What should guide the therapist's actions when a child believes they are to blame for their abuse?

In the context of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), when a child believes they are to blame for their abuse, it is crucial to approach these thoughts with care and sensitivity. The correct approach involves recognizing that while the child's belief may feel real to them, it is often rooted in confusion, guilt, or misinterpretation of events.

Discussing these thoughts allows the therapist to help the child unpack these feelings and beliefs within a safe and supportive environment. It is essential to work through these notions collaboratively, illustrating that the abuse is not the child's fault. This therapeutic dialogue can help reframe the child's understanding, enabling them to let go of misplaced blame and recognize their true role in events. It allows for validation of their feelings while also guiding them toward a more accurate understanding of the situation, leading to improved emotional health and resilience over time.

Engaging with these thoughts, rather than ignoring or confirming them, is aligned with the goals of TF-CBT, which seeks to empower the child and promote healing from trauma through open communication and cognitive restructuring.