About CIMBS (Complex Integration of Multiple Brain Systems)
CIMBS is a neuroscience-based approach to couples therapy that focuses on attachment patterns and nervous system regulation. While our network of CIMBS-trained therapists is growing, you can explore therapists who use attachment-informed and neuroscience-based approaches.

Complex Integration of Multiple Brain Systems (CIMBS) is a therapeutic approach developed specifically for couples work. It draws from attachment theory, developmental neuroscience, and arousal regulation to help partners understand how their brains and nervous systems interact. CIMBS emphasizes creating secure functioning relationships where both partners feel safe and understood.
This approach often appeals to couples who want to understand the deeper patterns driving their interactions. CIMBS therapists help partners recognize how early attachment experiences shape current relationship dynamics. If you're interested in neuroscience-informed couples work, you can browse therapists on First Session who specialize in attachment-based therapy or Gottman Method, which share similar foundations in understanding relationship patterns.
Steven Gestetner

Steven Gestetner

Therapy is hard work.
Complex Integration of Multiple Brain Systems (CIMBS) is a neuroscience-based approach to couples therapy developed by Dr. Stan Tatkin. It integrates attachment theory, arousal regulation, and developmental neuroscience to help couples create what's called a "secure functioning" relationship. CIMBS focuses on helping partners understand each other's nervous systems, recognize threat responses, and develop practices that promote mutual safety and connection.
CIMBS may help couples develop a deeper understanding of why certain interactions trigger strong reactions. By learning about attachment styles and nervous system responses, partners can move from blame to curiosity. Many couples find this approach helpful for building trust, improving communication during conflict, and creating daily rituals that strengthen their bond. The neuroscience framework often provides a non-judgmental way to understand relationship challenges.
CIMBS is designed for couples at any stage of their relationship who want to understand the deeper dynamics affecting their connection. It may be particularly relevant for those who notice recurring patterns of conflict, struggle with feeling secure in the relationship, or want to strengthen their partnership proactively. Both newer couples and those in long-term relationships can benefit from the secure functioning principles that CIMBS teaches.
CIMBS-trained therapists complete specialized training through the PACT Institute. While our network of CIMBS-specific practitioners is growing, you can explore therapists on First Session who offer attachment-based couples therapy or who have training in similar neuroscience-informed approaches. When browsing therapist profiles, look for mentions of attachment theory, nervous system regulation, or Gottman Method, which share conceptual foundations with CIMBS.
Yes, several approaches share foundations with CIMBS. Emotionally Focused Couples Therapy (EFT) also uses attachment theory to help couples. Gottman Method provides research-based tools for strengthening relationships. Therapists trained in attachment-based therapy understand the dynamics that CIMBS addresses. These approaches can offer similar benefits for understanding relationship patterns.
First Session makes it easier to find the right couples therapist by letting you watch intro videos, filter by specialty, and book directly online. You can explore therapists who work with couples and filter by approaches like attachment-based or Gottman Method. Many therapists offer free initial consultations, giving you a chance to discuss your needs and see if their approach aligns with what you're looking for. Learn more about whether couples therapy might be right for you.
