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:
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Minimal coverage in graduate programs.
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The sense that dissociation is rare, extreme, or “for specialists only.”
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Conflicting messages about whether EMDR is appropriate at all.
So you are left with understandable questions:
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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.
Why TTI
Built for Learning. Designed for Belonging.
Shame-Free Space for Learning™
Expert Clinical Training
Where Learning Meets Community
Practical Skills
Practical Interventions You'll Learn
- Assess dissociative experiences using clinical inquiry and formal screening tools
- Identify adaptive and maladaptive dissociation through lived experience
- Differentiate dissociation from emotional regulation challenges
- Map a client’s dissociative profile using the Window of Tolerance framework
- Conceptualize dissociation as a protective survival response
- Identify parts, selves, or dissociative states without pathologizing or forcing integration
- Honor the client's language and meaning-making as a form of clinical inquiry
- Modify grounding and stabilization strategies to reduce dissociative drift
- Reduce clinician fear, bias, and misinformation related to dissociation
- Apply dissociation-sensitive approaches to containment, resourcing, and competency‑based risk reduction
What You Get
What's Waiting for You Inside This Training
Attachment-informed case conceptualization
Target selection without discrete memories
Assessment for emotional neglect
Protocol adaptations for low affect
Cognitive interweaves for core shame
Attachment-attuned resourcing
Lifetime on-demand access
Free community membership
Is This For You?
Who Is This Training For
- A 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
- 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
This course is not designed as an introductory training for brand‑new therapists or those without a trauma foundation. It is for clinicians who already have solid trauma and want to integrate dissociation into what they are already doing, not replace their entire approach.
Meet Your Trainer
About Your Trainer
Jamie Marich
Ph.D., LPCC-S, REAT
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.
- Earn 4 ASWB and NBCC CEs.
Free Resource
Not Ready Yet? Take This With You.
Additional Information
Course Details
Agenda
- Dissociation fundamentals and core definitions
- Neuroscience and polyvagal perspectives on dissociation
- Mapping dissociation through language, metaphor, and meaning
- Media portrayals, myths, and clinical bias in dissociation
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
This is not an EMDR training.
- None! While this course was designed with therapists in mind, many professionals can benefit including but not limited to:
- Mental Health Professionals
- Teachers and Educators
- Healers
- Yoga Teachers
- Healthcare Professionals
- First Responders
- Lawyers and Law Professionals
Continuing Education
4 CEs are available upon completion of all course material.
Trauma Therapist Institute is an approved continuing education provider. ACE and NBCC 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 4 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. Kase & CO is solely responsible for all aspects of the programs.
Course Completion
Cancellation Policy
Take The Next Step
Ready to Begin?
From Hesitation to Informed, Thoughtful Action
Dissociation shows up in complex trauma work constantly, and most clinicians were never given enough training to meet it well. This course gives you the assessment skills, the Window of Tolerance mapping, and the stigma-free language to work with dissociative clients ethically, thoughtfully, and within your scope.
Lifetime access. ASWB and NBCC CEs. Real clinical tools for the presentations your training did not prepare you for.