How does trauma affect memory encoding and how does TF-CBT address it?

• A. Trauma can disrupt memory encoding and fragmentation; TF-CBT addresses this through narrative processing and caregiver involvement.
• B. Trauma improves memory coherence; TF-CBT emphasizes memory repression.
• C. Trauma only affects language development.
• D. TF-CBT addresses memory with structured processing.

Answer: (D)

Trauma can disrupt memory encoding, often creating memories that feel fragmented, sensory-heavy, or disjointed rather than a coherent story. TF-CBT addresses this by using a structured processing approach. In therapy, the clinician guides a clear, step-by-step path where the child slowly revisits the trauma, pairs it with coping skills, and links thoughts, feelings, and bodily sensations to the memory. This careful, organized processing helps re-encode the memory into a more coherent narrative, integrates it with context and safety, and reduces avoidance and intrusion. While elements like narrative sharing and caregiver involvement are part of the method, the defining mechanism for improving how the memory is stored and integrated is the structured processing framework.