Integrative Couples Therapy Certification Course


4-day special event delving into the integration of sex and couples therapy with experts and guest speakers. Courses will include case study skill building, Imago, EFT, and IFS. Certificate in Integrative Couples Therapy available with 2 hrs integrative group supervision. (28 CEs)


July 19-22, 2023

Held via live simultaneous webcast; no asynchronous registration allowed.

10 am – 6 pm EST/7 am – 3 pm PST

– Discounts for Early Registration end June 14th

Must register for all 4-days + Supervision to be certified; CSCT students needing 1 day should contact the administrative team.

Certificate in Integrative Couples Therapy available through this module only.

The Integrative Sex Therapy Institute presents a once-a-year, 4-day online synchronous training, Integrative Couples Therapy Certification Course, July 19-22. The leaders in integrative therapy delve into Internal Family Systems, Emotionally Focused Therapy, and Imago Relationship Therapy and integrate these theoretical models with sexuality counseling for relationship dilemmas, including low desire, affairs, and the challenges of technology. 

      • Register for 2 hours of supervision
      • A one-page paper is due at the end of the program to demonstrate the integration of learning and will include a case presentation during supervision hours.
      • The 28 hours of coursework and 2 hrs of Supervision will apply toward the CSCT designation (Certified Sex and Couples Therapy) requirement for ISTI’s program.
      • Anyone may attend the four-day training. They do not have to be accepted into the ISTI program, nor do they have to attend for the certificate.
      • AASECT CEs are available for all 28 hours of programming.

The summer intensive Integrative Couples Therapy Course includes training with Tammy Nelson, Ph.D., CSCT, author of Integrative Sex & Couples Therapy, and Gail Guttman, LCSW, CST, CSCT


Wed – Jul 19

  • (AM) Introduction to Integrative Couples Therapy – Tammy Nelson, Ph.D.
  • (PM) Integrative Couples Therapy in Practice- Intervention and Skill Building Part II – Tammy Nelson, Ph.D.

Thu – Jul 20

  • A Deeper Dive into Integrating Internal Family Systems Therapy and Sex Therapy – Gail Guttman, LCSW

Fri – Jul 21

  • Integrative Systemic Couples Therapy Training with Alternative Relationship Structures Using Imago Relationship Therapy – with Tammy Nelson, Ph.D.

Sat – Jul 22

  • (AM) Emotionally Focused Therapy Through Attachment and Desire – Wendy Miller, Ph.D.
  • (PM) Integrative Couples Therapy – Doing Couples Therapy on Zoom – Tammy Nelson, Ph.D.
Courses are often available at a later date as an eLearn. eCourses and presenters may be adjusted periodically. Please check this page or contact our Administration for the most up-to-date schedule. You must attend the entire course live to receive CE credit, no asynchronous registrations are allowed.

In this 4 day training you can fulfill these requirements:

AASECT Sex Ed: AASECT Core Sex Therapy: AASECT Sex Counseling: ISTI Categories:
Wed: C, E, F, H, I, L, M
Thu: B, C, E, I, J, N, O
Fri: B, E, I, K, M
Sat: A, B, C, E, H, I, M
Wed: A, B, C, D, E
Thu: A, C, E
Fri: A, B, C, D, E, F
Sat: A, B, C, F
Wed: n/a
Thu: A, C, F
Fri: n/a
Sat: A, C, F
Wed: 1a, 1c, 1d
Thu: 1a, 1c, 2b, 2d, 3c, 3d
Fri: 1a, 1c, 2d
Sat: 1a, 1b, 1d, 1a, 2a, 2b, 2d, 3b, 3c


You must register for all 4 days. Student discounts are available, email in your tuition: eWorkbook for the module, compiled by Tammy Nelson, Ph.D. with additional reading material and resources.

You must register for 4 days + supervision to be certified.

Integrative Couples Therapy Certification Course

Jul 19 (Wed) 10 am – 1 pm (EDT) – Introduction to Integrative Couples Therapy – Tammy Nelson, Ph.D.

Therapists and counselors need training and tools to intervene with relationship issues when there are conflicts and dilemmas. After an overview of clinical concepts, this workshop will offer skills to help therapists and counselors address concerns around communication, helping individuals and couples to improve their connections.
Countertransference and projection for the therapist can create frustration and can lead to biases and hamper treatment. We will explore how to use insight to avoid these pitfalls and focus on the basics of the integrative sex therapy model while learning contemporary interventions that immediately impact treatment and create positive treatment outcomes.

Based on clinical practice, research, and case examples, we will cover interventions and techniques that foster effective, ethical therapeutic relationships for clients struggling with a variety of clinical dilemmas.

Jul 19 (Wed) 2 pm – 6 pm (EDT) – Integrative Couples Therapy in Practice – Intervention and Skill Building –  Tammy Nelson Ph.D.

This class will focus on integrative couples therapy skill-building and integrate it into sex therapy practices as they relate to intervention and skill-building for the practicing counselor.  The class will review a three-phase recovery process used to repair breaches to committed partnerships. This process uses integrative sex and couple’s therapy techniques, and dialogue interventions for the conscious creation of new relationship dynamics.

Jul 20 (Thu) 10 am – 6 pm (EDT) – A Deeper Dive into Integrating Internal Family Systems Therapy and Sex Therapy with Gail Guttman, LCSW

Internal Family Systems (IFS) theory and therapy were developed by Richard Schwartz. It is an effective therapy in helping clients move out of reactivity and into a more conscious and calm presence. IFS is an invaluable method to help individuals to change their destructive relationship patterns. This destructive cycle often presents itself between couples with sexual difficulties and dysfunctions. Toni Herbine-Blank has taken Internal Family Systems into a relationship model, Intimacy From the Inside Out (IFIO). This seminar will take a deeper dive into IFS and IFIO, as well as an opportunity to learn some of these skills in addressing sexual issues.

Jul 21 (Fri) 10 am – 6 pm (EDT) – Integrative Systemic Couples Therapy Training Using Imago Relationship Therapy with Affairs – with Tammy Nelson, Ph.D.

This training will present clinical treatment interventions for relationships including Open Relationships, polyamory, and swinging, as well as other monogamy dilemmas.

The dilemmas for therapists working with couples and alternative relationship styles can trigger countertransference, projection, and confusion for the therapist and couples can face frustration with therapists who have value biases around monogamy.

Therapists need couples therapy training and the right tools to intervene with dilemmas that are inherent in these relational styles and clinical tools designed to meet the needs of an ever-growing population trying to negotiate their structures. Using research and case examples, we will explore how Imago relationship therapy dialogue can be used to impact current therapy techniques. This class will help participants shift into a new vision for their own work, for a more effective therapeutic relationship with their clients, and impact the future of integrative therapy.

Jul 22 (Sat) 10 am – 1 pm (EDT) – Emotionally Focused Therapy Through Attachment and Desire – Wendy Miller, Ph.D.

As sex and couples therapists, we often see couples who have not had sex for a long time, sometimes years or even decades. These couples report a lack of sexual interest for one or both partners and they often enter our office feeling frustrated, stuck, and hopeless.
This class will present the basic principles of EFT and demonstrate how to best utilize the EFT framework to enhance and ground your sex therapy interventions. Having expertise in both sex and couples therapy is essential when working with these difficult cases.

Jul 22 (Sat) 2 pm – 6 pm (EDT) – Integrative Couples Therapy –Doing Couples Therapy on Zoom – Tammy Nelson, Ph.D.

Online therapy is here to stay. With telehealth skyrocketing, experts say the field of psychotherapy has to catch up. The APA and all other licensing boards are currently working to resolve concerns around privacy and security, access to care, and state-to-state treatment. Payment by insurance, malpractice insurance, and coaching vs therapy, are all concerns of therapists providing care remotely. Now, during the ongoing COVID-19 pandemic and the re-entry anxiety caused by the lifting of the shutdown in the United States and in other countries around the world, online counseling for couples has risen from 1% to 60% of all therapy provided. Therapists need to know how to work with couples in ways that are therapeutic. This course will touch on the legal and ethical issues of online telehealth but will focus on assessment, treatment, and intervention for relationship interventions when using HPPA-compliant platforms for online telehealth. Moving beyond the therapist’s anxiety and the uncertain future of online mental health services, we will discuss how to handle intensity and triggers, how to lead a session, how to guide dialogue, and how to open and close the session if you are not in the actual room with your clients. Learning how to multitask without getting distracted and how to avoid ‘Zoom burnout’ will be an important part of this course, as we are meeting on Zoom.


About the Trainers:

Gail Guttman, LCSW, specializes in the integration of couples and sex therapy. Gail has been a Certified Imago Therapist since 1994 and an AASECT Certified Sex Therapist since 1984. Gail offers consultation and supervision groups. She has been twice recognized by Washingtonian magazine as a “Top Therapist” in sex and couples therapy. Gail is also an AASECT CE Provider, AASECT Certified Sex Therapy Supervisor, and an Imago Clinical Consultant. She is passionate about helping therapists to integrate couples and sex therapy and welcomes different theoretical orientations in order to help each therapist find their own path.

Gail has presented on the subject of couples and sex therapy at the Integrative Sex Therapy Institute, Greater Washington Society for Clinical Social Workers, previous Imago therapy conferences, the University of Maryland, and other professional organizations. She can be found at

Dr. Wendy E. Miller is a psychologist, psychoanalyst, and AASECT-certified sex therapist (CST) with over 35 years of experience working with individuals and couples struggling with sexual and other issues.  She has trained extensively in Emotionally Focused Couples Therapy as well as with the Tavistock Center for Couple Relationships in London.  Currently, Dr. Miller is on the faculty of The Women’s Therapy Centre Institute where she teaches classes on human sexuality and she consults at The Center for Optimal Living on issues involving the link between sexuality and drug use.  She has taught and given professional training on out-of-control sexual behavior and is currently running a sexual health group for men struggling with feeling sexually out of control.  In addition, she runs couple therapy groups with Dr. Peggy Kleinplatz’s Optimal Sexual Experiences Research Team of the University of Ottawa for couples who want to improve their sex life.

Her interests are in the intersection of psychoanalytic thinking and sex therapy.  Her passion is helping people navigate the complicated task of being a couple and the even more complicated task of being a sexually vibrant couple.

Tammy Nelson Ph.D. is a sex and relationship expert, an international speaker, and author of several books including, “Integrative Sex & Couples Therapy,” “Getting the Sex You Want; Shed Your Inhibitions and Reach New Heights of Passion Together,” “The New Monogamy; Redefining Your Relationship After Infidelity,”  and “When You’re the one Who Cheats.” She is a Board Certified Sexologist, an AASECT Certified Sex Therapist, and a Certified Imago Relationship therapist, a TEDx speaker, and the host of the podcast The Trouble with Sex.


All lectures will be taught by top experts recognized in the field of human sexuality both nationally and worldwide. Other faculty may be announced at a later time.

Included in your tuition: eWorkbook for the module with additional reading material and resources.

This program meets the educational requirements of the American Association of Sexuality Educators, Counselors, and Therapists (AASECT) and is approved for 28 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact or go to  Please contact your local certifying organization for detailed information on courses they accept for CEs.


Integrative Sex Therapy Institute policies on attendance, refunds, and grievances are available here.

Additional information

Days to Attend:

+ Supervision, 4-day Series