Trauma Integration Protocol (TIP) Therapy in Vermont

TIP

Some people carry trauma that talk therapy alone never quite reaches. You can understand exactly what happened to you, explain it clearly, even help other people through similar things — and still find your body reacting like the danger is happening right now. A raised voice, a certain smell, being touched a specific way, and suddenly you're bracing, freezing, or leaving your body entirely, with no conscious decision involved at all.

That's not a failure of insight. It's a sign that the trauma is stored somewhere insight can't reach on its own — in the nervous system itself, in defensive responses that started and never finished. You may have thought, at some point, that you should be over this by now. And underneath that thought is often a harder one: that if your body still reacts this way, some part of you must still be broken, no matter how much progress you've made everywhere else.

A note from Patrick
I trained directly in the Trauma Integration Protocol because I kept meeting clients exactly like this — people who had already done real work, who understood their history, and were still stuck in a body that hadn't gotten the message. TIP gave me a way to work with that gap directly, rather than talking around it.

What Trauma Integration Protocol Actually Addresses

TIP was developed by Eric Wolterstorff, building directly on Peter Levine's pioneering research into how the nervous system processes threat. The core idea is that traumatic experiences often interrupt the body's natural defensive responses — a fight, flight, or freeze response that started but never got to complete. That incomplete response doesn't just disappear; it stays stored in the nervous system, ready to activate again whenever something resembles the original threat, even decades later.

Rather than only discussing the traumatic memory, TIP works directly with the nervous system's map of the experience. Using a technique called containment, I guide you to hold still while your body's own involuntary responses are given the space and safety to finally complete. This isn't about reliving the trauma — it's about letting your body finish something it was never able to finish at the time.

Who This Work Is For

This approach tends to fit people who've already done meaningful therapeutic work — who understand their trauma intellectually, may have already processed the story of what happened, and are ready to address the part of it that talk alone hasn't touched. If you're tired of managing symptoms your body still produces on its own, and you're ready to work with your nervous system directly rather than around it, this may be the missing piece.

Investment in Your Care

TIP sessions are billed at my cash-pay rate of $250/hour, generally in 90-minute blocks ($375/session), since somatic work of this kind benefits from unhurried time to let the body's process unfold without being cut short. I also accept private insurance and Vermont Medicaid for this service. If you're unsure what makes sense for your situation, we can talk it through on your free consult call.

Can TIP Be Combined with IFS or Ketamine-Assisted Psychotherapy?

Yes. TIP's nervous-system-based approach pairs naturally with Internal Family Systems work, giving both the emotional/parts-based dimension and the physiological dimension of trauma a place to be addressed. For clients already working with ketamine-assisted psychotherapy, TIP can also support integration by helping the body complete responses that surface during that process.

Somatic Trauma Therapy Across Vermont

You don't need to live near a major city to access this kind of specialized, body-based trauma work. I provide Trauma Integration Protocol sessions via secure telehealth to adults anywhere in Vermont, in addition to in-person sessions in Montpelier.

FAQs

What is Trauma Integration Protocol (TIP)?
TIP is a somatic trauma therapy developed by Eric Wolterstorff, building on Peter Levine's research into how the nervous system processes and stores traumatic threat responses.

How is TIP different from talk therapy?
TIP works directly with the nervous system's stored defensive responses rather than relying only on discussing or understanding the trauma intellectually.

What does "containment" mean in TIP?
Containment is a technique where you're guided to hold still while your body's own involuntary defensive responses are given space to complete, rather than staying stuck mid-response.

Will I have to relive my trauma during a TIP session?
No. TIP isn't about retelling or reliving the traumatic story — it works with the body's incomplete physical responses directly, without requiring a detailed narrative account.

Why does my body still react to things even though I understand my trauma intellectually?
This is common with unresolved trauma — the nervous system can store an incomplete defensive response (fight, flight, or freeze) that continues to activate on its own, separate from conscious understanding.

Is TIP evidence-based?
TIP builds on Peter Levine's research into trauma and the autonomic nervous system, a body of work with an established clinical foundation, though TIP itself is a newer, specialized protocol within that tradition.

How long does TIP treatment take?
This varies by person and history; TIP is generally used within an ongoing therapeutic relationship rather than as a single, standalone treatment.

Is TIP available via telehealth in Vermont?
Yes. TIP sessions are available via secure telehealth to adults anywhere in Vermont, as well as in-person in Montpelier.

Can TIP be combined with Internal Family Systems (IFS) therapy?
Yes. TIP's nervous-system-focused approach pairs well with IFS, addressing both the physiological and emotional/parts-based dimensions of trauma.

Can TIP be combined with ketamine-assisted psychotherapy (KAP)?
Yes. TIP can support integration work by helping the body complete nervous-system responses that surface during or after KAP sessions.

Who is TIP best suited for?
TIP tends to fit people who've already done meaningful therapeutic work and understand their trauma intellectually, but whose body continues to react in ways insight alone hasn't resolved.

Is TIP safe for someone who has never done body-based therapy before?
Yes, though people entirely new to somatic work may benefit from an initial conversation about what to expect, which is something we can cover during your free consultation.

What kinds of trauma does TIP address?
TIP addresses trauma stored in the nervous system generally, including single-incident trauma, developmental trauma, and trauma that has left the body in a persistent state of activation or shutdown.