Flexible Online TF-CBT Options

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.

Online Group Therapy

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Online Group Therapy

Join a therapist-led group with up to 12 members. A meta-analysis of 11 RCTs found group TF-CBT significantly more effective than controls for pediatric PTSD. Group format helps children and teens realize they are not alone, normalize their experiences, and practice coping skills together in a safe environment.

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Online Individual Therapy

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Online Individual Therapy

Work one-on-one with a licensed therapist trained in TF-CBT. Individual sessions follow the structured PRACTICE protocol, with parallel caregiver sessions so you learn the same skills your child is developing. This is where the deepest trauma processing happens: your child creates their trauma narrative in a safe, supported environment while you learn how to respond with confidence.

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Virtual Intensive Outpatient Program (IOP)

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Virtual Intensive Outpatient Program (IOP)

For those who need a higher level of support, our virtual IOP offers multiple therapy sessions each week, combining individual and group care with evidence-based interventions including TF-CBT, CBT, and DBT at a more intensive cadence tailored to your child's needs.

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Online Family Therapy

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Online Family Therapy

TF-CBT is fundamentally a family-inclusive treatment. Family therapy sessions help rebuild the parent-child relationship after trauma, address family communication about the traumatic experience, and ensure the whole family has the tools to support ongoing recovery. The conjoint sessions where parent and child come together are often the most powerful moments in treatment.

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Online Teen Therapy

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Online Teen Therapy

TF-CBT was designed specifically for young people. For teens, the protocol addresses the unique developmental challenges of processing trauma during adolescence, including identity formation, peer relationships, and increasing independence. TF-CBT helps teens develop their own coping toolkit while maintaining the caregiver connection that supports lasting recovery. We offer separate therapy groups for Adults (18+) and Teens & Adolescents (under 18).

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Online Couples Therapy

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Online Couples Therapy

When a child has experienced trauma, the impact ripples through the entire family system, including the parental relationship. Couples therapy supports caregivers in working together as a united team to implement the trauma-informed parenting strategies they learn in TF-CBT, navigate the strain that a child's trauma can place on a partnership, and strengthen the relationship that anchors the family's healing.

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Looking for a Self-Paced DBT Option?

Build DBT skills at your own pace with our therapist-developed program — featuring video lessons, worksheets, and tools you can access anytime.

Start Your Online TF-CBT in 3 Simple Steps

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.

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01   Choose the Right Therapy Format & Plan

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.

02   Have a 1:1 Consultation with a Care Coordinator

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.

03   Begin TF-CBT Sessions

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.

Understanding TF-CBT: How It Works

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.

Understanding Trauma-Focused CBT

How TF-CBT Changes Your Child's Daily Life

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.

Reducing Nightmares and Flashbacks

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.

Rebuilding the Parent-Child Bond

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.

Improving School and Social Functioning

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.

Managing Big Emotions

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.

Processing Grief After Loss

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.

Building Safety and Confidence

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.

What to Expect in Your TF-CBT Sessions

TF-CBT follows a structured protocol with three distinct phases. Your child and you as the caregiver both participate throughout.

1

Stabilization and Skill Building (PRAC)

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.

2

Trauma Processing (TI)

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.

3

Integration and Safety (CE)

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.

Trusted by Thousands of Patients

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.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

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."

Trauma Types TF-CBT Treats

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.

Sexual Abuseplus icon

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.

Physical Abuse and Domestic Violenceplus icon

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.

Complex and Multiple Traumasplus icon

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.

Traumatic Griefplus icon

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.

Natural Disasters and Community Violenceplus icon

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.

War and Conflict Exposureplus icon

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.

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Meet Our Licensed Therapists

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.

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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.

MEET OUR THERAPISTS
Grouport network of licensed therapists trained in TF-CBT

a healthier future starts right here

Grouport’s Results

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

girl with chart on face

All Your Therapy Needs, All in One Place

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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Group Therapy

$35/session
billed at $140/month

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Individual Therapy

$112/session
billed at $448/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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We Also Treat These Conditions

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.

Frequently Asked Questions

What is Trauma-Focused CBT (TF-CBT)?

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.

What trauma types does TF-CBT treat?

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. A Lancet meta-analysis confirmed it as a first-line treatment regardless of trauma type.

Are Grouport's licensed therapists qualified to provide TF-CBT?

Yes. Our therapists are licensed mental health professionals (PhD, PsyD, LCSW, LMHC, LMFT) with training in Trauma-Focused CBT and child and adolescent trauma treatment, including the PRACTICE protocol and parallel caregiver sessions.

How is TF-CBT different from regular CBT?

Regular CBT is a broad approach used for many conditions in adults and children. 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.

How long does TF-CBT take?

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.

Can TF-CBT be done online?

Yes. TF-CBT has been successfully delivered via telehealth. Research on telehealth delivery of trauma-focused treatments supports their effectiveness. All Grouport sessions are held via secure, HIPAA-compliant video chat.

How much does TF-CBT cost at Grouport?

Group Therapy averages $32/session. Individual Therapy averages $103/session. Couples Therapy averages $114/session. Family Therapy averages $148/session. IOP is $311/week. Teen Therapy averages $103/session. Payment options include Monthly, Quarterly (Save 10%), and Biannually (Save 15%).

What services does Grouport offer?

Grouport provides online group therapy, individual therapy, couples therapy, family therapy, teen therapy, intensive outpatient program (IOP), and a DBT self-guided program. Many members combine multiple therapy types for comprehensive support.

What outcomes has Grouport seen with therapy?

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.

How do I cancel TF-CBT therapy?

You can cancel anytime, and your membership will remain active until the end of your current billing period. Email support@grouporttherapy.com and we will send you a quick cancellation form to fill out.

Where is Grouport available?

Grouport is available worldwide for everyone. All sessions are held virtually over video chat. We offer separate therapy groups for Adults (18+) and Teens and Adolescents (under 18).

Do I get to choose my child's therapist?

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 can switch therapists anytime.

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Ready To Start Your Child's TF-CBT Journey?

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.

Ready to get started with TF-CBT therapy