What does this research mean for the field?

Trauma-focused Cognitive Behavioral Therapy (TF-CBT) is feasible and perceived as beneficial for children and adolescents during active war, provided context-specific adaptations are made to address instability, structural barriers, and sociocultural factors. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To explore the experiences of Ukrainian therapists delivering Trauma-focused Cognitive Behavioral Therapy (TF-CBT) to children and adolescents during active war, identifying intervention benefits, barriers, and necessary adaptations.

August 19, 2026Child and Adolescent Psychiatry and Mental HealthOpen Access

“When the safe place is not safe”: therapists’ perspectives on implementing TF-CBT during the war in Ukraine

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Authors

MGMaike Garbade MHMariia Hrynova CSCedric Sachser

Discussion

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Overview

Qualitative study reveals key adaptations and barriers in delivering trauma therapy during active conflict, highlighting the resilience and feasibility of structured psychiatric care.

Key Points

To explore the experiences of Ukrainian therapists delivering Trauma-focused Cognitive Behavioral Therapy (TF-CBT) to children and adolescents during active war, identifying intervention benefits, barriers, and necessary adaptations.
Conducted three focus groups in April 2023 with Ukrainian therapists (N=7) participating in the “TF-CBT Ukraine” project.
Transcribed and translated focus group discussions into English for qualitative content analysis using MAXQDA software.
Therapists reported high acceptability, perceived benefit, and feasibility of TF-CBT in active conflict zones despite severe external stressors.
Key implementation challenges included physical security threats, unstable internet connections, frequent client relocation, parental psychological distress, and limited baseline mental health literacy.
Clinicians adapted standard protocols by adjusting intervention pacing, expanding initial stabilization efforts, and enhancing psychoeducation for families.

Cite This Study

Garbade et al. (2026) studied this question.

synapsesocial.com/papers/6a8562eb03308d306e2d5ed3 https://doi.org/10.1186/s13034-026-01142-0

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August 19, 2026Child and Adolescent Psychiatry and Mental HealthOpen Access

“When the safe place is not safe”: therapists’ perspectives on implementing TF-CBT during the war in Ukraine

View Full Paper

Ask AI

Bookmark

Authors

MGMaike Garbade MHMariia Hrynova CSCedric Sachser

Discussion

Member takes

Overview

Qualitative study reveals key adaptations and barriers in delivering trauma therapy during active conflict, highlighting the resilience and feasibility of structured psychiatric care.

Key Points

To explore the experiences of Ukrainian therapists delivering Trauma-focused Cognitive Behavioral Therapy (TF-CBT) to children and adolescents during active war, identifying intervention benefits, barriers, and necessary adaptations.
Conducted three focus groups in April 2023 with Ukrainian therapists (N=7) participating in the “TF-CBT Ukraine” project.
Transcribed and translated focus group discussions into English for qualitative content analysis using MAXQDA software.
Therapists reported high acceptability, perceived benefit, and feasibility of TF-CBT in active conflict zones despite severe external stressors.
Key implementation challenges included physical security threats, unstable internet connections, frequent client relocation, parental psychological distress, and limited baseline mental health literacy.
Clinicians adapted standard protocols by adjusting intervention pacing, expanding initial stabilization efforts, and enhancing psychoeducation for families.

Cite This Study

Garbade et al. (2026) studied this question.

synapsesocial.com/papers/6a8562eb03308d306e2d5ed3 https://doi.org/10.1186/s13034-026-01142-0

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