Why a Somatic Approach?

A somatic approach to healing and well-being involves paying attention to and expanding the flexibility of the autonomic nervous system. In somatic therapy, we tend to the connections between the mind, body, and brain. This approach acknowledges that we can’t always ‘think’ or talk our way out of pain or distress. In fact, we may have tremendous insight about our experiences and challenges, but find ourselves repeating patterns that we know at a conscious level are no longer serving us. This is because some of what gets in our way lives below the level of conscious thought in our autonomic nervous system responses.
Our nervous system is designed to keep us alive, constantly taking in data and scanning our environment for cues of safety or threat. A healthy nervous system will flexibly move through different ‘states’ in response to our environment. When we feel safe enough, our social engagement system (our capacity for connection) reaches out to others. When our nervous system perceives danger, it mobilizes so that we can fight or flee and then returns to a state of calm and ease when the stress is over. If the threat is too great or fighting or fleeing are not an option, our nervous system may shut down or freeze to protect us. These are automatic, involuntary responses designed to ensure our survival.

If we have experienced chronic stress or trauma, our nervous system responses may get stuck in maladaptive patterns. These patterns of response likely helped us survive at one time in our life; there is tremendous wisdom in these responses. However, when our responses don’t match the current situation, we can inadvertently cause problems for ourselves and in our relationships. For example, we may have very strong reactions to conflicts in relationships, reacting quickly with anger or shutting down or withdrawing at the first sign of threat. Understanding the biological basis of these automatic responses can help take the fear and shame out of the healing process and allow us to explore our own patterns with curiosity and compassion.

why-thriving

Trauma is not what happens to us, but what we hold inside in the absence of an empathetic witness.

– Peter A. Levine

What is trauma?

Trauma can be defined as any experience or set of experiences that overwhelmed our ability to cope and in which we felt alone. This can mean that we experienced things that were too much, too soon, or too fast and/or we experienced the absence of something we needed. Trauma is not the event, but the impact of the event or experience on our nervous systems.1 Trauma or chronic stress can alter the way our nervous system functions such that our perceptions can be distorted, leading us to perceive danger when no danger is present and/or to miss signals of real danger when it is present.2

Unresolved trauma can create impairments in nervous system functioning such that we get stuck on “on” and find ourselves frequently activated, anxious, irritable, hypervigilant, bracing, or aggressive. Or, stuck on “off” where we find ourselves feeling overwhelmed to the point of shutdown, tired, numb, unmotivated, and feeling “checked out”. If we have experienced significant trauma or chronic stress in our lives, we may find ourselves cycling between these two ‘survival’ states with very little time feeling fully present, grounded, and connected in the moment. These impairments, if we don’t tend to them, can create chronic disruptions in our ability to feel connected to ourselves and the important people in our lives.

One important goal of the healing process is to restore the body's ability to be present with a felt sense of safety, calm, and connectedness.

How is this approach different from traditional 'talk therapy'?

Your story and the stories you share in therapy are important. As you share your stories, with your permission, I will periodically invite you to pause and bring your attention to your body. This may feel awkward or uncomfortable at first, however, over time these pauses will feel more natural. We slow down and ‘pause’ to check back in with ourselves in somatic therapy because while we can’t change the past, we can work with how the past impacts us now. We learn to notice our experience and sensations in real time and become more aware of our nervous system states. As we become more attuned to what is arising in us, we can tend to the parts of ourselves that need care, expression, and integration.

For example, you may start a session feeling relatively grounded and with a low level of ‘disturbance’. However, when you begin to recount a difficult exchange with your partner or a challenging moment as a parent, your nervous system ‘state’ may shift. You may begin talking faster and find that your breath becomes more shallow and your heart rate accelerates. Or, your shoulders may curve inward and your voice may slow. The body is communicating the impact of the distress you are experiencing in the here and now.

Part of what we will do together is bring attention to your unique nervous system, how it operates to keep you safe and when you may be unconsciously responding to events with outdated threat responses. The body knows how to heal itself. When we give ourselves the gift of slowing down and bring kind attention to ourselves, the nervous system will often move in the direction of integration and greater regulation on its own.

Over time, with compassion and care, we can expand the flexibility of our nervous system responses, restore a sense of agency and choice and learn to find our way back to clarity and calm with greater ease.

A person lying on a couch while a therapist takes notes during a session
  1. Gabor Maté, https://drgabormate.com/trauma/
  2. Paul Conti, Trauma: The Invisible Epidemic. How Trauma Works and How We Can Heal From It, 2021. ↩