Mental health therapists often ask whether evidence-based, trauma-focused treatments such as TF-CBT are appropriate and helpful for youth who experience ongoing traumas. In particular, therapists are concerned about using the exposure-based components (e.g., gradual exposure, trauma narration and cognitive processing of traumatic experiences), which are typically used to gain mastery over memories and reminders about past traumatic experiences. Therapists question how youth can benefit from these exposure-based interventions that are supposed to “de-sensitize” youth to their past traumatic memories and experiences, if they are simultaneously experiencing repeated traumas in real life and thus being repeatedly re-sensitized to the same types of traumas. How exactly is TF-CBT used for these youth and is there any evidence that it works for these youth?