Clinical Competencies in Treating Dissociative Identities
Bridging Lived Experience and Science
When Dissociation Shows Up, and Your Training Did Not Prepare You
Most therapists were taught that dissociation is rare, extreme, and best left to “specialists.” In real practice, it is everywhere in complex trauma work. Clients “go away” right when you get close to certain memories. They lose time, feel like “different versions” of themselves are taking over, or describe watching life from outside their bodies. You feel the weight of deciding what is ethical, what is actually possible, and how to maintain competency and reduce risk in EMDR when dissociation is part of the picture.
Most clinicians were given very little real training on dissociation:
- Minimal coverage in graduate programs.
- The sense that dissociation is rare, extreme, or “for specialists only.”
- Conflicting messages about whether EMDR is appropriate at all.
So you are left with understandable questions:
- Is this dissociation, something else, or both?
- How do I assess it in a way that actually guides treatment?
- Will I destabilize this client if I move forward with EMDR?
- How do I adapt the eight phases without abandoning fidelity or myself as a clinician?
Your hesitation is not avoidance. It is an ethical clinical responsibility when you have not been given enough support.
This course is designed to help you get there, and you will:
- Develop confidence in assessment, case conceptualization, and EMDR adaptation with dissociative clients.
- Integrate EMDR thoughtfully, ethically, and with competency to reduce risk when working with dissociation.
- Practice “assessment before activation” and remember that “competence includes pacing.”
- Bridge scientific models and lived experience so your work reflects both what research says and what clients actually report.
This is not a generic overview of dissociation, and it is not meant for every clinician. It is a fit for EMDR and trauma therapists who are ready to move from hesitation to informed, thoughtful action with dissociative clients.
Why TTI
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This training introduces dissociation-informed, EMDR-integrated strategies that support assessment, case conceptualization, stabilization, and ethical trauma treatment through a safety-forward, client-centered lens.
- Understand dissociation across the spectrum
Define and distinguish dissociation from other trauma responses, and recognize when it is adaptive, maladaptive, or both. - Assess and conceptualize dissociation with confidence
Use dissociation‑informed assessment and case conceptualization so EMDR and treatment plans reflect “assessment before activation.” - Implement safety‑forward, EMDR‑informed strategies
Identify readiness and risk, make phase‑specific EMDR adjustments, and respond in the moment when dissociation arises in session. - Bridge lived and learned experience in your clinical practice
Integrate phenomenology, client narratives, and research to challenge myths and reduce stigma in dissociation work. - Practice ethical, scope‑aware dissociation care
Normalize your own hesitation, clarify scope and referral decisions, and use stigma‑free, client‑centered language that aligns with client goals.
What You Get
What's Waiting for You Inside This Training
Dissociation assessment skills
Stigma-free clinical language
Case conceptualization framework
Q&A and chat
Grounding and stabilization adaptations
Learn on your schedule
Expert clinical insight
Free community membership
Is This For You?
Who Is This Training For
This training is for clinicians with an existing foundation in trauma treatment or EMDR who want to work more confidently with dissociation in clinical practice. If you already have core trauma or EMDR skills and are looking to deepen your assessment, conceptualization, and intervention strategies around dissociation, this course was built for you.
You will get the most out of this training if you are:
- An EMDR clinician (licensed or license‑eligible), often working in addictions, community mental health, or complex trauma settings
- Regularly encountering dissociative presentations but lacking formal, integrated training on dissociation
- Unsure how to assess dissociation or integrate it into EMDR’s eight phases while maintaining fidelity
- Concerned about destabilizing or retraumatizing clients if you engage dissociation more directly
- Frustrated by rigid, dogmatic models that either prohibit engaging parts or demand one‑size‑fits‑all “integration” goals
Meet Your Trainer
About Your Trainer
Jamie Marich
Ph.D., LPCC-S, REAT
She is the founder of the Institute for Creative Mindfulness, the developer of the Dancing Mindfulness approach, and the author of Dissociation Made Simple: A Stigma-Free Guide to Embracing Your Dissociative Mind and Navigating Life, along with the accompanying clinical flipchart.
Her other titles include EMDR Made Simple, Trauma Made Simple, and Healing Addiction with EMDR Therapy, and her contributions to the field have been recognized with the EMDR International Association's 2019 Advocacy in EMDR Award. She brings both clinical depth and lived experience to her teaching on dissociative identities.
Investment
Ready to Get Started?
Course Price
- Lifetime access to the course - Refresh your skills anytime at your own pace. Get on-demand access after the live date.
- Immediate clinical application - Walk away with tools you can use in your next session.
- CEs - Earn EMDRIA, ASWB and NBCC CEs.
Free Resource
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Additional Information
Course Details
Agenda
Day 1:
- 10:00 am - 10:10 am: Welcome, objectives, and presenter introduction
- 10:10 am - 11:00 am: Dissociation fundamentals and core definitions
- 11:00 am - 11:10 am: Break
- 11:10 am - 12:10 pm: Neuroscience and polyvagal perspectives on dissociation
- 12:10 pm - 12:20 pm: Break
- 12:20 pm - 1:20 pm: Mapping dissociation through language, metaphor, and meaning
- 1:20 pm - 1:30 pm: Break
- 1:30 pm - 2:15 pm: Media portrayals, myths, and clinical bias in dissociation
- 2:15 pm - 2:30 pm: Wrap-up, key takeaways, and Q&A
Day 2:
- 10:00 am - 10:10 am: Welcome, objectives, and presenter introduction
- 10:10 am - 11:00 am: Best practices for working with dissociation in EMDR Therapy
- 11:00 am - 11:10 am: Break
- 11:10 am - 12:10 pm: Grounding, safety, and mindfulness with dissociative clients
- 12:10 pm - 12:20 pm: Break
- 12:20 pm - 1:20 pm: Advanced EMDR Therapy Case Conceptualization in navigating dissociation
- 1:20 pm - 1:30 pm: Break
- 1:30 pm - 2:15 pm: Clinical themes from lived experience
- 2:15 pm - 2:30 pm: Wrap-up, key takeaways, and Q&A
Learning Objectives
- To discuss the principles of phenomenology and the lived experience movement in mental health and work with dissociative identities, paying particular attention to the points of tension with scientific models of understanding trauma and dissociation.
- To implement treatment strategies and plans in the care of trauma-based dissociation that bridge the gap between lived experience inquiry and scientific understanding, leading to a more integral approach to healing
- To discuss the various definitions of dissociation that originated from Pierre Janet’s original development of the concept
- To apply Shapiro’s concepts of adaptive and maladaptive in evaluating how dissociation shows up in clinical presentations and in daily life
- To adjust how we teach on grounding, safety, and even the core concepts of trauma healing to accommodate various dissociative expressions
- To discuss best practices for honoring dissociative minds in the delivery of EMDR Therapy, challenging many of the myths and misconceptions that have abounded in the EMDR community for decades
- To critically evaluate how media portrayals of dissociation and other biases in the field of psychology and EMDR Therapy might be getting in the way of your clinical effectiveness
- To describe how dissociation is conceptualized within polyvagal theory and several other neuroscientific models
Prerequisites
- EMDR Basic Training
Continuing Education
8 CEs are available upon completion of all course material.
Trauma Therapist Institute is an approved continuing education provider. ACE, NBCC, and EMDRIA CEs are available for this course. APA CEs are not available for this course.
Participants must complete the full training to receive credit.
ACE Approved Provider
Trauma Therapist Institute, #1869, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 1/16/25 - 1/16/28. Social workers completing this course receive 8 clinical continuing education credits.
NBCC Approved Provider
Trauma Therapist Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7033. Programs that do not qualify for NBCC credit are clearly identified. Trauma Therapist Institute is solely responsible for all aspects of the programs.
EMDRIA Approved Provider
Trauma Therapist Institute is an EMDRIA Approved Training Provider. TTI courses are individually approved. CE Certificate will contain course approval number.
Course Completion
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