skip to main content

TF-CBT Distinguishing Feature — MRCPsych Paper B MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAnxiety & Stress-Related DisordersTF-CBT Distinguishing FeatureMRCPsych Paper B

An adult with post-traumatic stress disorder is offered individual trauma-focused cognitive behavioural therapy (CBT). Which therapeutic component most specifically distinguishes trauma-focused CBT from non-trauma-focused CBT for anxiety symptoms?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Elaboration and processing of trauma memories and trauma-related meanings

The correct answer is E. Trauma-focused CBT directly addresses the traumatic experience through elaboration and processing of trauma memories, associated emotions and trauma-related meanings. NICE includes cognitive processing therapy, cognitive therapy for PTSD, narrative exposure therapy and prolonged exposure therapy within this category. Psychoeducation and symptom monitoring may form part of treatment but are not sufficient to make CBT trauma-focused. Exposure restricted to non-traumatic situations may treat general anxiety but does not process the trauma memory. Similarly, cognitive restructuring must address trauma-related appraisals rather than only unrelated beliefs. Trauma-focused CBT is normally offered individually to adults, so unstructured supportive group discussion is not its defining feature.

Reference: National Institute for Health and Care Excellence. Post-traumatic stress disorder (NG116), recommendations 1.6.16–1.6.17. 2018, amended 2024. https://www.nice.org.uk/guidance/ng116/chapter/recommendations