Become an ITR Certified® Specialist,  Therapist or Practitioner

Learn how to identify and resolve the root cause of traumatic stress symptoms. The ITR courses are available to anyone who wants to learn to “Resolve the trauma first and see what's left."

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SAVE $200 Level 2 ITR Certified Trauma Specialist Bundle

ITR® Coursework  Approved

Many courses are approved by both the National Board of Certified Counselors (NBCC) and the National Association of Social Workers (NASW). Each course will be specific if it is approved for CEs or not.

The evidence-supported ITR takes a different approach to resolving trauma. Instead of “What’s wrong with a person?” the question becomes “What’s happened to the person?” and "Process the trauma first and see what's left."

ITR uses Graphic Narrative™ to give structure, words, and historical context to fragmented traumatic memories without the individual reliving the events - and it gives the story an END! With Externalized Dialogue™, a person resolves issues with parts of themselves that hold onto negative beliefs and behaviors caused by the traumatic event. ITR is a holistic, non-invasive, gentle but effective trauma recovery approach.

What else is different about ITR Program?

  • Time to resolution – hours vs years: Unlike many other approaches, resolving a single traumatic event can happen quickly, even in as little as a 60-120 minute session.
  • Integrates seamlessly with other therapeutic approaches: Resolve the trauma first and see what's left. After the events are resolved, the ITR Specialist makes a health and wellness reommendation to help a survivor integrate back into life, live on purpose and thrive.
  • Can be used with both children and adults: This program can be applied to people as young as 3 – or 99. Preverbal traumas to recent events are all addressed and resolved with ITR.
  • Can be used for simple, complex, and generational traumas. ITR works the same no matter what the trauma and is effective with in-utero, birth, and preverbal traumas.

ITR  Levels

Level 1. ITR Trauma-Effective

Accelerated Traumatology Course (ATC) 101/Peer Support Live 1-Day 

The ATC 101 is an introduction to trauma and Instinctual Trauma Response®.  It gives a person the skills to help an individual with trauma right away.  It is perfect for life coaches, educators, parents, medical professionals, support staff, or peer support roles. This course allows a person to become trauma-effective and parts-informed. This is a prerequisite course for all other ITR courses. 

Some of the topic areas include:

  • What is Trauma
  • The History and Development Instinctual Trauma Response.
  • Psychoeducation
  • Grounding a Yourself or Another Person
  • True-Self and Parts
  • Parts Mapping
  • Timeline and Coding
  • Externalized Dialogue
  • Introduction to Graphic Narrative 
  • Introduction to a Full ITR Session

Level 2. ITR Certified® Trauma Specialist

Accelerated Traumatology Course (ATC) 102 LIVE:

This experiential level 2 course allows the learner to achieve competency in using ITR “clean". The learners must have completed the ATC 101 Live 1-Day before this course. Each learner will have the opportunity to:

  • Learn Assessments
  • How to conduct Graphic Narrative
  • Learn the difference and practice doing Simple, Extended, and Chapter Stories 
  • Guide a person in a full ITR session including Graphic Narrative and Externalized Dialogue
  • Learn how to facilitate ITR with different populations and situations.

This course is open to anyone regardless of licensure. ITR Does not regulate the use of the skills learned in this course or any course it provides. It is up to each person to know the laws of their state.

102 Consultation Calls:

ITR Certified Instructors host a group of active Level 2  learners applying ITR in different settings and with various populations.

Successful completion of this final step results in your becoming a Level 2 ITR Certified Trauma Specialist (ITR-CTS) See the Consultation Call page.

The certification is good for 2 years. ITR does not regulate the use of these skills and every ITR practitioner is responsible for knowing and following their own state's laws.

See more on ITR Consultations


Refresher 1-Day Course LIVE:

This is an experiential course for those that were trained before 2019 and want to get more familiar with the updates with ITR. This is an important course for those who want to “refresh" themselves with the ITR tasks to pass the recertification process to hold the ITR-Certified Trauma Specialist, Therapist, or Practitioner. Take this course before your Reboot Call.


Recertification Level 2 and 3

“Reboot"  3-hour LIVE:

All ITR Certifications are good for 2 years to ensure fidelity to the model. The “Reboot" is a private 2-hour virtual session with an Instructor to demonstrate a person's ability to facilitate ITR at the given level of certification. This is to recertify for either the ITR-CTS or  ITR-CTT and ITR-CTP credentials.


Level 3. ITR Certified® Trauma Therapist or Practitioner 

 To become a Level 3 ITR Certified Trauma Therapist ITR-CTT (licensed) or Practitioner ITR-CTP (unlicensed) a person must complete 5 of the *advanced courses and the Advanced Consultation Calls to prove competency in advanced ITR skills. These courses are designed to take someone beyond the basics to the top level of skill using the ITR model. The learner must demonstrate that they understand these concepts during the advanced Consultation Calls and the exit call. 

ITR does not regulate the use of these skills and every ITR  practitioner is responsible for knowing and following their own state's laws.

The ITR certifications are valid for 2 years.

*Advanced Graphic Narrative 103 LIVE:

Extended stories and chapter stories are what most find in the field working with complex traumas. Learn how to identify and work through these more complicated traumatic events.

*Advanced Externalized Dialogue 103 LIVE:

Externalized Dialogue is something everyone should be good at for themselves and others. Learn how to facilitate different dialogues in more depth to reach the hurt parts of a person and teach them a skill for life.

*ITR Follow-Up Coaching and Tools 103 (TBA):

After doing an ITR intensive program many clients want to move into life coaching.  This is a basic life-coaching course with ITR woven through it.

*Couples 103 LIVE:

Relationships are complicated by trauma. Learn how to work with couples using ITR and offer great tools to heal and grow relationships.

*Children and Family 103 LIVE:

There are different ways to facilitate ITR with children. Learn about the techniques and tools available for children. Many traumas are family-wide. Learn the wonderful ways ITR can be administered with families for very powerful and healing results.

*Group 103 LIVE:

Providers of all kinds will find great benefit in using a variety of ITR skills in group work. Learn how to facilitate ITR in a group setting.

*Advanced Military/First Responders 103 Online (TBA)

Learn to work with those trained to respond to traumatic events. Health workers and first responders are in dire need of psycho-education and traumatic stress relief.


*Advanced Psychoeducation 103 ONLINE (TBA)

Learn the details of how the brain processes trauma and how the ITR works the way the brain works.

Intensive Observation Course 103+ LIVE:

Join an ITR Traumatoligist doing an intensive with a client. This allows the person to observe the intensive style of the ITR Program. This course is private and by appointment only.

103+ Advanced Consultation Calls:

10 group calls with 2 presentations to prove advanced ITR Skills. A learner must pass the exit call to be ITR Certified® Trauma Therapist (ITR-CTT) or Counselor (ITR-CTC)


Level 4. ITR Certified Traumatologist

A Level 4 Certified Traumatologist (ITR Certified®- Traumatologist) must be currently licensed, have at least 2 years of using ITR "clean" as a clinician with frequent consultations, have taken all the ITR available courses, and have ITR-CTT certification. They can also qualify as an ITR instructor for advanced courses after assisting the required time. Call us for more information. 


ITR helps clients address the effects of harm produced by trauma and stop the negative effects from continuing. It’s a trauma treatment approach that honors the whole person."

- Christy Pagels, LPC, ATR-BC

Instinctual Trauma Response®

Discuss opportunities with our traumatology faculty. Contact us today. 800-214-0403