suzanne@mindwellnesstherapy.com.au 07 3374 2770

Trauma Informed Stabilisation Treatment (TIST)





    What is Trauma Informed Stabilisation Treatment (TIST) Therapy and how does it work?

    We all navigate many different roles and identities during our lives. In doing so we develop various ego states each containing particular beliefs, feeling states and behavioural responses designed to help us manage repetitive life circumstances.

    For example, being empathic and nurturing of one’s children’s, being driven and ambitious in one’s career or being a risk taker in our choice of recreational activities may be three very different ego states providing adaptive patterned responses to different areas of our life. Each of us have our own distinctive set of ego states which fulfil important roles.

    When ego states are in harmony, an individual’s personality is considered whole and integrated and this will support a life that feels rich, productive and enjoyable.

    However, experiences of trauma can cause ego states to become split off or fragmented from each other. When this occurs, we can find ourselves stuck in particular ways of responding to the external world that are unhelpful, unconscious and outside of our control. In such circumstances the wisdom, maturity and balance of our adult Self becomes inaccessible to us.

    For example, a survivor of child abuse or neglect might find that young traumatised ego states which functioned to support survival during childhood, cause the adult survivor to be stuck in victim roles that are no longer adaptive.

    Trauma-informed Stabilization Treatment (TIST) is a trauma-informed parts approach to therapy and is often the therapy of choice for Complex Trauma.

    Effectiveness of EMDR Therapy

    In TIST, we work with the emotional and somatic memories held by young parts of the Self that developed in response to the trauma.

    These young traumatised parts, highly adaptive in a maladaptive environment, continue to be triggered in the here and now as adults. Using the Structural Dissociation model as a map, clients are supported to use the prefrontal cortex or observing brain to notice distressing emotions or negative thoughts as communications from parts. The client is taught to observe rather than suppress or react to these communications and to be interested in the parts rather than rejecting of them. As they learn to relate to their fears or shame or anger or suicidality as the feelings of young traumatized children, there is a shift in their relationship to themselves.

    TIST is an integrative method drawing on ideas and techniques from Internal Family Systems, Sensorimotor Psychotherapy, Clinical Hypnosis, and Mindfulness-based Psychotherapy. It looks to identify these parts, understand their role in our psyche and integrate them into a coherent whole to optimise our functioning.

    Dan Siegel emphasised that integration is not homogenisation. It is the ability to notice, name and acknowledge the different parts of ourselves and to link them so that we are a coherent system able to flow adaptively in our interactions with the external world. In this way the healthy adult Self is no longer hijacked by traumatised ego states but rather takes a leadership role to support differentiation and linkage.

    Trauma Informed Stabilisation Treatment (TIST) has been practiced for over 20 years and has proven to be a highly effective and durable treatment for complex psychodynamic problems.

    In particular, TIST is cited in the literature for efficacy in the treatment of trauma particularly when dealing with features that complicate treatment including dissociation and fragmentation, cognitive and perceptual distortion and rigidification of personality and behaviour. Research studies have also demonstrated its effectiveness in the treatment of stress and self esteem and in combination with other specialist therapies in the treatment of addiction and eating disorders.

    Mind Wellness Therapy provides TIST therapy and psychological expertise in the treatment of anxiety, PTSD, trauma, grief, stress management, depression and more.

    Contact us today or call us on 07 3374 2770

    Dark Clouds

    How we can help you at Mind Wellness Therapy.

    Mind Wellness Therapy provides Ego State Therapy and psychological expertise in the treatment of anxiety, PTSD, trauma, grief, stress management, depression and more.

    Contact us today or call us on 07 3374 2770.