Dr Janina Fisher Seminar – Trauma-Informed Stabilization Treatment

Dr Janina Fisher

LEAD Trainer – Sensorimotor Psychotherapy

Substance Abuse, Eating Disorders, Compulsive Self-Harm, and Dissociative Symptoms

Childhood trauma, neglect, and abandonment leave clients with overwhelmingly painful emotions and a compromised nervous system that impairs their capacity to tolerate everyday life, much less trauma-related activation. Unaware that their intense reactions are driven by nonverbal traumatic memories lodged in the body, they resort to desperate measures to manage the overwhelm. Research shows that a history of trauma tends to be associated with self-harm, suicidality, eating disorders, addictive behavior and substance abuse, numbing and disconnection, and dissociative splitting or fragmentation. Traditional methods of treating these issues, whether in hospital, residential, or outpatient settings, have historically not addressed the underlying trauma and have generally been only moderately effective with issues of safety.

TIST or Trauma-Informed Stabilization Treatment was developed to provide a trauma-informed approach to the challenges of treating self-destructive and dissociative symptoms. Based on theoretical principles drawn from the neuroscience research on trauma and structural dissociation, TIST offers a treatment approach that integrates mindfulness-based cognitive therapy, Sensorimotor Psychotherapy, ego state techniques, and Internal Family Systems. It has been used successfully to address the challenges of treating individuals with diagnoses of complex PTSD, borderline personality, bipolar disorder, addictive and eating disorders, and dissociative disorders. Because it contextualizes self-destructive behavior as trauma-related, patients feel less pathologized and more validated, increasing their motivation to overcome self-destructive impulses as a step toward overcoming past experiences of betrayal and victimization.

Learning Objectives:

Participants will be able to:

  • Describe the neurobiological effects of traumatic experience
  • Discuss the relationship between autonomic arousal and addictive behavior
  • Utilize the Abstinence/Relapse Cycle to educate and motivate addictive clients
  • Identify interventions that regulate autonomic arousal and support sobriety
  • Employ concepts and techniques drawn from Sensorimotor Psychotherapy and Internal Family Systems
  • Identify animal defense survival responses as they manifest as symptoms in traumatised …read more

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