Neurosequential Model of Therapeutics©

Consultation for Families and Agencies / Training for Professionals
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 Oprah Winfrey on CBS This Morning discussing her 60 Minutes Story about Child Trauma with Dr. Bruce Perry (March 2018)



 What is the Neurosequential Model of Therapeutics©?

  • The NMT™ was developed by Dr. Bruce D. Perry, M.D., Ph.D. of the Child Trauma Academy in Houston, TX
  • The NMT™ as featured on 60 Minutes by Oprah Winfrey, is rapidly gaining recognition as an evidence based model for working with children, families and communities impacted by trauma
  • The NMT™ is a comprehensive assessment process which is used to determine which approaches will best address the neuro-developmental impact of developmental trauma 
  • Download a more detailed description of the NMT™ here

Who Is Helped by the NMT™?

  • Youth who have significant childhood / attachment trauma who not responded well to traditional “talk therapy” approaches   
  • Families and providers who feel frustrated by the persistence of troubling behavior despite continuous effort and services. 
  • Youth who have experienced multiple early traumas in life that include neglect, abuse, exposure to substance abuse or domestic violence, or disruption in their caregiving in the first 5 years of life.  
  • Foster and adoptive families frequently find the NMT™ assessment process to be supportive and validating of what they have known but not felt completely understood around
  • Youth who are in the care of larger systems such as Child Protective Services (DCF), Juvenile Justice programs (DYS)

How Does the NMT™ Help?  

  • The NMT™ focuses on 4 Areas of Brain Functioning as part of it’s assessment process:
    • Sensory Integration
    • Self Regulation
    • Relational Functioning 
    • Cognitive Functioning 
  • Using a “low resolution, wide angle” approach, the NMT™ provides a “Brain Map” that indicates the level of functioning in each of the above areas
  • A key part of the NMT™ is education about how the brain works – in particular the “Sequence” in which the brain develops – which informs the sequence in which treatment should follow in order to be effective.
  • NMT™ works to figure out what kinds of activities will be most helpful for building capacity in each of the above 4 areas of the brain and then builds a plan to increase these activities in daily life.  

For A Great Overview of NMT, See the following Video:

To Learn More about the NMT™ Approach, Please see the videos below where Dr. Bruce Perry describes several key NMT™ concepts in brief (10 min) teaching sessions.
The Human Brain
Threat Response Patterns
State Dependent Functioning
Sensitization and Tolerance
“We are so glad he is now part of our son’s team…”

“Utilizing the Neurosequential Model of Therapeutics as developed by The ChildTrauma Academy, Stephen and his colleagues helped us to better understand the root causes of our son’s developmental challenges, and made some very practical recommendations to treat them. Stephen was thorough, caring and very easy to work with. We are so glad he is now part of our son’s team.” NMT Client / Family

Neurosequential Model of Therapeutics© Consultation Process:


Introductory Meeting  (1 Session):

  • Meet with parents / caregivers / youth and/or providers to talk about the referring issues
  • Discuss and answer questions about the NMT™ consultation process

NMT Assessment Process:  (Varies but Average of 3-4 Sessions)

  • Meet briefly with youth and family together
  • Gather comprehensive neuro-developmental history and current CNS functioning from parents / guardians / caregivers
  • Provide information support and suggestions to assist parents and caregivers in further understanding and working with their child

Collateral Consultation:  (Phone Calls or Report Reading)

  • Consult with other providers / school to gather further assessment information

Write Assessment, Generate Brain Map / Metric Report, Write Interpretation of the Metric Report 

Follow Up / Recommendations Review:   (1 Session)

  • Meet with parents / caregivers / youth and / or providers
  • Review and discuss NMT™ Brain Map / Metric report and recommendations based on report
  • Strategize around implementing recommendations.

30 Day Follow Up / Implementation Review:   (1 Session)

  • Assess barriers and progress to implementing NMT™ informed interventions / recommendations
  • Adjust follow up plan as needed

Follow Up Sessions as Needed (Ongoing)

Consultation with Schools and Providers as Needed (Ongoing)

Fees / Reimbursement:


  • I accept insurance for all sessions provided I am in network or you have out of network coverage
  • Sessions are billed as family therapy, family consultation, agency consultation, individual therapy, and parent support and guidance


Report Fees:  I offer two options for the History Report I write up based on your child’s history 

  1. Comprehensive History Report – a very detailed narrative of the client’s history of Adverse Experiences and Relational Buffers from pregnancy to the present.  Families often find this extremely helpful to avoid having to “repeat the story” of their child’s life “over and over again” with new providers or schools etc.  This report takes several hours to write and is not billable to insurance.  Cost:  $150.00
  2. Abbreviated History Report – this report is a bullet-point style summary of Adverse Experiences and Relational Buffers from pregnancy to present.  This report is also helpful but much less detailed.   Cost: $25.00


Private / self pay rates:

  • $800 for all sessions / services up to and including the 30 day follow up consultation.
  • $110 / hour for follow-up sessions beyond the 30 day consultation
“I highly recommend Stephen as a trainer”
Stephen Bradley is an adept, engaging presenter. He makes the NMT concepts, based on Bruce Perry’s work, easy to digest and to put into use.  He is adroit at thinking in the moment, employing metaphor, drawing connections between the material, the work with families and “real life, and responding to questions.  He easily adjusts to the needs of his audience.  Stephen puts the principals of the NMT model to use in the training, and engages participants in useful exercises.  I highly recommend Stephen as a trainer.


Nancy Solow, LICSW - Adoption Journeys - Massachusetts

Customize Your NMT™ Training

Below you will find a “menu” of training topic areas that the NMT™ approach focuses on.  When putting together a training we can design the training to focus more on some areas than others (although all areas are important to understanding the model) in accordance with your setting / the needs of your work group.  Participants will gain an understanding of assessment and treatment / intervention strategies that are consistent with the following topic areas:

Topic Areas
  • Brain Organization
  • Principles of Neurodevelopment 
  • Memory and Development 
  • Relational and Reward Neurobiology
  • Hyperarousal and Dissociation
  • Neglect
  • Sensitization and Tolerance
  • Neurosociology
  • State Based Functioning
  • Specific Intervention Strategies Based on Neurodevelopmental Needs

Pre-Designed NMT™ Trainings

The following workshops have been pre-designed to draw from the above topic areas and represent a “typical progression” of topics when learning about NMT™

Introduction to the NMT™ (Half Day / 4 Hour Workshop)

Basic overview of NMT related concepts and intervention principles.  Participants in this workshop will:

  • Gain an understanding of Brain Development and Functional Domains of the brain as related to children with developmental trauma 
  • Gain an understanding of Sensitization and Tolerance and how these impact the response to stress
  • Gain an understanding of Hyperarousal and Dissociation and ways to intervene with youth who demonstrate these  threat response patterns
  • Gain an understanding of the impact of State Based Functioning on children’s ability to respond to the demands of their environment 
  • Gain an initial understanding of how to tailor different types of intervention approaches based on state based functioning of youth
Core Concepts and Application of NMT™ Principles in Practice (Full day / 6.5 hour Workshop).

A more comprehensive introduction to the core concepts and application of NMT principles and intervention strategies. Participants in this workshop will: 

  • Gain the information and understanding from the Introduction to NMT™ workshop listed above 
  • Be able to differentiate between State Based and Stage Based Functioning
  • Gain an initial understanding of the Brain Map / Metric and its role in the NMT™ treatment process 
  • Discuss and review case based illustrations of the model “in action”
  • Further develop understanding about various intervention strategies / modalities used in conjunction with NMT™ 
Relational Neurobiology and NMT (Advanced Half Day / 4 Hour Workshop)

For participants who have completed the Core Concepts workshop, this workshop addresses the interface between attachment theory and brain development as related to clients who have experienced developmental trauma (abuse or neglect).  Includes case based examples for discussion.  Participants in this workshop will: 

  • Gain a better understanding about the impact of Neglect on neurodevelopment in children
  • Gain an initial understanding of the role of Relational and Reward Neurobiology in shaping children’s responses to the demands of their environment.
  • Gain understanding about the role of secure vs insecure attachment in shaping neuro-developmental trauma
  • Gain an initial understanding about the application of NMT™ principles on intervention strategies in therapy with couples and families 
NMT™ Case Consultation / Training Group (Advanced 6 Consultation Sessions / 1.5 Hours Each)

For up to 10 participants.  Sessions will include case based discussions brought by participants who will:

  • Practice applying NMT™ principles to their work with clients through case presentation, discussion and follow up
  • Practice applying NMT™ principles to the assessment of developmental trauma on client functioning and presentation
  • Discuss the identification of specific State and Stage Based themes in cases with developmental trauma histories
  • Develop and practice applying strength based intervention strategies for cases
  • Situate NMT assessment and intervention within a strength based, wraparound informed framework
  • Discuss the application of NMT™ principles for clients in various settings (agency, private practice, school, etc)
Stephen J. Bradley is a Fellow of the Child Trauma Academy and has completed NMT™ Training Certification through the Phase II level. For more information on NMT™ Training Certification and the NMT™ Assessment Process, click here.
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