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Psychotherapeutic management strategies for curbing psychopathology and its sequel in abused young children and their parents, has been scarcely reported by clinicians or caretakers, in hospital setups in India. Classical clinical evidences and international guidelines for holistic psychotherapeutic management of such cases recommends,‘short-term cognitive behavioral approach’ works well in handling and releasing the abused child and their caretakers from the emotional impact of the abuse. The objective: The present case report aims to document and disseminate the treatment outcomes of the usefulness of Trauma-Focused Cognitive Behavioral Therapy for Children in emotional problems in a reported case of a sexually abused pre-schooler and her parents. The Design: A brief clinical single case based report on the clinical manifestation, psychological assessments, therapeutic formulation and psychotherapeutic account of a 5 year old, abused girl child, diagnosed as per ICD-10,DCR, with ‘other unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence’, referred to the Clinical psychologists for management. The Method: Based on a comprehensive psychiatric history taking, psychological assessment and therapeutic formulation,a Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse (Cohen, Mannarino, Deblinger,2012) was offered by 2 trained licensed Clinical psychologists, to both the index patient and the parents, with a total of 19, 90minutes , bi-weekly individual sessions, followed by 3 conjoint parentchild-therapist sessions and a follow-up of 3 months. Symptoms were monitored for change by the therapist on the 2 outcome measures: Daily behavior checklist, and child sexual behavior inventory (Friederich, 1992), &by the parents after each session on daily basis. Statistical Analysis: Clinically significant changes (50% and above) based on preand post-therapy data scores on outcome measures were used to assess the efficacy of the therapeutic intervention. Results and Discussion: Results indicate the intervention was effective. The challenges faced by the clinician, in terms of management of the complex psychopathology, sensitive socio-cultural and developmental history of the index patient, are discussed below.

A Clinical Case Report on Psychotherapy for emotional problems in an abused child.