Somatic Therapy

CALIFORNIA AND ONLINE

Somatic therapy is a nervous-system-centered approach to psychotherapy that is scientifically validated.

Somatic therapy heals dysfunctional patterns at the body-level by increasing awareness, self-regulation and emotional tolerance.

What is Somatic Therapy??

Somatic symptoms involve ongoing discomfort including:

  • Physical symptoms: migraines, chronic pain, chronic tension, fatigue, IBS, back pain, pelvic pain, CRPS, fibromyalgia, autoimmune syndromes, etc.

  • Mental and emotional symptoms: anxiety, depression, grief, trauma, anger, reactivity, impulsivity, avoidance, addiction. self-doubt, eating disorders, etc.

There is a centralized process to these conditions that relates to defensive physiological patterning and activated states that have not yet experienced enough safety to process and unwind.

Somatic Experiencing is widely considered the oldest and largest training program that provides somatic therapy. It was developed by Dr. Peter Levine in the early 1970s based on the idea that the body keeps the score, i.e., psychological distress lives at a body level and that’s where it needs to be shifted.

“No matter how much insight and understanding we develop, the rational brain is basically impotent to talk the emotional brain out of its own reality.” - Bessel van der Kolk

Somatic work focuses on processing traumatic memories and widening the window of tolerance, or our capacity for feeling.

While somatic work can be challenging at times, when you heal at the body-level, it tends to stay healed. You create safety in the body which resolves symptoms and forms a foundation for post-traumatic growth.

How does Somatic Therapy really work?

Somatic therapy is famously hard to describe. You really have to experience it to fully get it. But learning is also an important part of healing, so let’s dive in!

Let’s start with the river of life metaphor. The water represents our internal state and the terrain represents external events. Our traumas are the boulders and cliffs that disrupt the flow and create turbulence. This turbulence refers to both the original emotional pain and the patterns we use to cope with it.

Importantly, the water can only settle once it reaches enough level ground. Somatic therapy provides this level ground, i.e. enough safety and containment to process the pain and its traumatic patternings.

Let’s say something overwhelming happens to you. Maybe a single event, like an accident, a medical crisis, or a loss. Or maybe it’s a thousand cuts from a childhood where safety and support were lacking or parents were consumed by their own anxieties and concerns.

Either way, whenever life threw more at you than you could handle, your brain was overwhelmed and filed away unprocessed raw sensory information for later integration.

This created what is known as a trauma vortex of triggering, unintegrated, unresolved, or “bottled-up” material. We all have this!

Unfortunately, that raw material doesn't just stay filed.

Something reminds you of it, and your body drops back into the survival physiology of the original traumatic event. This happens even though the event itself is long over and the body has technically "recovered."

As a result, at any time, your nervous system is always in one of three activation zones:

The Blue Zone, where we are within our window of tolerance, meaning we are calm, present, “dropped in”, at ease, creative and available for emotional connection. Our energy is flowing, our brain is fully online, and our digestion and immune functions are active. There are no deferred symptoms. We are processing information real-time and we feel alive and human.

The Red Zone, above the window, where too much energy is running through our system and we feel triggered, anxious, angry, tense, reactive, or stressed. If we stay in this zone too long, we deplete our resources and build up underground symptoms that we will only discover later.

The Grey Zone, below the window, where our system can’t fight back or flee and so shuts down to conserve energy. We feel numb, frozen, dissociated, withdrawn, powerless and exhausted. The deeper we go into this zone, the harder it can be to come out of it. 

In our modern society, we don’t create the space for this triggering unprocessed material to integrate.

This leaves the nervous system stuck and dysregulated. The survival energy that should have discharged gets bound up in tension, bracing or shutdown. Our stress no longer clears and instead compounds as our allostatic load, or stress load.

You might feel this as a low hum of anxiety, a sense of "off-ness" or flatness, not feeling yourself, relentless rumination, guilt, shame, doubt, depression, exhaustion, obsession on a particular symptom, or actual physical pain.

We each have our own place where our system breaks down.

The thinking brain works overtime to try fix things, but really it just makes matters worse, not better. The overthinking is itself a symptom of the dysregulation that keeps you from healing.

The trouble lives at a deeper, embodied level, from which the mind is cut off.

So, what can be done?

Somatic therapy goes right to where the trouble still originates: the body. Through a gentle, guided awareness process, you gradually reconnect and integrate the difficult feelings that drive your symptoms.

You can think of it as interactive mindfulness, or better bodyfulness, with a second nervous system in the room to provide safety and support.

Each session we put another stitch between body and mind. We go at the speed your nervous system can handle, slowly rebuilding a solid foundation of self, connection and acceptance.

The work compounds as you become more connected to your emotions and source energy, which upgrades your responses and builds new positive feedback loops.

As painful body memories get processed and unburdened, the energetic charge drains out of them and your your window of tolerance, or range of feeling and behavior expands.

In a healed nervous system, new stress waves can rise, fall, and complete without disrupting you. You no longer need to fear your body or emotions and can deeply trust yourself.

You spend more time in the blue zone, and when you tip into the red or grey zones, you now notice it and have a way to come back into blue.

Best of all, story follows state, meaning the regulated state of your nervous system now leads to new stories of hope and optimism. This all happens naturally with little effort or force.

This is what we call self-regulation.

Beyond sessions are usually a 50/50 mix of somatic awareness work and regular talk therapy. This builds a relational container of safety and helps to contextualize and integrate what has surfaced from the body.

Before somatic work, talking may be used to lay a foundation of safety and shared understanding.

Following somatic work, talking may be used to cement important meanings and insights and to create a practical implementation plan to bring the work into daily life.

Key principles of Somatic Therapy:

  1. Titration: Trauma is processed emotional pain in manageable doses, a pace that is comfortable for the client and prevents retraumatization.

  2. Pendulation: Clients learn to move from activation and distress through to deactivation, discharge, and relaxation.

  3. Completion: Traumatic experiences that were once interrupted or unprocessed can be revisited and brought to a natural resolution, freeing the mind and body from their lingering effects.

Meet Peter Levine, founder of Somatic Experiencing

Peter Levine demonstrating Somatic Experiencing with Ray, a veteran who experienced combat trauma.

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