Glossary

Term · Postpartum: Mind

trauma-focused cognitive behavioral therapy

Also: TF-CBT, trauma-focused CBT, trauma CBT

A structured talk therapy that helps people work through a distressing event, its memories, and the reactions that followed. One of the main treatments for trauma symptoms, including after birth.

In plain words

Trauma-focused cognitive behavioral therapy is a structured form of for people affected by a distressing event. It helps people name what happened, notice thoughts and reactions, and work through memories at a pace that feels manageable. Sessions are usually weekly and can include skills for calm and sleep. It is one of the main treatments for trauma symptoms, including after a difficult birth. Trained therapists deliver it. It differs from general counseling because it targets the trauma directly. Some people choose other approaches, such as . A can describe what a first session involves.

The deeper version

A manualized, phased treatment combining psychoeducation, relaxation, cognitive restructuring, and graded processing of trauma memories. Trauma-focused CBT and EMDR are the recommended first-line psychological treatments for in NICE NG116 (2018), and the APA guideline (2017) strongly recommends cognitive behavioral therapies and conditionally recommends EMDR. Postpartum-specific trials are small. Evidence for perinatal populations is largely from small trials and cohort series, and the best sequencing with medication is unresolved.

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Sources

  • National Institute for Health and Care Excellence — Post-traumatic stress disorder, NG116, 2018
  • American Psychological Association — Clinical practice guideline for the treatment of posttraumatic stress disorder, 2017

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