Precision Psychiatry is not just a clinical method, it is a paradigm shift. At the Trauma Regulation Board (TRB), we are redefining what is possible in mental health by aligning practice with the most advanced trauma science.

Traditional psychiatry often manages symptoms within rigid categories. Precision Psychiatry goes further: it recognises that conditions such as

Borderline Personality Disorder (BPD), Complex PTSD, Psychosis, Bipolar Disorder, and Schizophrenia often emerge from common trauma-driven neurobiological disruptions. By applying dimensional cluster mapping rather than categorical labels, we uncover the true architecture of distress.

Our model integrates:

Neurobiological precision – identifying trauma-induced dysregulation of the HPA axis, amygdala–prefrontal circuits, and stress networks (Ford & Courtois, 2021).

Dimensional trauma mapping – linking overlapping symptom clusters to trauma histories, as proposed in ICD-11 reforms (WHO, 2019).

Tri-phasic recovery pathways – stabilisation, processing, and reintegration, sequenced to individual profiles (Herman, 1992; Cloitre et al., 2014).

Schema and behavioural insights – exposing maladaptive belief systems (e.g. defectiveness, abandonment) that drive suicidality and relational breakdown.

The result is not symptom management but root-cause resolution: measurable reductions in suicide ideation, improved relational stability, and lower relapse into revolving-door crises.

Beyond the clinic, TRB extends Precision Psychiatry to systems reform. We apply the same logic to:

Children’s social care – replacing risk-averse escalation with trauma-informed proportionality.

Criminal justice – addressing trauma clusters driving offending and re-offending (Bradley, 2009).

Mental health regulation – embedding trauma concordance into inspection frameworks so services cannot pass by retraumatising.

In short: Precision Psychiatry is the final frontier of trauma-informed reform. It bridges neuroscience, psychology, and lived experience into auditable, regulatory standards. Where others see limits, TRB builds breakthroughs.