What is Somatic therapy & how it can help trauma
Someone close asked me the other day what type of therapist are you? I am an integrative somatic trauma-informed therapist. They responded, typically, like, "what's that?" and I realised I'd gone down a niche rabbit hole and forgotten to just explain things on my website simply. Don’t get me wrong in practice I use normal language and explain things so it is relatable however on my website you have to fit categories and headings so people can search for you… which for the traumatised brain who is overwhelmed already isn’t helpful.
So this piece is written to help anyone who feels alone and a bit lost struggling with trauma not knowing what is the best option next.
When I talk about Somatic therapy I mean what the body is saying. When we are looking for therapy or trying to deal with trauma we are experiencing in our bodies as well as our minds.
Its where our bodies feel unsafe
You might notice it in the tightness in your chest, the constant anxiety, feeling numb, difficulty sleeping, panic, overwhelm, or always being “on alert.” For many people, trauma lives in the nervous system long after the event has passed.
Somatic therapy uses a body up approach where you work with the feelings and sensations. You do not have to understand rationally that usually follows after. In this case it can be good for helping early childhood trauma or trauma even before you could speak.
I often work with people who are exhausted from trying to “think” their way out of trauma responses. Somatic therapy offers a different approach — one that gently includes the body in the healing process.
So, what is somatic therapy?
Somatic therapy is a body-based approach to healing trauma, stress, anxiety and emotional overwhelm. People who are stuck in flight, fight or freeze.
The word somatic simply means “relating to the body.” Rather than focusing only on talking about thoughts or memories, somatic therapy pays attention to what is happening inside the body and nervous system.
This might include noticing:
tightness or tension
breathing patterns
sensations in the body
restlessness or shutdown
shaking, heat or heaviness
the urge to run, hide, freeze or collapse
These physical responses are the nervous system reacting to a perceived threat or danger and trying to protect us.
When we experience trauma, especially ongoing trauma or childhood trauma, the body can become stuck in survival mode. Even when we are no longer in danger, the nervous system may still respond as though we are.
Somatic therapy helps the body slowly learn that the danger has passed.
Trauma affects the nervous system
Many people think trauma is only about what happened to them. But trauma is also about what happened inside the body as a result.
You may notice this if you:
overreact to small things and then feel confused afterwards
feel constantly anxious or hypervigilant
shut down emotionally
struggle to feel safe in relationships
feel disconnected from yourself
experience chronic tension or fatigue
swing between overwhelm and numbness
These are not signs that something is “wrong” with you.
They are signs of a nervous system that is working overtime to survive.
Somatic therapy supports regulation by helping your body move out of survival states and into a greater sense of safety, connection and balance.
What happens in somatic therapy?
Somatic therapy is usually much gentler than people expect.
There is no pressure to relive traumatic memories or explain every detail of your experiences. In fact, healing can happen without retraumatising yourself.
Sessions may involve:
noticing sensations in the body
grounding exercises
breath awareness
movement
tracking nervous system responses
learning how to recognise signs of overwhelm
building feelings of safety and stability in the body
The focus is not on “fixing” you. It is about helping your nervous system feel supported enough to come out of protection mode.
Healing happens slowly, safely and at your pace.
Why talking therapy alone is not always enough
Traditional talking therapy can be incredibly valuable. But trauma is not stored only in thoughts and memories.
Sometimes people understand their trauma deeply, yet still experience panic attacks, dissociation, anxiety or shutdown. This can feel frustrating and defeating.
That is because trauma often lives beneath conscious thought, in the body and nervous system.
Somatic therapy helps access the parts of trauma that words alone cannot always reach.
By working with the body, clients often begin to feel:
calmer
more grounded
less reactive
more emotionally connected
safer in themselves
more present in daily life
Over time, the body no longer needs to stay in constant survival mode.
Somatic therapy and safety
One of the most important parts of trauma healing is safety.
Not forced vulnerability.
Not pushing through.
Not “getting over it.”
Safety.
Somatic therapy helps create internal safety within the nervous system. For many people, this may be the first time they have truly felt listened to by their own body rather than fighting against it.
Healing trauma is not about erasing the past. It is about helping your mind and body realise that you no longer have to live as though the trauma is still happening now.
You are not alone and healing happens when your trauma is witnessed
Trauma can leave people feeling disconnected from themselves, their bodies and the world around them. Somatic therapy offers a compassionate and body-centred way to begin reconnecting.
You do not have to force yourself to heal.
You do not have to explain everything perfectly.
And you do not have to carry it alone.
With the right support, the nervous system can learn safety again.
If you are curious about somatic therapy or would like support with trauma, anxiety or nervous system regulation, you can learn more at www.calmandregulatetherapy.co.uk