Which type of problems must be identified before starting TF-CBT?

Identifying significant safety concerns is crucial before starting Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) because the primary goal of TF-CBT is to create a safe and supportive environment for the child or adolescent undergoing trauma treatment. Safety concerns may include risks of self-harm, harm to others, or unsafe living environments that can interfere with the therapeutic process. Addressing these concerns ensures that therapy can proceed effectively and that the child's well-being is prioritized throughout treatment.

In contrast, social skills deficits, high academic achievement, and normal developmental issues may be relevant to the overall assessment of a child's needs but do not take precedence over immediate safety concerns. While these factors can influence therapy, they do not necessarily impact the foundational safety required for effective trauma treatment.