The Trauma-Informed Stabilization Treatment (TIST) model, developed by Janina Fisher, is a therapeutic approach designed to address trauma-related behaviors, particularly self-destructive, unsafe, and addictive actions. Unlike traditional trauma therapy, which often focuses on processing traumatic memories, TIST emphasizes stabilization and self- regulation as a crucial first step before deeper trauma work. It is especially effective for individuals with complex PTSD, dissociative disorders, and chronic emotional dysregulation.

Core Concepts of TIST

1. Understanding the Impact of Trauma.

TIST is based on the idea that trauma fundamentally alters the brain and nervous system, leading to dysregulation, dissociation, and fragmented memory. Clients learn how their nervous system remains stuck in survival mode, triggering intense emotional reactions, impulsivity, and difficulty managing stress. By understanding these biological responses, clients begin to see their symptoms as adaptive survival strategies rather than personal weaknesses.

2. Structural Dissociation and Parts Work.

One of the key foundations of TIST is Structural Dissociation theory, which suggests that trauma causes the mind to fragment into different "parts" - some focused on daily functioning, while others remain stuck in trauma-related responses. These trauma-related parts often express themselves through self-destructive behaviors, addictions, or emotional outbursts as attempts to cope with unresolved pain.
Instead of seeing these behaviors as problems to eliminate, TIST helps clients recognize and mindfully observe these parts with curiosity and compassion. By doing so, individuals can begin to develop a more integrated sense of self, reducing internal conflict and distress.

3. Mindful Self-Observation and Regulation.

In TIST, clients are encouraged to notice their triggers, impulses, and behaviors without judgment. Rather than acting on self-destructive urges, they learn to pause, reflect, and understand these impulses as communications from their trauma- related parts. This mindful awareness helps individuals detach from overwhelming emotions and make more conscious, regulated choices.

4. Building Emotional Tolerance Before Trauma Processing.

Unlike traditional trauma treatments that focus on revisiting past events, TIST prioritizes stabilization first. Clients are taught emotional regulation skills to increase their ability to tolerate distress without becoming overwhelmed.
Techniques such as grounding, breathwork, and sensorimotor strategies help calm the nervous system, enabling clients to manage daily stress more effectively.

TIST integrates neuroscience, attachment theory, mindfulness, and parts work to offer a comprehensive and compassionate framework for trauma recovery. It is particularly beneficial for those who have struggled with traditional talk therapy or who find that revisiting traumatic memories worsens their symptoms. By prioritizing stabilization, self- awareness, and internal integration, TIST empowers individuals to heal from trauma in a way that feels safe and sustainable.