TIST LEVEL 1 CERTIFICATION – ONLINE AND LIVE

Overcoming the original dissociation
traumatic with the TIST model *

Level 1: Complex Trauma, Fragmented Self & Stabilization
October 6 and 20, November 17, December 1 and 15, 2025 from 18 to 20 p.m.

For the first time in French, basic training in the TIST model
developed by Janina Fisher. All live broadcasts will also be available on replay.

* Trauma-Informed Stabilization Treatment

"Learn with this promising model how to take charge of certain self-destructive behaviors, while doing justice to the traumatic past and stabilizing the traumatized person in order to help them live a normal life here and now."

– Janina Fisher

Janina Fisher and the TIST model

Janina Fisher is a clinical psychologist, pioneer, and internationally recognized expert in the field of trauma. She has made it her mission to develop treatment for trauma survivors. Although numerous therapies exist that effectively address psychological trauma, many patients, sometimes deemed "hopeless," regularly challenge and overwhelm therapists and continue to put themselves in danger through risky behaviors.

With this training you will be able to acquire the basics of the TIST (Trauma-Informed Stabilization Treatment) model, developed to ensure the stabilization and safety of patients, and strengthen your skills as a “trauma-informed” therapist.

You will have access to 5 pre-recorded videos to assimilate the theory and 5 live online sessions with Janina Fisher to deepen your knowledge, ask questions and submit your clinical cases.

What Janina Fisher says about it

For 30 years, I have made it my mission to help trauma “survivors”*, and all those who accompany them and believe in their healing abilities. My method is based on a gentle approach that helps reduce avoidance and resistance, so common when approaching complex trauma work.

Trauma-Informed Stabilization Treatment (TIST) has helped many patients over the years, but our world is in a turbulent and violent time. There is an increase in self-endangering behaviors, especially among young people, and therapists are seeing more and more people in their offices who are suicidal, self-harming, or have eating disorders and addictions.

When patients get stuck in some of the behaviors that are just attempts to protect themselves from excessive pain, and their therapists don't have effective tools and methods to help them, everyone ends up feeling helpless and ineffective.

Why I developed the TIST model

With TIST, we aim to to help patients feel more connected, begin to accept themselves and develop more compassion for themselves.

The TIST model involves treating the consequences of a traumatic event, rather than the event itself, understanding certain dangerous and addictive urges as trauma-induced behaviors, rather than as manipulative or attention-seeking behaviors.

We show patients how conscious observation can help them connect with their feelings, impulses and traumatized parts.

TIST makes therapy much less painful for the patient…

…and much more comfortable for the therapist.

Le TIST draws on concepts and techniques from Sensorimotor Psychotherapy, IFS and clinical hypnotherapy. The process is gentle and less demanding of patients… and the feedback is often very positive.

In this training, you will learn how trauma triggers survival responses that recreate the feeling of still being trapped in the traumatic situation, leading to impulsive fight-or-flight behaviors.

Le TIST makes it easier and more effective to work with patients who are suffering from the many consequences of trauma. It also helps prevent therapist burnout by reducing the stress you may experience from wanting to be “the one who saves the day.”

I am truly impressed by the hard work of therapists and the fact that they put themselves on the front lines to help their patients. If you want to learn how to help the most at-risk patients, the most demanding patients, or those for whom you feel you are not good enough, then join me in learning this unique and effective method.

* In the United States, the term "Trauma survivor" has been adopted by mental health professionals to reflect the difficulties that people who have suffered trauma have in living their lives. This highlights what is commonly called "survival mode" in which all people who have faced traumatic events during their lives recognize themselves.

How to manage EMOTIONAL INSTABILITY in certain patients?

Childhood trauma, neglect and insecure attachment leave individuals with a legacy of overwhelming memories and emotions, but also a perception of a fragmented self and nervous system no longer having the ability to tolerate emotions or stress on a daily basis.

Unaware that Their intense feelings and reactions come from implicit memories, lodged in their bodies and preserved by fragmented parts of their personality., these patients resort to desperate strategies to manage their discomfort:

  • Self-harm, which can offer quick and lasting relief;
  • Suicidal thoughts, allowing a certain sense of control to be given;
  • Addictive behaviors and substance abuse, numbing emotion and altering consciousness;
  • Intense fight-or-flight reactions when they feel hurt, threatened, or rejected.

Traditional approaches to managing risky behaviors, whether in an inpatient or outpatient setting, often fail to address the underlying trauma and are generally only moderately effective in ensuring patient safety in the longer term.

Instead of providing a framework for healing childhood trauma, therapy often turns into a kind of "crisis management" whose goal is to keep the patient safe above all else.

The therapist is then faced with several problems: 

◆ How to treat the underlying trauma when the patient is not stabilized or in danger, goes from crisis to crisis and is caught in a cycle of hospitalizations and ineffective therapeutic approaches?

◆ How can you recognize what happened without reactivating risky behavior, while ensuring your safety?

◆ How do you care for a patient who wants to live one day and die the next?

TIST helps contextualize self-destructive behavior as a consequence of trauma

The TIST method was developed to provide hopeful answers to these confusing and frustrating issues.

Built from theoretical principles from neuroscientific research on trauma, the TIST method combines Mindfulness-based interventions with techniques from Sensorimotor Psychotherapy, Ego State Therapy and IFS (Inner Family System).

It thus makes it possible to support patients with diagnoses of Complex PTSD, borderline personality disorder, bipolar disorder, addictions and eating disorders, as well as dissociative disorders.

By participating in this training, you will discover a new and promising model, allowing you to understand these people as being literally fragmented and at internal war against themselves.

This way of working allows "trauma survivors" to acknowledge their traumatic past while regaining their ability to live in the here and now and no longer in their past. When the symptoms of trauma are understood and treated as emotional memories, held by parts of the fragmented, dissociated and denied Self, it then becomes possible to accompany even the most destabilized, self-destructive and seemingly therapy-resistant patients with other types of therapy.

TIST links self-destructive behavior to trauma, allowing the patient to feel less stigmatized and pathologized and increasing their motivation to overcome their self-destructive urges. This is an important step toward healing their trauma.

Complex Trauma: Making Therapy Less Painful for Patients

Florence Bernard interviews Janina Fisher in this 20-minute exchange: discover Janina Fisher's career and learn more about the birth of the TIST model, its therapeutic application and its 3 levels of training.

Discover the TIST method for caring for your patients suffering from complex trauma and helping them move from judgment and shame to greater self-compassion.

TIST, a therapeutic tool
to help you in your practice

  • Develop a real toolbox for working with patients who have experienced trauma and who seem to “resist” usual therapy sessions.
  • Bring relief to your patients (and yourself), along with a true sense of self-understanding.
  • Help your patients develop a deep self-compassionate relationship and accept all their parts.
  • Be less helpless when faced with complex and resistant patients, and rediscover the pleasure of your practice.

WHO IS IT FOR? THIS PROGRAM?

  • To psychologists, psychotherapists, psychopractitioners, psychiatric nurses.

 

  • To doctors, psychiatrists, addiction specialists and other health professionals.

 

With TIST, help your patients become aware of their traumatic past and find more stability in their lives here and now.

This training offers you a valuable opportunity to deepen and broaden your expertise in the complex field of trauma and addiction, by integrating an innovative approach and advanced techniques into your practice.

AFTER THIS TRAINING
YOU WILL BE ABLE TO:

  • Describe the neurobiological and psychological effects of traumatic events.
  • Identify the signs and symptoms of traumatic dissociation (fragmentation and internal conflicts).
  • Helping patients understand the meaning of their traumatic symptoms and their inner experience.
  • Help patients develop curiosity and interest in themselves.
  • Identify how parts of the fragmented Self manifest.
  • Articulate the use of interpersonal neurobiology and social engagement techniques in therapy.
  • Discover how to get your patients to empathize with their young, injured parts.
  • Teaching patients to use self-talk.
  • Apply somatic and visualization techniques, as well as tools from Ego State therapy, to work on traumatic memories.
  • Identify interventions to develop secure attachment and greater self-compassion.
  • Explain the meaning of “integration” in the management of traumatic dissociation.

Add the TIST method to your therapeutic practice for better emotional regulation and stability of your patients and to support them in healing their traumas and addictions. 

WHAT IS THE CONTENT OF THE TRAINING?

The training includes five pre-recorded lecture modules. Each module will feature a live Q&A session with Janina Fisher. Course materials will accompany the modules (slides in English and French, book references, etc.). One week before each live Q&A session, you will have access to the associated pre-recorded video module.

MODULES 1
Introduction to the TIST model and working with parts

✓ TIST is an integrative approach based on the neurobiological understanding of trauma. It aims to stabilize patients by providing them with tools to manage their internal conflicts and enabling them to understand and work with their different parts.

The model is based on the idea that self-destructive behaviors are survival strategies, triggered instinctively to deal with unbearable emotions. Traditional therapies often fail because these patients are deeply dissociated and in internal conflict.

TIST is inspired by research on the neurobiology of trauma, dissociation, and borderline personality disorder. Approaches such as Sensorimotor Psychotherapy, Ego State Therapy, and IFS (Internal Family System) are integrated into the model.

The treatment aims to restore prefrontal cortex activity and provide psychoeducation to patients, allowing them to better understand their condition. It proposes "reframing" symptoms and using mindfulness to bring about greater regulation of the nervous system.

The therapeutic process aims to encourage self-leadership, where patients learn to collaborate with their different parts. Healing comes from a compassionate connection between these parts and the adult self.

Educational goals :

 Know how to define the TIST model.

 Describe the role of structural dissociation and help patients understand it.

 Identify clinical manifestations (self-mutilation, addictions, explosive anger, mutism, internal “voices”) as an expression of activated dissociative parts.

 Use the language of the parts and learn to disambiguate the parts.

 Helping patients recognize their triggers and understand crises and acting out as internal battles between parts.

 Encourage relational psychoeducation.

 Facilitate the emergence of the qualities of the Self, essential for stabilization and the continuation of treatment.

MODULES 2
Understanding and Regulating Self-Destructive Behaviors with Parts Language and Co-Regulation

✓ The main goal of TIST is to help patients recognize their different parts and listen to them with curiosity.

It is important to dissociate the patient's identity from their symptoms and parts. This helps reduce stigma and helps the patient better understand that these behaviors are primarily survival strategies.

Curiosity and reframing symptoms as survival mechanisms help build patient safety and trust. Different parts of the patient are each perceived as trying to protect them in their own way. The goal is to foster more compassion for these parts by understanding their adaptive functions.

Early trauma, such as abuse or neglect, often leads to self-destructive behaviors. Addictions and eating disorders are often used to regulate the nervous system.

Distinguishing between truly dangerous behaviors and those that are attempts at self-regulation is essential. TIST treats both trauma and self-destructive behaviors simultaneously. They are linked, and healing one must lead to healing the other to prevent relapse.

Educational goals :

Identify the desired effects (adrenaline, endorphins, etc.) of risky behaviors.

Differentiate between explicit and implicit memories and procedural patterns repeated since childhood.

Implement co-regulation to re-engage the social engagement system and widen the window of tolerance.

Transform defenses into resources and increase alliance with resistant or critical parties.

Adapt interventions to each patient, maintaining safety and progress step by step.

Use the language of the parts to redefine suicidal impulses, addictions, eating disorders or self-mutilation and explore their protective intent.

Distinguish dangerous behaviors from attempts at self-regulation.

MODULES 3
Traumatic attachment, dissociation and therapeutic alliance

✓ This module deepens the understanding of disorganized attachment and its consequences on therapy and patient behavior.

Patients with disorganized attachment experience an inner struggle between their need for connection and their survival defenses. In therapy, this manifests as contradictory behaviors, such as seeking proximity to the therapist followed by withdrawal or rejection.

The concept of internal operating models, developed by Bowlby, is central. Implicit memories have a great influence on our future relationships.

In disorganized attachment, these internal models are contradictory: the attachment figure is both a source of security and a source of danger, and these contradictions create insurmountable internal tensions. These models are then brought into therapy, where they manifest in the transference and countertransference between the patient and the therapist.

The therapist must always be aware that the therapeutic relationship represents both a source of hope and a threat for patients with disorganized attachment.

Educational goals :

Define traumatic attachment and describe its neurosomatic effects on development.

Differentiate the two subtypes of disorganized attachment and associated strategies.

Recognize how protective and vulnerable parts manifest in the therapeutic relationship.

Analyze the patient's internal operating models and their influence on transference and countertransference.

Apply the language of the parties to simultaneously validate the momentum of proximity and mistrust, without favoring one side or the other.

Maintain a consistent framework that regulates the nervous system and minimizes triggers.

Employ co-regulation techniques to restore the window of tolerance without activating addiction.

Knowing how to be an advocate for all parties, including critical or suicidal parties, in order to prevent the repetition of the past and prepare for the healing work.

MODULES 4
Establish dialogue and build an alliance with the parties

✓ Dissociated parts take control when the prefrontal cortex is inactive, leaving the “seemingly normal” part of the patient powerless to deal with their emotions and impulses. The parts do not intentionally seek to create chaos, but feel threatened by a world they perceive as dangerous. Their behavior represents a cry for help, but is often experienced by the patient as an inner crisis that they try to deny or push away.

Healing from trauma requires compassionate inner dialogue. When parties are in conflict, trying to control them only makes things worse. The goal is to create a safe inner environment where each party can express themselves and be heard without judgment.

The therapist and patient must establish an alliance with these protective parts, recognizing their positive intent despite the destructive behaviors they can provoke. Developing compassion for vulnerable parts is a crucial step, but it is often difficult for patients.

Trauma healing begins when the patient is able to establish a caring relationship with their vulnerable parts and feel compassion for them.

Educational goals :

◆ Explain the importance of inner dialogue and learn how to communicate with the parts.

Implement the “inner questions” technique to identify the part carrying a symptom and clarify their concerns.

Hold a structured inner conversation leading to each party's core need.

Differentiate between indirect and direct access.

Negotiate an alliance with protectors, validating their positive intentions while limiting risky behavior.

Use simple somatic interventions to regulate the nervous system and expand the window of tolerance.

Know how to facilitate more inner empathy and compassion.

Evaluate and strengthen repair cycles to gradually reduce symptoms.

MODULES 5
From Inner Conflict to Inner Attachment

✓ A systemic approach is needed to support trauma survivors, focusing on resolving inner conflicts through communication and integration of the different parts. Missing experiences must be acknowledged to meet the emotional needs of each part, and this requires constant repetition to create lasting neural pathways that enable healing.

Patients must be viewed as a system of dissociated parts, not as an integrated person. To heal the emotional and physical effects of trauma, it is necessary to provide a contradictory experience that challenges past traumatic learning.

The therapist must offer these missing experiences in the form of "experiential" experiences, where the patient explores what happens when they try something new. The patient is encouraged to engage with their parts, ask questions, and offer comforting gestures.

Trauma has created automatic and intense survival responses. Therefore, it is necessary to practice and repeat the techniques learned to overcome these automatic responses. Repeat again and again until the parts are stabilized.

Educational goals :

Explain the transition from inner conflict to inner attachment and its benefits.

Apply the TIST 5-step method to deliver and evaluate a missing experience.

Use Siegel's principles of differentiation-bonding to promote flexible integration rather than homogeneous fusion.

Establish a climate of trust between the protective and vulnerable parties.

Transforming a fragmented system into a collaborative team.

Use creative tools to externalize, soothe, and connect parties, especially in therapeutic impasses.

Manage therapeutic crises and obstacles by maintaining focus on the parts and adjusting pace, language, and clinical posture.

Cultivate and model self-leadership qualities to sustainably support integration and resilience.

With the TIST method, help your patients escape pathologization and increase their ability to overcome their self-destructive impulses.

After completing this program, you will know:

  • Recognize and identify more easily the signs of trauma in your patients, which will allow you to intervene more quickly and more effectively to prevent acting out and risky behaviors.
  • Create a safe and non-judgmental therapeutic environment, thus fostering trust and openness in your patients, to explore and process their most deeply buried traumatic experiences.
  • Use emotional stabilization and regulation tools, allowing you to help your patients manage intense emotions and regain a sense of calm and more control in daily life.
  • Integrate approaches such as Mindfulness, Sensorimotor Psychotherapy and parts-based therapies into your practice, enriching your therapeutic toolbox and increasing your capacity to address complex trauma.
  • Develop a strong therapeutic relationship and greater collaboration with your patients, fostering open and empathetic dialogue that encourages the expression and resolution of deep traumas.
  • Working with the fragmented parts of your patients and skillfully navigating complex inner dynamics to promote healing and integration of past traumatic experiences.

ORGANIZATION OF TRAINING

Janina Fisher will be hosting the live online training on the following dates:

The 6 and 20 2025 October from 18 p.m. to 20 p.m. (Paris time)

Le 17th November 2025 from 18 p.m. to 20 p.m. (Paris time)

The December 1 and 15, 2025 from 18 p.m. to 20 p.m. (Paris time)

Janina Fisher will deliver this training in English. Simultaneous interpretation into French will be provided.

One week before each live Q&A session, you'll have access to the associated pre-recorded teaching video. All live sessions will be made available for replay within a week of each live session, allowing you to review them at your own pace and take notes.

You will have access to all educational materials (videos and slides, in French and English) until 15/06/2026.

A certificate will validate your active participation in the training. Details on how to obtain the certificate will be provided to you during the first module.

REGISTER FOR THE PROGRAM

PAYMENT IN 1 INSTALLMENT
997 € TTC

WHO IS JANINA FISHER?

Janina Fisher, MD, is a physician, board member of the Trauma Research Foundation, patron of the John Bowlby Center, and former faculty member at Harvard Medical School.

An internationally recognized expert in the treatment of trauma, she is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015 – not translated into French) and author of Overcoming Traumatic Dissociation: Fragmented Self and Internal Alienation and Transforming the Living Legacy of Trauma: a Workbook for Survivors and Therapists (2021) to be published in French by Éditions Quantum Way in 2025.

FAQ

Can I know the content of the training?

The training includes 5 pre-recorded course modules with Janina Fisher.

For each module there will be a live question and answer session with Janina Fisher.

Course materials will accompany the modules (slides in English and French, book references, etc.).

One week before each live Q&A session, you will have access to the associated pre-recorded video.

The modules are as follows:

  • Module 1 – Introduction to the TIST model and working with parts
  • Module 2 – Understanding and Regulating Self-Destructive Behaviors with Parts Language and Co-Regulation
  • Module 3 – Traumatic Attachment, Dissociation and Therapeutic Alliance
  • Module 4 – Dialogue and establish an alliance with the parties
  • Module 5 – From Inner Conflict to Inner Attachment

Learn more about the training content

Is the training live or recorded?

The training includes 5 modules, each including 1 pre-recorded video (available 1 week before the live session) and a live online Q&A session on the following dates: 6 and 20 October , November 17, December 1 and 15, 2025 from 18 p.m. to 20 p.m. (Paris time).

All live sessions will then be available in replay 7 days after the live broadcast.

What language is the program in?

Janina Fisher will deliver this training in English. Simultaneous interpretation into French will be provided. Teaching videos and replays will be available in both languages.

How long can I access the online training?

Once the live sessions have been completed, you will have access to all the educational materials until 15/06/2026, the deadline for obtaining the certificate.

Can this training be supported?

Unfortunately, Quantum Way is not a training organization and is not Qualiopi or Datadock certified. Therefore, there is no CPF or FIFPL support. The certificate is provided for informational purposes only and is not a recognition of skills.

Is Level 1 of the training sufficient to be “TIST-informed”?

Level 1 will allow you to acquire the basics of the TIST model and will give you access to a certificate of participation. The procedures for obtaining the certificate will be communicated to you during the first module. If you plan to become “TIST-certified”, Level 2 and Level 3 are required in addition to Level 1: you can register on the waiting list for Level 2 from now on, the first session will open in January 2026.

What are the refund conditions?

After the 14-day withdrawal period, for any refund request Before the 05 / 09 / 2025 : 95% refund.

For any refund request between 06/09/2025 and 04/10/2025 : 50% refund.

From 05/10/2025, no refund will be accepted.

If I am not available in October, can I take the training at another time?

Yes, another TIST Level 1 training session will take place from May 5 to June 9, 2026.

Gently support people suffering from complex PTSD to help them no longer put themselves in danger, with a unique therapeutic stabilization model.