Bridge the gap between knowing trauma matters and knowing what to do.
A practical field guide and 30-day implementation plan for pelvic health PTs and OTs — built around 11 tools you can use in the treatment room the same day you open them.
The paradigm shift
Good intentions are not the same as clinical skill.
Most pelvic health training stops at awareness. Trauma-competent care gives you the real-time skill to act when a patient guards, shuts down, or asks you to slow down.
Awareness & safety
- ○Consent and avoiding retraumatization
- ○Knowing trauma is relevant to the case
- ○Creating a generally safe environment
- ○Holding the intention to do no harm
Real-time clinical skill
- ✓Responding in the moment when guarding occurs
- ✓Adapting the exam without abandoning the goal
- ✓The 60-Second Regulation Reset mid-session
- ✓Language swaps that return agency to the patient
What's inside
4 modules. 11 practical tools. One clinical workflow.
Every tool is designed to be used in the treatment room the same day — not studied for a month and shelved.
1Module 1: Clinician Self-Awareness & Internal CapacityShow lessonsHide
1.1 Adverse Pelvic Experiences™ Self-Reflection
- —Identify personal activation triggers & blind spots
- —Separate your system response from the patient's needs
1.2 Sexual Beliefs & Clinical Bias Audit
- —Uncover implicit assumptions about adult sexuality
- —Ask: am I treating their problem — or my version of it?
1.3 Burnout & Nervous-System Check-In
- —Assess depletion & missing boundaries
- —Shift from resilience pressure to missing support
2Module 2: The Trauma-Competent Paradigm & Patient EducationShow lessonsHide
2.1 Trauma-Informed vs. Trauma-Competent Care
- —Move from awareness to real-time competence
- —Care based on present-moment needs, no history required
2.2 Nervous System Protection & Reactions
- —Explain guarding, hypervigilance & shutdown
- —Reframe protective reactions as biology, not failure
2.3 The 60-Second Regulation Reset
- —5-step grounding sequence: LOOK → FEEL → EXHALE → ORIENT → CHOOSE
- —Restore agency without forcing relaxation
3Module 3: Practice Tools & Clinical InterfaceShow lessonsHide
3.1 Collaborative Intake Template
- —Ingest preferences for pacing, touch & boundaries upfront
3.2 Clinical Consent & Language Tools
- —Swap “you need to relax” for language that returns room
3.3 Scope, Referral & Containment
- —Hold PT/OT boundaries & know when to collaborate with MH
4Module 4: Integration, Implementation & EvaluationShow lessonsHide
4.1 The 1-Page Clinical Quick Reference
- —7-step workflow: NOTICE → ORIENT → OFFER CHOICE → PACE → CONSENT → RESPOND → COLLABORATE
4.2 The 30-Day Implementation Ladder
- —4-week habit builder: Notice → Language → Clinical Flow → Sustain
4.3 Trauma-Competence Gap Scorecard
- —Score 10 behavioral domains to find your growth edges
4.4 Next Steps & PSHT® Certification Bridge
- —Transition foundation skills into advanced clinical reasoning
Featured tool
The 60-Second Regulation Reset
The grounding sequence clinicians can run with a patient — or themselves — the moment the room shifts. Five steps, sixty seconds, no script required.
- 1
LOOK
Notice 3 things you see.
Bring attention outward, into the room.
- 2
FEEL
Notice 1 point of physical support.
Chair, feet, breath — contact that's already there.
- 3
EXHALE
One unforced, comfortable breath.
No deep breathing. Just an easy exhale.
- 4
ORIENT
Notice current safety vs. past experience.
You are here, now — not then.
- 5
CHOOSE
What is one choice you can make right now?
Agency returns with the smallest yes.
LOOK → FEEL → EXHALE → ORIENT → CHOOSE — restore agency without forcing relaxation.
Free self-assessment
Find your trauma-competence growth edge
Rate yourself across 5 of the 10 behavioral domains. Your summary points to the exact tools in the kit that meet you where you are.
Awareness
Noticing your own activation in real time.
Choice
Offering real options within the session.
Regulation
Co-regulating when the room shifts.
Language
Swapping scripts that demand compliance.
Sexual Health
Treating sexuality without personal bias.
Growth edge summary
0% embedded in your practice
Your growth edge
Awareness, Choice, Regulation, Language, Sexual Health
One-time payment · Instant access
Start using all 11 tools before your next patient.
4 modules · 11 editable tools · the 60-Second Reset · the full Gap Scorecard — delivered as PDF + Editable Word the moment you check out.
$97 one-time
Not a subscription. No recurring fees.
Joined by pelvic health PTs & OTs across practice settings. Secure checkout via Stripe.
Amy Hill Fife
Creator, PSHT®
Pelvic & Sexual Health Trauma-Competent
About the creator
“Women don't come to PSHT to become trauma-informed. They come to become the kind of clinician who changes lives.”
PSHT® was built in the gap between a profession that knows trauma matters and a treatment room that doesn't always know what to do about it. The Starter Kit distills that work into 11 field tools — practical, editable, and built to be used the same day you open them.
Ready to go beyond the Starter Kit? Explore full PSHT® Certification →