TF-CBT Enhancement for Victims of Online Child Sexual Abuse (OCSA)

Pub. Jul 15, 2025 Published July 15, 2025

Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) integrates cognitive-behavioural techniques with trauma-sensitive interventions to assist victims with post-traumatic stress disorder (PTSD) and related emotional difficulties. This document outlines a TF-CBT enhancement focusing on victims of online child sexual abuse (OCSA). Working with child victims of online abuse and their caregivers comes with additional challenges. This enhancement aims to provide guidance and support in that work. The target group of this enhancement is certified TF-CBT clinicians, and the document assumes background knowledge of TF-CBT.


This publication was authored by Emma Harewood. It is published by the Council of the Baltic Sea States (CBSS) as a deliverable of PROMISE Elpis, an EU co-funded project which is developing tools and guidance on adapting Barnahus processes for cases of online sexual violence.