Courage Homes offers a variety of therapies including…

Trauma Focused-Cognitive Behavioral Therapy (TF-CBT)

“Trauma-focused Cognitive Behavioral Therapy has been proven effective for children & youth exposed to a variety of traumatic events and has received the strongest empirical support from studies with abused children (American Academy of Child and Adolescent Psychiatry, 1998). It has been used in individual, family, and group therapy and in office-based, residential and school-based settings. (TF-CBT was developed by Mannarino, Deblinger & Cohen and can be referenced in their book “Treating Traumatized Children”).

What is TF-CBT?

TF-CBT is an intervention designed for children, adolescents and their caregivers. It is an empirically supported intervention based on learning and cognitive theories, and is designed to reduce children’s negative emotional and behavioral responses, and correct maladaptive beliefs and attributions related to the traumatic experiences. It also aims to provide support and skills to
help caregivers.

Treatment Components Include:

  • Psychoeducation about child abuse, typical reactions, safety skills and healthy sexuality.
  • Gradual exposure techniques including verbal, written and/or symbolic recounting (i.e. utilizing dolls, puppets, etc.) of abusive event(s).
  • Cognitive reframing consisting of exploration and correction of inaccurate attributions about the cause of, responsibility for, and results of the abusive experience(s).
  • Stress management techniques such as focused breathing and muscle relaxation exercise, thought stopping, thought replacement, and cognitive therapy interventions.
  • Caregiver instruction in child behavior management strategies



Art Therapy is used to help a person express their inner feelings, anxieties, and perceptions when it is difficult to verbally express them. Art Therapy is based on the premise that visual symbols and images are the most accessible and natural form of communication to the human experience. Courage Homes use Art Therapy as a way to teach the girls how to express what they have gone through and how they see themselves, with the goal of seeing themselves as God intended them to be; beautiful creations.