CCT is a multi-modal intervention, meaning that it’s a hybrid of several, empirically validated therapeutic modalities. It integrates core components that have been shown to be the best practices in trauma interventions. CCT incorporates main elements of cognitive-behavioral therapy including psychoeducation, development of skills around emotional regulation, and coping. It also includes components of insight-oriented therapy, such as recognition of the connection between traumatic events, emotional responses, and behaviors. In addition, CCT encompasses elements of approaching the trauma content, exposure practice, and meaning-making by using the narrative process for integrating trauma experiences. CCT therapists are encouraged to integrate their own approaches and therapy skills into the treatment process.
A randomized controlled trial of children treated with CCT compared to a waitlist control group demonstrated a sustained reduction in posttraumatic symptoms, anxiety, and depression; improved overall functioning; and reductions in caregivers’ anxiety and depression.