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At least one trauma is reported by two-thirds of American children and adolescents (hereafter referred to as “children”); 33% of children experience multiple traumas before reaching adulthood. Although most children are resilient, trauma exposure is associated with increased risk for medical and mental health problems including Posttraumatic Stress Disorder (PTSD), depression, anxiety, substance abuse, and attempted and completed suicide. Core TF-CBT principles are 1) phase- and components-based treatment; 2) component order and proportionality of phases; 3) the use of gradual exposure in TF-CBT and 4) the importance of integrally including parents or other primary caregivers into TF-CBT treatment.