertainty of traumatic separation; integrating past traumas into trauma narration and processing of traumatic separation; providing traumatic separation-focused components to balance the challenges of committing to new relationships with retaining connections to the separation parent; and addressing role changes. Through these strategies therapists can successfully apply TF-CBT for Childhood Traumatic Separation. |
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| Keywords: | Childhood Traumatic Separation Trauma-Focused Cognitive Behavioral Therapy Treatment Posttraumatic stress disorder Family separation Children Adolescents |
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