Cognitive Behavioral Therapy (CBT) is a major practice theory that integrates the theoretical perspectives and therapeutic techniques of Cognitive Theory and Behavioral Theory. As such, CBT focuses on changing cognitions, changing behaviors and supporting clients to develop coping skills. At TCI, CBT approaches are utilized to address cognitive distortions, cognitive restructuring, problem solving, modifying deviant arousal patterns, relapse prevention, interpersonal effectiveness, emotional and behavioral self-regulation.
The majority of youth admitted to TCI have predominant problems with behaviors such as defiance, aggression, law-breaking, mood dysregulation, and self-harming. Many have experienced complex trauma which is manifested in their attachments, affect regulation, behavioral control, cognitions, self-concept, dissociation, and biology.
Most youth are unable or very unwilling to address any issues of trauma until they feel safe. Therefore, during the initial phase of treatment, TCI Counselors address behavioral defiance and aggression issues immediately so that the current therapeutic milieu is maintained with existing and new residents entering the program. An established therapeutic rapport between youth and staff is paramount. This relationship combined with a structured therapeutic milieu including hour by hour therapeutic programming on a posted schedule of events each day, set universal behavioral expectations for all residents and a consistent environment allows for youth to learn to live and be part of a successful daily therapeutic milieu.