ICD - not a concern for normoxic trimix. Narcosis slam from a gas switch to nitrox at 130' CAN be though, I've personally experienced it so hard once that I had to grab a wall (and this is coming from a guy that used to switch back to air at 190' from a deep dive).
In answer to the OP's question of why is there a need for normoxic trimix traiing..
The answer is multi-factored, but the most important reason is to give a baby stepping stone instead of a giant leap. As others have said, the math is basically the same as you learned in deco, but what is different are the physical in-water skills. For instance, in Normoxic Trimix you're now working with multiple deco bottles and the gas is going quicker at 200' than it does at 130-150'. This means learning how to manage the extra gear and learning how to solve problems quicker/more efficiently because of the diminished problem solving time of being at 7ATA versus 5ATA.
Also, there's a historical reason. Prior to 1997, there was only one single trimix course. Full blown, 100m. Your choices were you either dove air, or you took full trimix, or you were a bandit and tried to figure it out on your own. There was no helium training for people that didn't want to get a card punched to go to 330', and the requirements in training were two dives deeper than 250' which upset some people that had zero interest in going that deep, but wanted to use helium at 180'. I remember very distinctly when TDI first split trimix into two courses there was a huge uproar -- "you can't do that!" Look how far we've come since then..