Online Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) from just $35/session with licensed therapists (PhD, PsyD, LCSW, LMHC, LMFT) trained in this evidence-based trauma protocol. At Grouport, we offer online individual therapy, online group therapy, teen therapy, family therapy, and virtual IOP options. TF-CBT is the gold-standard trauma treatment for children and adolescents, recommended as a first-line intervention by international clinical guidelines.
When a child experiences trauma, the effects can ripple through every part of their life: sleep, school, friendships, behavior, and the parent-child relationship. TF-CBT was developed by Judith Cohen, Anthony Mannarino, and Esther Deblinger specifically for young people ages 3 to 21 who have experienced trauma. What makes TF-CBT unique is that it includes the caregiver as an active participant in the healing process. A comprehensive meta-analysis of 28 randomized controlled trials with 4,523 participants found TF-CBT produced large improvements in PTSD symptoms and was superior to all control conditions including waitlist, treatment as usual, and active treatments. A Lancet individual participant data meta-analysis confirmed TF-CBT as a first-line treatment regardless of age, gender, or trauma type. Schedule a free call to learn if TF-CBT is right for your child.
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Consistently Recognized as the #1 Online Therapy pick
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At Grouport, we offer multiple ways to access Trauma-Focused CBT, all led by licensed clinicians trained in the PRACTICE protocol. Whether your child needs individual sessions with parallel caregiver involvement, group therapy with peers who understand, or a more intensive program, our TF-CBT-informed offerings are designed to support both your child and your family. Many families combine formats for comprehensive support.
Our online Trauma-Focused CBT is designed to help your child heal from trauma through a structured, evidence-based protocol that actively involves you as the caregiver. Here is how to get started.
Whether you're interested in group therapy, individual sessions, couples or family therapy, or IOP, you'll start by selecting the type of support that fits your needs. Complete our onboarding form and sign up directly for the plan that suits you best.
After signing up, you'll connect with a dedicated care coordinator who will walk you through available therapists, group options, and scheduling. You'll make the final choice about your care based on your goals, preferences, and schedule.
Start healing together. Your child's therapist will guide them through the PRACTICE components while you participate in parallel caregiver sessions, learning the same skills and preparing for the conjoint sessions ahead. Our team will support your family every step of the way.
Whether your child needs individual TF-CBT with parallel caregiver sessions, group therapy with peers, a combination of both, or our IOP program for more intensive care, you will start by selecting the format that fits your family's needs. Complete our onboarding form and sign up directly.
After signing up, you will connect with a dedicated care coordinator who will discuss your challenges, goals, and where you are in the change process. They will match your child with a therapist trained in Trauma-Focused CBT and walk you through the process, including how caregiver sessions work. You will make the final choice about your care, including which therapists you will meet with and session times.
Start healing together. Your child's therapist will guide them through TF-CBT's structured PRACTICE protocol: building coping skills, processing the trauma narrative, and preparing for conjoint caregiver-child sessions. You will participate in parallel sessions throughout, learning the same skills and preparing to support your child's healing. Our team will be here to support your family at every step.
Trauma-Focused Cognitive Behavioral Therapy was developed by Judith Cohen, Anthony Mannarino, and Esther Deblinger specifically for children and adolescents (ages 3 to 21) who have experienced one or more traumatic events. Unlike general CBT, TF-CBT is a structured protocol designed around the unique needs of young trauma survivors, and it actively includes caregivers as partners in the healing process.
TF-CBT follows the PRACTICE model: Psychoeducation, Relaxation, Affective modulation, Cognitive coping, Trauma narrative and processing, In vivo mastery of trauma reminders, Conjoint caregiver-child sessions, and Enhancing safety and future development. Each component builds on the last, gradually equipping your child with the skills they need before they process the trauma directly. Parallel caregiver sessions ensure you learn the same skills and are prepared to support your child throughout.
The evidence for TF-CBT is extensive. A meta-analysis of 28 randomized controlled trials with 4,523 participants found large improvements across all outcomes and TF-CBT was superior to all control conditions including waitlist, treatment as usual, and active treatments. At 12-month follow-up, treatment effects were maintained and even larger. A Lancet individual participant data meta-analysis of 25 studies with 1,686 youth confirmed TF-CBT as a first-line treatment regardless of age, gender, or trauma type. The Cochrane Collaboration concluded that CBT including TF-CBT was the only therapy with evidence for pediatric PTSD.
Trauma affects every part of a young person's world. TF-CBT addresses each area systematically, helping your child reclaim the childhood or adolescence they deserve.
Intrusive memories, nightmares, and flashbacks are hallmarks of childhood PTSD. TF-CBT's trauma narrative component helps your child process these memories so they become less vivid, less distressing, and less intrusive. The relaxation and affective modulation skills give your child tools to manage distress when trauma reminders do arise.
Trauma often damages the relationship between parent and child, sometimes through the trauma itself, sometimes through the behavioral changes that follow. TF-CBT's parallel caregiver sessions and conjoint sessions are specifically designed to repair this bond: you learn to understand your child's behavior through a trauma lens, respond with confidence, and rebuild trust together.
Trauma can cause difficulty concentrating, emotional outbursts, withdrawal from friends, and declining grades. As your child develops coping skills and processes their trauma, these functional impairments improve. Research shows TF-CBT produces significant improvements in anxiety, depression, and overall functioning alongside PTSD symptoms.
Trauma leaves children and teens with emotions that feel uncontrollable: sudden rage, overwhelming fear, deep sadness, or emotional numbness. TF-CBT's affective modulation component teaches your child concrete skills for identifying, expressing, and regulating these emotions. These are lifelong skills that serve them well beyond trauma recovery.
When trauma involves the death of a loved one, children face the double burden of grief and trauma. TF-CBT includes specific components for traumatic grief that help your child separate the traumatic aspects of the death from the grief itself, allowing them to mourn in a healthy way while processing the traumatic elements.
TF-CBT's final component focuses on enhancing safety and future development. Your child learns to identify unsafe situations, develop safety plans, and build the confidence to navigate the world with age-appropriate independence. This is especially critical for children who have experienced abuse, as it empowers them with the knowledge and skills to protect themselves going forward.
TF-CBT follows a structured protocol with three distinct phases. Your child and you as the caregiver both participate throughout.
The first phase builds the foundation. Your child learns about trauma reactions (Psychoeducation), calming techniques (Relaxation), how to identify and manage emotions (Affective modulation), and how thoughts, feelings, and behaviors connect (Cognitive coping). You learn the same skills in parallel caregiver sessions, plus parenting strategies specific to trauma. This phase ensures your child has the tools they need before they begin processing the trauma directly.
In the second phase, your child creates their Trauma narrative: a gradual, supported account of what happened to them. This is not re-traumatizing. The therapist carefully guides the process, using the coping skills from Phase 1 to keep your child within their window of tolerance. Cognitive processing helps your child identify and correct unhelpful thoughts (like self-blame) about the trauma. In vivo mastery helps your child face trauma reminders they have been avoiding, building confidence in real-world situations.
The final phase brings parent and child together. In Conjoint sessions, your child shares their trauma narrative with you while the therapist supports both of you. This is often the most powerful part of treatment: it breaks the silence, strengthens your bond, and lets your child see that you can handle their story. The Enhancing safety component teaches your child skills for identifying and responding to unsafe situations, building resilience for the future.
See how our therapy options have helped our members experience life-changing results
Stephanie
“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”
Michael
“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”
Isabel
"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."
Sheldon
“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”
Nancy
“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”
Emily
“I like the connection you can make with total strangers and the confidentiality it comes with.”
Danielle
"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"
Glenn
"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."
TF-CBT was originally developed for children who experienced sexual abuse but has been extensively researched and validated across a wide range of trauma types.
TF-CBT was originally developed for children who experienced sexual abuse, and this remains its strongest evidence base. Five of the original randomized controlled trials focused exclusively on sexually abused children. TF-CBT addresses not only PTSD symptoms but also the shame, self-blame, and confusion that often accompany childhood sexual abuse, while helping caregivers respond supportively.
Research confirms TF-CBT is effective for children who have experienced physical abuse and exposure to domestic violence. A systematic review found positive effects on PTSD symptoms, anxiety, strengths, and functional impairment specifically for non-sexual abuse related child maltreatment including physical abuse and domestic violence exposure.
Many children experience multiple types of trauma. A systematic review found TF-CBT to be a "probably efficacious intervention" for reducing PTSD symptoms among youth with complex trauma histories. The PRACTICE protocol's structured, gradual approach is especially well-suited for complex trauma, building coping skills before addressing multiple traumatic experiences.
When a child's grief is complicated by traumatic circumstances surrounding the death (violence, sudden loss, witnessing the death), TF-CBT includes specific grief-focused components. The meta-analysis found large improvements in grief symptoms alongside PTSD, depression, and anxiety.
TF-CBT has been successfully used with children affected by natural disasters (including Hurricane Katrina) and community violence. Both individual and group formats have shown effectiveness, making TF-CBT adaptable to situations where many children in a community are affected simultaneously.
TF-CBT has been studied internationally with children exposed to war, armed conflict, and sexual exploitation in conflict zones. Research in countries including the Democratic Republic of Congo and Zambia demonstrates TF-CBT's effectiveness across diverse cultural contexts, supporting its use as a globally applicable trauma treatment for children.
Every Grouport therapist is a licensed, accredited mental health professional with specialized training in evidence-based approaches including Trauma-Focused CBT, and extensive clinical experience in child and adolescent trauma, PTSD, sexual abuse recovery, domestic violence exposure, traumatic grief, and complex trauma.
Our therapists typically have over a decade of clinical experience across diverse settings, with specialized expertise in TF-CBT, trauma-informed, and child-focused approaches, as well as PTSD, anxiety, depression, traumatic grief, and behavioral difficulties. Our therapists are trained in Trauma-Focused CBT and other proven modalities to provide the best fit for your needs.
We continually evaluate outcomes through internal studies and outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne.
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a healthier future starts right here
80%of our members start with moderate to severe mental health symptoms
70% of our members feel significantly better within just 8 weeks
50% of our members achieve remission levels within just 8 weeks
80%
of our members start with moderate to severe mental health symptoms
70%
of our members feel significantly better within just 8 weeks
50%
of our members achieve remission levels within just 8 weeks
Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.
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Trauma-Focused CBT helps children and teens heal from trauma through a structured, caregiver-inclusive protocol. Our licensed therapists also treat a wide range of conditions using proven methods.
Trauma-Focused Cognitive Behavioral Therapy is an evidence-based treatment developed by Judith Cohen, Anthony Mannarino, and Esther Deblinger specifically for children and adolescents ages 3 to 21 who have experienced trauma. It follows the structured PRACTICE protocol and uniquely includes caregivers as active participants. A meta-analysis of 28 RCTs with 4,523 participants found large improvements in PTSD, depression, anxiety, and grief symptoms.
Grouport provides online group therapy, individual therapy, couples therapy, family therapy, teen therapy, intensive outpatient program (IOP), all held virtually over video chat. We also offer a DBT self-guided program. Many members combine multiple therapy formats for comprehensive support.
Yes. Our therapists are licensed mental health professionals with training in Trauma-Focused CBT and the PRACTICE protocol. Our network includes:
✔ Licensed Psychologists (PhD, PsyD)
✔ Licensed Social Workers (LCSW)
✔ Licensed Mental Health Counselors (LMHC)
✔ Licensed Marriage & Family Therapists (LMFT)
Regular CBT is a broad approach used for many conditions. TF-CBT is a specific, manualized protocol designed exclusively for traumatized youth. Key differences include the structured PRACTICE components, mandatory parallel caregiver sessions, a gradual trauma narrative process, conjoint parent-child sessions, and safety-focused components. TF-CBT also addresses trauma-specific issues like self-blame, shame, and traumatic grief that general CBT does not.
TF-CBT typically involves 12 to 25 sessions, though the protocol can be adapted based on your child's needs. Complex trauma or multiple traumatic events may require more sessions. At Grouport, 70% of our members feel significantly better within just 8 weeks. Your child's therapist will work with your family to determine the right pace.
Yes. TF-CBT has been successfully delivered via telehealth. All Grouport sessions are held via secure, HIPAA-compliant video chat.
TF-CBT is available across multiple therapy formats:
✔ Group Therapy: Avg. $32/session ($140/month)
✔ Individual Therapy: Avg. $103/session ($448/month)
✔ Couples Therapy: Avg. $114/session ($496/month)
✔ Family Therapy: Avg. $148/session ($644/month)
✔ IOP: $311/week
✔ Teen Therapy: Avg. $103/session ($448/month)
Payment Options: Monthly, Quarterly (Save 10%), Biannually (Save 15%). Switch therapists anytime. Cancel anytime!
You can cancel anytime, and your membership will remain active until the end of your current billing period. To cancel, email us at support@grouporttherapy.com and we'll send you a quick cancellation form to fill out. You can view more information on our Recurring Billing Policy.
Our therapy outcomes are backed by outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne. 80% of our members start therapy with moderate to severe symptoms. Within just 8 weeks, 70% of members see clinically significant reduction in anxiety and depression, and 50% achieve remission levels.
PRACTICE is the acronym for TF-CBT's structured components: Psychoeducation (learning about trauma), Relaxation (calming skills), Affective modulation (managing emotions), Cognitive coping (connecting thoughts, feelings, and behaviors), Trauma narrative and processing (gradually telling the trauma story), In vivo mastery (facing trauma reminders), Conjoint caregiver-child sessions (sharing the narrative together), and Enhancing safety (building future safety skills). Each component builds on the last.
Grouport is available worldwide for everyone! We serve clients of all ages and backgrounds, with all sessions held virtually over video chat. We offer separate therapy groups for Adults (18+) and Teens & Adolescents (under 18).
Yes! After signing up, a care coordinator will reach out to understand your child's needs and match them with a therapist trained in TF-CBT.
✔ You'll be able to choose your child's therapist.
✔ Most members are placed within a few hours, or within 24-72 hours max.
✔ Flexible options: If you ever want to switch therapists, we can easily make adjustments to ensure the best fit.
No. TF-CBT is specifically designed to prevent re-traumatization. The protocol spends the first several sessions building coping skills before any trauma processing begins. The trauma narrative is created gradually and at your child's pace, with the therapist carefully monitoring distress levels. Research consistently shows TF-CBT reduces rather than worsens symptoms, with low dropout rates compared to other treatments.
Caregiver involvement is a core component of TF-CBT and one of its key strengths. You participate in parallel sessions where you learn the same skills your child is developing, receive guidance on trauma-specific parenting, and prepare for conjoint sessions. At Grouport, we support caregivers throughout the entire process.
TF-CBT was developed and validated for children and adolescents ages 3 to 21. The protocol is adapted for developmental level, using more play-based and creative approaches with younger children and more verbal processing with teens. At Grouport, we offer separate therapy groups for Adults (18+) and Teens & Adolescents (under 18) to ensure age-appropriate support.
TF-CBT is effective across a wide range of trauma types including sexual abuse, physical abuse, domestic violence exposure, complex and multiple traumas, traumatic grief, natural disasters, community violence, and war and conflict exposure.
Both TF-CBT and EMDR are recommended trauma treatments for children. TF-CBT has a larger evidence base specifically for youth (28+ RCTs) and uniquely includes structured caregiver involvement. EMDR may require fewer sessions for single-incident trauma. A meta-analysis comparing both found no significant differences in outcomes for adolescents, suggesting both are effective options.
Whether your child is struggling with nightmares, flashbacks, behavioral changes, anxiety, or the emotional aftermath of abuse, violence, or loss, Trauma-Focused CBT can help them process what happened and build a path forward. With licensed therapists trained in TF-CBT, the strongest evidence base of any child trauma treatment, and flexible online formats, Grouport makes it easy to get your family the help you need. Take the first step toward your child's healing today.
