Somatic Therapy

  • What Is Somatic Therapy?

    Somatic therapy is a body-centered approach to psychotherapy that integrates awareness of bodily sensations, posture, movement, and nervous system responses into the healing process. It is grounded in the understanding that trauma, stress, and emotional experiences are not only psychological but also stored and expressed in the body.

    Somatic therapy helps individuals access and process unresolved experiences by tuning into physical sensations and using techniques such as breathwork, grounding, movement, and touch (when appropriate and consensual) to release tension and restore a sense of safety and regulation.

    Unlike traditional talk therapy, which focuses primarily on cognitive and verbal processing, somatic therapy acknowledges the body as a central site of experience and healing. It draws from various traditions and modalities, including Somatic Experiencing, Sensorimotor Psychotherapy, and elements of body-based practices like yoga, dance, and mindfulness. This approach is particularly effective for treating trauma, PTSD, dissociation, anxiety, and conditions involving dysregulation of the autonomic nervous system.

    Somatic therapy can be especially empowering for individuals who have felt disconnected from their bodies due to trauma, chronic illness, eating disorders, or societal oppression. It supports the reclamation of bodily autonomy, presence, and resilience through compassionate attunement to the body's wisdom.

  • Somatic Experiencing

    Somatic Experiencing (SE) is a trauma-resolution therapy developed by Dr. Peter Levine that focuses on restoring regulation to the nervous system by helping individuals process and release the physiological effects of trauma stored in the body. Rather than requiring clients to retell or relive traumatic events in detail, SE works by gently guiding them to tune into interoceptive (internal bodily) sensations, such as tension, warmth, or constriction, and allowing these sensations to shift and resolve over time.

    The core premise of Somatic Experiencing is that trauma is not just in the event itself, but in the body's incomplete response to it. When the natural fight, flight, or freeze responses are thwarted, whether due to overwhelm, immobilization, or social constraints, this survival energy can become stuck in the nervous system, leading to symptoms such as hypervigilance, anxiety, dissociation, chronic pain, or emotional dysregulation. SE helps clients complete these unfinished defensive responses in a safe, titrated way, allowing the nervous system to return to a state of balance.

    SE practitioners use techniques like pendulation (moving gently between regulation and dysregulation), resourcing (supporting internal and external sources of safety), and tracking sensations to facilitate this process. It is widely used to treat PTSD, complex trauma, anxiety, chronic stress, and somatic symptoms, and is often integrated into other modalities, including expressive arts therapy, EMDR, and bodywork.

  • Sensorimotor Psychotherapy

    Sensorimotor Psychotherapy is a body-centered, trauma-informed therapeutic approach developed by Pat Ogden that integrates principles from somatic therapy, neuroscience, attachment theory, and cognitive-emotional processing to treat trauma and developmental wounds. It emphasizes the role of the body as a primary site where traumatic experiences are stored and expressed through posture, movement, tension patterns, and autonomic nervous system responses, often outside of conscious awareness.

    Unlike traditional talk therapy, Sensorimotor Psychotherapy focuses on bottom-up processing, helping clients observe and explore body sensations, impulses, and movements as a gateway to emotional healing.

    It encourages mindful awareness of present-moment bodily experience (called somatic mindfulness) to uncover habitual survival strategies and incomplete defensive responses (e.g., fight, flight, freeze, or collapse). These patterns are then gently explored and renegotiated, allowing the client to restore regulation, agency, and coherence in both body and mind.

    Sensorimotor Psychotherapy is particularly effective for complex trauma, developmental trauma, and dissociation. It works in stages: stabilizing and resourcing, processing trauma memory (often with minimal narrative), and integrating new somatic and relational patterns. It is also sensitive to attachment dynamics, emphasizing the therapeutic relationship as a secure base for healing.

    Because it addresses both implicit (nonverbal, body-based) and explicit (conscious, narrative) levels of experience, it is considered a powerful modality for clients whose trauma is stored beneath language or who struggle with dysregulation.

Somatic Therapy for The LGBTQ+ Community

Somatic therapy offers a powerful, affirming approach to healing for LGBTQ+ individuals by addressing the embodied impact of marginalization, trauma, and systemic oppression. The LGBTQ+ community often experiences chronic stress from societal stigma, discrimination, family rejection, and identity invalidation stressors that are not only psychological but also somatically encoded in the body through hypervigilance, muscular tension, dissociation, and nervous system dysregulation (Pickens, 2020). Somatic therapy helps LGBTQ+ clients reconnect with their bodies in a way that fosters safety, agency, and embodiment, countering the internalized messages that their identities are wrong or unsafe.

This modality centers the body as a site of wisdom and resistance, inviting clients to explore how identity, power, and safety are experienced physiologically. Through practices such as grounding, tracking sensations, breathwork, and gentle movement, somatic therapy helps LGBTQ+ individuals process trauma not only from personal histories (e.g., violence, bullying, or medical trauma) but also from collective and intergenerational oppression. It also supports the reclamation of bodily autonomy, especially important for trans and nonbinary clients navigating dysphoria, medical gatekeeping, or post-surgical healing, by fostering embodied self-acceptance and a sense of congruence between identity and lived experience (Matsuno & Israel, 2018).

An LGBTQ+-affirming somatic therapy approach is trauma-informed, consent-based, and culturally attuned. It acknowledges that for many queer and trans people, the body has been a site of surveillance, harm, or estrangement. Somatic therapy seeks to reverse this by offering a relational and reparative space to inhabit the body with safety and pride. As such, it is not only a clinical intervention but also a liberatory practice, supporting healing that is political, personal, and deeply embodied.

References
Matsuno, E., & Israel, T. (2018). Psychological interventions promoting resilience among transgender individuals: A critical review of the literature. Clinical Psychology: Science and Practice, 25(1), e12268. https://doi.org/10.1111/cpsp.12268

Pickens, J. (2020). Embodiment and liberation: Trauma-informed somatics for queer and trans clients. In A. Singh (Ed.), The queer and trans resilience workbook (pp. 97–118). New Harbinger.

Movement-Based Somatics

Somatic therapy based in movement is a therapeutic approach that uses intentional, mindful movement to support emotional healing, nervous system regulation, and reconnection with the body. Rooted in the understanding that trauma and chronic stress are stored in the body, not just in thoughts or memories, this form of therapy engages movement as a primary pathway for processing, integrating, and releasing held experiences (Van der Kolk, 2014). Rather than relying solely on verbal expression, movement-based somatic therapy taps into pre-verbal and embodied ways of knowing, helping clients access emotions and sensations that may not be easily articulated.

This approach draws from a variety of disciplines, including dance/movement therapy, Laban movement analysis, body-mind centering, authentic movement, and somatic experiencing, among others. Techniques might include guided improvisation, breath and gesture work, developmental movement patterns, and rhythmic or expressive movement tailored to the client's needs and cultural context. Through these practices, clients can observe how their bodies carry emotional patterns, such as contraction, stillness, or agitation, and gradually shift toward more expansive, integrated states of being (Payne et al., 2015).

Movement-based somatic therapy is particularly effective for trauma, dissociation, eating disorders, anxiety, and identity disconnection. It empowers clients to reclaim agency over their bodies, develop interoceptive awareness (the ability to sense internal states), and express themselves creatively and safely. This approach is also deeply relational and culturally adaptable, allowing clients to draw on their own movement histories, including dance, ritual, or embodied cultural practices, as sources of strength and healing. Ultimately, somatic therapy through movement is a dynamic, whole-person modality that honors the body as a site of resilience, story, and transformation.

References
Payne, H., Levine, B., & Crane-Godreau, M. A. (2015). Somatic movement therapy: Principles, practices, and the evidence base. Frontiers in Psychology, 6, 708. https://doi.org/10.3389/fpsyg.2015.00708

Van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.