Somatic Experiencing (SE) Therapy
Enter the Mind Through the Body:
A Holistic Approach to Healing Trauma & Chronic Pain
Restore your nervous system’s natural balance. Our Birmingham therapists use Dr. Peter Levine’s body-oriented approach to release trauma without reliving the story.
Establishing Safety and Resources
Tracking Sensations and Pendulation
Re-negotiation with the Body
What Does a Session Feel Like?
SE is distinct from talk therapy. It is less about “insight” and more about physical release.
In the Therapy Office: Tuning In
Unlike standard counseling, you won’t spend the hour retelling the details of your trauma. Instead, the therapist will guide you to notice your “Felt Sense”—sensations like heat, tension, heaviness, or tingling.
We work slowly. You might focus on a tight shoulder or a flutter in your stomach. The therapist helps you stay present with these feelings until they shift or discharge.
Physical Release (Discharge)
As the nervous system exits “Freeze,” you may experience physical signs of release. This can look like:
- Deep spontaneous breaths or yawning
- Trembling or shaking (neurogenic tremors)
- Stomach gurgling (digestive system reactivating)
- A rush of warmth to the hands or feet
This is a good sign. It means the survival energy that was trapped in your body is finally leaving.
Out of the Office: Integration
After a session, clients often report feeling “lighter,” more grounded, or tired in a relaxed way. Because we are rewiring the nervous system, you may notice that triggers which used to cause panic now feel manageable.
Over time, the goal is to expand your Window of Tolerance, allowing you to handle life’s stressors without shutting down.
How is SE Different from Talk Therapy?
Talk Therapy (Top-Down): Uses the cognitive brain to understand emotions.
“I know I am safe now, but I still feel panicked.”
Somatic Experiencing (Bottom-Up): Uses the body to change the brain.
“My body finally feels safe, so my mind can stop racing.”
SE works where talk therapy cannot reach: the deep biological survival circuits of the brainstem.
Life-Changing Yet Unintrusive
How can a therapy be so gentle yet so powerful? Because we work with the body’s natural rhythm, not against it.
Why It’s Unintrusive
- No Retraumatization: You don’t have to tell the “story” or relive the horrific details. We work with the body’s reaction, not the memory itself.
- Your Pace: We move at the speed of your nervous system. If you start to feel overwhelmed, we pause and resource immediately.
- Subtle Shifts: The work is often quiet and internal—not dramatic catharsis—making it safer for fragile nervous systems.
Why It’s Transformative
- Biological Reset: We are not just changing your thoughts; we are resetting the “alarm bell” in your brainstem.
- Permanent Change: Once the survival energy is discharged, the symptom (anxiety, pain) often disappears permanently because the fuel source is gone.
- Whole-Person Integration: You leave feeling “back inside your body”—grounded, present, and capable of joy again.
[Image of mind body connection diagram]
Somatic Reprocessing
Reprocessing is not about analyzing the past; it is about changing the body’s reaction to the past. When you recall a traumatic event while remaining physically grounded and safe, the brain must update the memory file.
Instead of being filed under “CURRENT THREAT,” the memory is moved to “PAST EVENT.” This biological shift stops the flashbacks, the racing heart, and the chronic tension.
Experiential Integration
Integration is the “sinking in” of safety. It is the moment you realize—not just logically, but in your gut—that you survived.
How tracking sensation rewrites neural pathways.
Why Talk Therapy Isn’t Enough
Traditional therapy works “Top-Down” (using the mind to change feelings). Somatic Experiencing works “Bottom-Up” (using the nervous system to change the mind).
Traditional Therapy
- Focus: Analyzes the “Story” and the cognitive meaning of the event.
- Mechanism: Insight & Understanding (Neocortex).
- Risk: Retelling the story can sometimes flood the nervous system, causing re-traumatization.
- Outcome: You understand why you feel bad, but your body may still react as if it’s in danger.
Somatic Experiencing
- Focus: Tracks the “Sensation” (heat, tension, shaking) in the present moment.
- Mechanism: Biological Release & Regulation (Brainstem).
- Safety: We often don’t discuss the event details at all. We treat the physical reaction, not the memory.
- Outcome: The body realizes the threat is over. The “alarm” turns off, and physical symptoms resolve.
💡 Note: SE is highly effective for clients who feel they have “talked their trauma to death” without relief.
The Anatomy of a Session
What actually happens during the 50 minutes? Here is the typical flow of an SE appointment.
1. The Check-In (Assessment)
We begin by checking your current state. Are you feeling “revved up” (anxious) or “shut down” (numb)? We don’t dive into the trauma story immediately. We first establish a baseline of safety in the present moment.
Goal: Locate “resources”—places in your body or life that feel neutral or safe.
2. Contacting the Edge
We invite a small amount of the difficult emotion or memory to surface. This is done through Titration—taking just a “drop” of the trauma. We stop immediately if it feels overwhelming.
Goal: Activate the nervous system just enough to work with it, but not enough to flood it.
3. Discharge & Completion
We track the body’s reaction. You might feel a need to push with your arms, take a deep breath, or shake your legs. We encourage these movements. This allows the “stuck” survival energy to complete its cycle and leave the body.
Goal: Physical release of tension that has been held since the traumatic event.
4. Settling (Integration)
After the discharge, we spend time just “being” with the new sensation of calm. This is critical. It teaches your nervous system that it is safe to come down from high alert.
Goal: Rewiring the brain to accept safety as the new normal.
Somatic Experiencing (SE) Therapy
Enter the Mind Through the Body:
A Holistic Approach to Healing Trauma & Chronic Pain
📍 Serving Birmingham, Hoover, Vestavia Hills & Mountain Brook
Restore your nervous system’s natural balance. Our certified Birmingham therapists use Dr. Peter Levine’s body-oriented approach to release trauma without reliving the story.
The Ripple Effect of Healing
When the nervous system resets, the benefits extend far beyond just “feeling better.” Clients often report profound shifts in their physical health, relationships, and sense of self.
Physical Health
- Reduced Pain: Chronic tension, migraines, and fibromylagia symptoms often decrease as the body exits the “bracing” response.
- Better Sleep: As hypervigilance fades, deep restorative sleep returns.
- Digestion: The gut-brain axis resets, often alleviating IBS and digestive issues linked to anxiety.
Emotional Balance
- Affect Regulation: You stop swinging between panic and numbness. Emotions become manageable waves rather than tsunamis.
- Reduced Anxiety: The constant low-level “hum” of anxiety quiets down.
- Safety: A felt sense of safety replaces the chronic feeling of impending doom.
Life & Relationships
- Presence: You stop dissociating during daily life and feel fully “here” with loved ones.
- Boundaries: A regulated nervous system naturally sets clearer, healthier boundaries.
- Empowerment: You realize you are not “broken”—your body was just stuck in a survival loop that is now closed.
Ready to Reclaim Your Body?
You don’t have to carry the weight of the past forever. Our Somatic Experiencing practitioners are ready to guide you.
Available with Kristan Baer, Pamela Hayes, and other certified staff.
Core Techniques of Somatic Experiencing
We use specific, biological tools to help the nervous system self-regulate. These techniques are designed to be gentle and non-invasive.
Grounding & Resourcing
Identifying “islands of safety” in the body. Before we touch the trauma, we ensure you have a physical anchor of calm to return to at any moment. Learn more about grounding.
Pendulation
Shifting attention rhythmically between the activation (stress) and the resource (safety). This rocking motion builds the nervous system’s capacity. Read more on Pendulation.
Titration
Slowing down the story. We process the trauma one “drop” at a time to prevent flooding, allowing the body to digest the experience safely. Understanding Titration.
Completion of Defense
Allowing the body to physically “complete” the defensive movement (like running, pushing, or hiding) that was interrupted during the actual event.
Sensation Tracking
Moving out of the “story” (cortex) and into the “felt sense” (body). We track heat, tension, numbness, and flow to monitor the nervous system.
Integration
Allowing the discharge (shaking, tears, breath) to settle, integrating the release into a new baseline of calm before ending the session.
Scientific Evidence for Somatic Experiencing
Recent clinical trials demonstrate significant effectiveness across diverse populations, moving SE from an “alternative” therapy to an evidence-based practice.
Scoping Literature Review on Effectiveness
European Journal of Psychotraumatology
Finding: Systematic review of 16 studies found preliminary evidence for positive effects of SE on PTSD-related symptoms.
Randomized Controlled Trial for PTSD
Journal of Traumatic Stress
Finding: First known RCT (63 participants) showed significant intervention effects compared to waitlist controls, maintained at follow-up.
SE for Breast Cancer Survivors
Intl. Journal of Env. Research
Finding: Significant improvements in anxiety, depression, and psychological well-being in cancer survivors treating medical trauma.
Chronic Pain & Comorbid PTSD
PubMed Clinical Trial
Finding: Brief SE interventions effectively treated chronic low back pain patients, addressing the somatic component of their PTSD.
SE Comparative Effectiveness Study
Psychological Trauma: Theory & Practice
Finding: SE achieved similar outcomes to CBT for trauma but required fewer sessions and reported higher client satisfaction.
Neurobiological Changes in SE
Trauma and Recovery Network
Finding: Pilot study using neuroimaging showed measurable changes in autonomic nervous system functioning following treatment.
Polyvagal Theory Alignment
Frontiers in Psychology
Finding: Confirmed SE’s alignment with polyvagal theory, demonstrating measurable vagal tone improvements and co-regulation.
SE for Complex Developmental Trauma
Intl. Body Psychotherapy Journal
Finding: Case series demonstrated effectiveness for developmental trauma, improving emotional regulation and interpersonal functioning.
Holistic Integration
Somatic Experiencing is not an island. It amplifies the effectiveness of other therapies by adding the missing piece: the body’s nervous system.
Enhances traditional psychotherapy by processing the physiological roots of trauma that words alone cannot reach.
Adds a somatic dimension to Cognitive Behavioral Therapy, addressing both the “thought” and the physical “feeling” of anxiety.
Allows you to reframe your life story while ensuring the body feels safe enough to hold the new narrative.
Combined with Eye Movement Desensitization, SE helps regulate the high arousal that can sometimes occur during trauma processing.
Helps identifying the somatic location of “parts” (e.g., a tightness in the chest representing an Exile).
Pairs brainwave training with somatic awareness to deepen self-regulation of the nervous system.
Integrates physical therapies (massage, osteopathy) with SE to release trauma stored in fascia and muscle tissue.
Grounds mindfulness practice in the body, preventing it from becoming a mental bypass of difficult emotions.
Uses creative expression to externalize trauma, while SE manages the internal bodily reaction to the art.
Utilizes yoga or dance to help the body “complete” defensive movements stuck in the nervous system.
Heals early relational wounds by focusing on the somatic sensations of safety, connection, and trust.
Adds deep physiological regulation tools to the distress tolerance skills taught in Dialectical Behavior Therapy.
Healing the Whole Brain
Trauma fragments our experience. SE reconnects the instinctual, emotional, and cognitive centers of the brain to function as a unified whole.
[Image of triune brain model diagram]
The Subcortical Brain
Survival & Instinct
This is where SE does its primary work. The brainstem (amygdala, hippocampus) controls our autonomic survival responses.
- Function: Regulates heart rate, breath, and the Fight/Flight/Freeze response.
- SE Role: Discharges the “stuck” survival energy that cognitive therapy cannot reach.
- Result: Restores physiological safety and calms the body’s alarm system.
The Limbic System
Emotion & Imagery
Specializes in non-verbal communication, felt sense, and holistic processing. It “feels” the trauma but may not have words for it.
- Function: Processes emotional memories, body language, and intuition.
- SE Role: Uses imagery and sensation tracking to access deep emotional wounds.
- Result: Allows emotions to flow and resolve without being overwhelmed by the story.
The Neocortex
Logic & Narrative
The analytical center. While less focused on during early trauma work, it is vital for integration.
- Function: Logic, language, time-keeping, and meaning-making.
- SE Role: Creates a coherent narrative after the body has discharged the trauma.
- Result: You can tell the story of what happened without reliving the physical pain.
Somatic Experiencing: A Transformative Approach
Somatic Experiencing is an innovative therapeutic approach designed to offer relief and healing for a wide range of health issues. Grounded in cutting-edge research, this therapy provides a unique path to wellness. Here’s how Somatic Experiencing can be instrumental in treating various conditions:
Stress and Anxiety Disorders:
Somatic Experiencing shines in treating stress and anxiety disorders. It aids individuals in identifying and releasing physical tensions related to anxiety, promoting a sense of calm and relaxation. This process helps in reducing the symptoms of anxiety and managing stress more effectively.
Emotional Trauma and PTSD:
This therapy is highly effective for individuals suffering from emotional trauma and Post-Traumatic Stress Disorder (PTSD). It empowers clients to gently process and release traumatic memories, facilitating a safe and gradual healing process. This approach is crucial in diminishing the impact of traumatic events and easing PTSD symptoms.
Chronic Pain and Somatic Symptoms:
Somatic Experiencing addresses the emotional aspects of chronic pain and somatic symptoms. By focusing on the mind-body connection, it helps individuals understand and alleviate pain that may be linked to psychological factors, offering a pathway to physical and emotional relief.
Depression:
For those grappling with depression, Somatic Experiencing offers a therapeutic route to explore and heal underlying emotional pain. This approach assists in processing past hurts and promotes emotional balance, contributing to a significant reduction in depressive symptoms.
Recovery from Injury or Surgery:
This therapy is beneficial in the recovery process from physical injuries or post-surgery. It aids in managing emotional responses and stress related to recovery, enhancing the body’s natural healing process.
Enhancing Athletic Performance:
Athletes can benefit from Somatic Experiencing by addressing mental and emotional blocks that impact their performance. This method aids in overcoming past setbacks or performance anxiety, fostering a stronger mental approach to sports.
Improving Relationships:
Somatic Experiencing also aids in improving interpersonal relationships. It assists individuals in understanding and resolving emotional patterns from past relationships, leading to healthier and more fulfilling connections. Somatic Experiencing offers a comprehensive and effective approach to treating a range of conditions, from mental health issues like anxiety and trauma to physical concerns like chronic pain, and even enhancing personal and professional performance. Its focus on the mind-body connection makes it a versatile and powerful tool for holistic healing and wellness.
Wisdom from the Wild
Why are wild animals, who face death daily, rarely traumatized? Dr. Peter Levine asked this question, and the answer became Somatic Experiencing.
The Biological Paradox
When a gazelle escapes a cheetah, it doesn’t just go back to grazing. It physically shakes, trembles, and takes deep breaths. This natural mechanism discharges the massive survival energy mobilized for the escape.
Humans often override this mechanism. Our rational minds say, “I’m safe now, stop shaking.” By suppressing the discharge, we trap that high-intensity energy in our bodies, leading to chronic symptoms.
🌪️ The “Trauma Vortex”
Levine described trauma as a swirling vortex of chaotic energy (panic, rage, terror) that pulls us in.
🌀 The “Healing Vortex”
SE creates a counter-vortex of safety. By grounding into the body (PsycheSoma), we create a stable center that allows us to dip into the trauma energy and release it without getting sucked under.
You Don’t Have to Relive It
Because SE targets the physiological residue of trauma rather than the narrative, we can often resolve symptoms without requiring you to retell the painful details of the event. This avoids the risk of retraumatization common in other therapies.
Anxiety & PTSD
Chronic Depression
Men's & Women's Issues
Anger Management
Childhood Trauma
Sexual Trauma
Chronic Pain & Illness
Dissociation
Addiction & Substance Abuse
Discrimination Trauma
PTSD
Bipolar Disorder
Court Trauma
Childhood Trauma
Eating Disorders
Borderline Personality Disorder
Histrionic Personality Disorder
Attachment Disorder
Academic Performance
Teens and Children
Womens Issues
Professional Performance
Career Issues
Dating and Relationships
Adult Children of Alcoholics
Spiritual Abuse and Cults
Grief and Loss
Aging and Caregiver Support
The Evolution of Somatic Experiencing
From animal observation to a globally recognized trauma treatment.
The Biological Insight
Dr. Peter Levine observes that wild animals shake off threat energy and return to normal, while humans trap it. He creates SE to help humans access this “shaking off” mechanism.
[Image of peter levine somatic experiencing]
Waking the Tiger
Levine publishes his seminal book, bringing the concept of “un-discharged survival energy” to the mainstream public and changing how we view trauma.
Neuroscience Validation
Advances in brain imaging and Polyvagal Theory (Dr. Stephen Porges) provide the scientific framework explaining why SE works: it manually regulates the autonomic nervous system.
A Global Standard
SE is now an evidence-based modality used worldwide for PTSD, chronic pain, and addiction. It integrates seamlessly with mindfulness and attachment therapy.
Ready to Heal?
We have multiple clinicians at Taproot Therapy Collective trained in Somatic Experiencing to help you navigate this journey.
How Does Somatic Experiencing Work?
Who invented Somatic Experiencing and why?
Dr. Levine noticed that while animals are regularly subjected to life-threatening situations, they rarely exhibit symptoms of trauma after such events. This observation led him to study how animals shake off the high levels of nervous system arousal they experience during threatening situations, allowing them to return to their normal state. He theorized that the human body, much like that of animals, has an innate ability to overcome the effects of trauma naturally.
The motivation behind developing SE was to apply this understanding to help people with trauma symptoms. Dr. Levine recognized that humans often override these natural regulatory processes with rationalization, judgment, shame, or fear, leading to the entrapment of survival energies in the body. This trapped energy can manifest as various symptoms of trauma, such as anxiety, depression, chronic pain, and more.
SE was thus created as a therapeutic approach aimed at facilitating the release of this trapped energy and restoring the body’s ability to self-regulate. By focusing on bodily sensations and helping individuals to gently re-experience and discharge this energy in a safe and controlled environment, SE provides a natural and effective pathway for healing from trauma. Dr. Levine’s work has been influential in understanding and treating trauma, expanding the field’s perspective beyond traditional talk therapy to include the body’s vital role in processing traumatic experiences.
What does Somatic Experiencing feel like?
Increased Body Awareness: One of the first things clients often notice is a heightened awareness of bodily sensations. SE encourages a focus on internal experiences – you might become more aware of tension, temperature, tingling, or other sensations in different parts of your body.
Sense of Grounding and Presence: SE practices often lead to a feeling of being more “grounded” or present in the moment. This can manifest as a sense of being firmly rooted in your body, which can be calming and centering.
Emotional Release: As you explore and release trapped energy, you might experience a range of emotions. Some clients report feeling emotional relief or a sense of unburdening as they process and let go of emotions that have been stored in the body.
Physical Responses: During SE sessions, it’s common to have physical responses as your body releases trapped energy. This could include spontaneous movements, tremors, or shaking – natural ways the body discharges excess energy.
Sense of Safety and Control: SE is designed to be a gentle, gradual process. Your therapist will guide you to explore traumatic memories or sensations at a pace that feels safe, which can create a sense of control over your healing process.
Moments of Discomfort: Engaging with trauma at a somatic level can sometimes be uncomfortable. Feeling the physical manifestations of trauma can be challenging, but SE aims to manage this discomfort carefully, without overwhelming you.
Relief and Relaxation: After sessions, many clients report feelings of relaxation and relief. This can be due to the release of physical tension and the integration of emotional experiences.
Gradual Healing: The progress in SE often feels gradual. Healing in SE is not typically about dramatic breakthroughs in one session; it’s more about incremental steps towards greater balance and well-being.
Where Does Somatic Experiencing Fit into Treatment?
“When we are grounded in our awareness, we can be more present with what we are experiencing in our bodies — in all the spaces that live between our head and our feet.”
― Raegan Robinson
How Does SE Compare?
Somatic Experiencing shares DNA with other body-based therapies, but the approach is distinct. Here is how to choose.
Sensorimotor Psychotherapy
Both prioritize bodily sensation over “talk” to access trauma. Both track tension, posture, and movement impulses.
Sensorimotor integrates more “cognitive weaving”—helping you make sense of the body signal and turning it into a narrative. SE stays longer in the pure biological discharge.
EMDR Therapy
Both use biological mechanisms (not just words) to reprocess memory. Both aim to reduce the “charge” of a traumatic event.
EMDR can be rapid and intense, often processing large chunks of memory. SE is slower and more “titrated” (gentle), making it better for clients who get easily overwhelmed.
Hakomi Method
Both rely on mindfulness and the “present moment.” Both trust the body’s organic wisdom to lead the session.
Hakomi focuses broadly on “core beliefs” and character strategies. SE is laser-focused on the physiology of shock trauma (the fight/flight/freeze cycle).
Brainspotting
Both access the subcortical (lizard) brain. Both believe the body holds the score.
Brainspotting uses a fixed eye position as the “anchor” to enter the trauma. SE uses the “felt sense” (internal body sensation) as the anchor.
Frequently Asked Questions
Common questions about starting Somatic Experiencing.
Can Somatic Experiencing be used on children?
How long does treatment typically take?
Is SE safe if I get overwhelmed easily?
Can I combine this with my current talk therapy?
What if I don’t feel anything happening?
How do I find a qualified therapist?
Stop Managing Your Symptoms. Start Healing Them.
Your body knows how to heal. It just needs the right support to finish the job.
Serving Birmingham, Hoover, Mountain Brook & Statewide via Telehealth
List of Notable Somatic Experiencing Practitioners
1. Peter A. Levine, PhD
The founder of SE, Dr. Levine is a renowned trauma specialist and author of various groundbreaking books including “Waking the Tiger: Healing Trauma” and “In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness.”
Resources:
2. Kathy L. Kain, PhD
A leading SE trainer and clinician, Dr. Kain is known for her expertise in working with complex trauma and developmental issues. She offers Touch Skills Training for trauma therapists.
Resources:
3. Diane Poole Heller, PhD
A prominent figure in SE and attachment theory, Dr. Heller developed the DARe (Dynamic Attachment Re-Patterning experience) approach and authored “The Power of Attachment.”
Resources:
4. Deb Dana, LCSW
Recognized for her expertise in nervous system regulation and trauma, Ms. Dana has bridged the gap between SE and Polyvagal Theory. Author of “The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation.”
Resources:
5. Pat Ogden, PhD
A pioneer in body-centered therapies, Dr. Ogden developed Sensorimotor Psychotherapy, blending SE principles with body-based approaches.
Resources:
6. Raja Selvam, PhD
Dr. Selvam is a clinical psychologist and senior SE trainer who developed Integral Somatic Psychology (ISP). He has extensive experience working with individuals and communities affected by war and social injustice.
Resources:
7. Stephen Porges, PhD
A leading neuroscientist and polyvagal theory expert, Dr. Porges’ work has been crucial in understanding the nervous system’s role in trauma and regulation.
Resources:
8. Gabor Maté, MD
Dr. Maté is a physician and author who has integrated somatic awareness and trauma principles into his work with addiction and chronic illness.
Resources:
9. Bessel van der Kolk, MD
A renowned psychiatrist and trauma expert, Dr. van der Kolk authored “The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma.”
Resources:
10. Eugene Gendlin, PhD
While not directly associated with SE, Dr. Gendlin’s work on Focusing has profoundly influenced many SE practitioners. He developed the body-based practice of accessing “felt sense.”
Resources:
Additional Resources:
These links are current and should provide access to each practitioner’s work, training programs, and publications.
Deepen Your Understanding
A curated list of the clinical research and foundational texts supporting Somatic Experiencing.
Is SE Evidence-Based?
Yes. While newer than Cognitive Behavioral Therapy (CBT), Somatic Experiencing has a growing body of clinical evidence supporting its efficacy, particularly for trauma, PTSD, and chronic pain.
Promising Findings
- PTSD Reduction: 2017 RCT showed significant symptom reduction.
- Emotional Regulation: Measurable improvements in affect tolerance.
- Pain Management: Effective for trauma-induced chronic pain.
- Well-being: Increases sleep quality and self-awareness.
Current Limitations
- Need for larger-scale, multi-site controlled trials.
- Most research focuses on trauma; less data exists for anxiety alone.
- Outcomes rely heavily on the specific training of the practitioner.
Waking the Tiger: Healing Trauma.
The Body Keeps the Score.
The Polyvagal Theory.
Randomized Controlled Trial of Somatic Experiencing for PTSD.
SE and EMDR in the treatment of chronic PTSD.
Somatic Experiencing for Posttraumatic Stress Disorder.
For a complete database of research, visit Somatic Experiencing International.

