Families who present for counseling to address child sexual abuse (CSA) benefit from interventions that are evidence-based and meet children’s developmental needs. Trauma-focused cognitive behavioral therapy (TF-CBT) is an empirically supported approach that is structured to include parents or caregivers in parent-only sessions and a family component. This article reviews the CSA literature as it relates to families, provides an overview of TF-CBT and the trauma narrative intervention, and discusses preparation for and implementation of the narrative family session which is illustrated by a case study.