24.3 CBT FOR CHILDHOOD SEXUAL ABUSE: EVIDENCE-BASED APPROACHES

Abstract

CBT is the gold standard treatment for many psychological problems, including PTSD symptoms resulting from childhood sexual abuse. Trauma-focused CBT and CBT for problematic sexual behavior in youth are classified as evidence-based therapies (EBT) for childhood sexual abuse and have been shown to have significant positive impacts on children and their families. However, as clinicians and referral sources, it is important to understand the similarities and differences between the 2 approaches in order to provide families with the most appropriate services. This presentation will introduce participants to the theory, outcome data, and major components of trauma-focused CBT and CBT for problematic sexual behavior in youth. While it is important to utilize evidence-based approaches, it is also important to select the most appropriate course of therapy for the individual child and family. As such, participants will compare and contrast trauma-focused CBT and CBT for problematic sexual behavior in youth. Case studies will be used to illustrate appropriate treatment selection and referral. Participants will become familiar with the development, outcome data, and components of 2 cognitive behavioral treatments for childhood sexual abuse. Case studies will illustrate important similarities and differences between the 2 approaches so that participants will be able to determine the most appropriate course of therapy based on symptom presentation. It should be understood that some therapy interventions for abused children and their families must be sequenced and prioritized by the providing clinician. Consulting with your referral source and making a collaborative decision that involves the provider, the child, and the family likely will result in greater engagement and completion of therapy, even those that are evidence-based.