Preschool PTSD Treatment (PPT)


Author of Tool: 

Michael S. Scheeringa, MD, MPH, Lisa Amaya-Jackson, MD, MPH, & Judith Cohen, MD

Key references: 

Scheeringa MS, Salloum A, Arnberger RA, Weems CF, Amaya-Jackson L, Cohen JA (2007). Feasibility and Effectiveness of Cognitive-Behavioral Therapy for Posttraumatic Stress Disorder in Preschool Children: Two Case Reports. Journal of Traumatic Stress 20(4), 631-636.

Scheeringa MS, Weems CF, Cohen JA, Amaya-Jackson L, Guthrie D (2011). Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three through six year-old children: A randomized clinical trial. Journal of Child Psychology and Psychiatry 52, 8, 853-860.

Salloum A, Storch EA (2011). Parent-led, therapist-assisted, first-line treatment for young children after trauma: a case study. Child Maltreatment. 16(3):227-32, 2011 Aug

Primary use / Purpose: 

Preschool PTSD Treatment (PPT) is a theory-driven, manualized protocol based on cognitive-behavioral therapy (CBT) with modifications for young children. Some of these modifications involve parent-child relationship dynamics that are salient for this age group.


The manual was created for use in a trial for 3-6 year-old children. Three years of age is about the lower limit at which children can understand and cooperate with CBT techniques. Use with children older than 6 years is possible with adaptations. PPT has similarities with Cognitive-Behavioral Therapy for Sexually Abused Preschool Children (CBT-SAP) (Cohen and Mannarino, 1996) and Trauma Focused Coping (TFC) for 8 to 18 year-old children (March and Amaya-Jackson, 1998).


PDF iconPreschool PTSD TreatmentPDF iconTherapist Fidelity ChecklistPDF iconAdaptability Checklist-Child

Other Information: 

The manual is a 12-session, manualized cognitive behavioral therapy for PTSD by Scheeringa, Cohen, and Amaya-Jackson (2002).
A Therapist Fidelity Checklist (TFC) and Adaptability Checklist-Child (ACC) are also supplied, that can be used with the PPT manual.

Digital Object Identifier (DOI):


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