What is an evidence-based treatment?

An evidence-based treatment (EBT) is a specific type of therapy that has been scientifically tested and proven effective through rigorous research, such as randomized controlled trials, to reduce symptoms of particular mental health conditions.

This page describes several evidence-based treatments for trauma. It is not a complete list, and many therapists use other helpful approaches.

The treatments listed here have been studied in clinical research and have evidence supporting their effectiveness. Learn more about evidence-based practice from ABCT. (opens in a new tab)

How to use this page

  1. Choose who the treatment is for: children, teens, or adults.
  2. Tap or click a treatment name to read more about it.
  3. Use the treatments that interest you to search for providers in the BRP directory.

Every treatment on this page is evidence-based.

Children

TreatmentIn brief
CPPA young child and caregiver heal together through play and a stronger, safer relationship. Often 6 to 12 months.
EMDRMakes distressing memories less upsetting, using guided eye movements, tapping, or sounds.
TF-CBTChildren and caregivers learn coping skills and work through difficult memories together. Usually 8 to 25 sessions.

Teens

TreatmentIn brief
CPTHelps people rethink beliefs like self-blame after trauma. Can be adapted for some older teens.
EMDRMakes distressing memories less upsetting. No need to describe every detail out loud.
PE-ATeens gradually face avoided memories and safe situations until they feel less overwhelming.
TF-CBTTeens and caregivers learn coping skills and work through difficult memories together. Usually 8 to 25 sessions.

Adults

TreatmentIn brief
CPTHelps people rethink beliefs like self-blame, guilt, and shame after trauma. About 12 sessions.
EMDRMakes distressing memories less upsetting, using guided eye movements, tapping, or sounds. Length varies.
PEGradually facing avoided memories and safe situations so they become less overwhelming. Usually 8 to 15 sessions.

Treatment details

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

Who is it for?

TF-CBT is designed for children and teenagers, typically ages 3 to 18, who are experiencing difficulties following traumatic events.

What does treatment look like?

TF-CBT helps children understand their reactions to trauma, learn coping skills, and gradually work through difficult memories and reminders. Parents or caregivers are also involved in treatment and learn ways to support their child’s recovery.

Treatment is tailored to the child’s age and needs and typically lasts 8 to 25 sessions.

What does the research say?

TF-CBT is one of the most extensively researched treatments for childhood trauma. Numerous studies have shown that it can significantly reduce post-traumatic stress symptoms and related emotional and behavioral difficulties.

Child-Parent Psychotherapy (CPP)

Who is it for?

CPP is designed for infants and young children, from birth through age 5, who have experienced trauma or are having emotional or behavioral difficulties.

What does treatment look like?

Young children often communicate their feelings through play and behavior rather than words. CPP helps children and caregivers recover together by strengthening their relationship and sense of safety.

Sessions typically include the child and a parent or caregiver. The therapist uses play, conversation, and shared activities to help families understand and respond to the child’s needs.

Treatment often lasts 6 to 12 months.

What does the research say?

Studies show that CPP can help reduce trauma-related symptoms and emotional and behavioral difficulties in young children while supporting the caregiver-child relationship.

Prolonged Exposure Therapy (PE)

Who is it for?

PE is a treatment for PTSD primarily used with adults. Adaptations are also available for adolescents.

What does treatment look like?

After trauma, people sometimes avoid memories, places, or activities that remind them of what happened. Although avoidance may provide temporary relief, it can also keep fear and anxiety going.

PE helps people gradually approach these memories and safe situations with support from a trained therapist. Over time, the memories and reminders can become less overwhelming.

Treatment typically lasts 8 to 15 sessions and includes guided exercises during therapy and practice between appointments.

What does the research say?

PE is one of the most extensively researched treatments for PTSD. Studies consistently show that it can reduce post-traumatic stress symptoms and help people return to activities they have been avoiding.

Cognitive Processing Therapy (CPT)

Who is it for?

CPT is a treatment for PTSD primarily used with adults. It can also be adapted for some older adolescents.

What does treatment look like?

Trauma can change how people think about themselves, others, and the world. For example, someone might believe that what happened was their fault or that nowhere is safe.

CPT helps people recognize and reconsider these beliefs, reducing feelings such as guilt, shame, fear, and self-blame.

Treatment typically lasts about 12 sessions and includes discussions, writing exercises, and practice between appointments. People do not have to describe their traumatic experience in detail.

What does the research say?

CPT is a well-established, extensively researched treatment for PTSD. Studies show that it can significantly reduce symptoms and improve everyday functioning.

Eye Movement Desensitization and Reprocessing (EMDR)

Who is it for?

EMDR is used to treat post-traumatic stress disorder (PTSD) in adults, teenagers, and children. Treatment can be adapted for younger children by appropriately trained therapists.

What does treatment look like?

EMDR helps people work through distressing memories so that remembering what happened becomes less upsetting.

During treatment, the therapist guides the person to briefly focus on a traumatic memory while following back-and-forth eye movements, tapping, or sounds.

EMDR does not require people to describe every detail of their experience out loud. Treatment length varies according to individual needs.

What does the research say?

Research supports EMDR as an effective treatment for PTSD, particularly in adults. Studies also support its use with children and teenagers, although the research with younger populations is more limited.

Not every treatment is appropriate for every person. A qualified mental health professional can help determine whether treatment is needed and which approach may be most helpful.

In crisis? Call or text 988, the Suicide & Crisis Lifeline. In an emergency, call 911. Deschutes County Crisis Line: 541-322-7500, ext. 9.