tf-cbt.gifThe cost of untreated trauma is high and has negative implications for children, families, and communities. Left untreated, traumatized children experience health and mental health problems, difficulties in school and problematic social relationships.  The trauma can alter brain chemistry and have a lifelong impact.

The financial costs of untreated trauma are also high – estimated at $104 billion per year in the United States.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) was developed to treat post-traumatic stress and related emotional and behavioral problems in children and adolescents.  Developed in the 1980’s, it has been used successfully and extensively both in the United States and other countries.

In North Carolina, there are 170 licensed clinicians located in 60 counties trained in TF-CBT according to Dana Hagele, MD, MPH and Lisa Amaya-Jackson, MD, MPH, Co-Directors of the NC Child Treatment Program (NC CTP).  Information about service and training resources is available at

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