5Image Transformation Therapy (ImTT) is major breakthrough in the treatment of trauma, OCD, depression, anxiety. Intense feelings, such as terror, pain, guilt, and shame, which are often a major obstacle to treatment, can be released without the person having to feel them. This prevents flooding and dissociating during treatment. In addition, ImTT also utilizes a new model of psychological dynamics called the Survival Model of Psychological Dynamics that provides an effective and efficient approach to treating mental disorders. The result is that both emotional and behavioral changes are easier, gentler, and faster.The fourth edition includes two new protocols and changes to the protocol scripts. There are also other changes in the treatment approach to feelings of overwhelm and the Primary Psychological Reactions.