Randomized Trial of Tele Vs. Clinic TF-CBT in Puerto Rico

This study is comparing two ways of delivering trauma-focused cognitive behavioral therapy (TF-CBT) — a well-established counseling treatment for trauma — to children and adolescents in Puerto Rico: in-person clinic visits versus telehealth (video call) sessions. Researchers want to know whether remote therapy works just as well as in-person therapy, which could greatly improve access for families who face barriers to attending clinic appointments. **You may be eligible if:** - You are between 7 and 18 years old - You have experienced at least one traumatic event - You are currently experiencing significant post-traumatic stress symptoms **You may NOT be eligible if:** - You have significant suicidal thoughts - You have a substance use disorder - You are experiencing active psychotic symptoms - You have pervasive developmental delays - You are currently living with or in regular close contact with the person who abused you Talk to your doctor to see if this trial is right for you.