Trauma-Focused CBT (TF-CBT)

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

What Is TF-CBT?

Sometimes the body and mind hold on to the past in ways that don’t feel fair. You might know you’re safe now, but a sound, smell, or memory can pull you right back — heart racing, stomach tight, thoughts spiraling.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) helps you make sense of those reactions and gently retrain your brain and body to feel safer again.

It’s an evidence-based approach that helps you understand how trauma has shaped your thoughts, emotions, and behaviors — and gives you tools to manage distress, rebuild trust, and reconnect with the present.

TF-CBT Might Be for You If:

You’ve experienced trauma that still feels “alive” in your body or mind.
You have nightmares, flashbacks, or sudden panic that seem to come from nowhere.
You avoid certain places, people, or conversations to keep from being triggered.
You often feel numb, detached, or disconnected from others.
You struggle with guilt, shame, or self-blame about what happened.
You want to understand your trauma.
You’re ready to build new ways of thinking and coping so you can feel safer in daily life.

What TF-CBT Sessions Might Look Like

Talking about the symptoms or patterns that keep showing up.
Learning grounding and emotion-regulation skills you can use when things feel overwhelming.
Gently processing painful memories, using CBT techniques to reframe negative beliefs or fears.
Building healthier ways to think, cope, and relate to yourself and others.
Practicing new skills between sessions and reflecting on what feels different over time.

Why TF-CBT Helps

Trauma doesn’t just live in the past.

It can show up as intrusive memories, being constantly on alert, avoiding, shame, and numbness or disconnection.

TF-CBT helps you safely face what happened — not by reliving it, but by understanding how your brain learned to protect you and helping it find a new balance.

With gentle guidance, you’ll learn practical tools for calming your body, shifting unhelpful thoughts, and creating a greater sense of control and safety.

You’re Not Alone

Our online therapists in Texas are trained in TF-CBT and other trauma-informed approaches, including

EMDR, Internal Family Systems (IFS), Somatic Experiencing (SE), and Emotion-Focused Therapy (EFT).

We’ll help you find safety, stability, and a path forward that feels right for you.

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