Harborview Abuse & Trauma Center
Search CBT + Notebook Resources
Therapist Resources
CBT+ Component Flows
Cheat Sheets
"Need to Know" Sheets
Therapist Materials
- Adherence Checklist – Cohen & Mannarino (Final)
- ATSA Task Force on Child Sexual Behavior Problems
- Bernier Lab UW Autism Spectrum Disorder Reference Guide
- Bernier Lab UW Trauma and ASD Reference Guide
- CBT+ Culturally Responsive Questions
- CBT+ Steps for Initial Engagement
- CBT+ Phases for Treatment
- CBT+ Triangle
- Child Caregiver Conjoint Work Fitzgerald
- Guidelines for Managing the Trauma Narrative
- How Can Trauma Affect the Brain?
- Practice on Getting “Buy In” for Engaging in Trauma Narrative
- Technique for Preparing for and Conducting Parent-Child Sessions
- Report of the APSAC Task Force on Therapy…
- Smartphone Apps for Clinical Use
- Smartphone Apps for Depression and Anxiety – Evaluation
- Socratic Techniques for Changing Unhelpful Thoughts
- Tips for Managing the Crisis Of the Week
- Trauma References
- What is Attachment and Attachment Problems in Children?
Useful Links
Supervisor/Organization Resources
TF-CBT Materials for Supervisors
- Affective Modulation – Introducing & Working on Skill
- Affective Modulation – Planning for At Home Practice
- Cognitive Coping – Introducing & Practicing
- Cognitive Processing – Processing Trauma-Related Thoughts
- Conjoint TN Share – Preparing the Caregiver
- Crisis Management in TF-CBT
- Engagement – Homework Not Done
- Engagement – No Show or Cancelation
- Engagement – Reluctant Parent
- Enhancing Safety – Current Safety Plan
- Enhancing Safety – Developing Future Safety Skills
- In Vivo – Assigning Exposure Practice
- In Vivo – Establishing Exposure Hierarchy (Fear Ladder)
- Parenting – Praise – Planning for At Home Practice
- Parenting – Rewards – Planning for Home Practice
- Psychoeducation – About Traumatic Event(s)
- Psychoeducation – Assessment & Tx Intro
- Relaxation – Planning for At Home Practice
- Trauma Narrative – Getting the First Pass
- Trauma Narrative – Introducing & Getting Buy-In
- Trauma Narrative – Second Pass & Elaboration
- STEPS 1 on 1 Time – Planning At Home Practice
- STEPS 1 on 1 Time – Teaching
- STEPS Affective Modulation – Introducing & Working on a Skill
- STEPS Affective Modulation – Planning for At Home Practice
- STEPS Introducing & Practicing Cognitive Coping
- STEPS Introducing and Teaching Relaxation
- STEPS Introducing Rewards
- STEPS Praise – Plan at Home Practice
- STEPS Praise Introducing
- STEPS Psychoed Assessment and Tx Intro
- STEPS Relaxation – Cognitive Processing of Trauma-Related Thoughts
- STEPS Relaxation – Planning At Home Practice
- STEPS Relaxation – Psychoeducation about the Traumatic Events Experienced
- STEPS Rewards – Planning Home Practice
- STEPS Trauma Narrative – Getting the Memory
- STEPS Trauma Narrative – Introducing the TN
Organizational Practice Guides
Engagement/Motivational Enhancement
Client Handouts
Therapist Materials
- Coping with the Stress of Racism. Helpful Information for Teens (Detailed Version)
- Coping with the Stress of Racism: Helpful information for Kids and Teens (Brief Version)
- Supporting Youth Who Experience Racism. Handout for Parents and Caregivers
- Learning About Your (BRIEF Patient Guide)
- Learning About You (BRIEF Therapist Guide)
- Cheat Sheet – Motivational Enhancement
- N2K (Need to Know) Engagement/Motivational Enhancement Sheet
- Stages of Change – Therapist’s Motivational Tasks
- Steps for Initial Engagement
- Therapeutic Alliance
- Engagement Question Decks (Play in PowerPoint mode)
- Learning About You (THERAPIST GUIDE)
- Learning About You (Patient Guide)
Assessment
Standardized Measures
Caregiver Report
- CATS-ICD Caregiver
- Child and Adolescent Trauma Screen (CATS) – Caregiver Report (Ages 3-6)
- Child and Adolescent Trauma Screen (CATS) – Caregiver Report (Ages 3-6) – Spanish
- Child and Adolescent Trauma Screen (CATS) – Caregiver Report (Ages 7-17)
- Child and Adolescent Trauma Screen (CATS) – Caregiver Report (Ages 7-17) – Spanish
- Moods and Feelings Questionnaire – Caregiver Report
- SCARED Anxiety – Caregiver version
- SCARED – Parent version in Spanish
- Pediatric Symptom Checklist (PSC-17)
- Pediatric Symptom Checklist (PSC-17) – Externalizing Subscale
- Pediatric Symptom Checklist (PSC-17) – Spanish version
- Pediatric Symptom Checklist (PSC-17) – Externalizing Subscale – Spanish Version
- PSC-17 – link to translated versions
Child Self-Report
Teen/Adult Self Report
Therapist Materials
Coping Skills
Challenging Thoughts (Client Handouts)
- CBT+ Triangle Worksheet
- Challenging Thoughts Worksheet
- Cognitive Restructuring Worksheet
- CPT – Challenging Beliefs Worksheet
- CPT Handout – Hard Questions
- CPT Homework Assignments
- Negative Thinking Traps
- My Strengths ABC
- Proof Positive Exercise
- Stop, Think, and Act
- What Am I Thinking (for kids)
- What are the Thoughts You Have? (for kids)
Managing Anger (Client Handouts)
- Getting Good at Turning Down the Mad! – Tracking Breaks and Hot and Cool Thoughts – Large Blocks
- Good Thoughts – Bad Thoughts
- Learning to Argue with Yourself
- Pleasant Feelings Diary
- Problem Solving Skills Worksheet (forAdults)
- Problem Solving Skills Worksheet (for Kids)
- Reducing Anger
- Turtle Technique
- Anger Marbles
- Anger Pattern Exercise
- Anger Arousing and Anger Reducing Self Talk
- Anger Self Talk Examples and Practice
- Anger Steps
- Constructive Emotion Regulation
- Emotion Regulation
- Getting Good at Turning Down the Mad! – Tracking Breaks and Hot and Cool Thoughts Each Day
Managing Distress (Client Handouts)
- What Will People Think of Me?
- Who Holds Up My Safety Net? (Boys)
- Who Holds Up My Safety Net? (Girls)
- Challenging Thoughts Exercise
- Coping Skills (for Adults)
- Coping Skills (for Caregivers and Children)
- Coping Skills Diary Card
- Crisis Prevention Plan (CPP) Guide Tips Sheet
- Crisis Prevention Plan (CPP) Template for CBT
- Emotions Thermomenter
- Feelings Ball Game
- Helping Me Handle My Emotions
- If I Need Help Form
- In the Moment Coping Skill Toolbox Personal Time Out
- Mood Monitoring Sheet
- My Strengths
- The Critic Inside You
- Things I Do Well
- Turtle Technique
- Viewing My Problems in a New Light
Identifying and Rating Feelings (Client Handouts)
Relaxation (Client Handouts)
- Active Relaxation
- Anxiety and Stress Reduction Center, Stress Reduction and Relaxation Resources (link)
- Breathing Retraining Exercises
- CBT+Relaxation Homework sheet
- Controlled Breathing Log
- Floating on a Cloud (video link)
- Learn How to Relax
- Muscle Relaxing
- Observing Your Breath Exercises for Parents
- Relaxation Exercises
- Relaxation Journal
- Relaxation Log
- Relaxation Scripts for Kids
- Relaxation Scripts for Younger Children
- Tense or Relaxed
- Ways to Relax by Using Breathing
Sleep Hygiene (Client Handouts)
Tips for Parents
Therapist Materials
CBT for Anxiety
Anxiety (Client Handouts)
- Anxiety Common Unhelpful Helpful Thoughts Tool
- Anxiety Common Unhelpful Helpful Thoughts Tool – Spanish
- CBT+ Relaxation Homework sheet
- CBT+ Triangle
- Anxiety Information
- Anxiety Information – Spanish version
- Anxiety Treatment Description
- Feeling Pattern Exercise
- Negative Self-Talk
- Negative Thinking Traps
- Parental/Caregiver Involvement: Helping Your Child Manage Anxiety
- Replacing Negative Thoughts
- Replacing Negative Thoughts Exercise
- Worry Time Log
- Stress worry anxiety Handout for parents
- Anxiety 101 Video
For Coping Skills Please Refer to Coping Skills Page Cognitive Restructuring
Exposure (Client Handouts)
Therapist Materials
Training Videos
Useful Links
CBT for Depression
Depression (Client Handouts)
- Small Talk and Friend Making Tips
- Take Action to Feel Better
- Taking Charge of Negative Emotions
- What Gets in Your Way
- Actions I Took to Feel Better
- Activity Scheduling – At Home Practice Sheet
- Activity Scheduling – At Home Practice Sheet – Spanish Version
- CBT+ Getting Active Homework Sheet
- CBT+ Getting Active Homework Sheet – Spanish
- CBT+ Goal Setting Worksheet
- CBT+ Triangle
- Depression Relapse Prevention Worksheet
- Depression Common Unhelpful Helpful Thoughts Tool
- Depression Information
- Depression Information – Spanish version
- Depression Information and Treatment Roadmap
- Depression Information and Treatment Roadmap – Spanish
- Depression Pattern Exercise
- Depression Steps
- FAST D Activity Scheduling
- Getting Active
- Goal Setting Bricks Handout
- Goal Setting Bricks Handout – Spanish
- List of Things I Can Do to Feel Good
- Mood Monitoring Homework Sheet
- Mood Monitoring Homework Sheet – Spanish version
- Problem Solving Worksheet Advanced
- Problem Solving Worksheet Advanced – Spanish
- Problem Solving Skills Worksheet – Basic
- Problem Solving Skills Worksheet – Basic – Spanish
- Replacing Negative Thoughts Exercise
- So You Have a Problem
For Coping Skills Please Refer to Coping Skills Page Cognitive Restructuring
Therapist Materials
Useful Links
CBT for Trauma
Trauma Related (Client Handouts)
- CBT+ Triangle Worksheet
- I Think This Happened Because…
- Letter to Mom (Sexual Assault)
- Name the Blame: Who’s at Fault
- PTSD Coping Tool
- Questions About Your Understanding of Family Violence
- Self Talk Examples
- Thoughts and Feelings Children Have
- Trauma Common Unhelpful Helpful Thoughts Tool
- WHY Checklist (for Physical Abuse)
- WHY Checklist (for Sexual Assault)
Child Sexual Abuse
Client's Rights
For Coping Skills Please Refer to Coping Skills Page Creating the Trauma Narrative (Client Handouts)
- Clarification Questions To Sexual Assault Offenders
- Dealing with Trauma: A TF-CBT Workbook for Teens
- Dealing with Trauma: A TF-CBT Workbook for Teens – Spanish version
- Feelings Children Have (About Abuse)
- Feelings About Being Abused
- How the Abuse Has Affected How I See Myself
- Letter to the Perpetrator
- Remembering What Happened
- Telling the Sexual Assault Secret
- Tu Libro de Actividades de TF-CBT (Your Very Own TF-CBT Workbook – Spanish version)
- Your Very Own Grief TF-CBT Workbook
- What Will People Think of Me
- Your Own TF-CBT Workbook
Trauma Information
- Trauma and Posttraumatic Stress Youth
- Trauma References
- Trauma Information Pamphlet For Parents (from UCLA)
- Trauma Psycho Ed Cards For Children
- CBT+ Triangle
- CBT for Trauma Information Youth
- Date Rape/Acquaintance Rape
- Dissociation Information
- Domestic Violence Resources (NCSTN link)
- Finding a Therapist for Evidence-Based Treatment
- Gangs: Tips for Parents (NCTSN link)
- How Can Trauma Affect the Brain?
- How to Talk to Children about War (NCSTN link)
- Parenting Tips When Your Child Has Experienced Trauma
- Parenting Tips When Your Child Has Experienced Trauma – Spanish version
- Psychoeducation: General Questions
- SA Psychoed Children
- Talking With Your Child About Trauma: Guidelines For Foster Parents
- TF-CBT Information
- Things Families Can Do to Cope with Trauma
- Things Families Can Do to Cope with Trauma – Spanish version
- Trauma and Posttraumatic Stress – Spanish
- Trauma and Posttraumatic Stress
- Trauma and Posttraumatic Stress Caregiver – Spanish
- Trauma and Posttraumatic Stress Caregiver
Exposure (Client Handouts)
Therapist Materials
- Integrating Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Racial Socialization for Black Youth and Families: An Implementation Manual
- BT+ Framework
- Cheat Sheet – TF-CBT A-Practice Checklist
- Child Caregiver Conjoint Work – Fitzgerald
- Dealing with Trauma: A TF-CBT Workbook for Teens
- Dyad Practice-Facilitating Detailed Narratives
- Engaging Highly Anxious/Resistant Kids in Starting the TN
- Exposure Treatment Exercise – Sample
- Guidelines for Managing the Trauma Narrative
- Name the Blame: Who’s at Fault
- N2K (Need to Know) Trauma Narrative Sheet
- Practice on Getting “Buy In” for Engaging in Trauma Narrative
- Prolonged Exposure Protocol with Details
- Proof Positive Exercise
- Sample Gradual Exposure Hierarchy
- Sample Thought Stopping Scripts From TF CBT Website Training
- Technique for Preparing for and Conducting Parent Child Sessions
- Socratic Strategies for Self-Blame Thoughts
- Socratic Techniques for Changing Unhelpful Thoughts
- TF-CBT A – Take 5
- Trauma and Autism Spectrum Disorder – A Reference Guide
- The Trauma Narrative
- CBT for Trauma Checklist
- Trauma Narrative Gradual Exposure Handout
- Trauma Narrative Steps
- Implementing Trauma-Focused Cognitive Behavioral Therapy for LGBTQ Youth and their Caregivers
Useful Links
Parent Management Training (PMT)
CDC Parenting Videos (links)
- Creating Structure and Rules for Your Child
- Creating Structure and Rules for Your Child: Charts & Graphs
- Essentials for Parenting Toddlers and Preschoolers
- Giving Directions to Your Child
- Giving Directions to Your Child: You Know What I Mean?
- Using Discipline and Consequences
- Using Discipline and Consequences: Sippy Cup
- Using Time-Out
- Using Time-Out: She Knows
- Communicating with Your Child
- Communicating with Your Child: Play Time
SCH Video
Child Sexual Behaviors
Links to Handouts in Spanish
Parenting Handouts
- CBT+ Home Token Economy Guide
- Child – Directed Interaction Skills
- Difficult Teens
- Discipline Skills to Master
- Giving Effective Instructions
- Giving Good Directions
- Guidelines for Effective Discipline
- My Child’s Problem Behavior: Info for Caregivers
- How to Motivate your Younger Child to Behave
- How to Motivate Your Teen to Behave
- Praisable Behaviors
- Parental-Caregiver Involvement: Helping Your Child Manage Anxiety
- Thoughts and Actions: An Exercise for Parents
- Time-Out
- Time-Out Tips for Caregivers
- Tips for Managing Extreme Behavior in the Moment
- Tips for Managing Extreme Behavior in the Moment – Spanish
- Types of Discipline
- Types of Rewards
- Using Planned Ignoring and Attending
- Using Time-Out
- What is Attachment and Attachment Problems in Children?
- 101 Phrases of Praise
- 101 Phrases of Praise – Spanish
- American Academy of Child and Adolescent Resources – Conduct Disorder
- American Academy of Child and Adolescent Resources – Disruptive Mood Dysregulation Disorder (link)
- American Academy of Child and Adolescent Resources – ODD info
- Behavior Plan Caregiver Worksheet Our Plan to Change Behavior
- Behavior Problems Information
- Behavior Problems Information – Spanish
Parenting Worksheets
- Helping Your Child Learn Appropriate Ways to Express Feelings
- Identifying Your Problematic Thoughts Worksheet
- If… Then (Privileges Worksheet)
- Low Cost Rewards
- Low Cost Rewards – Spanish
- Natural and Logical Consequences
- Observing Your Breath Exercises for Parents
- Parents: Common Feelings and Thoughts about Sexual Abuse
- Physical Punishment Information Sheet
- Praise and Recognition – a parents Worksheet
- Praise/Recognition Worksheet – Spanish
- Problem Solving Skills Worksheet
- Removing Privileges
- Rewarding Good Behavior Star Chart
- Tantrum Tips
- Tracking Behavior
- Tracking Behavior – Detailed
- Tracking Behavior – Detailed – Spanish
- Tracking Behavior – Positive
- Using Time Out Worksheet
- ABC Worksheet for behavior problems – Spanish
- Are We Having Fun Yet?
- Behavior Chart (Sun and Sail)
- Behavior Management Basics
- Behavior Plan Caregiver Worksheet Our Plan to Change Behavior
- Behavior Plan Caregiver Worksheet Our Plan to Change Behavior – Spanish
- Communication Checks: A Self Quiz
- Contracts
- Free Parenting Tips for Common Parenting Concerns (link)
- Functional Behavioral Caregiver Handout
- Functional Behavioral Caregiver Handout – Spanish
Teacher Handouts
Therapist Materials
Useful Links
General Skills
General
- CBT+ Screen and Device Struggles
- Let’s Be Friends
- Me and My Friends
- My Prevention Plan (Sexual Assault)
- Problem Checklist
- Problem Clues
- Problem Solving Steps
- Psych-Ups (Learned Optimism)
- Rappin’ the Problem
- Role-Play Situations Related to Making Requests: Example Situations for Children
- Small Talk and Friend Making
- Being Assertive
Family Communication
Family Problem Solving
Substance Use
Substance Use (Client Handouts)
Therapist Materials
Suicide and Self Injury
Assessment Tools
Clinical Tools
Organizational Tools
Training Resources
- The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care
- Zero Suicide Toolkit
- CAMS (Organizations must purchase copies of the book for their clinicians to use the SSF-IV)
- CAMS 3-hour online video course
- National Suicide Prevention Toolkit for Primary Care (WICHE Behavioral Health Program)
- Suicide Prevention Resource Center
- DBT Training Resources
Child Sexual Behaviors
Behaviors
- ATSA Report of the Task Force on Children with Sexual Behavior Problems
- Cover your BASES (for Parents)
- National Center for Sexual Behavior in Youth (web link)
- “Not Okay” Behaviors that Break the Sexual Behavior Rules
- Sexual Behavior Rules Example
- Touching Rules (for Young Children)
- Sexual Behavior and Children: When is it a Problem and What to do About it
- SBP Recommendations for Supervision and parenting
Other Mental Health Problems
Info Sheets on Other Mental Health Problems
Helpful Videos
