Beyond Words: Somatic Approaches for Treating PTSD and Trauma

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 1 November 2025 | Viewed by 575

Special Issue Editor


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Guest Editor
National Institute for Integrative Healthcare, Petaluma, CA 94953, USA
Interests: PTSD; somatic therapy; emotion; physiology; trauma

Special Issue Information

Dear Colleagues,

The integration of body-oriented approaches with psychological treatments has emerged as a promising development in the treatment of post-traumatic stress disorder (PTSD), complex PTSD, and related forms of traumatic stress. While traditional therapeutic approaches emphasize the cognitive and emotional dimensions of trauma, there is a growing recognition of the profound role that physiological interventions can play in facilitating healing. Traumatic stress leaves traces not only in the mind but also in the body, and addressing these physical imprints is vital for comprehensive treatment. This Special Issue highlights therapies that blend somatic and psychological methods, with a focus on improving the outcomes for individuals, as well as informing the clinicians seeking to remediate trauma.

Research spanning the past century has illuminated the complex interaction between the body and mind in trauma recovery. Historical insights—such as Charles Darwin's recognition that the vagus nerve linked emotion with the body's organ systems; WWI psychiatrist Abram Kardiner's characterization of shell shock as a "physiological neurosis"; Wilhelm Reich's description of “muscular armor"; and Joseph Wolpe's discovery that diaphragmatic breathing effectively treated WWII veterans — all underscore the potential of somatic techniques to release the physical limitations associated with traumatic experiences. 

Recent studies have demonstrated that somatic therapies can disrupt the cycle of retraumatization often observed when only talk therapy is utilized. While verbal approaches have shown inestimable value in treating many mental health conditions, trauma often requires the clinician to go "beyond words" in order to calm the body's survival response and produce resolution. Contemporary somatic treatments such as yoga therapy, HeartMath, Somatic Experiencing, Emotional Freedom Techniques (EFTs), neurofeedback, and Eye Movement Desensitization and Reprocessing (EMDR) provide evidence-based interventions that target both the physiological and emotional roots of trauma. This Special Issue highlights the current research on these interventions, among others, assessing their efficacy, mechanisms of action, and integration into standard care. 

The overarching goal of this Special Issue is to provide a clinical overview of somatic therapies and chart a future direction for their application in trauma treatment. We invite articles that delve into the clinical and theoretical implications of somatic interventions, offering novel insights and empirical findings that can inform best practices and policy guidelines. By integrating physical and psychological approaches, this Special Issue aims to enhance the therapeutic toolkit available to treat psychological trauma, enabling practitioners to more effectively address the complex needs of patients, clients, their families, their communities, and society as a whole.

Dr. Dawson Church
Guest Editor

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Keywords

  • PTSD
  • somatic therapy
  • emotion
  • physiology
  • trauma

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Published Papers (1 paper)

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11 pages, 818 KiB  
Case Report
Using the Trauma Reintegration Process to Treat Posttraumatic Stress Disorder with Dissociation and Somatic Features: A Case Series
by Mary T. Sise
Healthcare 2025, 13(10), 1092; https://doi.org/10.3390/healthcare13101092 - 8 May 2025
Viewed by 258
Abstract
Given the suboptimal responses to medication and cognitive behavioral therapies in the treatment of post-traumatic stress disorder (PTSD), new approaches are needed. Background/Objectives: Therapies that include a somatic component such as Emotional Freedom Techniques (EFT) and Eye Movement Desensitization and Reprocessing (EMDR) [...] Read more.
Given the suboptimal responses to medication and cognitive behavioral therapies in the treatment of post-traumatic stress disorder (PTSD), new approaches are needed. Background/Objectives: Therapies that include a somatic component such as Emotional Freedom Techniques (EFT) and Eye Movement Desensitization and Reprocessing (EMDR) have demonstrated efficacy in the treatment of PTSD in numerous clinical trials. This case series introduces the Trauma Reintegration Process (TRP), a psychotherapeutic process developed by the author that can be combined with somatic therapies to enhance their effectiveness, especially in patients with dissociation. Methods: This case series describes the use of TRP in combination with EFT, an energy-based somatic treatment that engages the meridian system of the body through gentle tapping on acupressure points. TRP uses EFT in combination with a focused guided imagery sequence. This case series describes the treatment of two patients: a 20-year-old woman who experienced PTSD and somatic symptoms following a serious motor vehicle accident (MVA) and a 45-year-old woman with a history of severe abuse as a child as well as adult trauma who had also been in a serious MVA. The cases contrast the way TRP can be applied in patients with single versus multiple traumas and who experience dissociation. Results: In both cases, EFT treatment stalled when the patient dissociated. After TRP was introduced, however, the EFT treatment regained momentum, leading to significant improvement in PTSD symptoms including a reduction of nightmares and flashbacks and resolution of other somatic symptoms. Conclusions: The trauma reintegration process (TRP) in combination with EFT has the potential to assist in the memory processing of patients with dissociation and complicated trauma presentation without retraumatizing the client and causing further distress or dissociation. In addition, it provides the patient with a self-empowering method to alleviate any additional traumatic sequelae. Full article
(This article belongs to the Special Issue Beyond Words: Somatic Approaches for Treating PTSD and Trauma)
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