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Trauma-Informed Stabilisation Treatment: Working with Substance Abuse, Eating Disorders, Compulsive Self-Harm, and Suicidality

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 traumatic memory. Unaware that their intense reactions are driven by nonverbal memories lodged in the body, they resort to desperate measures to manage the overwhelm.  Research shows that a history of trauma is statistically associated with self-harm, suicidality, eating disorders, addictive behavior and substance abuse, numbing and disconnection, and a diagnosis of borderline personality disorder. Traditional methods of treating these issues, whether in hospital, residential, or outpatient settings, have historically failed to address the underlying trauma and are only moderately effective with issues of safety.

‘TIST’ or Trauma-Informed Stabilisation Treatment was developed to provide a trauma-informed approach to the challenges of treating self-destructive symptoms. Based on theoretical principles drawn from the neuroscience research on trauma, 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 pathologised, increasing their motivation to overcome self-destructive impulses as a step toward overcoming past betrayal and victimization.


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Janina Fisher, Ph.D.
10 Hours 04 Minutes
Audio and Video
Apr 12, 2019
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Media Type:
Digital Recordings



This online program is worth 10 hours CPD.



Janina Fisher, Ph.D.'s Profile

Janina Fisher, Ph.D. Related seminars and products

Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk. Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples and families since 1980.

She is past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

She is author of the bestselling Transforming the Living Legacy of Trauma: A Workbook for Survivors and Therapists (2021), Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017), and co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma.(2015).

Target Audience

  • Psychotherapists
  • Counselors
  • Social Workers
  • Psychologists
  • Psychiatrists
  • Nurses and Doctors
  • Other Professionals Who Work within the Mental Health Fields


Upon completion of this workshop, 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 clients
•    describe how splitting and compartmentalization enhance survival from trauma
•    discuss the use of the structural dissociation model with clients



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