Table 1 Outline of PE-A treatment, A detailed outline of the PE-A treatment

 Module 1: Treatment Rationale

 Tool 1: Breathing Retraining

1. Build rapport

2. Give overview of treatment

3. Introduce treatment rationale to the adolescent and the parent or guardian

4. Provide the adolescent with a tool to control anxiety

1,2

Adolescent, Guardian (Full or partial)

 Module 2: Gathering Information

Gather information as the adolescent tells about the traumatic event.

1,2

Adolescent

 Module 3: Common Reactions

1. Describe common reactions

2. Discuss the adolescent’s own reactions to trauma

2, 3

Adolescent, Guardian (partial)

 Module 4: Rationale for Exposure

 Tool 2: Real Life Experiments

 Tool 3: Stress Thermometer

1. Review rationale for real-life experiments/In –vivo Exposure

2. Discuss how confronting feared situations reduces anxiety reactions

3,4

Adolescent, Guardian (partial)

 Module 5: Dealing with avoidance.

 Tool 4: Construction of hierarchy for real life experiments

1. Create in vivo hierarchy

2. Choose an initial target for in vivo exposure

3,4

Adolescent, Guardian (partial)

 Module 6: Recounting the trauma

 Tool 5: Imaginal Exposure

1. Explain why it is helpful to recount the memory of the trauma

2. Reliving the memory through writing or talking

4,5,6,7

Adolescent

 Module 7: Recounting the Trauma

 Tool 6: Worst Moments

Process the most difficult parts of the memory

7,8,9,10, 11,12,13

Adolescent

 Module 8: Generalization and Relapse Prevention

1. Review progress

2. Discuss the efficacy of various tools acquired in therapy.

3. Introduce generalization training and relapse prevention

4. Discuss the outcome of the therapy

10,11,12,13, or 14

Adolescent, Guardian (partial)

 Module 9: Graduation

1. Review Progress with Parents/Guardians

2. Celebrate accomplishments

3. Reiterate Relapse Prevention Strategies

10,11,12,13, or 14

Adolescent, Guardian (partial)

 Modules 1–9: Family intervention

1. Foster relationship with guardian(s)

2. Inform the Guardian about the progress of treatment.

3. Address obstacles to treatment.