Somatic Psychotherapy: How Body-Centered Therapy Can Heal Psychological Trauma
- For those experiencing suicidal thoughts, please contact the 988 Suicide & Crisis Lifeline at 988
- For those experiencing abuse, please contact the Domestic Violence Hotline at 1-800-799-SAFE (7233)
- For those experiencing substance use, please contact SAMHSA National Helpline at 1-800-662-4357
There is often a common misconception that psychotherapy only involves talk therapy sessions. However, there can be many effective approaches under the psychotherapy umbrella. One of these modalities may be somatic psychotherapy, a holistic, body-centered therapy approach primarily used to help clients overcome post-traumatic stress disorder (PTSD). Somatic therapy can include interventions like meditation, deep breathing, yoga, tai chi, dance, acupressure, reiki, and more to release emotional pain that may be stored inside the body. To learn more about somatic psychotherapy or try it for yourself, it can be helpful to connect with a licensed therapist in person or online.
Somatic psychotherapy can also be used to treat many mental health concerns, such as stress, anxiety, depression, and addiction. It can improve emotional regulation, increase self-confidence, and help clients identify and address relationship problems. Individuals with physical pain, digestive problems, and other medical conditions that have been resistant to traditional treatments may also benefit from somatic psychotherapy.
The history of somatic psychotherapy
The term "somatic" comes from the Greek word "soma," which generally refers to the human body. German psychiatrist Wilhelm Reich is frequently credited for discovering the field of somatic psychotherapy back in the 20th century. Reich introduced his unconventional therapy approach after immigrating to the U.S. to flee World War II, during which the Nazis dominated his homeland of Austria.
Reich believed that trauma lives within the body. Common defense mechanisms, such as repression, regression, avoidance, denial, and disassociation, can result in physical health problems, including chronic muscular tension. As a result, pain can be trapped within the body, and the underlying causes may remain unhealed.
Although Reich's claims were certainly unconventional at the time, research suggests somatic psychotherapy can be highly effective in releasing pent-up symptoms that negatively impact emotional well-being and overall physical health.
Somatic therapy can treat post-traumatic stress disorder (PTSD)
Somatic psychology healing can be possible for individuals whose lives have been affected by psychological trauma. A 2017 study published by the Journal of Traumatic Stress found that 44.1% of study participants lost their PTSD diagnosis after participating in two consecutive 15-week somatic psychotherapy sessions. Participants met just once per week.
Despite the relatively small sample (63 people over the age of 18), the study's results were generally encouraging. With differing traumatic experiences, including vehicle accidents, assault cases, medical trauma, combat, and the death or injury of a family member, many participants were found to have decreased PTSD and/or depression symptoms.
How somatic psychotherapy works
Somatic therapy - A holistic approach to healing
If you've ever felt tension in your body after a long, stressful day at the office, or you've become emotional during a relaxing yoga session, you've probably realized that there can be a strong, unyielding connection between the mind and body. Because PTSD often affects the central nervous system, that strong mind/body connection makes survivors feel that they're always "on" and unable to rest and unwind. A seemingly insignificant event can make a PTSD survivor go into overdrive, potentially making true relaxation virtually impossible.
Somatic therapy is typically holistic. While the techniques are body-oriented, they can incorporate the mind, body, and spirit to relieve emotional and physical pain, potentially allowing the client to release emotions that may be trapped in their body. By releasing pent-up tension, frustration, anger, and fear caused by traumatic events, the client can begin to enjoy life and find inner peace.
Somatic psychotherapy facts
Despite growing research, somatic psychotherapy continues to be largely misunderstood. The following facts are intended to help demystify this holistic approach to healing:
- Somatic psychotherapy can be combined with other therapy types: A more traditional talk therapy session may include somatic psychotherapy elements, such as meditation, movement, and/or recalling traumatic experiences. The therapist helps their client keep their nervous system downregulated, relieving tension.
- Psychological setbacks can correspond with physical discomfort: Failure to work through trauma can contribute to chronic tension and pain.
- Somatic psychotherapy techniques can vary greatly depending on a client's needs: One session may look completely different from another. Since there are often many approaches involved, clinicians can choose the techniques that best suit the client.
- Somatic psychotherapy can involve touch, but it doesn't have to: While many clinicians choose not to implement touch in their practices, some clients may benefit from transformative touch to help improve body awareness. Clinicians trained in this technique may utilize this approach based on a client's comfort level and therapeutic needs.
- Resourcing is used for grounding: A client may be encouraged to think of a time when they felt safe. Resourcing can also include thoughts of a loved one, a favorite calming place, or an object that brings the client inner peace.
Who can benefit from working with a somatic therapist?
The acronym PTSD often conjures up horrific visions of war or violent crimes. While PTSD often results from combat and physical violence, many other types of trauma should not be overlooked. A somatic therapist can help individuals who have experienced or witnessed many types of trauma, including the following:
- Developmental trauma during childhood, such as physical, emotional, and/or sexual abuse*, abandonment, neglect, and/or severe family dysfunction
- Shock trauma, such as rape, mugging, assault, or surviving a natural disaster
- Subtle trauma, including relocation, bullying, the death of a family pet, financial difficulties, medical procedures, a minor accident and/or injury, rejection from a loved one, divorce or a difficult breakup, losing a job, changing schools, upsetting remarks by a family member, friend, teacher, or acquaintance, or getting lost in an unfamiliar area
Many individuals who have experienced trauma don’t realize the impact the event has had on their health and well-being. Any trauma can cause stress and anxiety and wreak havoc on the mind and body. In the following sections, we'll cover the psychological and physiological effects of developmental trauma, shock trauma, and subtle trauma, along with PTSD and non-PTSD disorders and conditions that may benefit from somatic psychotherapy.
Psychological effects of trauma
Just as there can be different types of trauma, there can also be various psychological effects. These may include:
- Anxiety and obsessive fear
- Excessive worry
- Overwhelm
- Insomnia and other sleep problems, including nightmares and/or night terrors
- Flashbacks
- Panic attacks
- A startle response
- Problems expressing emotions
- Overreaction to upsetting situations
- Feelings of guilt, shame, worthlessness, hopelessness, emptiness, and/or apathy
- Difficulty dealing with stress
- Isolation or detachment from others
- Compulsive behavior
- Erratic mood swings
- Frequent crying and/or prolonged feelings of sadness
- Depression
- Irritability
- Concentration problems
- Fits of anger or rage
- The tendency to procrastinate and/or avoid
- Perfectionistic tendencies
- Decision-making problems
- Proneness to accidents
- Dependency and/or addiction
- Suicidal ideation, threats, and/or attempts*
- Reckless and/or impulsive behavior
Physiological effects of trauma
Many individuals who have lived through a traumatic experience don't realize their physical symptoms may be related to the traumatic event. Physiological effects of trauma can include:
- Chronic fatigue and low energy
- Headaches and migraines
- Chronic muscle tension
- Pain in the neck and/or back
- Joint issues
- Chronic pain
- Unexplained aches and/or pains
- Allergies and/or asthma
- A weakened immune system
- Problems with digestion
- Sexual dysfunction, including low libido
- Irregular periods
- Infertility
Other health conditions that may benefit from somatic psychotherapy
Along with the promising results researchers are finding regarding somatic psychotherapy for PTSD and depression, individuals with the following disorders and conditions may benefit from this type of treatment:
- Phobias, including social phobia
- Anxiety disorders
- Panic disorder
- Obsessive-compulsive disorder (OCD)
- Attention deficit hyperactivity disorder (ADHD)
- Sleep disorders
- Chronic fatigue
- Chronic muscle tension
- Borderline personality disorder (BPD)
- Grief
- Digestive issues
- Allergies, asthma, and other breathing conditions
The mental health effects of somatic psychotherapy
If you're experiencing any of the above-mentioned psychological or physiological symptoms due to trauma, somatic psychotherapy could help you feel better mentally, physically, and emotionally. Patience is often key, as pent-up symptoms may take time to shift.
Positive effects of somatic psychotherapy may include:
- Increased self-awareness
- Improved attunement to one's own body
- The ability to better connect with others
- Reduced stress
- The ability to investigate physical, mental, and emotional health problems
- Improved self-confidence
Although experts usually agree that more research is needed to determine the effectiveness of somatic psychotherapy for various conditions, studies continue to reap promising results. A 2008 study published by Sage Journals found that somatic therapy interventions helped the vast majority of study participants, all of whom survived a destructive and devastating tsunami in southern India. Of the 150 participants, 90% noted a significant improvement in PTSD symptoms following a 75-minute somatic psychotherapy session and self-regulation training.
Somatic psychotherapy resources
For anyone interested in learning more about somatic body psychotherapy, the following books can be enlightening and truly excellent resources for clinicians, trauma survivors, and virtually anyone who wishes to take a deeper dive into this treatment option:
"Heal the Body, Heal the Mind" can teach trauma survivors that their mental, emotional, and physical pain doesn't define them. This resource can be ideal for individuals who are new to the somatic approach.
"Hakomi Mindfulness-Centered Somatic Psychotherapy" is an articulate, comprehensive guide to this treatment method, offering practical skills and valuable insights.
Begin your healing journey by talking to a therapist online
If you've experienced trauma, seeking help can help you overcome the mental, emotional, and physical barriers that may be holding you back from living your best life. Whether you’re interested in trying somatic psychotherapy or traditional talk therapy, connecting with a licensed mental health professional can be the first step to healing.
If in-office therapy is not available or feels uncomfortable for you, you may wish to look into an online therapy platform where you can get the professional support you deserve from home or anywhere you have a reliable internet connection.
According to a strong body of research, the effectiveness of online therapy and in-office therapy is generally the same, meaning that therapy typically works as well online as it does in person. Please don’t hesitate to reach out if you feel you’d benefit from working with a licensed therapist.
Takeaway
Somatic psychotherapy is generally based on the idea that emotional pain can become stuck inside the body. This holistic, body-centered approach often involves various interventions to release emotional pain. These can include yoga, acupressure, tai chi, deep breathing, meditation, reiki, dance, and more. Although somatic psychotherapy is frequently used to treat PTSD, it can be highly beneficial for a wide range of mental health disorders and challenges. You may connect with a licensed therapist who practices this type of therapy in person or online.
Frequently asked questions (FAQ)
How does a somatic therapist treat trauma?
Somatic psychotherapy typically uses a bottom-up rather than a top-down approach by reducing stress physiologically rather than through cognition or thinking methods. Somatic therapy is generally intended to help with PTSD (Post Traumatic Stress Disorder) and depression, anxiety, and other mental health disorders. Some somatic psychotherapy methods can include acupressure, martial arts, yoga, massage, dance, and mind-body centering.
What are some somatic psychotherapy techniques used to treat post-traumatic stress disorder (PTSD)?
Somatic techniques can include body awareness, grounding practices, and movement through yoga, martial arts, or dance. Additional techniques may be massage, trigger-point therapy, and acupressure. These mind-body techniques can be an effective treatment option for those living with stress, anxiety, PTSD, and other mental and emotional disorders.
Is EMDR a somatic therapy?
Eye Movement Desensitization and Reprocessing is not usually considered a somatic therapy.
Does somatic therapy help improve the mental health of someone with PTSD?
Multiple studies have shown that somatic therapy can be effective in treating PTSD and other mental health disorders. It normally operates on the idea that mental pain can manifest itself as physical pain. Through many different techniques, like massage, yoga, and acupressure, somatic therapy can improve mental health through physical touch and movement. It often works with both body and mind to improve mental and emotional health.
What is somatic mindfulness?
Somatic mindfulness often involves training yourself to be very aware of your body and all of the current moment's sensations. This type of mindfulness may allow you to experience a sense of stillness from which you may change your thought patterns and improve your mental health over multiple mindfulness sessions.
What happens in a somatic experiencing session?
In a somatic experiencing session, the first step is usually to get comfortable in the therapy environment and with the therapist. It can be very important for clients to feel safe for a somatic experiencing session to be effective. Next, the therapist may ask questions about the traumatic experience (if the client is experiencing PTSD) and the day the experience took place.
The difference between somatic psychotherapy and other types of therapy is generally that somatic therapy includes the body. The therapist will usually ask directed questions regarding the sensations a client is feeling during a somatic experiencing session. Becoming aware of the sensations and fully experiencing them can be an important part of this type of therapy. Later on, other techniques, such as massage or martial arts, may be used as well.
How do you know if you have childhood trauma?
There can be several signs that you have experienced childhood trauma. Passive aggressiveness, PTSD, seeing yourself as a victim, and portraying a false self may indicate that you have gone through trauma as a child. Mood swings, difficulty managing stress, feeling numb, problems with concentration, substance use disorder, a sense of loneliness, and sexual dysfunction stemming from sexual abuse can also be signs of childhood trauma, although many of these symptoms can stem from other sources as well.
If you are facing or witnessing abuse of any kind, the National Domestic Violence Hotline is available. Call 1-800-799-SAFE (7233) or Text "START" to 88788. You can also use the online chat.
What happens after an EMDR session?
After a successful EMDR session, you will likely leave the therapist’s office feeling empowered and in control. Depending on what the EMDR is being used to treat, you may notice various changes in your thoughts and behavior. For example, you might have a different perspective on things that used to scare you or cause anxiety. Memories from your past may become clearer, and you may become emotional at times. You may also experience a vibrating sensation in your body after an EMDR session.
- Previous Article
- Next Article