How Are Emotions Processed in EMDR Therapy?

EMDR stands for Eye Movement Desensitization and Reprocessing (see my article: How EMDR Therapy Works: EMDR and the Brain).

How Are Emotions Processed in EMDR Therapy?

EMDR was developed by Dr. Francine Shapiro in the 1980s as an alternative to traditional talk therapy to heal psychological trauma. 

EMDR is one of several types experiential therapies, including AEDP (Accelerated Experiential Dynamic Psychotherapy) IFS (Internal Family Systems) Parts Work and Somatic Experiencing, that were developed by trauma therapists help clients to overcome trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma).

The cornerstone of EMDR is the Adaptive Information Processing (AIP) system which is a theory about how the brain stores memories and that the brain stores regular memories and traumatic memories in a different way.

While normal memories are stored by strengthening connections between neurons, traumatic memories aren't stored in a cohesive way. Instead, traumatic memories are stored with fragmented, sensory and emotional imprints due to the hyperactivation of the amygdala and inhibition in the hippocampus in the brain.

The unprocessed nature of traumatic memories can cause flashbacks and triggers.

Prolonged trauma can lead to structural changes in the brain with a reduction in neuroplasticity, but the reduction can be repaired by EMDR therapy and other trauma therapies.

How Are Emotions Processed in EMDR Therapy?

Emotions related to traumatic memories are processed in EMDR therapy using bilateral stimulation (BLS) which can be either eye movements, bilateral tones or tapping, to stimulate the brain while the client focuses on the traumatic memory (see my article: What is Bilateral Stimulation?).

EMDR Therapy Using Tappers For BLS

This technique is similar to REM (Rapid Eye Movement), which is a crucial stage of sleep associated with dreaming and increased brain activity.

Bilateral stimulation helps the brain to "metabolize" the unprocessed traumatic memories by  reducing their emotional charge and replacing negative self beliefs with positive, adaptive beliefs.

Prior to processing traumatic memories with EMDR, an EMDR therapist assesses whether EMDR is the appropriate therapy for a particular client. 

If so, she obtains a client's history, helps the client to develop the necessary internal resources and coping skills to do the trauma work and evaluates whether the client is ready to process the trauma. 

Some clients, who have a significant history of ongoing trauma might need an extended period of resource development before they can process traumatic memories (see my article: Developing Internal Resources and Coping Skills).

What Are the Key Aspects of EMDR Therapy?

Here is a breakdown of the eight phases of EMDR therapy.

If the therapist assesses that EMDR therapy is appropriate for a client, there are eight phases to EMDR which vary in length depending upon each client's needs:

• Phase 1: History Taking and Treatment Planning: The therapist obtains the client's history, as mentioned above. She identifies the traumatic memories and creates a treatment plan in collaboration with the client. During this stage, the therapist helps the client to identify the "touchstone" memory, which is the earliest memory related to the trigger the client is experiencing. For instance, if the client seeks EMDR therapy to deal with a difficult boss who humiliates the client in staff meetings, the touchstone memory might be memories of being humiliated by a critical father. The earlier memories would each have their own eight stages for processing. The therapist tries to find a touchstone memory which will have generalizable effects meaning that working with a one or a few of these memories is healing to the other similar memories. If these earlier touchstone memories aren't processed, the client is likely to get triggered again with another current situation that has similar elements to the touchstone memory. The mechanism for identifying the touchstone memory is the Float Back technique which is also known as the Affect Bridge in hypnotherapy (also known as clinical hypnosis).

An EMDR Therapist Writing Down the Client's History

• Phase 2: Preparation: The therapist explains the process, establishes safety for the client, and teaches the client coping skills (also known as internal resources) to manage emotional stress during trauma sessions and between sessions (see my article: Why is Establishing Safety So Important in Trauma Therapy?).

• Phase 3: Assessment: The therapist activates the traumatic memory that she and the client have chosen to work on by identifying specific images, the client's negative self beliefs, emotions and physical sensations related to the trauma. This is also known as setting up the EMDR protocol.

• Phase 4: Desensitization: Bilateral stimulation (eye movements, taps or tones) is used to reduce the distress associated with the memory. When clients have experienced ongoing trauma, such as developmental trauma during childhood, there can be many memories to process using the eight stages for each memory. For instance, if a client experienced extensive physical abuse as a child as well as bullying in elementary school and date rape in adolescence, each one of those experiences would need to be processed.

• Phase 5: Installation: A positive belief, which is identified by the client, is strengthened to replace the negative belief associated with a particular traumatic memory.

• Phase 6: Body Scan: The client checks for any remaining tension in the body linked to the traumatic memory. If there is tension in the body associated to the memory, the therapist uses bilateral stimulation until the tension dissipates.

• Phase 7: Closure: After each EMDR session, the therapist uses stabilization techniques, which might include debriefing/talking about the experience or a meditation, to ensure the client feels secure at the end of a session.

• Phase 8: Reevaluation: The therapist assesses the client's progress, determines the success of the treatment and plans the next step of the therapy in collaboration with the client.

What Are Emotional Blocks?

Emotional blocks are unconscious barriers to processing traumatic memories.

Overcoming Emotional Blocks in EMDR Therapy

An emotional block can occur at any phase of the EMDR processing.

I have been doing EMDR therapy regularly since 2006 and, unless a client comes with an uncomplicated one-time traumatic event, there will be emotional blocks during processing.

The emotional block can take many forms. One common example is the belief, "I don't deserve to feel better". 

When a therapist and client encounter an emotional block, to use a metaphor, it's like encountering a tree that has fallen across a train track. The train can't go any further until the tree, which is blocking the train track, is removed.

Similarly, EMDR processing won't go any further until the emotional block is removed. 

When a client and I encounter an emotional block in EMDR processing of a memory, I find it's useful and efficient to conceptualize the block as a part of a client. It might be a very young part (or inner child) or another part the client has internalized. 

Whatever the block might be, I have found that working with the part using Parts Work can help to soften or remove the block so that the part allows the processing to continue (see my article: Trauma Therapy: Combining EMDR Therapy and Parts Work to Overcome Emotional Blocks).

Another way to think about an emotional block is to think of it as a defense mechanism that was a survival strategy at one point (usually when the client was younger) but no longer is adaptive.

It's not unusual for there to be several emotional blocks along the way during EMDR processing and each one needs to be addressed before EMDR processing can continue.

Conclusion

EMDR therapy is one of several types of trauma therapies.

The trauma therapist assesses each client to determine which type of trauma therapy--whether it's EMDR, AEDP, Somatic Experiencing, Parts Work or a combination of these modalities is for a particular client. 

Getting Help in Trauma Therapy

If you feel stuck with unresolved trauma, you could benefit from working with a licensed mental health professional who is a trauma therapist.

Getting Help in Trauma Therapy

Freeing yourself from your trauma history can help you to live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have over 25 years of experience helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

Trauma Therapy: The Mind Has a Powerful Innate Ability to Heal Itself

What Does Processing Your Emotions Mean? 

How Are Emotions Processed in AEDP?

What is the Life Cycle of an Emotion?

How Can Intergenerational Trauma Affect Your Ability to Make Decisions?

In the current article I'm discussing how trauma can affect decision-making. 

Intergenerational Trauma and Fear of Making Decisions

What Are Some of the Psychological Factors For Fear of Making Decisions?

If you have this problem with making decisions, it's important to start with compassion.

Developing Self Awareness and Compassion

It's important to look beyond the surface with compassion so you won't be so hard on yourself.

In general, every person who has problems making decisions is unique and has their own set of psychological factors related to decision-making.

Here are some of the most common factors:

• Pessimism and Fear of Change: A negative or pessimistic perspective can lead to only focusing on the potential downside to every possible decision.

• Insecurity: Personal insecurities can lead to someone having difficulty with potential decisions.

• A Problem Solving Identity: Some people like to see themselves as problem solvers for themselves and for others. This helps them to feel useful and needed. However, it can also become a crutch to avoid making decisions.

• Cognitive Dissonance: Some people experience an internal conflict when faced with solutions that challenge their beliefs. This can lead to their challenging every possible solution offered to them to maintain a sense of internal consistency (see my article: Understanding the Negative Impact of Cognitive Dissonance).

Clinical Vignette

The following clinical vignette, which is a composite of many cases, illustrates how a particular type of trauma, intergenerational trauma, an affect making decisions:

Liz

When her boyfriend, Ray, recommended that she seek help in therapy, Liz wasn't open to the idea at first. But when he talked to her about the many times she approached her problems with pessimism and fear of change, she realized she had a problem, so she sought help in therapy.

Anxiety and Fear of Change

When her therapist asked Liz about her family history, Liz revealed that both of her parents had problems making decisions because they usually feared the worst possible outcome.  

Both of Liz's parents experienced intergenerational related to severe poverty. So, even though her parents were now financially secure, whenever they had to make any decision about money, they approached the decision making process with pessimism, anxiety and dread (see my article: What is Intergenerational Trauma?).

The smallest financial decision created so much anxiety that they would find a problem with any possible decision. This lead to procrastination so they made decisions at the last possible moment. This often lead to poor choices in many cases because they weren't able to think about the choices calmly so they made last minute decisions in haste.

Even as a young child, Liz understood that her parents' anxiety and dread were misplaced. She knew that, unlike earlier generations, both of her parents were in high paying professions and they could relax more about money. 

But even though Liz understood it logically, on an emotional level, she took in her parents' fears and anxiety on an unconscious level.  

This created problems between Liz and Ray because whenever they were faced with certain decisions related to spending money, like whether to buy new furniture or whether they could afford to go on vacation, Liz had so much anxiety that she couldn't make a decision.

Logically, Liz knew she and Ray could afford the furniture and a vacation, but whenever he proposed various options, she found reasons to reject everything he proposed.  She couldn't understand why she couldn't reconcile her logical thoughts with her emotions.

After hearing about her family history, Liz's therapist provided her with psychoeducation about intergenerational trauma. 

Although Liz wasn't happy to hear that she was traumatized, her therapist's explanation made sense to her, especially when she heard about the symptoms. 

Some of the symptoms of intergenerational trauma resonated with her, including:

• Persistent anxiety

• Hypervigilance (a constant state of high alert or feeling a sense of threat)

• Problems with emotional regulation

• Shame
  

• Guilt
  

Liz's therapist worked with her to prepare her to do trauma therapy. Since Liz's anxiety was so high, she needed several months of preparation and stabilization before they could start processing her trauma in trauma therapy.

Part of the preparation involved developing self compassion and better coping skills.

When her therapist assessed Liz was ready to work through her trauma, they did a combination of IFS Parts Work Therapy, Somatic Experiencing and EMDR Therapy over a period of several months.

Whenever they discovered an emotional block in the trauma therapy, her therapist used Imaginal Interweaves to help Liz overcome the block (see my article: What Are Imaginal Interweaves in Trauma Therapy?).

Even though the work took over a year until Liz worked through her trauma, she felt incremental relief along the way.

Overcoming Anxiety and Fear of Change

Over time, Liz experienced her emotions as being more in synch with her logical understanding. She was able to modify her emotions and behavior to make decisions without anxiety, pessimism or fear of change.

Whenever she considered possible solutions to problems, she was able to consider each options and make a decision without finding problems with every solution.

Trauma therapy enabled Liz to free herself from a history of intergenerational trauma.

Conclusion

If you have unresolved trauma, a good place to start is developing self awareness and compassion.

Most people don't want to create problems for themselves and others when they're trying to solve problems or make decisions, so there's usually a coherent reason. 

If the reason isn't apparent, it's often unconscious (see my article: Making the Unconscious Conscious).

Getting Help in Therapy

A skilled mental health professional who is trained as a trauma therapist can help you to identify the psychological factors involved and work through the problems (see my article: What is a Trauma Therapist?).

If the problems are related to trauma, seeking help from a psychotherapist who is a trauma therapist can help you to overcome the trauma so you can lead a more fulfilling life free from your history of trauma.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to work through trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

What Are Imaginal Interweaves in Trauma Therapy?

In prior articles I provided a basic explanation for Imaginal Interweaves in Trauma Therapy (see my articles Imaginal Interweaves - Part 1 and Part 2).

In the current article, I'm taking a deeper dive to explain Imaginal Interweaves, an intervention I often use in trauma therapy.

What Are Imaginal Interweaves in Trauma Therapy?

Imaginal Interweaves are techniques used in trauma therapy.

Imaginal Interweaves in Trauma Therapy

I learned how to do Imaginal Interweaves in an advanced Attachment Focused EMDR Therapy training about 20 years ago from EMDR expert Laurel Parnell, Ph.D.and I have found them to be an effective way to help clients to heal.

Imaginal Interweaves are techniques used in EMDR and other Experiential Therapies where a trauma therapist guides clients to use their imagination to connect with different aspects of themselves (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?).

This often includes imagining their younger child self (often called "inner child"). This is especially helpful if clients become stuck when they're processing unresolved trauma. 

Examples might be imagining their current adult self:

• Comforting their younger self

• Defending their younger self from someone who was abusive

• Taking their younger self away from an unsafe, abusive environment to a place where their younger self feels safe

Imaginal Interweaves are:

• Specific therapeutic interventions used in trauma therapy, like EMDR therapy, AEDP, Parts Work Therapy and other Experiential Therapies.

• A tool to process trauma when a client gets stuck during the processing

• Guided imagery the therapist facilitates

• A technique for self connection 

Imaginal Interweaves work by:

• Helping a client to develop internal and external resources

• Bridging different perspectives including a gap between a more vulnerable part of a client and a more capable adult self

• Facilitating new emotional responses by using the imagination to work through overwhelming feelings related to trauma

What Are Some Examples of Imaginal Interweaves?

There are many different types of Imaginal Interweaves.

Imaginal Interweaves in Trauma Therapy

Here are examples of a few:

• Adult-Child Interactions: The adult self comforts the child self to provide a sense of present-day safety and reassurance.

• Expressing Anger: The adult self can be imagined as holding the perpetrator so the child self can express anger while feeling safe.

• Direct Communication: After asking the client's permission, the therapist can speak directly to the child self to find out what the child self needs.

Making a Distinction Between What Actually Happened and An Imaginal Interweave

Trauma therapists make the distinction with the client about what actually happened during their trauma and an Imaginal Interweave.

Imaginal Interweaves in Trauma Therapy

In no way would I try to get a client to believe that something different happened from what actually happened.

The purpose of Imaginal Interweaves is to give clients a new embodied experience using their  imagination while continuing to know that what is being imagined didn't actually happen.

An embodied experience means the client experiences a mind-body connection during an Imaginal Interweave which helps with the integration of the new experience.

To help them to experience an embodied experience, I will help the client to have a felt sense where they feel the new imagined experience in their body. 

This serves as an anchor for the experience in an embodied way rather than just being an intellectual process (see my article: The Mind-Body Connection: Developing a Felt Sense of Your Internal Experiences).

Using an embodied approach facilitates healing.

How Can Imaginal Interweaves Help to Free You From Your Traumatic History?

By processing unresolved trauma using Imaginal Interweaves, you can free yourself from your traumatic history by:

• Overcoming unresolved trauma that keeps you stuck in your current life

• Overcoming false negative beliefs you have about yourself

• Connecting you to your inner resources

• Integrating various internal parts of yourself to achieve improved mental health

• Gaining self confidence to cope with past, current and future challenges

Getting Help in Trauma Therapy

Traditional talk therapy can help you to gain insight into your problems, but it doesn't always help you to heal from trauma.

Experiential Therapy that includes Imaginal Interweaves provides you with a mind-body oriented experience that is a more holistic way to heal.

Rather than struggling on your own, seek help in Experiential Therapy so you can heal and live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to work through unresolved trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

 

What is the Purpose of the Preparation and Stabilization Phase in EMDR Therapy?

In the past I've written other articles about EMDR therapy including:

• What is EMDR Therapy? 

• EMDR and the Brain: How Does EMDR Therapy Work?

• Overcoming Trauma With EMDR Therapy

• EMDR Therapy - When Traditional Psychotherapy Isn't Enough

• EMDR Therapy Helps to Achieve Emotional Breakthroughs

In the current article I want to focus on Phase 2 of EMDR Therapy: The Preparation and Stabilization Phase.

Before focusing on Phase 2, let's review the eight stages of EMDR therapy.

The Preparation and Stabilization Phase of EMDR Therapy

What Are the 8 Phases of EMDR Therapy?

The eight phases of EMDR Therapy:

Phase 1: History Taking and Treatment Planning: 

• Taking a thorough family history
• Taking a history of the problem
• Establishing a rapport with the client
• Selecting target memories to process with EMDR

Phase 2: Preparation and Stabilization:

• Teaching the client about EMDR processing
• Helping the client to develop the necessary coping and relaxation skills to process the trauma with EMDR
• Ensuring the client is ready to process the trauma with EMDR

Phase 3: Assessment:

• Identifying the client's negative belief
• Identifying the images related to the traumatic memory to be processed
• Helping the client to identify their level of disturbance about the memory (Subjective Unit of Disturbance or SUD)
• Rating the level of disturbance (SUD)

Phase 4: Desensitization:

• Using bilateral stimulation (tapping, eye movements or tones) while the client focuses on the traumatic memory
• Reducing the client's disturbance (SUD) to a manageable level

Phase 5: Installation:

• Helping the client to identify and integrate a positive belief that contradicts the client's negative belief
• Strengthening the client's positive belief with bilateral stimulation

Phase 6: Body Scan:

• Helping the client to recognize any residual body sensations associated with the trauma
• Addressing any residual discomfort client has with regard to the trauma

Phase 7: Closure:

• Helping the client to develop a calm and grounded state
• Providing strategies so that the client can manage any future triggers

Phase 8: Reevaluation:

• Assessing the client's progress and revisiting the traumatic memory
• Deciding whether any further processing of the traumatic memory is needed

What is the Purpose of the Preparation and Stabilization Phase of EMDR Therapy?

Phase 2, known as the Preparation and Stabilization phase of EMDR, is essential because it:

• Builds Resources: The EMDR therapist helps the client to identify and strengthen internal resources  and external resources as well adaptive memory networks to support the client in processing the trauma.

• Helps to Build Coping Skills: The client learns various coping skills such as a breathing exercise, a container exercise, imagery, and grounding techniques to manage any intense emotions so the client can remain stable.

• Establishes a Relaxing Place Imagery: The client creates a mental image of a relaxing or safe place that they can return to if the processing feels overwhelming or between EMDR sessions.

• Increases Trust and Safety: This phase helps the client to develop trust and a sense of safety as well as enhance the therapeutic alliance between the client and therapist.

• Provides Psychoeducation: The therapist educates the client about trauma, the processing of trauma and what to expect in EMDR therapy. 

• Assesses the Client's Readiness to Start EMDR Processing: The therapist assesses the client's readiness to do EMDR therapy, determining if the client is sufficiently stabilized to proceed with the processing of trauma or if the client needs additional resources or more attention to stabilization. 

Why is the Preparation and Stabilization Phase Important in EMDR Therapy?

Without the necessary preparation and stabilization phase of EMDR, a client can become overwhelmed or retraumatized. 

They might be unable to stay in the present moment during the processing of the trauma or between sessions.

The Preparation and Stabilization Phase of EMDR Therapy

Preparation and stabilization ensures the client has the necessary internal stability and resources to safely process trauma using EMDR therapy.

This phase also helps to reduce the risk of negative experiences and to a better overall outcome for the client.

Clinical Vignette

The following clinical vignette, which is a composite of many different cases to protect confidentiality, illustrates the importance of the EMDR Preparation and Stabilization Phase:

Tom

As a US veteran who experienced significant trauma during the Iraq war, Tom suffered with Posttraumatic Stress Disorder, which is also known as PTSD (see my article: What is the Difference Between Trauma and PTSD (Posttraumatic Stress Disorder)?

After he heard about EMDR therapy, he had consultations with a few EMDR therapists in his area.

When the therapists spoke to Tom about the need for preparation and stabilization before processing his traumatic memories, he felt discouraged about the time this would take. Understandably, he wanted to get rid of his PTSD symptoms and he wanted it now. 

One of his friends, John, an unlicensed mental health intern, told Tom that he had read books about EMDR therapy.  Even though he had no formal training in EMDR, John felt he could help Tom to overcome his trauma, so he offered to do EMDR for Tom.

Aside from John not being a licensed mental health professional and having no training in doing EMDR, Tom jumped right into Phase 4 of EMDR (Desensitization) by skipping Phases 1-3.

Within minutes of processing the trauma, Tom went into a dissociated state and believed he was back in the battlefield. He had no awareness of the present moment with John. He began shaking, crying and cowering on the floor. It was obvious to John that Tom was being retraumatized.

Panicked and not knowing what else to do, John called 911 and the Emergency Medical Technicians were there with 10 minutes. They helped to stabilize and calm Tom so that he became aware of his current surroundings.  They also suggested he contact his primary care physician.

In addition, the EMTs told John that, as an unlicensed intern, it was unethical and dangerous for him to undertake doing any type of therapy.

A few weeks later, Tom's primary care doctor referred him to a licensed mental health professional who had advanced training in EMDR therapy.

Although the therapy took longer than Tom would have liked, by the time his therapist prepared him for EMDR processing, he felt safe enough with her and prepared to do EMDR.

The work was not quick or easy, but by the time Tom completed EMDR therapy, he was relieved of his trauma symptoms and he felt ready to move on with his life.

Conclusion

EMDR is a safe and effective therapy to process and overcome trauma when done responsibly by a licensed mental health professional who has advanced EMDR training.

This article seeks to explain the importance of the Preparation and Stabilization Phase of EMDR (also known as Phase 2).

The Preparation and Stabilization Phase of EMDR Therapy

All the phases in EMDR therapy are important, however, as illustrated in the clinical vignette above, it's important not to skip any of the phases, including Phase 2, because of the risk of  experiencing negative mental health consequences, including retraumatization.

Some clients who seek help in EMDR therapy are initially disappointed that they cannot immediately start processing their trauma on Day1 in therapy.

They might seek help from unlicensed and untrained people because they think it will be quicker, but many of these individuals become retraumatized and in a worse state than they were originally.

Only seek help in EMDR therapy with a licensed mental health professional who has advanced training in EMDR.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

One of my specialties, as a trauma therapist, is helping clients to process and overcome trauma (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

How Does Somatic Experiencing Heal Trauma?

As a psychotherapist who specializes in helping clients to overcome trauma, I have been using Somatic Experiencing (SE) regularly for 15 years and I have found it to be a highly effective therapy to heal trauma (see my article: What is a Trauma Therapist?).

Somatic Experiencing Can Heal Trauma

How Does Somatic Experiencing Heal Trauma?

Somatic Experiencing, which is an experiential therapy, helps to shift the body's autonomic physical responses by allowing clients to process and discharge "stuck" energy associated with trauma's fight, flight and freeze responses (see my article: Somatic Experiencing: A Mind-Body Oriented Therapy For Overcoming Trauma).

Examples of this include changes in heart rate, blood pressure, digestion, breathing, which are all part of the body's autonomic response system.

"Stuck" or "trapped" energy means the body's instinctive survival response (flight, flight, freeze) to a dangerous event doesn't complete, which leaves excess energy and heightened nervous system arousal stuck in the body. 

This unresolved survival energy can take the form of ongoing health and mental health problems including (but not limited to):

• chronic pain

• anxiety

• emotional numbing 

• muscle tension

• fatigue

• hypervigilance 

• problems with self regulation

Changes in SE are often subtle responses like feeling warmth, tingling or vibrations which indicate the release of trapped trauma-related energy.

A Somatic Experiencing therapist helps to guide clients to notice and track these felt sensations (see my article: What is the Felt Sense?).

Somatic Experiencing therapists also use pendulation to help clients shift their awareness from challenging emotions to a sense of calm so they can gradually process and integrate traumatic experiences (see my article: Coping With Emotional Distress By Using Pendulation in SE).

Understanding interoceptive and proprioceptive sensations is also part of the skill building clients learns in SE.

Interoceptive sensations are the sensations within your body, like the sensations mentioned above: heart beating, muscles tensing or feeling hungry or thirsty. As part of a traumatic experience, these sensations can become hyperactivated which leads to constant anxiety or discomfort.

Proprioceptive sensations is your body's sense of where its different parts are in space and how they are moving. Trauma can disrupt proprioceptive sensations which can make you feel disconnected from certain parts of your body.

SE can change these trauma-related disruptions to restore the natural rhythms of your nervous system that became dysregulated by the trauma.  

Along the way, you learn embodied awareness so you feel more connected to your body and bodily sensations instead of feeling overwhelmed by them. This can lead to the transformation of intense and distressing sensations to a greater sense of well-being and safety.

What Are the Benefits of Somatic Experiencing?

As an experiential therapyp, Somatic Experiencing integrates body awareness into the therapeutic process which makes it unique compared to other non-experiential therapies like regular talk therapy (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy to Overcome Trauma?).

Somatic Experiencing Can Heal Trauma

As mentioned above, Somatic Experiencing can help to release trauma which can bring the body back into a regulated state.

Somatic Experiencing can be used as a primary therapy or it can be integrated with other forms of experiential therapy including:

• EMDR

• AEDP

• Hypnotherapy

• Parts Work Therapy, like IFS and Ego States Therapy 

    See my article: Integrating EMDR and Somatic Experiencing

Getting Help in Therapy to Overcome Trauma

As a trauma therapist, Somatic Experiencing is one modality I use either alone or in combination with other types of experiential therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

I work in a collaborative way with clients to help them to decide which modality or combination of modalities would be best for their particular needs.

Getting Help in Therapy to Overcome Trauma

If you have been struggling with unresolved trauma, you could benefit from seeking help from a Somatic Experiencing therapist.

Freeing yourself from your traumatic history can help you to lead a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.