TRAUMA REGULATION AND INTEGRATION PROCESS
(T.R.I.P)


Online Training & Supervision for Professionals

heart centered therapist with monique hoving-smeets

 Listen to this podcast episode of The Heart Centered Therapist hosted by Sindee Gozansky on the TRIP approach Trauma Regulation and Integration Process 


What is Trauma Regulation Integration process? (T.R.I.P)

The T.R.I.P approach involves working with trauma and its impact on the person as a whole. This approach recognizes that frequently memories are implicit and stored at a body level. The assumption of T.R.I.P is that the body, brain, emotions, beliefs, sensations and relationships are needing both regulation and integration (internal connectedness) for the person to feel alive, and are able to live in the present.

 Origins of T.R.I.P 
 

The T.R.I.P model has been inspired and influenced by the ideas, theories, concepts and practices from the following therapies:  

1. OEI - One Eye Integration/Observed & Experiential Integration
2. Parts Therapy - Structural dissociation & Internal Family Systems
3. Somatic therapies
4. EFT - Emotionally Focused Therapy
5. Developmental Attachment theory - Dr, G. Neufeld (Neufeld institute)

 As a result, three core processes were shaped that make up TRIP that serve as a placeholder for regulating and integrating trauma: The Projection process, the Permission process and the Compassion process.

What does the T.R.I.P process look like?

Trauma research shows us that memories are not only kept in our brain, they continue to reside in our body and often present themselves in the form of physical and psychological complaints combined. In addition we know that the brain “splits” into parts upon engaging in dissociation (at different levels) in order to survive. This becomes very obvious when we engage in the eye-brain technique called “Switching”. This original OEI technique has been adjusted, and separated into three separate techniques in the T.R.I.P process for enhanced regulation and integration purposes.

T.R.I.P delineates 1) Regular Switching, 2) Quick Flash, 3) Slow Switch, each of these techniques have been designed and intentionally connected to several therapeutic elements that allow for the three processes to take place.

Trip Process

With one eye open only, it becomes obvious that our brain and body respond differently as they are wired to different experiences of the past or the here and now. This switching technique helps demonstrate fairly quickly that our brain, eyes and body hold very different (at times conflicting) views, feelings, cognitions, perceptions as well as physical responses. This can be startling and mind-blowing for the person at first as many of these opposite experiences remained hidden in the unconscious.

 Once the experiences become obvious, the person is often able to make more sense of their current responses to life. This already starts to bring relief and can be made sense of. These different experiences are attributed to understanding that our brain splits into Parts in the way we function. In T.R.I.P we acknowledge Wounded Parts, Coping/Protecting parts and Reactive parts. It is essential to view our functioning in light of attachment development theory. During the T.R.I.P process we reunite the different “shrapnel pieces” of trauma that are located in both the body and the mind by way of engaging in three very uniquely designed processes. This integrative approached developed by Monique helps people to feel more connected internally, provide a sense of wholeness and maturity, and an ability to be in the present.

Trauma regulation

T.R.I.P’s theory regarding Parts:

For many people with trauma the brain has compartmentalized in different Parts of the Self. All parts are authentic, whether hurting, coping or going about their daily life. The image of a broken mirror comes to mind, several pieces are broken, our view of ourselves may be distorted, but all parts are a reflection of the authentic self. In T.R.I.P we experience that when a Wounded part and a Coping part (or Reactive) turn towards each other in kindness, understanding and can make sense that they were in this trauma together, a renewed sense of internal connectedness and maturity shows up. Clients will often report they feel older upon completing the process.

T.R.I.P facilitates three significant processes:

1) Projection process - this helps to bring awareness how each eye, brain and body response is different. It demonstrates how the past continues to impact the present at all levels of functioning. As the process continues to heal the trauma, the projection from the past onto the present reduces and people start to experience and discern the outside world more accurately.

This process helps the person to understand boundaries, safety and recognize dissociation and how this relates to the nervous system.

2) Permission process - Trauma often includes experiences that didn’t consider our yes or our no. We may not have had a voice at all, no say in the matter. Because of how the brain changes due to trauma, parts of us may have learned how to speak up in the present life, but parts of us are still stuck in the trauma in the way it happened then. This often becomes evident when we engage in the eye-brain methods used as part of TR.I.P. We ensure that all parts of us not only understand consent, we let all parts know that we don’t dive into the trauma work unless it is very clear what all parts need in order to the work. The permission process is used each time focusing on trauma work is considered.

3) Compassion process: As a result of trauma people develop certain survival and coping mechanisms that help them to “keep going” and “not look back”. This is essential at the time we need to survive.

Unfortunately, even when the immediate threat and danger have subsided this part of us continues to “keep going” and is unable to pay attention to our emotional and psychological needs. This often shows up in the Compassion process where one eye holds a Part that doesn’t have compassion for the other side (the parts presenting in the other eye).

The compassion process helps the different parts of us to reconnect and engage in self-compassion over harsh criticism or ignoring our own needs. The process helps to identify what is happening somatically and reduces the pain and sensations as a result of working through the traumas of the past. The brain and the body will then learn that this is something that happened in the past and is not occurring in the here and now.

These processes are facilitated using eye-brain techniques, emotional validation and regulation, somatic therapy, psycho-education (sense making) about attachment and trauma, and recognizing our brain exists of different parts of ourselves upon having experienced trauma.

The T.R.I.P process consistently integrates somatic strategies to process and release trauma. When chronic physical symptoms are part of the trauma presentation, we recognize that this is often directly related to a Part who uses the body to communicate a trauma based emotion, attachment needs and these Parts are often disconnected from other parts of us.

In T.R.IP we integrated eye movements therapy originating from OEI, yet we adjusted and added different applications for these eye movements (glitch repair) to enhance regulation and integration whilst using eye movements. The two categorizes of eye movements are “Trauma Trails” and “Calm Trails”. This combination allows clients to process trauma with a reduced intensity and increased opportunities for integration.

Online Training Supervision for Professionals

These processes are facilitated using eye-brain techniques, emotional validation and regulation, somatic therapy, psycho-education (sense making) about attachment and trauma, and recognizing our brain exists of different parts of ourselves upon having experienced trauma.

The T.R.I.P process consistently integrates somatic strategies to process and release trauma. When chronic physical symptoms are part of the trauma presentation, we recognize that this is often directly related to a Part who uses the body to communicate a trauma based emotion, attachment needs and these Parts are often disconnected from other parts of us.

In T.R.IP we integrated eye movements therapy originating from OEI, yet we adjusted and added different applications for these eye movements (glitch repair) to enhance regulation and integration whilst using eye movements. The two categorizes of eye movements are “Trauma Trails” and “Calm Trails”. This combination allows clients to process trauma with a reduced intensity and increased opportunities for integration.

“Monique is a very skilled teacher. The T.R.I.P model synergizes concepts from other therapy models in a practical way to help practitioners guide clients to navigate regulation and co-regulation of trauma symptoms. I have taken a number of other trainings in this area and I found Monique's training to provide the most practical resources to support my work with clients.”

- Joel P

T.R.I.P FOUNDATIONAL COURSE

Best suited for clinicians with a minimum 2-3 years of client experience

  • Help the client recognize and acknowledge different types of trauma
  • Learn to navigate the three processes: Project, Permission and Compassion
  • Learn how to recognize and release dorsal vagal responses from the nervous system
  • Acquire skills that help you apply somatic strategies, in combination with eye therapy techniques
  • Learn how to identify and work with Dissociation at three different levels: “cognitive dissociation”, “dissociation in eyes” and “physical symptoms”
  • Gain an overview of how eye movements need to be applied to very specific to eye locations
  • Education Platform: Online, Self Paced

T.R.I.P ADVANCED MODULES

Best suited for clinicians with a minimum 2-3 years of client experience who have completed T.R.I.P Foundational Course

  • Somatic presentations, Parts & Eye Movements (this training will be launched first - keep your eyes peeled to the announcements) 
  • Working with Couples 
  • Driving related anxiety & Phobias
  •  Nervous system regulation exercise
  • Education Platform: In Person or Online

FREQUENTLY ASKED QUESTIONS

For those of you who are interested in the upcoming Core Foundational Training in Febuary please note that the three day live participation is a requirement for this training due to the complexity of the model and the experiential practice rounds that build on skills taught. There are no recordings of these three days and all three days must be attended.

Prior to the course itself you will be required to read the first four chapters of the online training resourses. This will take approximately 6-8 hours to complete. We strongly recommend completing payment and registration 2-3 weeks prior to the live training in order to allow time for the pre course reading.

Please note that this training includes the interactive practicing of this model in dyads/triads that involve you taking on the role of client, therapist, and observer. This will allow you to fully understand the model from all aspects.

The online platform has preparation documents that explain what these practice rounds involve and how to best be ready for them.

Once you have completed the online modules and the live training, you will receive a certificate of completion allowing you to practice with your clients after taking the Core Foundational Training. It is strongly encouraged for therapists to attend either individual or group supervision to receive consultation about best practices with this model.

Online Training:

Early Bird: USD $695.00
Regular Rate: USD $725.00

Live In Person Trainings

Cost depending on location, venue and participants.

The course cost is set in the main currency of USD. Please note that due to the often volatile exchange rate fluctuations between the US and Canada, the price between US and Canada markets may differ to keep the cost relevant and appropriate to the location of the training. 

We are not able to offer payment plans at this time.
Payment is due in full at the time of course registration

Due to the high costs associated with PayPal it is encouraged to use wise.com to transfer funds. This does take 10 min to set up and requires ID and can be easier to call for support when setting it up initially. If you do prefer to use PayPal please note there is an additional charge of $15,- USD.

Wise.com transfer: monique_hoving@hotmail.com
Paypal :($15 service fee) Monique Hoving-Smeets/RelationshipWorx

Please use Interac E-Transfer to forward payment. If you desire to pay by credit card, please contact us directly.
There is an additional charge of $15.00 for credit card use.

Etransfer Information
Monique Hoving-Smeets
monique_hoving@hotmail.com

SUPERVISION

For individual or group supervision for trauma based therapy please complete the contact form or email me directly or book appointment online.

 Individual Supervision 60 Minute | $140,- ($147 inclusive of GST)
 Individual Supervision 90 Minute | $210 ($220.50 inclusive of GST)
Monthly 2 hour Group Supervision - CAD $125,- / USD $95,-