In this month’s episode of The Shift Change we welcome guest Karen Castro, an RN with experience in maternity health, labour and delivery, adult mental health, and youth mental health. We delve into the intersections between TIP, patient empowerment, and patient autonomy. We also explore barriers to enacting TIP in a healthcare system that is led by practices and policies created in the paternalistic and sometimes outdated conceptualization of the patient-clinician relationship. We ask some challenging questions that all nurses must think about like what do we mean when we say “trauma-informed practice,” how do we engage in TIP, what helps us carry out this approach, and what gets in the way?