Your registration for the Trial-Based Cognitive Therapy (TBCT) training in Philadelphia will be confirmed after payment to Trial-Based Cognitive Therapy Institute (Address: 6574 E Brainerd Rd Apt 211, Chattanooga, TN 37421-3702). For instructions regarding payment, please, send an e-mail to

Please, send an e-mail to Irismar de Oliveira ( if you have further questions.

1. I am signing up to attend:

2. Please provide the information below:

3. Background:

4. I will need CEs:

5. Describe your experience as a therapist. This information will help us adapt the content to the participants average experience.

6. Please, list the last 3 psychotherapy books you have read.

7. In order to sign-up to attend this training, I am aware that participants must be licensed or have a limited permit as a psychologist, social worker, mental health counselor, psychiatrist, psychiatric nurse, or nurse practitioner, LMFT, or they must be currently enrolled in a licensure-qualifying graduate program.