tf-cbt tips
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TF-CBT Tips. Lynn Geiger, Ph.D. 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. Let’s Try an Experiment. Think of a time you really enjoyed yourself - PowerPoint PPT PresentationTRANSCRIPT
TF-CBT TipsLynn Geiger, Ph.D.
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
Let’s Try an ExperimentThink 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.
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
CopingWhen 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.
Coping cont’d Rewards from others
Remember other times of success, courage, bravery
Imagine a cartoon character who is good at coping
Oh Yes! Oh NoA 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!
Oh Yes! Oh NoA 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!
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
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.
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.
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?
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
Anger - Volcano
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
Anger - Volcano One warning sign from a volcano is
steam
What warning signals do you get that you’re going to explode?
Barnyard Friends Sometimes a longer relaxation time is
needed so I use a guided visualization Imagine we are taking a trip to a farm:
If you see it, you can put it away
Resiliency Training Crisis Care Network – crisiscare.com
“Hope is Alive”Hope
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