Become an ITR Trained Trauma Specialist or Coach (102), or an ITR Certified® Trauma Practitioner, Therapist, or Coach (103) or a Traumatologist (104)

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 Trained 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 Concept
  • True Self/Parts Mapping
  • What is a Timeline 
  • Introduction to Graphic Narrative 
  • Introduction to Externalized Dialogue
  • Introduction to ITR Coaching

Level 2. ITR Trained Trauma Specialist (ITR-TTS)

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
  • Review Grounding and Safe Place
  • Learn how to create a full Timeline and code it
  • Learn the difference and practice doing Simple, Extended, and Chapter Story Graphic Narratives
  • How to conduct Graphic Narrative
  • How to conduct a simple Unidentifed/Guided 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 step results in your becoming a Level 2 ITR Trained™ Trauma Specialist (ITR-TTS).   See the Consultation Call page.

To hold this "ITR-Trained" certification a learner has 1 year to go on to be certified and complete the ATC 103 course and 103 consultation calls. This is where they learn how to do complex and compound traumas and become an ITR Certified® Trauma Therapist or Practitioner (if not licensed).  A person can then go on the ITR Directory. ITR does not regulate the use of these skills and every ITR learner is responsible for knowing and following their own state's laws.

See more on ITR Consultations


Level 2. ITR Trained Trauma Coach (ITR-TTC)

 ITR Follow-Up Coaching and Tools 102 (TBA):

Prerequisite: ATC 102 and graduation of consultation call and recognized as an ITR Trained Trauma Specialist (ITR-TTS). 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.


Level 3. ITR Certified® Trauma Therapist (ITR-CTT) or Practitioner (ITR-CTP)

 To become a Level 3 ITR Certified Trauma Therapist ITR-CTT (licensed) or Practitioner ITR-CTP,  a person must complete the ATC 103 and attend the ten 1-hour peer group 103+ Advanced Consultation Calls and pass the exit call to prove competency in advanced ITR skills. These courses are designed to take someone beyond the basics to handle complex and compound  PTSD. The learner must demonstrate that they understand these concepts during the advanced Consultation Calls and the exit call. 

We recommend level 103 students do their own trauma resolution work to be better prepared for their clients. This can be accomplished by working with another trainee (check out the ITR Community). 

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

The ITR certifications are valid for 2 years. 9 CEs from ITR Training Institute and a private ITR Reboot Call are required every 2 years. Being a part of the ITR Professional Association will keep your name/practice in the directory. Requirements may be updated in the future.

Accelerated Traumatology Course 103 Live 2-Day

This course is the third in the Accelerated Traumatology Course 3-Part Series.

In this course, you will learn how to handle complex and compound PTSD using the Extended Story and Chapter Story. You will also learn variations of Externalized Dialogue to use in any case that you are presented with. 


103Advanced Consultation Calls:

10 group calls with 4 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 3 Recertification:

Refresher 1-Day Course LIVE:

This is an experiential course to update those that were certified within the last 2 years. This course will familiarize a person with the ITR updates to ensure fidelity to the model. This is an important course for those to be sure and pass the private Reboot Call and hold the title of ITR-Trained™ Trauma Specialist, ITR-Certified® TraumaTherapist, or Practitioner. 

 Reboot Call  2-hour Zoom:

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-TTS, ITR-TTC, TR-CTT, ITR-CTP, or ITR-CT credentials.

103 Electives:

Group 103:

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

Couples 103  (TBA):

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  (TBA):

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.

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:

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.

Level 4. ITR Certified Traumatologist (ITR-CT) 

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 with the required time. This certification is good for 2 years and requires 6 CEs every 2 years.  Call us for more information about becoming an ITR Trainer.


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