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Who is TMG?

We are Critical Incident Stress Managment  Professionals.

What is a Critical Incident Stress Management (CISM) Professional? Critical incident stress management (CISM) is a type of crisis intervention designed to provide support for those who have experienced traumatic events. CISM is comprised of multiple crisis response components that attempt address each phase of a crisis situation. It can be implemented with individuals, families, groups, organizations, and communities. Although some research has found CISM to be ineffective and even harmful, defenders of CISM argue that, when implemented properly, this intervention offers powerful crisis support.

How does CISM work? 

Critical incident stress management is a system of crisis intervention meant to prevent psychological damage associated with unusual and stressful events, also called critical incidents. CISM is intended to support those who are prone to trauma exposure as well as those who have experienced an intensely traumatic event. According to one of its developers, Dr. Jeffrey Mitchell, CISM is not a type of psychotherapy. It is a system of support that is meant to do the following:

  • Lessen the impact of the critical incident
  • Normalize instinctive reactions to the incident
  • Encourage the natural recovery process
  • Restore the adaptive functioning skills of the person and/or group
  • Determine the need for further supportive services or therapy

Sometimes referred to as psychological first aid, CISM can be used to address a vast array of critical incidents. Critical incidents are defined as events that threaten physical or emotional safety or events that result in physical or psychological harm. 

How can we help?

Every now and then life throws us a curveball when we least expect it, and sometimes we can deal with it and other times we struggle to make sense of what is happening. The Milford Group is that person, that friend that is there to listening and encourage you not to give up are give in.  Whatever you feel that is holding you back from living your best life we are here to listen and help you find ways to get back to that place of happiness.

“It is when we are at our weakest, we become our strongest.” unknown

We’ve all had a few traumatic times in life, some bigger than others.  While some people seem highly resilient to traumas, others may fall into a downward spiral of depression, anger and guilt.  The different between these types of people comes down to how you manage, utilize, and deal with it both internally and externally.

When a traumatic event occurs in your life, it doesn’t mean you have to ball up in your bed and feel like the world has come crashing down around you.  In fact, it can often be used as an opportunity for growth and personal inspiration.  

 What we offer is an adaptive, short-term psychological helping-process that focuses solely on an immediate and identifiable problem. It can include pre-incident preparedness to acute crisis management to post-crisis follow-up, 

disclaimer: The Milford Group (TMG) is not intended to be a substitute for professional advice, diagnosis, legal representation, medical treatment, medication, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. TMG is not authorized to represent anyone in court are to make recommendations about medication or serve as a substitute for professional advice. Never disregard professional psychological or medical advice or Legal advice. We are not attorneys are doctors. 

Reference: Mitchell, J. T. (2004, January 1). Crisis Intervention and Critical Incident Stress Management: A defense of the field. In International Critical Incident Stress Foundation, Inc. Retrieved from