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Quizzes > Health & Medicine > Psychology & Mental Health

Quiz: Test Your TF-CBT Psychoeducation Skills

Ready to tackle our TF-CBT psychoeducation quiz and master trauma-focused CBT? Start now!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for trauma-focused CBT skills quiz on a golden yellow background

This TF-CBT quiz helps you practice addressing inaccurate or unhelpful cognitions using psychoeducation and cognitive coping. Work through short cases to spot thinking traps, choose effective responses, and check for gaps before a session. For a quick refresher, review key strategies or get extra practice.

In TF-CBT, what term refers to persistent trauma-related beliefs that impede emotional processing?
Schemas
Stuck points
Safety behaviors
Automatic thoughts
Stuck points are maladaptive beliefs that get 'stuck' after trauma and block recovery. They often involve overgeneralized guilt, blame, or danger beliefs resulting from the traumatic event. Identifying and challenging these stuck points is central to TF-CBT's cognitive restructuring phase.
Which model in TF-CBT illustrates the interplay of thoughts, feelings, and behaviors?
Trauma Narrative Model
Cognitive Triangle
Exposure Hierarchy
Behavioral Activation Framework
The Cognitive Triangle depicts how thoughts, feelings, and behaviors influence each other and is a core teaching tool in TF-CBT. It helps clients understand how changing one component can impact the others. This model underpins cognitive restructuring interventions.
Which of the following is an example of a cognitive distortion?
Overgeneralization
Progressive Muscle Relaxation
Socratic Questioning
Trauma Narration
Overgeneralization involves drawing broad conclusions from a single event and is a common cognitive distortion. TF-CBT targets distortions like this to reduce unhelpful thinking patterns. Techniques like Socratic questioning help clients identify these distortions.
In TF-CBT psychoeducation, parents are taught to:
Validate the child's trauma experience
Ignore the child's flashbacks
Minimize the impact of trauma
Discourage expression of feelings
Psychoeducation in TF-CBT emphasizes parental validation of the child's trauma reactions to foster safety and trust. This helps normalize the child's feelings and supports the healing process. Minimizing or ignoring trauma can increase a child's sense of isolation and distress.
Which component of TF-CBT explicitly focuses on addressing unhelpful cognitions?
Trauma narrative
Parenting skills
Cognitive coping
Relaxation skills
The cognitive coping component of TF-CBT teaches clients to identify and modify distorted automatic thoughts. Relaxation and parenting skills serve different purposes, such as reducing arousal and involving caregivers. Trauma narrative also addresses cognitive and emotional processing but is distinct from structured cognitive coping techniques.
A core cognitive coping skill taught in TF-CBT involves:
Positive self-talk
Imaginal exposure
Overgeneralization
Exposure practice
Positive self-talk helps clients replace negative automatic thoughts with more balanced statements. This skill reduces distress and supports adaptive coping. Exposure practices and imaginal exposure are part of other TF-CBT components, not strictly cognitive coping.
Which phase includes teaching both child and caregiver about common trauma reactions?
Trauma narration
Cognitive processing
Behavior management
Psychoeducation
Psychoeducation is the first phase of TF-CBT and involves normalizing trauma responses for both child and caregiver. It lays the groundwork for all subsequent components. Cognitive processing and trauma narration focus on deeper cognitive and emotional work later in treatment.
In the TF-CBT PRACTICE model, what does the second C represent?
Crisis management
Collaboration skills
Cognitive coping
Conjoint parent - child sessions
The first C in PRACTICE stands for Cognitive coping, while the second C represents Conjoint sessions involving both child and caregiver. These joint sessions allow families to share the trauma narrative and practice skills together. Proper sequencing ensures cognitive skills are in place before joint processing.
What is the goal of Socratic questioning in TF-CBT cognitive processing?
To provide a relaxation technique
To challenge unhelpful thoughts by examining the evidence
To model safety behaviors
To teach the structure of the trauma narrative
Socratic questioning guides clients to scrutinize the accuracy of their automatic thoughts and consider alternative explanations. This collaborative empiricism is central to changing maladaptive beliefs. It differs from relaxation or narrative skills, which serve other TF-CBT components.
Thought records in TF-CBT are primarily used to:
Track negative automatic thoughts and evaluate evidence
Record steps of the exposure hierarchy
Document details of the traumatic event
Monitor physiological arousal levels
Thought records help clients systematically note situations, automatic thoughts, emotions, and alternative perspectives. They are a key tool in cognitive coping to foster insight and change. Trauma details and arousal monitoring are addressed in other TF-CBT modules.
Which of the following is NOT a common cognitive distortion addressed in TF-CBT?
Personalization
Black-and-white thinking
Catastrophizing
Delusional thinking
Delusional thinking involves fixed false beliefs not amenable to reason, and is not a focus of TF-CBT. TF-CBT addresses distortions like personalization, catastrophizing, and dichotomous thinking, which are common after trauma. Therapists use cognitive restructuring to modify these distortions.
The downward arrow technique in TF-CBT is used to:
Create an outline for the trauma narrative
Teach emotional regulation strategies
Practice the relaxation response
Identify core beliefs underlying automatic thoughts
The downward arrow helps clients link surface automatic thoughts to deeper, often hidden, core beliefs. By repeatedly asking "If that were true, what would that mean about you?", therapists uncover these underlying schemas. It is not a relaxation or narrative tool.
When adapting cognitive restructuring for children, using metaphors helps because it:
Simplifies abstract concepts and engages imagination
Focuses only on caregiver behaviors
Eliminates emotional responses
Replaces the need for a trauma narrative
Metaphors translate complex cognitive ideas into concrete images that children can relate to and remember. They make discussions about thoughts more engaging and age-appropriate. Metaphors supplement but do not replace narrative work.
Involving parents in cognitive sessions helps by:
Discouraging parental support
Replacing the child entirely in therapy
Emphasizing only symptom reduction
Modeling adaptive thinking and reinforcing skills
Parent involvement allows caregivers to learn cognitive skills alongside the child, so they can model and reinforce adaptive thinking patterns at home. This enhances generalization and maintenance of therapy gains. Excluding parents misses a vital support system.
To challenge catastrophic future predictions, a therapist most likely asks:
Why did the trauma happen in the first place?
How can we hide from all dangers?
What did you learn in school today?
How likely is that outcome really to occur?
Estimating the probability of feared outcomes helps clients realize when they are overestimating danger. This cognitive technique is central to reducing catastrophic thinking. Other questions target different TF-CBT components or are irrelevant.
When a child expresses excessive self-blame, which cognitive strategy is most appropriate?
Prolonged exposure without discussion
Encouraging suppression of thoughts
Collaborative empiricism to examine evidence against self-blame
Shifting focus to emotions only
Collaborative empiricism involves working with the child to test the validity of self-blaming thoughts against factual evidence. This strategy helps reduce guilt and shame. Simply suppressing thoughts or focusing only on emotions does not address underlying beliefs.
At which stage of TF-CBT is cognitive restructuring most central?
During the cognitive coping and trauma narrative integration phase
Safety planning stage
Conjoint sessions only
Initial relaxation skill building
Cognitive restructuring is introduced after basic coping skills and is refined as the trauma narrative is developed and integrated. This timing ensures clients have the tools to challenge stuck points encountered in narrative work. Earlier or later phases focus on different skills.
Which validated measure is used to assess changes in maladaptive trauma-related cognitions in TF-CBT research?
Child Behavior Checklist
Beck Anxiety Inventory
Posttraumatic Cognitions Inventory (PTCI)
UCLA PTSD Reaction Index
The PTCI specifically measures trauma-related beliefs about self, world, and self-blame, making it ideal for evaluating cognitive change in TF-CBT trials. Other measures focus on broader behavioral or symptom profiles. Using the PTCI allows researchers to track cognitive mediation effects.
For adolescents with advanced abstract thinking, cognitive restructuring should:
Incorporate Socratic dialogue around underlying schemas
Focus solely on parental involvement
Limit discussion to simple analogies
Avoid cognitive techniques altogether
Adolescents benefit from deeper exploration of core beliefs through Socratic questioning that taps into their abstract reasoning. Simple analogies may under-challenge their cognitive capacities. Cognitive techniques remain essential across development.
The term "vicarious traumatic cognitions" in TF-CBT refers to:
A child's misplaced guilt about trauma
Caregivers developing trauma-related beliefs through hearing the child's story
A therapist's self-care plan
Imaginal exposure outcomes
Vicarious traumatic cognitions occur when caregivers adopt unhelpful beliefs (e.g., world is unsafe) from the child's narrative. Addressing these cognitions in parents is important to prevent secondary trauma. It differs from the child's own distortions.
A child who downplays the severity of an event is using which distortion?
Magnification
Minimization
Fortune telling
Personalization
Minimization involves understating or discounting the seriousness of experiences. In trauma work, it can impede processing of true impacts. Recognizing and gently challenging minimization helps clients acknowledge their feelings.
Behavioral experiments in TF-CBT are used to:
Record trauma events
Test and modify predictive catastrophic thoughts through real-life trials
Teach relaxation technique
Increase steps in the exposure hierarchy
Behavioral experiments allow clients to design and carry out tasks that test the validity of their catastrophic predictions. The process generates corrective experiences to update maladaptive beliefs. It extends beyond narrative or relaxation practices by directly challenging predictions in real-world contexts.
Neurobiological studies link default mode network dysregulation to rumination; which TF-CBT technique best targets this network?
In vivo exposure
Parent training
Trauma narration
Mindfulness-based attention training
Mindfulness interventions engage attentional control networks and downregulate the default mode network, reducing rumination. TF-CBT often incorporates mindfulness exercises to interrupt cyclical negative thinking. Trauma narration and exposure target fear structures rather than resting-state network activity.
When tailoring cognitive interventions for a child with developmental delays, therapists should:
Only focus on relaxation skills
Increase session length only
Use simplified language and visual supports to make concepts concrete
Exclude the child from cognitive sessions
Simplifying language and adding drawings or charts makes abstract cognitive concepts accessible to children with delays. This ensures meaningful engagement and skill acquisition. Excluding the child or focusing solely on relaxation neglects the cognitive component of TF-CBT.
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Study Outcomes

  1. Identify Inaccurate Cognitions -

    Spot common distorted thoughts in children's trauma narratives and understand why inaccurate or unhelpful cognitions should be addressed by therapists early in TF-CBT.

  2. Analyze Cognitive Patterns -

    Examine unhelpful thinking styles revealed in the quiz and differentiate between maladaptive beliefs and realistic appraisals.

  3. Apply Cognitive Restructuring -

    Use TF-CBT psychoeducation quiz exercises to guide children in challenging inaccurate cognitions and replacing them with balanced alternatives.

  4. Implement Trauma-Informed Strategies -

    Integrate trauma-focused CBT quiz techniques to tailor psychoeducation and foster resilience in young clients.

  5. Evaluate Intervention Effectiveness -

    Assess quiz feedback to refine cognitive interventions and improve treatment outcomes.

  6. Optimize Psychoeducation Delivery -

    Develop clear, empathic explanations for helping children understand the rationale behind addressing unhelpful thoughts.

Cheat Sheet

  1. Cognitive Triangle Mastery -

    The cognitive triangle - thoughts, feelings, behaviors - helps children see how "I'm bad" (thought) fuels sadness (feeling) and avoidance (behavior), a concept rooted in Beck et al. (1979). Use the simple "T-F-B" mnemonic to map distortions swiftly during your trauma-focused CBT quiz. Consistent practice boosts confidence in spotting faulty links.

  2. Pinpointing Inaccurate Beliefs -

    Accurate assessment often starts with structured worksheets and the Downward Arrow Technique to uncover core beliefs (Beck, 2011). Recognizing why inaccurate or unhelpful cognitions should be addressed by therapists is critical: it prevents retraumatization and guides tailored interventions. This lays the groundwork for strong performance on a TF-CBT psychoeducation quiz.

  3. Socratic Questioning & Evidence Gathering -

    Socratic questioning challenges distortions by asking, "What's the evidence?" and "Is there an alternative view?" (Cohen et al., 2004). Comparing "facts" versus "feelings" helps children generate balanced thoughts through a clear Evidence-For/Against table. This active debate method cements skills assessed in a trauma-focused CBT quiz.

  4. Trauma Narrative for Cognitive Restructuring -

    Developing a trauma narrative lets kids safely explore and reframe maladaptive beliefs like "It was my fault" (Deblinger et al., 2015). As they reconstruct the story, therapists guide them to insert corrective information - proving thoughts aren't reality. A sample sentence replacement exercise, swapping "I'm powerless" with "I survived," reinforces mastery.

  5. Caregiver Psychoeducation & Support -

    Involving parents teaches them why inaccurate or unhelpful cognitions should be addressed by caregivers, using clear examples and role-plays (Katz et al., 2011). Providing them with a "Myth vs. Fact" handout ensures consistent reinforcement at home. This collaborative step cements learning and boosts your quiz confidence.

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