Janina Fisher Ph.D.

Janina Fisher Ph.D. Janina Fisher is an international expert on the treatment of trauma and dissociation, a trainer for It has been a privilege to learn with them and from them.
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I have had the good fortune to have been taught by or worked alongside the giants in the field of psychological trauma: first, Judith Herman, then Bessel van der Kolk, and, most recently, Pat Ogden. And as much as these pioneers taught me, the most powerful and gifted teachers I have are my patients. These survivors have given me a window into the inner experience of the legacy of trauma, taught me what always to say and what never to say, helped to validate or disprove what the experts and theorists were claiming. We now understand that trauma’s imprint is both psychological and somatic: long after the events are over, the body continues to respond as if danger were everpresent. My professional mission has been to bring this understanding of trauma to both clients and their therapists as a psychotherapist, consultant, and trainer of clinicians looking for answers to helping their traumatized clients. I believe the key to healing is not just knowing what happened but transforming how the mind, body, and soul still remember it. Janina Fisher, PhD is a licensed Clinical Psychologist and Instructor at the Trauma Center, an outpatient clinic and research center founded by Bessel van der Kolk. Known for her expertise as both a therapist and consultant, she is also past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, a faculty member of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher has been an invited speaker at the Cape Cod Institute, Harvard Medical School Conference Series, the EMDR International Association Annual Conference, University of Wisconsin, University of Westminster in London, the Psychotraumatology Institute of Europe, and the Esalen Institute. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of research and treatment and how to introduce these newer trauma treatment paradigms in traditional therapeutic approaches.

The average therapist sees the animal defences every day in the office. For example, clients who have chronic submission...
02/25/2026

The average therapist sees the animal defences every day in the office. For example, clients who have chronic submission responses tend to present as chronically depressed, hopeless and helpless, ashamed, and feeling less than others, and because we call it depression, we don’t treat it as a trauma symptom. People who chronically have the freeze, deer-in-the-headlights response get an anxiety disorder diagnosis. They’ll report, “I’ve been having panic attacks, I can’t leave the house, I can’t drive the car more than a few blocks.” Those who have chronic fight responses can’t stop fighting, can’t stop being angry, and engage in aggressive behavior including aggression toward their own bodies. Some people with chronic fight responses tend to be violent toward others, some toward themselves, and an even smaller percentage have both. They have aggressive responses toward others and they harm themselves.

We have come to understand – and this is the essence of the body keeping the score – that when something bad happens to us, not just our minds, but our bodies become sensitive to related cues. This is why when people have a car accident, they avoid the place where the accident occurred for months or years afterwards. Or sexual abuse survivors who can’t tolerate being in the company of men of a certain age. The body gets sensitized to anything that vaguely resembles the original event.

If we assume that self-harm induces pain, then we will interpret it as masochism or self-punishment or a cry for help. A...
02/23/2026

If we assume that self-harm induces pain, then we will interpret it as masochism or self-punishment or a cry for help. And if we do 2 that, we will miss the core issue in self-harm of mastery- and relief-seeking. Because to interpret it as self-punishment usually leads the patient right into her feelings of shame and worthlessness, and she responds by thinking or saying, "But I am bad—I do deserve to be punished—and since I'll never feel anything but hate for myself, I'll never stop my self-harm." Or, "Since I will never be able to help myself, my only hope is to keep crying for help."

02/23/2026

Listening to the Body: Curiosity, Connection, and the Language Beyond Words

What does it mean to truly listen to the body?

Licia Sky joins me to reflect on sensation, breath, movement, and why therapists must cultivate their own embodied relationship first.

🎧 Listen now – https://janinafisher.com/resources/janinas-podcast/

Your shame-prone clients are stuck in a vicious cycle...Around and around they go. Beliefs about themselves trigger the ...
02/18/2026

Your shame-prone clients are stuck in a vicious cycle...Around and around they go. Beliefs about themselves trigger the physical response, which reinforces the cognitive schema, which then evokes the physical response...and so on.

So how do we help our clients escape this cycle?

Here are three tips to help!

Bring this parts language into session with my new workbook Embracing Our Fragmented Selves.Order now – https://tinyurl....
02/16/2026

Bring this parts language into session with my new workbook Embracing Our Fragmented Selves.

Order now – https://tinyurl.com/4t2mfw5u

Grounded in structural dissociation theory, parts work, and sensorimotor psychotherapy, this workbook teaches trauma sur...
02/12/2026

Grounded in structural dissociation theory, parts work, and sensorimotor psychotherapy, this workbook teaches trauma survivors to:

➡ Understand their symptoms as expressions of different parts
➡ Notice, unblend from, and befriend traumatized parts
➡ Recognize self-destructive behaviors as the behavior of protector parts
➡ Offer reparative experiences to wounded young parts

This book serves as a reminder that every part of us, no matter how wounded or extreme, is deserving of care. Healing begins when we meet those parts with support, appreciation, and acceptance.

Order now – https://shorturl.at/qoiYx

It’s a widely accepted truism that we have to accept ourselves in order to accept others, to love ourselves in order to ...
02/10/2026

It’s a widely accepted truism that we have to accept ourselves in order to accept others, to love ourselves in order to love others. That often feels like an undertaking beyond the capacity of my traumatized clients or even repulsive to them.

As my client Dan said once, “Do I have to love myself to get better? Because if I do, I think it’s hopeless.” I reassured him: “Do you love animals?” I asked. “Of course.” “Do you hate children or do you feel for them?” “Of course, I feel for children - what kind of monster would I be if I hated kids?” “OK, then there is no obstacle to your becoming the person you were meant to be.

All you have to do is to be open to the young wounded children inside you instead of hating them or ignoring them. Are you up for it?” “Yes,” and then there was a pause: “but I don’t have to love myself, do I?” “No, just the kids inside you.”

02/09/2026

What changes when therapists truly understand the nervous system?

Deb Dana and I reflect on polyvagal wisdom, therapist presence, and the quiet power of ventral vagal connection.

🎧 Listen now – https://janinafisher.com/resources/janinas-podcast/

Traumatic attachment and co-regulation: the neurobiology of relationship                                                ...
02/06/2026

Traumatic attachment and co-regulation: the neurobiology of relationship

The ‘healing’ in TIST comes through the development of a healing relationship between the parts and client.  That unders...
02/05/2026

The ‘healing’ in TIST comes through the development of a healing relationship between the parts and client. That understanding and welcome of each part creates a new ending to past experiences of exploitation and abandonment.

These ideas emerged from a simple question posed by a supervisee in 2015: she asked, “What does it mean to heal? We talk about trauma healing, but what does that really mean?” That led me to thinking long and hard, “What does ‘healing’ mean?”

I knew it wasn’t the processing of event memories. Clients reported feeling relief and exhaustion or a sense of having made it, but they didn’t feel healed. Going on with their lives despite the trauma yielded rewards of all kinds but not a sense of being healed. After weeks of pondering, the answer came to me:

“Healing is the moment when we accept ourselves no matter what we’ve been through. . . It’s the moment we forgive ourselves, feel compassion for that young child, and even love ourselves. That is healing.”

The very thought inspired me: I felt drawn to create a treatment approach that could lead to that kind of healing, an approach that became TIST.

Learn more about TIST: https://janinafisher.com/tist/

Psychoeducation for Trauma
02/02/2026

Psychoeducation for Trauma

Fear doesn’t start in our thoughts – it starts in the body.A racing heart, tight muscles, shallow breath.When we learn t...
01/28/2026

Fear doesn’t start in our thoughts – it starts in the body.

A racing heart, tight muscles, shallow breath.

When we learn to notice the sensations instead of fighting them, we create space to feel safer.

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Oakland, CA
94618

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My Story

I have had the good fortune to have been taught by or worked alongside the giants in the field of psychological trauma: first, Judith Herman, then Bessel van der Kolk, and, most recently, Pat Ogden. And as much as these pioneers taught me, the most powerful and gifted teachers I have are my patients. These survivors have given me a window into the inner experience of the legacy of trauma, taught me what always to say and what never to say, helped to validate or disprove what the experts and theorists were claiming. It has been a privilege to learn with them and from them. We now understand that trauma’s imprint is both psychological and somatic: long after the events are over, the body continues to respond as if danger were everpresent. My professional mission has been to bring this understanding of trauma to both clients and their therapists as a psychotherapist, consultant, and trainer of clinicians looking for answers to helping their traumatized clients. I believe the key to healing is not just knowing what happened but transforming how the mind, body, and soul still remember it. Janina Fisher, PhD is a licensed Clinical Psychologist and Instructor at the Trauma Center, an outpatient clinic and research center founded by Bessel van der Kolk. Known for her expertise as both a therapist and consultant, she is also past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, a faculty member of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher has been an invited speaker at the Cape Cod Institute, Harvard Medical School Conference Series, the EMDR International Association Annual Conference, University of Wisconsin, University of Westminster in London, the Psychotraumatology Institute of Europe, and the Esalen Institute. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of research and treatment and how to introduce these newer trauma treatment paradigms in traditional therapeutic approaches.