Creekbaum Institute for Clinical Transformation

Clinicians who are formed for impact.

Truth-Centered Agreement Therapy is a complete clinical framework — and a way of working that changes how clinicians see. CICT trains and certifies the next generation.

3-TierCertification Track
TCAT®Proprietary Framework
CATelehealth Statewide
Why CICT

The most effective intervention is a clinician who has been formed.

Not a technique. Not a protocol. A clinician who has internalized a coherent, truth-anchored way of being with human beings. CICT forms those clinicians — and the framework spreads with every person they serve.

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A Complete Framework

TCAT isn't a modality to add on. It's an integrative architecture — three foundations, three agreement territories, the 4 Queries, and a daily practice — that structures every session.

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A Rigorous Credential

Three tiers: Foundations, Certified Practitioner, Advanced Specialist. Each tier builds competency before advancing. Clinicians leave CICT formed, not just informed.

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Change That Lasts

Because the work targets governing agreements rather than surface symptoms, clients don't just feel better — they live differently. That's the clinical promise TCAT keeps.

Clarity — the foundation of TCAT
The Method

Built on truth. Anchored in evidence.

TCAT unifies CBT, REBT, and the Four Agreements under a single organizing principle: functional truth. It gives clinicians a coherent architecture for the entire arc of treatment — not a collection of tools, but a way of working.

Every session, every query, every agreement examined points toward the same question: Is this true?

Truth-Centered Agreement Therapy — the book
The Book

The complete framework, now published.

Dr. Ina Creekbaum's Truth-Centered Agreement Therapy lays out the full method in 32 chapters — rigorous enough to certify clinicians, clear enough for anyone ready to do the work.

Available in paperback and ebook now. Audiobook narrated by Dr. Creekbaum — coming soon.

Who We Serve

Two doors. One framework.

CICT serves licensed clinicians who want to certify in TCAT — and individuals and couples ready to do the work themselves.

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For Clinicians

A three-tier certification — from foundations to advanced specialist, including supervision and training pathways. Add TCAT to your practice or build your work around it.

See Certification Tiers →
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For Clients

Individual, couples, group, and intensive programs grounded in the TCAT method. Delivered virtually anywhere in California by Dr. Creekbaum, a licensed psychologist.

Explore Client Programs →
What you agreed to in a moment of pain is not a verdict.
It is a document — and documents can be redrawn.

— Truth-Centered Agreement Therapy