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Therapy for trans people with developmental and complex trauma

TIST
Trauma-Informed Stabilization Treatment

Trauma-Informed Stabilization Treatment (TIST) is a trauma-specific therapeutic modality created by Dr. Janina Fisher that has been in practice for the last 30 years. ​The approach integrates principles and techniques drawn from Sensorimotor Psychotherapy, Internal Family Systems, structural dissociation theory, and mindfulness to model parts work for heavily traumatized people with severe dissociation. The first phase of treatment prioritizes safety and nervous system stability. 

This trauma-informed parts work model recognizes inner fragmentation, self-alienation, and the implicit emotional memories held by parts of the brain for protection. Threat causes parts to respond with mammalian survival defense systems that protect, survive, or disappear. Unresolved internal conflicts between competing animal defenses interfere with the stabilization and resolution of trauma.

Trauma-Informed Stabilization Treatment gently facilitates the healing of traumatic experience and traumatic attachment by unblending from traumatized parts, recognizing self-destructive behaviours as protector parts, offering reparative experiences to wounded younger parts, and building a sense of inner harmony through internal secure attachment. 

In 2026, I am currently completing training with Janina Fisher to become a certified TIST therapist. You can find more information about TIST from Janina Fisher here.

SE
Somatic Experiencing® 

Somatic Experiencing® (SE™) is a trauma-specific therapeutic modality created by Dr. Peter Levine that has been in practice for the last 50 years. The approach is intentionally slow, titrated, and attuned to the individual's capacity, emphasizing safety, present-moment awareness, and stabilization.

This body-first approach focuses on restoring nervous system regulation by gently supporting the completion of interrupted defensive responses and the release of residual activation held in the body. 

Somatic Experiencing® recognizes that threatening experiences can lead to persistent dysregulation of autonomic states in the nervous system such as fight, flight, or freeze. ​While these responses are adaptive and protective in the moment of threat, trauma may prevent the nervous system from returning to baseline regulation, resulting in ongoing physiological, psychological, emotional, and behavioural symptoms. 

 

The overall goals of Somatic Experiencing® are to regulate the nervous system, to clear trauma out of the nervous system, and to learn to recognize the body's limits. 

In 2026, I am not a certified Somatic Experiencing Practitioner® (SEP) yet. My clinical supervisor is a certified Somatic Experiencing Practitioner®. You can find more information from SE™ International here

S/IRF
Somatic Inner Relationship Focusing

Somatic Inner Relationship Focusing (S/IRF) is a trauma-specific therapeutic modality created by Dr. Maureen Gallagher that has been in practice for the last 10 years. The approach brings together Somatic Experiencing® and Inner Relationship Focusing to model parts work that is trauma-informed and body-first. 

Inner Relationship Focusing (IRF) is a therapeutic process created by linguist Ann Weiser Cornell and Barbara McGavin that has been in practice for the last 30 years. IRF was inspired by Eugene Gendlin, who created Focusing, a therapeutic technique that has been in practice for the last 60 years. Inner Relationship Focusing uses specific, refined language to access and develop compassionate relationships with inner states, such as parts and felt senses. 

Somatic Inner Relationship Focusing taps into the body's wisdom, revealing stored traumas and emotional memories, and then provides the means to dialogue with those revelations. Companioning parts gently expands self-awareness, inner trust, and compassionate self-respect and supports the healing of inner conflict through a process of listening and acknowledgment. 

In 2026, I am not a certified S/IRF Practitioner yet. My clinical supervisor is currently completing training with Maureen Gallagher to become a certified S/IRF Practitioner. You can find more information about S/IRF from Maureen Gallagher here and more information about Inner Relationship Focusing here.

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