IBSR  Evidenced Based Protocol

One protocol - One session - starts, activates, completes exaggerated unhealthy toxic threat, stress/traumatic experience in the body allowing the body (primitive automatic response system) to send appropriate messages to the higher functioning areas (visual perception activation) to now know and see the difference between perceived and real danger. IBSR allows for the removal of perceived or real threat and does not use induced relaxation to complete the survival response.


  • Stress/Trauma is not integrated when using arousal regulation methods(Lanius et al)

  • Research shows that EMDR, EFT, BLS, arousal regulation methods induce relaxation (focusing, using visual aides, tapping, regulated breathing, back and forth rhythmic movements, yoga, mindfulness, contrived movements) cannot be safely conducted for a client who is at odds with his or her own body, who cannot tolerate affect, and who has insufficient self-structure to tolerate the work, without considerable preparations and modifications. ”The information is not processed/top down or vertically. It’s fragmented." (Moolten, Lanius et al)

  • Visual field actions or relaxed movements cause more shut down, mobilization, derealization, depersonalization, dissociation and disconnection from safety. (Lanius & Yin et al)

  • Regulation is not integrated; PFC does not get the message, brain stem, limbic, thalamus, hippocampus etc, rely on default network connectivity, somatic heightens, more separation between vertical cortical segments, not able to send messages up.(Lanius & Yin et al)

  • Integration Based Stress Removal, IBSR works from the bottom up allowing for regulation and safety. IBSR is a linear somatic psychology protocol that offers relief and does not rely on methods that induce relaxation.

  • The human subject committee at West Liberty University has approved IBSR for ongoing research. Clinical trials are being conducted nationally. IBSR will be presented at SEPA 2017 as well as other regional and national psychology conferences. IBSR is in the preliminary stages of publication at the research level and in the application stages of NREPP/SAMSHA as an evidence based protocol.


  • The Neurobiology and Treatment of Traumatic Dissociation 2014 concludes that tools that induce relaxation will not fully remove trauma.

  • "IBSR methodology is a somatic treatment that allows for the integration of fragmented parts bottom up, top down and vertical." (Moolten & Orzolek et al)



Analysis samples




  • Perceived Stress Scale (PSS)
  • Depression, Anxiety, and Stress scale (DASS)
  • Satisfaction with Life Scale (SWLS)
  • Blood pressure and pulse rate
  • Affinity/Abel assessment
  • Penile plethysmograph (PPG)



Impact of Integration Based Stress Removal: A Preliminary Investigation




Traumatic experiences can cause a build up of unconscious stress in the body. Cognitive based therapies often neglect the inner unconscious physical consequences of trauma, while somatic based therapies focus on techniques to release the unconscious bodily stressors. Integration Based Stress Removal (IBSR) is a somatic based therapy designed to access the gut brain, autonomic nervous system, and central nervous system, causing the autonomic stress response to become more regulated. IBSR consists of 8 sequential phases that typically take place in one session. This includes training clients to self-regulate at home. Depending on individual client needs, IBSR can be combined with cognitive behavioral therapy. As a relatively new therapy, more research is needed on IBSR. Existing client information collected by trained IBSR therapists (n = 440) was analyzed for this study. Not all measures were collected for every client. All clients agreed to allow their information to be included for research purposes, and the study was approved by the authors’ institution. Approximately 90% of clients participated in IBSR therapy, the remaining 10% participated in IBSR hybrid therapy. Several therapists used either the 10 or 14 question version of the Perceived Stress Scale both before and after a therapy session. Paired samples t-tests indicated a significant decrease in perceived stress scores from the pretest to the posttest for both versions of the PSS given (PSS-10 pretest M = 23.3, SD = 7.7, PSS-10 posttest M = 14.61, SD = 6.44, t(45) = 9.45, p < .001; PSS-14 pretest M = 33.27, SD = 9.76, PSS-14 posttest M = 22.88, SD = 9.10, t(25) = 5.833, p < .001. There were no significant differences in the PSS scores (PSS-10 or PSS-14) between the IBSR and the IBSR Hybrid therapy, indicating that both were effective in reducing perceived stress in clients. Clients who completed the IBSR hybrid therapy showed a significant increase in Validity of Cognition (VOC) scores from pretest (M = 3.14, SD = 1.88) to post test (M = 5.48, SD = 1.88), t(24), -4.34, p <.001.  Additionally, the IBSR clients that completed the Subjective Units of Distress Scale (SUDS) showed a significant decrease in scores from pretest (M = 8.73, SD = 2.57) to post test (M = 4.36, SD = 2.65), t(21) = 5.85, p < .001. Overall, results indicated a reduction in self-reported negative symptoms, and an increase in self-reported positive symptoms for both the IBSR and IBSR hybrid therapies. While there is an established protocol for the IBSR and IBSR hybrid therapies, there is currently a lack of standardization among trained therapists on the collection of quantifiable measures to support the effectiveness of the therapies. Based on suggestions by the researchers, the founder of the IBSR therapy is in the process of collecting additional data with clients, including longitudinal data, with the intent of incorporating and encouraging more standardized data collection procedures with other IBSR therapists. Future research will analyze these additional measures, including comparisons on outcomes with other more established traditional therapies such as cognitive behavior therapy. Read more >


Stress differences in young through older adults




Stress differences were examined using the IBSR, Integration Based Stress Removal, a somatic based therapy in affective processing in the context of a bodily reaction to perceived or real threat. Young and older adults were given an IBSR primer model and a full IBSR protocol. In both the young adult age ranging from 13-30 and older adults 30 and above experienced rapid behavioral changes and lower somatic emotional and cognitive arousal responses to previously elicited high arousal stimuli. Both were faster to detect neutral to positive arousal cognitive targets compared with other categories. In contrast, perceived threat responses versus real threat responses exhibited an overall detection advantage for stress through trauma compared with those who received no somatic treatment. Together, these findings suggest that younger through older adults post an IBSR somatic protocol treatment display stress and trauma resilience to unhealthy attachments in affective and behavioral processing at relatively automatic stages.


      Keywords: fear state, somatic, cognitive information processing, emotion, stress, trauma automatic resiliency treatment protocol, bodily reaction and thought integration



Sexual deviants – No arousal state post IBSR




Clinician reports using IBSR treatment protocol on 7 sexual deviants, these patients show no arousal state post IBSR Evaluators and treatment providers cannot confidently rely on the sexual abuser to be forthright or even fully aware of their sexual deviance. The penile plethysmograph, view time measures such as the Abel & Affinity Assessment for sexual interest, and a clinical polygraph are psychophysiological tools that help overcome denial and minimization and aid in identifying, diagnosing, and clarifying sexual interests and aberrant appetites. Penile plethysmograph PPG Psychophysiological assessment Polygraph examinations Visual reaction time Sexual preferences Abel Assessment


IBSR research utilizing reliability and validity

  • Psychophysiological reporting
  • Affinity/Abel assessment
  • Vital sign report
  • Pre IBSR arousal is high
  • Post IBSR - No arousal state/sexual deviance



Based on 2014-2015 case report data, IBSR removes stress in a single session. All data comes from case reports submitted by therapists gaining certification in the IBSR protocol.


The following data is a random longitudinal sampling of  male and female age 25-65 mixed race, socioeconomic status  incarcerated clients in a pilot study who received IBSR treatment during 2013-2015.


Most participants had a marked reduction in arousal and symptoms.



Continued longitudinal Research 2016-2017


Therapist will select patients that qualify for IBSR or the IBSR-EMDR hybrid therapy. If they are accepted as a client for either of these therapies, therapist, or a trained research assistant, will discuss participation in the research during the client’s first appointment with the therapist. The client will be given the Informed Consent Document (ICD) to read and the opportunity to ask any questions. It will be verbally reiterated that any participation in this research is voluntary, that their information will remain confidential, and that they can choose to exclude their information from the research at any time during the study. If the client agrees to participate, they will sign the ICD document and can request a signed copy of the document. In addition to the regular therapy paperwork, the participant will complete the demographic sheet, Perceived Stress Scale (PSS), Depression, Anxiety, and Stress scale (DASS), Satisfaction with Life Scale (SWLS) and have their blood pressure taken. This is similar to other preliminary investigations for new therapy techniques (see Lappalainen, Lehtonen, Skarp, Taubert, Ojanen & Hayes, 2007). It is estimated that these measures will take approximately 10-15 minutes to complete. These assessments, in addition to any other regular therapy paperwork, will be given again at the end of the first therapy session. If any additional therapy sessions are required, as determined by the therapist, these assessments will be repeated for each session. The participant will be contacted at approximately two weeks and at four weeks after their last therapy session, by the therapist or by a research assistant, for a follow-up and will be asked to complete the PSS, DASS, SWLS either over the phone, vial email, or mail. Data will be the property of and stored on site at the Bodymind Institute-IBSR.



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Supervision, Trainings and More

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Judith Moolten, PHDc

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Bodymind Institute-IBSR, Inc.

20 Walnut Ave.

Wheeling, WV 26003

Ph: (304) 232-0230

Fax: (866) 519-8020