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Find a certified trauma and dissociation specialist. Search our global provider directory to connect with a trusted Trauma Model Therapy (TMT) clinician. Browse the official global TMT directory for Certified Clinicians that treat complex PTSD, trauma, abuse, and all other mental health issues. WE WOULD LIKE YOU TO MEET Richard M Cross, BSc (Hons) Psychol., DHP., PQD Psychotherapist & Child Psychotherapist, United Kingdom for Psychotherapy, License #00313344 European Association for Psychotherapy Accepting Clients Yes Meeting Options Online & In-Person Practices In Scotland (United Kingdom) TMT Designation Trauma Model Therapy Level 1 Clinician Clinical Bio I first qualified in 1994 in Therapeutic Groupwork, piloting the first sex offender treatment programs in Scotland, UK, for young people convicted of serious offences. This work to reduce victimisation led me to build upon my psychology degree and commence a four-year training to become accredited in the United Kingdom as a Psychotherapist. I was fully qualified in 1998 and continued my professional development to become also a registered Child Psychotherapist, which is a separate qualification. Since that time, I have focused on my ongoing growth and professional development to ensure I continually enhance my skills and knowledge in this field, including training in numerous trauma-responsive approaches to incorporate into my work with TMT, such as EMDR, Hypnosis (BASCH registered), TF-CBT, etc. I have sought to expand knowledge around the effective treatment of Complex Trauma and Dissociation through being a member of ISSTD since 2002 (advanced certificate in treatment of complex trauma and dissociation completed). As a member of the faculty, I was awarded Fellow status by this learned society. I have offered a clinic for those with Complex Trauma and Dissociation (Chage for Good Ltd) in Glasgow, Scotland, since 2004. My weekly primary task is to support two amazing teams of mental health professionals dedicated to supporting adults, children and young people, Midhurst Therapeutic Clinical Services and Five Rivers Child Care. Since 2013, I have run a research group that seeks to understand and develop thinking on attachment, trauma, and dissociation, and aims to ensure as many of these publications are available and accessible as possible. How I give something back to society is through being a director of two charities: The Bowlby Centre in London (the home of attachment-based, relationally based psychoanalytic training in the UK) and The Consortium of Therapeutic Communities. In my spare time, I spend time in the outdoors exploring the wondrous Scottish Countryside, which helps to keep my feet firmly on the ground. What I Really Want You to Know Taking the first step toward therapy, especially when carrying the weight of trauma, is an extraordinary act of courage. If you are feeling hesitant, guarded, or uncertain right now, please know that every piece of that feeling makes complete sense. I don't stand above you as an expert who is here to "fix" you; I will work with you to support you to ‘get to where you would like to reach’. Sometimes this isn’t clear at the start, but we will make sure, together, that it becomes clearer over time. The coping patterns and survival strategies you carry aren't personal flaws; they were brilliant tools your mind and body created to keep you safe when you needed it most. Our work together is a true partnership. At a pace defined to ensure we can move forward while also allowing us to safely examine those old survival strategies. My aim is to support you to reclaim your story: Healing isn't about erasing the past; it's about stripping it of its power to dictate your present. You don't have to carry this alone, nor do you have to stay stuck in survival mode. Real, lasting relief is possible, and a life grounded in peace and genuine choice is waiting. When you are ready, I am honored to walk beside you. How I Weave Trauma Model Therapy Into My Practice I have known of Dr. Colin Ross’s work for many years, and when I became aware of TMT, I thought this was for me, as it fits completely with how I work as a relationally based psychotherapeutic practitioner. Despite being trained in multiple approaches to treatment, TMT offers a ‘framework’ that can be clearly and concisely harnessed for ‘good’ and connects seamlessly to my previous knowledge of supporting those with Dissociative Disorders. Visit My Website to Book < Back to List of Providers Previous Next BOOKING DETAILS I'm a Good Match For... Women Men Children (6-11) Preteens (11-13) Teens (14-18) Adults (18-25) Adults (26-54) Adults (55+) Fee Details $130-$175 Appointment Availability Weekends (Before 5) Weeknights Waitlist available Languages Spoken English MORE ABOUT MY PRACTICE INSURANCES ACCEPTED SERVICES OFFERED In-Person Counseling Individual Counseling Online Counseling Career Counseling MODELS & METHODS Clinical Hypnosis Dialectical Behavioral Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Psychodynamic Therapy Trauma Model Therapy (TMT) Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) I CAN HELP WITH Active Duty Military Issues Adoption Anxiety Borderline Personality Disorder Coping Skills Dissociative Identity Disorder Drug Abuse Family of Origin Dysfunction Impulse Control Disorders Sexual Abuse Sleep or Insomnia Substance Abuse Veteran's Issues Addiction Anger Management Behavioral Issues Complex PTSD Dissociative Disorders Domestic Violence Eating Disorders First Responders PTSD Sexual Addiction Stress Trauma < Back to List of Providers Previous Next LEARN ABOUT THIS CLINICIAN'S TMT DESIGNATIONS Trauma Model Therapy Level 1 Clinician A TMT Level 1 Clinician provides a safe, expert-vetted therapeutic approach grounded in a thorough understanding of trauma adaptation and the spectrum of dissociation. These practitioners utilize objective assessment data to deliver clear diagnostic answers while non-pathologizingly reframing complex symptoms as brilliant survival strategies. More Details < Back to List of Providers Previous Next

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Find a certified trauma and dissociation specialist. Search our global provider directory to connect with a trusted Trauma Model Therapy (TMT) clinician. Browse the official global TMT directory for Certified Clinicians that treat complex PTSD, trauma, abuse, and all other mental health issues. WE WOULD LIKE YOU TO MEET Jordan Madden, DNP, APRN, PMHNP-BC APRN, Minnesota License #9354 APRN, Wisconsin License #13870-33 Accepting Clients Yes Meeting Options Online & In-Person Practices In Minnesota Wisconsin TMT Designation Trauma Model Therapy Level 1 Clinician Clinical Bio I am a doctorally-prepared psychiatric/mental health nurse practitioner and founder of Calming Currents Psychiatry in Hudson, WI. My career in psychiatry started with gaining experience working across inpatient medical/geriatric/adolescent/and emergency department psychiatry hospital settings. As a nurse practitioner, I have additional experience working in the outpatient setting including overseeing an intensive outpatient program, working in a treatment-resistant depression clinic managing IV ketamine/Spravato/TMS, and serving as a psychiatric consultant for complex care management. Now, I dedicate my time in clinical practice leading a group private practice, Calming Currents Psychiatry, based in Hudson, WI. My specialties include providing psychiatric medication management services for teenagers and adults facing a wide variety of mental health conditions including depression, anxiety, post-traumatic stress disorder, bipolar disorder, and substance use disorders. Additionally, I provide psychotherapy services and therapy intensives utilizing the Developmental Needs-Meeting Strategy, an ego-state therapy that targets core developmental and attachment wounds we can see emerge in childhood from things like emotional neglect and abuse, exposure to significant adversity, inconsistent caregivers and living environments, and not having our foundational emotional needs meet to facilitate healthy development. Individuals who experience these and other core developmental attachment wounds may go on to experience characteristics later in life like people-pleasing, avoidance of conflict, self-esteem issues, or dealing with a harsh inner critic. What I Really Want You to Know I approach mental health care through a comprehensive, holistic, and trauma-led lens. I believe that the challenges that we face with mental health go so much deeper than the presenting concern that might lead someone to seek out care. With my medical background as a Registered Nurse, I take the full person including their physical health and wellbeing into account, and consider factors like sleep quality, nutrition, environmental exposures, movement, and more when evaluating a mental health complaint. Additionally, I believe that we are deeply impacted and interconnected with our environment and the people around us, and therefore cannot underscore the importance of considering context when looking at mental health. While medication management has historically been my primary focus in treating mental health conditions, I do not subscribe to the “pill for every ill” approach, and place great emphasis on working to address the various factors in someone’s life that may be negatively impacting their mental health. My practice is grounded in trauma-informed care and I believe that the experiences we have, especially in childhood and our critical developmental periods, play a big role in shaping how we see ourselves, the world around us, and how we experience our emotions. I enjoy partnering with individuals who are motivated for growth to go deeper than surface level and work on healing mental health challenges at the root cause. How I Weave Trauma Model Therapy Into My Practice Principles of Trauma Model Therapy are woven deeply into the fabric of the foundations of my practice philosophy. I recognize that the initial presenting problem is rarely the true root of the issue driving symptoms and work with individuals to challenge them to go deeper than surface level so together we can work to facilitate healing core emotional wounds. The TMT model also helps to destigmatize what other mental health clinicians may see as “problematic behaviors” where instead, I view these behaviors as adaptations for survival. For example, at one point in someone’s life, they may have learned that it’s safer to keep people at arm’s length to prevent themself from getting hurt, but now they have a difficult time letting people in and therefore struggle with social isolation. Using the TMT framework, I also work to empower individuals who previously experienced situations in which they experienced helplessness to re-establish their autonomy and take control over their present situation to live a life more in line with their core values and beliefs. Visit My Website to Book < Back to List of Providers Previous Next BOOKING DETAILS I'm a Good Match For... Women Transgender Women Men Transgender Men Adults (18-25) Adults (26-54) Adults (55+) Fee Details $180-$325 Appointment Availability Weekdays Languages Spoken English MORE ABOUT MY PRACTICE INSURANCES ACCEPTED Aetna BCBS Medicaid Carelon (formerly Beacon) HealthPartners of Minnesota Minnesota Medicaid UMR Wisconsin Medicaid BCBS HMO BCBS PPO Cigna Medicare Optum United Healthcare SERVICES OFFERED In-Person Counseling Online Counseling Psychiatric Medication Management Individual Counseling MODELS & METHODS Acceptance & Commitment Therapy (ACT) Cognitive Behavioral Therapy (CBT) Developmental Needs Meeting Strategy (DNMS) Dialectical Behavioral Therapy (DBT) Ego State Therapy Ketamine-Assisted Psychotherapy Relational Therapy Solution-Focused Brief Therapy I CAN HELP WITH Addiction Anxiety Complex PTSD Family of Origin Dysfunction Life Transitions Men's Issues Obsessive-Compulsive Disorder Relationship Issues Stress Transgender Women's Issues Alcohol Use Caregivers Depression LGBTQIA Medication Management Mood Disorders PTSD Sleep or Insomnia Substance Abuse Trauma < Back to List of Providers Previous Next LEARN ABOUT THIS CLINICIAN'S TMT DESIGNATIONS Trauma Model Therapy Level 1 Clinician A TMT Level 1 Clinician provides a safe, expert-vetted therapeutic approach grounded in a thorough understanding of trauma adaptation and the spectrum of dissociation. These practitioners utilize objective assessment data to deliver clear diagnostic answers while non-pathologizingly reframing complex symptoms as brilliant survival strategies. More Details < Back to List of Providers Previous Next

< Back Previous Next TMT IS FOR Dads Doing Better Build a safe harbor from a broken blueprint. True fatherhood isn't about hiding your wounds or pretending you have it all figured out; it's about having the immense courage to look at your past so it stops driving your present. By understanding the neurobiological logic of your own trauma responses, you can honor how you survived your history, safely reset your baseline, and successfully give your children the safe, different, and deeply connected life they deserve. The Cost of the Shift: Carrying the Weight of Breaking Generational Trauma Dads who commit to breaking cycles of generational trauma operate on a hidden, exhausting emotional battlefield. Choosing to parent differently means stepping into the unknown—trying to provide an environment of emotional safety, attunement, and calm that you yourself never experienced as a child. When your own childhood was defined by hypervigilance, emotional neglect, volatility, or unpredictable anger, your nervous system was explicitly wired for war. Trying to parent from a place of peace while carrying a nervous system built for survival creates an intense internal friction. In this position, feeling suddenly overwhelmed, triggered by your child's completely normal meltdowns, or wrestling with an undercurrent of anxiety is not a sign that you are a bad father—it is the predictable physiological challenge of rewriting your genetic and emotional blueprint in real-time. How Trauma Model Therapy (TMT) Relates to Cycle-Breaking Fathers Trauma Model Therapy delivers a compassionate, highly logical framework that respects the massive emotional labor of intentional fatherhood: Triggers as Survival Echoes, Not Flaws: TMT looks past self-blame. When your child cries or pushes boundaries and you feel a sudden wave of intense anger or an urge to emotionally shut down, TMT doesn't view this as a personal failure. These are functional survival adaptations—built to protect you in a chaotic childhood home—that are simply misfiring in a safe, modern environment. The Locus of Control Shift & The Perfect Parent Myth: Cycle-breaking dads frequently carry a crushing internal burden, feeling personally responsible for being flawlessly patient, attuned, and calm 100% of the time to "fix" the family tree. TMT targets this cognitive error, helping you release the toxic shame of imperfect parenting and focus on what is actually within your power: genuine repair when missteps happen. The Problem is Not the Problem (Navigating the Overwhelm): When the pressure to be a "perfect dad" becomes too heavy, many men find themselves slipping into old coping mechanisms—like working excessive hours, zoning out on screens, or relying on substances to numb the stress. TMT treats these behaviors with deep curiosity rather than judgment, recognizing them as desperate attempts to soothe an overloaded, hyper-aroused nervous system. Somatic Grounding for Real-Time Attunement: You cannot give your child the calm presence they need if your body is actively trapped in a fight-or-flight response. TMT prioritizes concrete, present-moment grounding techniques that dads can use right in the middle of a chaotic living room, allowing you to quickly discharge your own stress and stay safely anchored, patient, and emotionally available for your kids. It's more than just a model. It's a mindset. When you choose a Trauma Model Therapy Certified Clinician, you are engaging with a clinician who is not only trained in Trauma Model Therapy, but who goes one step further and commits to utilize other evidence-based approaches for trauma, stay current and relevant on trauma research, and have the humility to know when you need a different form of care. Clinicians have the competency to treat even the most complex trauma cases and understand that multiple models are necessary to give you the best outcomes. You deserve not to be in therapy forever. How many hours and how many dollars have you spent on your mental health healing process? Lasting change and healing isn’t an overnight process, but you also deserve to receive effective, evidence-based treatment. Learn More About How TMT Can Help You>>

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THE AFTERMATH OF TRAUMA IS COMPLEX The effects of complex trauma are pervasive, altering a person’s biology, identity, and relationships. Because complex trauma typically stems from chronic, repeated stressors from which escape is impossible (such as childhood abuse, severe neglect, domestic violence, war, or displacement), the mind and body must adapt to survive. Over time, these temporary survival strategies solidify into a permanent way of being. TX CA NE CO KS UT MA RI

Trauma Model Therapy (TMT) provides an integrative clinical lens PSYCHIATRIC PHYSICIAN ASSISTANTS < Back to List of Professions Previous Profession Next Profession For Psychiatric Physician Assistants (PAs), who operate at the critical intersection of biological psychiatry and clinical psychotherapy, Dr. Colin A. Ross’s Trauma Model Therapy (TMT) provides an essential integrative framework. It bridges the gap between the medical model of brain-based disease and the clinical reality of experience-based survival, offering a unified theory that informs both medication management and therapeutic intervention. By utilizing TMT, Psychiatric PAs can move beyond symptom suppression and instead provide care that addresses the fundamental relationship between a traumatic history and physiological dysregulation. Recontextualizing the "Biological Glitch" as Adaptation Psychiatric training often emphasizes the neurobiological correlates of mental illness. TMT enhances this by providing a survival map that explains why certain biological responses occur. The TMT Perspective: TMT conceptualizes symptoms—such as auditory intrusions, hyperarousal, or self-harm—not as random biological malfunctions, but as logical physiological adaptations to a traumatic environment. Clinical Value: For the PA, this reframes the goal of medication. Instead of simply fixing a "broken brain," the PA can use pharmacological interventions to support pateints with the internal capacity to engage in the cognitive work of recovery. Reducing Polypharmacy and Improving Diagnostic Accuracy Psychiatric PAs frequently encounter "treatment-resistant" patients who are prescribed multiple high-level medications for a variety of disparate symptoms. The Strategy: TMT provides the tools to identify the hidden epidemic of dissociation, which is frequently misdiagnosed as bipolar disorder, schizophrenia, or borderline personality disorder. The Result: By utilizing objective screening tools like the DES II and DDIS, the PA can identify when a patient’s voices are dissociative parts rather than psychotic hallucinations. This precision allows the PA to avoid unnecessary polypharmacy, reducing side-effect burdens and focusing on the root cause: the trauma system. Efficient Assessment in Fast-Paced Clinical Settings Psychiatric PAs often work in high-volume environments, such as inpatient units or busy outpatient clinics, where time for deep exploration is limited. The Approach: TMT offers a standardized, data-driven pedagogy. Concepts like the Locus of Control Shift and the Problem of Attachment provide a shorthand for understanding complex case formulations quickly. The Skill: The PA can use these markers to identify the logic of suffering within minutes. This allows for more targeted treatment planning and a more efficient use of brief medication-management encounters to reinforce the client’s survival narrative. Managing the Relational Heat of High-Conflict Systems Working in psychiatry often involves navigating intense relational dynamics, particularly with patients who have significant attachment trauma. The Dynamic: PAs are often pulled into the Victim-Rescuer-Perpetrator (VRP) Triangle, where they may be seen as the Rescuer (the one with the "magic pill") or the Perpetrator (the one setting boundaries or forcing medication). The Utility: TMT trains the PA to recognize these systemic roles. By maintaining a stance of radical humility and clinical neutrality, the PA can avoid getting hooked into dysfunctional cycles, thereby reducing compassion fatigue and increasing professional longevity. Enhancing the Patient-Provider Alliance In the medical model, the provider is often positioned as the expert. TMT encourages a shift toward being a curious guide. The Strategy: This approach reduces the Problem of Attachment triggers common in trauma survivors. When a PA explains the Locus of Control Shift to a patient, it validates their experience in a way that feels empowering rather than clinical. The Result: This transparency builds a powerful therapeutic alliance. The patient stops seeing the PA as an authority figure to be pleased or feared and starts seeing them as a partner in the work of restructuring their survival template. Why Psychiatric Physician Assistants Need TMT Utilizing TMT allows a Psychiatric PA to: Practice Precision Psychiatry: Identify Dissociative Disorders that others mislabel as psychosis or personality disorders. Optimize Pharmacotherapy: Use medications to facilitate stabilization rather than just suppressing survival strategies. Maintain Firm Boundaries: Use the VRP Triangle framework to navigate high-conflict clinical encounters safely. Validate the Survivor: Replace the stigma of mental illness with the dignity of brilliant survival. "Treating the neurochemistry of trauma without understanding the logic of survival is like managing the smoke without finding the fire. TMT provides the Psychiatric PA with the skills to find the source." — The Psychiatric Ethos of TMT ENROLL IN TRAINING 1 Level 1 Level 1 training is focused on introducing you to the model, the 5 Principles of TMT, helping you learn how to conceptualize TMT, how to diagnose properly, and how to become competent in detecting and working with complex trauma & dissociation. You will have a chance to watch multiple role plays with Dr. Ross during this training. CE Info 7 General Hours CE Provider: Get Into Your Head Training Price $350 Enroll Now 2 Level 2 Level 2 training will focus on general strategies you as a therapist need to know and employ in order to do the most effective work with any type of client who has experienced trauma. We will immerse you in the TMT Mindset and cover ethics. You will watch new role plays with Dr. Ross. We will also cover how to pair TMT with well-known modalities like EMDR & DBT. CE Info 9.25 Clinical/1.25 Ethics Hours CE Provider: Get Into Your Head Training Introductory Price $200 Request to Enroll 3 Level 3 Level 3 training will focus on tangible activities you can do with clients who experience complex PTSD, dissociation, or who have DID. This will include direction on how to work with complicated cases and DID parts/alters or DID systems. You will watch more role plays with Dr. Ross. We will also cover how to pair TMT with well-known models like IFS and Ego State Therapy. CE Info General & Ethics Hours Approved by NBCC Introductory Price $200 Coming Soon < Back to List of Professions Previous Profession Next Profession Testimonials

What does it mean to be a Trauma Model Therapy Clinician? Discover the rigorous standards, consultation hours, and core competencies required for every level of TMT expertise. Explore the clinical requirements, skills, and standards for TMT Level 1 and 2 Trained and Certified Clinicians. Learn more about what it means to be a Trauma Model Therapy Certified Clinician < Back to All Previous Next What this means for the client or patient For a person seeking care, a TMT Certified Clinician demonstrates the ability to apply TMT to real-world suffering and elite specialization in complex dissociative systems. A Trauma Model Therapy Certified Clinician has progressed beyond foundational trauma models and behavioral stabilization to master the intricate, highly specialized treatment of Dissociative Identity Disorder (DID) and severe relational trauma. They are uniquely trained to work safely and collaboratively with all parts of a person's system, translating complex internal fragmentation into deep, sustainable healing. When you see a TMT Clinician with this training, you are working with someone who: Specializes in Dissociative Identity Disorder (DID): They possess advanced expertise in accurately diagnosing DID, navigating co-occurring conditions, and demystifying the internal system without fear or confusion. Communicates Directly with Your System: They are expertly trained in talking through to alters, orienting various personality states to the body and the present, and safely resolving internal conflict. Neutralizes Internal Resistance: They know how to gently work through host resistance, help safely manage self-sabotaging or dangerous parts, and systematically foster internal empathy, communication, and co-consciousness. Paces Your Treatment Safely: They strictly adhere to the “slow and steady wins the race" philosophy, prioritizing grounding, present-focused stability, therapeutic pacing, and system collaboration over premature trauma processing. Terms clinicians are permitted to use once requirements have been met: “Trauma Model Therapy Level 3 Trained” or “TMT Level 3 Trained” Completed TMT Levels 1-3 Training Has not completed the required TMT Consultation or final evaluation “Trauma Model Therapy Certified Clinician” or “TMT Certified Clinician” Completed TMT Levels 1-3 Training Completed 2 hours of TMT Level 3 Group Consultation Completed 1 hour of TMT Level 3 Individual Consultation Completed a final, 1-hour evaluation with a Consultant Mentor "Level 1 maps the trauma system, Level 2 brings the clinical tools to move within it, and Level 3 provides the master-level diplomacy required to sit with the deepest layers of structural dissociation, bringing safety, co-consciousness, and lasting peace to the entire internal family." Understanding TMT Level 3 Training: A Standard of Advanced Clinical Competency When a person attains TMT Certified Clinician status, it signifies they have achieved mastery in the clinical management of severe Dissociative Disorders and complex internal systems. This designation ensures that the provider can confidently step into advanced system diplomacy, establish safe internal communication networks, and navigate even the most severe presentations of structural dissociation. PART 1 The Knowledge Base: Expertise in Treating Dissociative Disorders The journey to certification delivers an intensive, specialized curriculum focused on the direct clinical treatment of structural dissociation. A clinician who has completed TMT Level 3 Training has learned the following: Advanced Diagnostics & Outcomes: Mastering when to suspect and how to accurately diagnose DID, navigating complex co-occurring disorders, analyzing treatment outcomes, and translating the reality of DID into clear, empowering language for the client. System Diplomacy & Grounding: Utilizing strict therapeutic neutrality alongside specialized grounding techniques to cultivate deep system-wide safety. Direct Part Intervention: Learning the delicate art of talking through to alters, orienting distinct parts to the physical body and the present moment, and handling dangerous or protective parts without escalating system distress. Systemic Collaboration & Fostering Empathy: Fostering inter-personality communication, cooperation, and co-consciousness while systematically working through host resistance and structural blocks. Clinical Methodologies: Rejecting harmful, forced fusion practices like "integration by firing squad" in favor of collaborative tools including expressive journaling, drawing, therapeutic letters, and structured group therapy for DID. TMT Advanced Core Application: Anchoring master-level interventions directly within the core architecture of the model, explicitly applying The Locus of Control Shift, The Problem is Not the Problem, present-moment mindfulness, and addressing current life stressors that could be activating the alters within the system. Complex Boundary Safety: Navigating severe presentations such as flashbacks acting as punishment of the host personality, working with ritual, religious or cult abuse, Stockholm Syndrome, human trafficking experiences, and practicing the safety rule to leave the memories until a person and a system are ready to address memory networks. PART 2 Clinical Integration Through Standardized Consultation Advanced system work demands exceptional clinical precision. To achieve TMT Certified Clinician status, practitioners must transition from theoretical knowledge to a live demonstration of core clinical competencies before a TMT Consultant. Group Consultation: Case Conceptualization Strategy Hours Required: 2 Cost: $100 In these structured sessions, clinicians work in small cohorts (2–4 peers) to: TBD- this content and process is still being developed TMT Level 3 Group Consultation question that each TMT Consultee must answer: TBD- this content and process is still being developed Individual Consultation: Advanced Competency Mastery Hours Required: 1 Cost: $100 To earn their TMT Certified Clinician status, a clinician must personally demonstrate advanced proficiency to a TMT consultant. They are required to: De-escalate System Conflict: Demonstrate how to gently intervene with defensive, high-risk, or dangerous parts of an internal system while preserving therapeutic neutrality and overall system safety. Foster Co-Consciousness: Explain the exact clinical protocols used to safely establish inter-personality communication and build internal empathy within a fractured system. Apply Present-Focused Pacing: Prove an understanding of when to leave trauma memories for later stages of treatment by prioritizing somatic orientation, mindfulness, and active problem-solving in the present. TMT Level 3 Individual Consultation questions that each TMT Consultee must answer: TBD- this content and process is still being developed PART 3 Directory Upgrade & Exclusive Access to Free Small Groups Once a clinician has successfully achieved TMT Certified Clinician status by navigating the training, the advanced role-plays, and the rigorous consultation process, they are eligible to upgrade their professional tier on the global TMT Provider Directory. This upgraded status signals to consumers, organizations, and colleagues alike that the practitioner possesses an advanced, integrated expertise in Dissociative Disorders and complex presentations. Furthermore, TMT Certified Clinicians are granted exclusive, free access to organized, less-structured small peer groups. This collaborative community allows TMT Certified Clinicians to regularly meet, network, build professional referral relationships, and consult on their most nuanced cases with an elite peer cohort who speaks the exact same advanced clinical language. And, all TMT Certified Clinicians are granted a free, 2-year listing on the TMT Provider Directory as part of their initial application, or as part of their biannual certification renewal. They also are invited to TMT Certified Clinician retreats and events. GET TRAINED IN TRAUMA MODEL THERAPY 1 Level 1 Level 1 training is focused on introducing you to the model, the 5 Principles of TMT, helping you learn how to conceptualize TMT, how to diagnose properly, and how to become competent in detecting and working with complex trauma & dissociation. You will have a chance to watch multiple role plays with Dr. Ross during this training. CE Info 7 General Hours CE Provider: Get Into Your Head Training Price $350 Enroll Now 2 Level 2 Level 2 training will focus on general strategies you as a therapist need to know and employ in order to do the most effective work with any type of client who has experienced trauma. We will immerse you in the TMT Mindset and cover ethics. You will watch new role plays with Dr. Ross. We will also cover how to pair TMT with well-known modalities like EMDR & DBT. CE Info 9.25 Clinical/1.25 Ethics Hours CE Provider: Get Into Your Head Training Introductory Price $200 Request to Enroll 3 Level 3 Level 3 training will focus on tangible activities you can do with clients who experience complex PTSD, dissociation, or who have DID. This will include direction on how to work with complicated cases and DID parts/alters or DID systems. You will watch more role plays with Dr. Ross. We will also cover how to pair TMT with well-known models like IFS and Ego State Therapy. CE Info General & Ethics Hours Approved by NBCC Introductory Price $200 Coming Soon WHEN YOU'RE READY FOR TMT CONSULTATION. FIND SPECIALIZED, PROFESSIONAL MENTORSHIP. SKILLS ARE TAUGHT. EXCELLENCE IS MODELED. EXPERTISE IS DEVELOPED. FIND YOUR TMT CONSULTANT. CURIOUS ABOUT THE COMPETENCIES OF EACH LEVEL? LEARN MORE ABOUT ALL OF THE TMT DESIGNATIONS >>

INTEGRATING MODELS Many trauma survivors feel like they are trapped under a heavy weight of chronic self-blame and rigid, unhelpful beliefs about themselves and the world. By integrating the logical architecture of Trauma Model Therapy (TMT) with the structured cognitive restructuring tools of Cognitive Processing Therapy (CPT), developed by Dr. Patricia Resick, the combination of models helps a person move beyond just wrestling with trauma-induced "stuck points" to fundamentally rewriting their internal narrative. The model combination provides the objective tools to systematically dismantle toxic shame and the systemic framework to reclaim one's authentic sense of safety, trust, and personal power. TMT Trauma Model Therapy CPT Cognitive Processing Therapy + CPT is a specific, manualized type of cognitive behavioral therapy rooted in Social Cognitive Theory. The model focuses on how an individual conceptualizes, interprets, and gives meaning to traumatic events. CPT posits that trauma related distress persists when a person’s pre-existing schemas (core beliefs about themselves and the world) are shattered by an event, and their subsequent attempts to process that event lead to distorted, rigid conclusions across five primary functional areas: Safety, Trust, Power/Control, Esteem, and Intimacy. THEORY OF THE MODEL The theory of the model for TMT is a trauma-driven, unified theory that views complex psychiatric symptoms as a system of adaptation to childhood trauma and attachment failures. It is a "metapsychology" that bridges biological, psychological, and social domains. In CPT, psychopathology -specifically Post-Traumatic Stress Disorder (PTSD) - is conceptualized as a disruption in the natural recovery process caused by cognitive "stuck points." When an individual experiences trauma, they struggle to digest the information and fall into one of two maladaptive processing styles: Assimilation: Forcing the memory of the trauma to fit into pre-existing beliefs (e.g., "Because I believe good things happen to good people, I must have done something to cause my assault"). Overaccommodation: Drastically changing overall beliefs about the self or the world based solely on the trauma (e.g., "Because I was assaulted, absolutely no one can ever be trusted"). These cognitive distortions block emotional processing, lock the fear network in place, and breed chronic psychiatric symptoms. PSYCHOPATHOLOGY CONCEPTUALIZED AS In TMT, psychopathology is conceptualized as a logical and adaptive response to an abnormal environment. Initially, the "disorder" is not located within the individual's biology, but in the relationship between the developing child and a traumatic environment. The trauma can then cause biological dysregulation based on fight-flight-freeze physiology. Much of psychopathology is conceptualized as a dissociative compartmentalization of self-states – dissociation is the central organizing principle that results in a fragmented self organized into discrete self-states, alters or parts. A variety of terms can be used to describe parts. In CPT, symptoms (such as intrusive memories, hypervigilance, and emotional numbing) are viewed as the natural byproducts of active cognitive and emotional avoidance. Because the individual's stuck points generate overwhelming distress, the person avoids thinking about the trauma or engaging with reminders of it. This avoidance prevents the brain from naturally habituating to and making sense of the memory, keeping symptoms active indefinitely. PERSPECTIVE OF SYMPTOMS In TMT, symptoms (e.g., self-harm, eating disorders, addictions, voices) are viewed as survival strategies. They are "solutions" to the problem of unbearable pain when no other coping mechanisms are available. Symptoms are often due to the actions, emotions, or beliefs of dissociated parts, each of which may have its own history, feelings, beliefs and functions. Symptoms are seen as solutions, adaptations, and protective strategies that once helped the person but later create problems when the time, context, and circumstances have changed. CPT makes a few assumptions: The mind naturally seeks recovery: Given the right conditions and a reduction in avoidance, the human psyche has an innate capacity to naturally process traumatic events. Beliefs drive the distress: It is not the traumatic event itself causing current day-to-day PTSD symptoms, but rather the current interpretation and meaning the individual has assigned to the event. Narrative exposure is secondary: CPT assumes that a person does not need to repeatedly relive or describe the graphic details of a trauma to heal; updating the cognitive appraisals of the trauma is sufficient to dismantle the distress. ASSUMPTIONS TMT assumptions are that most psychopathology is trauma-based. This can involve both Big T and little t trauma. The Locus of Control Shift is a universal cognitive adaptation to abuse. The Problem of Attachment to the Perpetrator is a core clinical conflict. A genuine commitment to recovery is essential. “The problem is not the problem” - symptoms have a function and purpose as survival strategies and defenses. The primary mechanism of change in CPT is Accommodation. This is the healthy, realistic middle ground where pre-trauma schemas are successfully modified to incorporate the reality of the trauma without overgeneralizing danger or blame. Change occurs through systematic Socratic disputation, where the therapist helps the client objectively challenge their stuck points. This dismantles emotional avoidance, updates threat appraisals, and allows the trauma to be filed away as a past-tense historical event rather than a present-tense threat. MECHANISMS OF CHANGE The TMT mechanism of change involves cognitive restructuring of trauma-based beliefs (dismantling the "Bad Me" identity) combined with the development of healthier self-regulation skills. Change is driven by relational engagement with a client’s system of parts: the therapist plays an active role in this process, emphasizing psychoeducation, grounding, and commitment to recovery as elements of healing. The system of parts participates in treatment and change through recognition, communication, cooperation, and integration of parts. CPT is highly empirical and tracks patient progress with rigorous, session-by-session metrics: The PCL-5 (PTSD Checklist): Administered at the start of every single session to numerically quantify shifts in the severity of PTSD symptoms. The PHQ-9: Used regularly to track changes in secondary depressive symptoms. Stuck Point Log: A continuous inventory tracking the literal number, rigidity, and belief-percentage ratings (0–100%) of the client’s specific traumatic beliefs. HOW IT MEASURES CHANGE TMT measures change in a few ways. Standardized psychometric testing (e.g., DES, DDIS) are utilized. Clinical indicators such as a reduction in self-blame and dissociative "lost time," and an increase in healthy self-regulation. Diagnosis, treatment planning, and interventions flow from mapping and understanding the internal dissociative structure. CPT is structured as a 12-session protocol centered on intensive cognitive restructuring and homework assignments: The Impact Statement: The client writes an essay detailing why they believe the trauma happened and how it has affected their views on safety, trust, power, esteem, and intimacy. Identifying Stuck Points: The clinician and client review the statement to pull out automatic negative thoughts and map them onto a tracking log. Challenging Worksheets: The client learns to use structured worksheets (such as the Challenging Questions and Challenging Beliefs forms) to act as a judge and jury over their own thoughts, examining evidence for and against their stuck points. Theme Processing: The final half of the protocol explicitly challenges distorted beliefs within the five core modules (Safety, Trust, Power/Control, Esteem, and Intimacy), concluding with a rewritten, updated Impact Statement. HOW IT WORKS TMT works in simple yet powerful ways. TMT is based on 5 core principles and the three phases of any trauma treatment model. 1. Education and Stabilization: building safety, a map of the system, and clarifying the problems to be addressed in therapy. 2. Trauma Processing: including ambivalent attachment patterns and negative self-beliefs. 3. Resolution and Integration: Consolidating the fragmented self. CPT views dissociation as an extreme, automated form of emotional and cognitive avoidance. When a stuck point is triggered and emotional distress threatens to overwhelm the central nervous system's capacity, the brain pulls a biological circuit breaker to detach from reality. CPT addresses dissociation by pacing the cognitive work, implementing immediate present-focused grounding strategies, and using Socratic questioning to lower the emotional charge of the stuck point before the client hits their dissociative threshold. PERSPECTIVE ON DISSOCIATION The TMT perspective of dissociation is that dissociation is a structural defense used to wall off unbearable affect and memories. Dissociation is understood and treated as a primary focus of therapy. Integration in CPT is defined as the achievement of Balanced Accommodation. It is realized when the client successfully weaves the reality of the traumatic event into their broader life narrative without letting it define their entire identity. Integration means the client no longer views themselves as entirely broken, or the world as entirely perilous; instead, they possess flexible, nuanced core beliefs that allow them to say: "A terrible thing happened to me, but I can still safely navigate relationships, trust my judgment, and live with authentic personal power." HOW IT VIEWS INTEGRATION In TMT, Integration is the blending of fragmented parts of the self. It involves the gradual removal of dissociative barriers so that the Self can act as a unified, conscious identity. Integration = increased cooperation followed by blending and sometimes full fusion of parts when and if desired. Not all individuals want full integration. For the Clinician: Blending TMT with CPT enables clinicians to systematically target and dismantle rigid trauma stuck points while anchoring those cognitive shifts within a comprehensive view of the client's underlying survival logic. For the Client or Patient: Experiencing the combined approach of TMT and CPT helps you objectively challenge and rewrite the painful, distorted beliefs about safety, trust, and blame that have kept you trapped in the past, allowing you to reclaim your authentic personal power. "The core cognitive errors of trauma serve a vital survival function in childhood, but resolving the trauma requires correcting these beliefs so the person can safely live in the present reality." — TRAUMA MODEL THERAPY, LEVEL 1 LEARN MORE ABOUT TMT CLINICIANS ...who also utilize Cognitive Processing Therapy AshleyDawn Sheppard Texas Veronica Gaytan de la Rosa Texas Jessica A. Garrett Colorado, Texas Amanda Frey Texas Kalyn Bae Texas TMT PLAYS WELL WITH OTHERS LEARN HOW TMT INTEGRATES WITH OTHER EVIDENCE-BASED MODELS CBT + TMT Compare CPT + TMT Compare DBT + TMT Compare EST + TMT Compare EMDR +TMT Compare IFS + TMT Compare TIST + TMT Compare

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Advance your practice with Trauma Model Therapy training. Master advanced trauma and dissociation treatment. Explore TMT clinical training, certification tracks, consultation groups, and join our provider directory. IT'S TIME TO HEAL. FOR REAL. BECOME PART OF SOMETHING BIGGER THAN YOURSELF 1 Get Trained. Read More 2 Get Consultation. Read More 3 Get Advertised. Read More 4 Get Certified. Read More 5 Get Connected. Read More TRAUMA MODEL THERAPY 1 Level 1 Level 1 training is focused on introducing you to the model, the 5 Principles of TMT, helping you learn how to conceptualize TMT, how to diagnose properly, and how to become competent in detecting and working with complex trauma & dissociation. You will have a chance to watch multiple role plays with Dr. Ross during this training. CE Info 7 General Hours CE Provider: Get Into Your Head Training Price $350 Enroll Now 2 Level 2 Level 2 training will focus on general strategies you as a therapist need to know and employ in order to do the most effective work with any type of client who has experienced trauma. We will immerse you in the TMT Mindset and cover ethics. You will watch new role plays with Dr. Ross. We will also cover how to pair TMT with well-known modalities like EMDR & DBT. CE Info 9.25 Clinical/1.25 Ethics Hours CE Provider: Get Into Your Head Training Introductory Price $200 Request to Enroll 3 Level 3 Level 3 training will focus on tangible activities you can do with clients who experience complex PTSD, dissociation, or who have DID. This will include direction on how to work with complicated cases and DID parts/alters or DID systems. You will watch more role plays with Dr. Ross. We will also cover how to pair TMT with well-known models like IFS and Ego State Therapy. CE Info General & Ethics Hours Approved by NBCC Introductory Price $200 Coming Soon CURIOUS ABOUT THE COMPETENCIES OF EACH LEVEL? LEARN MORE ABOUT ALL OF THE TMT DESIGNATIONS >> WHO CAN GET TRAINED IN TRAUMA MODEL THERAPY? We don't believe in putting walls between people and knowledge. What is slightly different about Trauma Model Therapy is that anyone can enroll and receive the knowledge. Then, we get a little more selective about who can get certified. ADDICTION PROFESSIONALS HIGHER ED INSTRUCTORS MARRIAGE & FAMILY THERAPISTS PSYCHIATRIC-MH NURSE PRACTITIONERS PROFESSIONAL COUNSELORS PSYCHOLOGISTS GRADUATE STUDENTS INTERNATIONAL MENTAL HEALTH PROFESSIONALS MEDICAL SCHOOL STUDENTS PSYCHIATRIC PHYSICIAN ASSISTANTS PSYCHIATRISTS SOCIAL WORKERS TMT PLAYS WELL WITH OTHERS TMT INTEGRATES WITH OTHER EVIDENCE-BASED MODELS SEAMLESSLY. CBT + TMT Read More CPT + TMT Read More DBT + TMT Read More EST + TMT Read More EMDR +TMT Read More IFS + TMT Read More TIST + TMT Read More WE ARE DOING THINGS A LITTLE DIFFERENTLY. Learn Your Way All training modules are designed to be available in video or audio so you can learn in the way that is best suited to your learning style. Immediately Implementable Training is easy to understand and can immediately be implemented with clients so that you feel more confident in the room. Remaining Affordable Yes, we intentionally set our prices lower than most trainings. We also offer currency-sensitive pricing. A high-cost training doesn't always mean high-quality. TMT is high-quality content. Go At Your Pace We created multiple, shorter lessons so that you can learn when you want and access the content as you have time. WE'VE BEEN HERE FOR A MINUTE. WE JUST DECIDED TO TAKE IT TO THE NEXT LEVEL. The Colin A. Ross Institute for Psychological Trauma was formed in 1995 to further the understanding of psychological trauma and its consequences by providing educational services, research, and clinical treatment of trauma-based disorders. Dr. Ross has been offering Trauma Model Therapy Certification for over two decades. We are now modernizing his training system so that more clinicians can engage with the content and pursue certification. You can enroll in all levels at once, or start with Level 1 to see if the modality is for you. WHAT'S THE BIG PICTURE? WE ARE IN THIS TO SEE SYSTEMIC CHANGE IN TRAUMA TREATMENT. What's in it for me? Other than becoming a TMT Rockstar? Well, once you are Level 1 Trained and engage in the Level 1 Consultation requirements, you are eligible to join the Provider Directory where you can showcase your skills and specialties. We spend a lot of time educating the general public about Trauma Model Therapy and how it can benefit them, so they are looking for TMT Clinicians. Our long-term aim is to bring TMT therapists together by geographic location for real, meaningful connection. Will there be opportunities for connection? We are already making friends and building bridges...all over the world! We are better clinicians when we connect with one another, lean into one another for advice, and get ideas from one another. The virtual TMT Consultation groups are already awesome! Our goal within the next 1-2 years is to have TMT Retreats where you can join other TMT Clinicians, do practicals and earn CEs in person. Those retreats will only be available to people who have engaged in the foundational, virtual training. Why are there 3 levels? Dr. Ross’s theory is packed with so many details. We decided to make the 3 levels on-demand so that people can take the time to really digest all of the material. The training is setup so that each lesson is 15-60 minutes with short quizzes after each lesson and role plays throughout. There is so much to teach you. We start with competency basics, then we get into skills and interventions, and then we end with highly specialized skills for complex trauma and Dissociative Disorders. Why is TMT training virtual? Dr. Ross’s original certification process was a correspondence course. We decided to create a virtual, on-demand training because we wanted to standardize the teaching process so we can ensure that every Trauma Model Therapy (TMT) clinician is taught the same things in the same way. At TMT, we think standardized training contributes to clinical consistency, and clinical consistency contributes to long-term legitimacy and improved outcomes. IT'S MORE THAN CONSULTATION. IT'S SPECIALIZED, PROFESSIONAL MENTORSHIP. SKILLS ARE TAUGHT. EXCELLENCE IS MODELED. EXPERTISE IS DEVELOPED. FIND YOUR TMT CONSULTANT.