Working Outside the BSP Window of Tolerance



Working outside the Brainspotting Window of Tolerance  

Integrating Ego State Therapy and Other Modalities to treat Complex Trauma

Dates   Sept 28 & 29, 2023
Time: 9am-6pm
Via Zoom.US 

This course is intended to unpack the concept of “window of tolerance” as it relates to clinical work with clients with significant trauma and offer tools for identifying what is inside and outside the window of tolerance and assist the attendees in developing skills that will enable them to taylor their approaches and interventions to the needs of their clients so as to optimize outcomes and facilitate healing.  The material will be presented with both lecture, case examples and experiential exercises.

The class will be 16 hrs. Should attendees wish to deepen their skills, a 3, optional day will be offered for a total of 24 hrs.


1st Day Am 9-9:45

Review of training Goals and exploration of:

1.       The essence of Brainspotting

2.       The concept of ‘window of tolerance’ and the continuum of Experience - Lecture, Case examples, Discussion, Q&A


Accessing your Client; Determining if they are inside our side the BSP window of tolerance  Lecture, Case Examples, Discussion, Q&A


Chunking down on Segal’s approach to “window of tolerance” what happens when.. - Discussion, Case Examples, Q&A




Adjusting the Frame; When do we do this, why do we do this, how do we do this - Discussion, case examples, Q&A


Techniques to Promote Safety Lecture, Mini practicums or demos, Q&A




Techniques for working with Hyperarousal


Techniques for working with Hypoarousal



3- 4:30 Break around 3

Practice; BSP on their reaction to working with people outside the window of tolerance or on the edge; this can either be a case they have on one that has been discussed in the training or.. How do we decide when we should adjust the frame and modify the window. If attendees don’t have a person in their case load they can role play, they will be  given case vignette and asked to role play that person.


What do we notice in ourselves – related to these practice sessions  Small Group Discussion followed by general group discussion

Day 2 9-10

Review of Day 1 Core concepts

-How do we know when someone is inside or outside the BSP window, what are the emotional, physiological, and behavioral signs, What are the stages of treatment when working with someone with complex trauma or severe attachment trauma.


-Unpacking Ego State Theory and Practice

Lecture, Case Examples, Q&A


Elements of Practice; Stablizing the system and establishing connection and rapport. YOU ARE NOT ALONE. Here we will touch on the polyvagl system, how to assess the degrees of dissociation and determine if Being ok isn’t ok

Lecture, Case examples, Role Play, Mini Demo or experiential, Q&A




Tools for your tool box Lecture, Case examples, Role Play, Mini Demo or experiential, Q&A




Continuing to put tools in your tool box


Review of the Ego State Continuum and laying the ground work for Trauma Processing

Lecture, Case examples, Role Play, Mini Demo or experiential, Q&A


Practicum; working with Ego States and BSP


Debrief, Q&A and wrap up

 Course Objectives:

- Attendees will be able to articulate what is meant by “window of tolerance”, and how they can distinguish between a client being inside and outside that window.

- Attendees will demonstrate and understanding of their own window of tolerance related to a client’s affect and list 2 tools they can use to manage their own reactivity

- Attendees will articulate the core elements of Brainspotting and how they can be modified to support their clients and help them stay in the window of tolerance.

- Attendees will be able to explain the SARI model

- Attendees will be able to list 3 tools associated with either Ego State Therapy, SE, AEDP, Brainspotting, or Somatic Experiencing that will enhance Safety

Attention will be given to the utilization and integration of these tools into attendees ongoing work with clients.

We hope that you will join us and learn more about how work with individual of all ages who are struggling with attachment trauma and/or complex trauma as well as those individuals whose Ego States may be finding it difficult to change.

For more information on Brainspotting: For More information on Ego State Therapy: http://www.egostateinternation... 

To Register for the course please use this link:

The registration process is not complete until you pay for the training by sending in payment, as noted below: 

Once we receive notification of your registration and payment we will send you a confirmation letter with more details.    

Early Bird Registration: $ 495 USD - Register 3 months before the course  

Standard Registration:  $ 530 USD - Register before up to 1 month before the course 

 Later Registration:         $ 565 USD - Registration 1 month or less before the course

Student Registration: $ 295 

Interns working toward licensure, $435 up to one month before the class and $475 afterwards

Cancellation policy: Refund of Fee minus $100 if canceled prior to one month before the training. We ask that should you need to cancel after that time that you either reschedule the training with this trainer at a later date or find someone to fill your spot.

To pay, you may use Zelle and send the money to [email protected] or to phone number 201-747-6789. If you prefer to pay by check, please reach out to me for the address and if you wish to pay using a credit card, you may do so using Paypal but there will be an additional 4% service fee added to the cost or I can send you a square invoice.  

NOTE: Attendees must either be a student in an accredited program in counseling, psychotherapy, psychology, coaching, ministry or medicine or have graduated from an accredited program.

Additional Information: CEs are pending via NASW NJ and NASW National (for 46 states) for a maximum of (16) CE Hours. 

Satisfactory Completion: Participants must have paid tuition fee, signed in, attended the entire seminar, completed an evaluation, and signed out in order to receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available.

Certificates documenting the CEs will be sent to you automatically following your successful completion of the training.


Susan Pinco, PhD Trainer


Susan Pinco, PhD, LCSW is in private practice in NYC and New Jersey, and teaches internationally, offering courses in powerful, somatically-informed, experiential modalities that promote healing by bridging the gap between mind and body. Susan is a certified Brainspotting (BSP) consultant and trainer, and a member of David Grand's NY supervision group since 2001. She is also an ASCH certified Hypnotherapist/Consultant and an EMDR certified consultant. Susan is currently working on a book that encourages therapists to utilize silence to facilitate integration and healing.  She can be contacted at [email protected], via or 201 747-6789

For Grievances or Questions Call Susan Pinco at 201 747-6789 or email her at [email protected]


Efficacy of Single-Session Abreactive Ego State Therapy for Combat Stress Injury, PTSD, and AS; International Journal of Clinical and Experimental Hypnosis, Volume 61, 2013 - Issue 1 Arreed Barabasz, Marianne Barabasz, Ciara Christensen, Brian French und John G. Watkins

Evidence Based Abreactive Ego State Therapy for PTSD Arreed Barabasz, American Journal of Clinical Hypnosis, Volume 56, 2013 - Issue 1: Ego State Therapy and Hypnosis

Efficacy of Abreactive Ego State Therapy for PTSD: Trauma Resolution, Depression, and Anxiety International Journal of Clinical and Experimental Hypnosis Volume 61, 2013 - Issue 1 Ciara Christensen, Arreed Barabasz und Marianne Barabasz

Mediterranean Journal of Clinical Psychology MJCP ISSN: 2282-1619 VOL 5 N.1 (2017) Brainspotting – the efficacy of a new therapy approach for the treatment of Posttraumatic Stress Disorder in comparison to Eye Movement Desensitization and Reprocessing Anja Hildebrand1 , David Grand2 , Mark Stemmler

Global Journal of Health Science; Vol. 9, No. 7; 2017 ISSN 1916-9736 E-ISSN 1916-9744 Published by Canadian Center of Science and Education 103 Brainspotting Therapy: About a Bataclan Victim Joanic Masson1 , Amal Bernoussi1 & Charlemagne Simplice Moukouta1 1 Center of psychology (EA 7273), University of Picardy Jules Verne, 80025 Amiens, France

Psychotherapeutic Techniques for Distressing Memories: A Comparative Study between EMDR, Brainspotting, and Body Scan Meditation Academic Editors: Sylke Andreas, Tobias Nolte and Thomas Probst. Int. J. Environ. Res. Public Health 202219(3), 1142; Received: 22 December 2021 / Revised: 13 January 2022 / Accepted: 18 January 2022 / Published: 20 January 2022

Somatic Resources: Sensorimotor Psychotherapy Approach to Stabilizing Arousal in Child and Family Treatment Rochelle Sharpe Lohrasbe,Pat Ogden First published: 15 December 2017

For More information, email [email protected] or call 201 747-6789