Child—First |
Introduction |
Getting to know each other and identification of the major issues |
Child—Second |
Intrusion |
Discussion about war events, news, and normalization of reactions to traumatic events. Introduction of “Safe place” visualization. |
Child—Third |
Intrusion |
Thought discussion, use of imagery techniques, dual attention tasks, dreamwork, and distraction |
Child—Fourth |
Arousal |
The practice of relaxation, breath control, and positive self-coping exercises. Understanding “fear thermometer” activity scheduling, and sleep hygiene. |
Child—Fifth |
Exposure |
War event flashbacks are discussed, the concept of grading and personalized fear hierarchy is revisited, and real-life graded exposure preparation is done |
Child—Sixth |
Exposure |
Learning about how to expose themselves to traumatic events via drawing, talking, and writing and implementation of techniques learned in the fourth session (arousal), the importance of doing enjoyable things |
Child—Seventh |
Follow-up |
Looking into the future without discussing further the content of the intervention |
Caregiver—first |
Introduction |
Occurs before the start of the children’s session and involves psychoeducation about traumas and how they impact children and adults |
Caregiver—second |
Briefing |
Occurs between children’s sessions second and fourth. Caregivers are acquainted with the information that children are receiving and how caregivers can help youth to cope with past and ongoing traumas. |