Somatic Experiencing - Berlin & München

Animals experience stress without trauma. Why is this so? All mammals, including humans, have an extremely effective survival strategy: the Fight Flight Freeze Response. In life-threatening situations your organism suddenly provides the necessary energy. This strategy has proven itself in evolution.

The Fight Flight Freeze Response consists of three phases:

Animals experience stress without trauma. Why is this so? All mammals, including humans, have an extremely effective survival strategy: the Fight Flight Freeze Response. In life-threatening situations your organism suddenly provides the necessary energy. This strategy has proven itself in evolution.

The Fight Flight Freeze Response consists of three phases:

  • Provide energy (adrenalin, glucose, hormones, sympathetic activation)
  • Fight Flight Freeze Response
  • Energy discharged = self-regulation (Trembling, vibrating, shaking and deep spontaneous breathing

Provide energy:
A dangerous situation can occur suddenly. Be it by a surprising attack from ambush or the necessity of an escape. Within milliseconds stress hormones are released and the organism is on alert.

Fight and flight:
The energy provided is used for combat or escape.

Freeze response:
When a fight is hopeless and an escape impossible, the animal freezes. It falls “as if dead” to the ground. A dead reflex or rigor mortis are states of complete inability to move. They have an advantage in evolution, because some predators react primarily to the movement of the prey animal. It can also happen that the predator is distracted and the hunted animal awakes from the solidification and flees during this time.

Energy discharge:
When the animal is safe again, it discharges the excess energy through various reactions such as trembling, vibrating, shaking and deep spontaneous breathing. It then returns to its herd as if nothing had happened. – No trauma remains.

Somatic Experiencing - Berlin & München

Photo by Chris Sabor on Unsplash

Why people get stuck in trauma:

In the human organism these three phases take place in the same way as in mammals. However, our thinking cerebral cortex enables us to interrupt the third phase – the discharge phase – in our body. This disrupts the self-regulation of our body. We suppress the trembling vibrations, shaking and also the spontaneous deep breaths, because these violent autonomous reactions unsettle us. The intensity of the survival energy within us frightens us so that we try to control it and reduce it to a bearable level.

By interrupting the discharge phase, the body remains physiologically stuck. It is as if the accelerator pedal is stuck at full throttle. What happens then? The energy remains in the body, it is not broken down. This can lead to various symptoms such as sleep problems, heart problems, digestion problems, breathing problems, nervousness, emotional problems, cognitive problems, behavioural problems.


In this video, Peter Levine shows what happens in the body with trauma energy.

Biological Completion:

If, for example, you have had a car accident, the memory of the movement is stored in your body as you fend off the impact with your arm. Your body is stuck in this “incomplete” movement, which leads to symptoms e.g. in the shoulder.

In the Somatic Experiencing Session, you now lead this arm movement “to the end” in many small steps. So you complete the arm movement and thus the autonomous self-protection reaction of your body. This is also called “biological completion”. This allows your body to discharge the energy it has accumulated since the trauma. In this way, you can reintegrate the experience, i.e. you move from fragmentation to integration. Your system is released from solidification and can thus better regulate itself. Self-regulation increases its resilience, which means that in the future you will be able to cushion the “hardships of everyday life” better.

The special thing about Somatic Experiencing:

In many forms of therapy you have to tell the traumatic event again and relive it. Regression and catharsis are the methods you aim for. These methods are certainly justified, but in the event of a trauma they can be extremely stressful for you as a client and then lead to retraumatisation. From the point of view that the past decides who you are in the present, much attention is paid to your past.

Somatic Experiencing says that the past does not determine our present at all. What negatively affects our current experience is the persistence of survival structures from the past and the resulting disorganization in the present nervous system, which in turn leads to the distortion of identity.

Somatic Experiencing always refers to the present moment through the felt sense. By attentively perceiving our sensory impressions in the here and now, we achieve a self-regulation of the nervous system. This is the prerequisite for coming into better contact with being and feeling more alive again. According to the Somatic Experience approach, healing regulation can occur fully when you are in contact with yourself and your body – and when you are in relationship with others.


“By learning to recognize body sensations and to make contact with them, we connect to our instinctive origins in the reptilian brain. In themselves, instincts are nothing more than reactions. But when these reactions are complemented by our emotional mammalian brain and our typical human cognitive abilities, we experience the fullness of our evolutionary heritage … Without the intact connection to our instincts and feelings, we cannot feel our connection to the earth, to our family and to the whole of existence. This is where the roots of trauma lie.” Peter A. Levine, Trauma Healing: The Awakening of the Tiger


A book worth reading on the subject is:

Peter A. Levine, Waking the Tiger – Healing Trauma 288 pages, $15.42 , North Atlantic Books, ISBN-13 978-1556432330
Peter Levine became famous with this book. He shows the reader in great detail why it is so important to focus on sensory impressions. He makes a wide bow to neurobiology and explains why animals in the wild do not suffer trauma. In 30 years of clinical experience, he has developed the body-oriented Somatic-Experiencing method from these findings. This is vividly described in the book.


If you have any questions, please feel free to contact me in my practice in Berlin or Munich. Here you will find the contact page.

    • Provide energy (adrenalin, glucose, hormones, sympathetic activation)
    • Fight Flight Freeze Response
    • Energy discharged = self-regulation (Trembling, vibrating, shaking and deep spontaneous breathing

Provide energy:
A dangerous situation can occur suddenly. Be it by a surprising attack from ambush or the necessity of an escape. Within milliseconds stress hormones are released and the organism is on alert.

Fight and flight:
The energy provided is used for combat or escape.

Freeze response:
When a fight is hopeless and an escape impossible, the animal freezes. It falls “as if dead” to the ground. A dead reflex or rigor mortis are states of complete inability to move. They have an advantage in evolution, because some predators react primarily to the movement of the prey animal. It can also happen that the predator is distracted and the hunted animal awakes from the solidification and flees during this time.

Energy discharge:
When the animal is safe again, it discharges the excess energy through various reactions such as trembling, vibrating, shaking and deep spontaneous breathing. It then returns to its herd as if nothing had happened. – No trauma remains.

Somatic Experiencing - Berlin & München

Photo by Chris Sabor on Unsplash

Why people get stuck in trauma:

In the human organism these three phases take place in the same way as in mammals. However, our thinking cerebral cortex enables us to interrupt the third phase – the discharge phase – in our body. This disrupts the self-regulation of our body. We suppress the trembling vibrations, shaking and also the spontaneous deep breaths, because these violent autonomous reactions unsettle us. The intensity of the survival energy within us frightens us so that we try to control it and reduce it to a bearable level.

By interrupting the discharge phase, the body remains physiologically stuck. It is as if the accelerator pedal is stuck at full throttle. What happens then? The energy remains in the body, it is not broken down. This can lead to various symptoms such as sleep problems, heart problems, digestion problems, breathing problems, nervousness, emotional problems, cognitive problems, behavioural problems.


In this video, Peter Levine shows what happens in the body with trauma energy.

Biological Completion:

If, for example, you have had a car accident, the memory of the movement is stored in your body as you fend off the impact with your arm. Your body is stuck in this “incomplete” movement, which leads to symptoms e.g. in the shoulder.

In the Somatic Experiencing® Session, you now lead this arm movement “to the end” in many small steps. So you complete the arm movement and thus the autonomous self-protection reaction of your body. This is also called “biological completion”. This allows your body to discharge the energy it has accumulated since the trauma. In this way, you can reintegrate the experience, i.e. you move from fragmentation to integration. Your system is released from solidification and can thus better regulate itself. Self-regulation increases its resilience, which means that in the future you will be able to cushion the “hardships of everyday life” better.

The special thing about Somatic Experiencing:

In many forms of therapy you have to tell the traumatic event again and relive it. Regression and catharsis are the methods you aim for. These methods are certainly justified, but in the event of a trauma they can be extremely stressful for you as a client and then lead to retraumatisation. From the point of view that the past decides who you are in the present, much attention is paid to your past.

Somatic Experiencing says that the past does not determine our present at all. What negatively affects our current experience is the persistence of survival structures from the past and the resulting disorganization in the present nervous system, which in turn leads to the distortion of identity.

Somatic Experiencing always refers to the present moment through the felt sense. By attentively perceiving our sensory impressions in the here and now, we achieve a self-regulation of the nervous system. This is the prerequisite for coming into better contact with being and feeling more alive again. According to the Somatic Experience approach, healing regulation can occur fully when you are in contact with yourself and your body – and when you are in relationship with others.


“By learning to recognize body sensations and to make contact with them, we connect to our instinctive origins in the reptilian brain. In themselves, instincts are nothing more than reactions. But when these reactions are complemented by our emotional mammalian brain and our typical human cognitive abilities, we experience the fullness of our evolutionary heritage … Without the intact connection to our instincts and feelings, we cannot feel our connection to the earth, to our family and to the whole of existence. This is where the roots of trauma lie.” Peter A. Levine, Trauma Healing: The Awakening of the Tiger


A book worth reading on the subject is:

Peter A. Levine, Waking the Tiger – Healing Trauma 288 pages, $15.42 , North Atlantic Books, ISBN-13 978-1556432330
Peter Levine became famous with this book. He shows the reader in great detail why it is so important to focus on sensory impressions. He makes a wide bow to neurobiology and explains why animals in the wild do not suffer trauma. In 30 years of clinical experience, he has developed the body-oriented Somatic-Experiencing method from these findings. This is vividly described in the book.


If you have any questions, please feel free to contact me in my practice in Berlin or Munich. Here you will find the contact page.

Somatic Experiencing - Berlin & München

Every person can have experiences in everyday life that overwhelm him and frighten him beyond all measure. He can get into a car accident, become a victim of an attack or watch a loved one die. Such drastic experiences can deeply impress a person and also hurt him psychologically. Such an injury is called “trauma”.

What is posttraumatic stress disorder (PTSD)?

Everyday life continues after the event and most people learn to cope with it without having received help. After a few weeks, the violent feelings and symptoms slowly subside. In some people, however, such a traumatic event causes a reaction that lasts for months and years. The reaction to the trauma is called posttraumatic stress disorder (PTSD).

What causes trauma and PTSD?

Shock traumas cause PTSD, e.g. triggered by

  • Car accidents, accidents, falls from great heights (experienced or witnessed!)
  • Military deployment, torture, catastrophes
  • Loss of limbs, mutilation
  • Fistfight, rape, abuse, assault
  • Diagnosis of a life-threatening disease
  • Surgery (also dental surgery), injury, birth stress
  • Loss of a loved one

What is only a massive thrill for one person can have a traumatising effect on another. In general, the more violent and threatening the event, the greater the likelihood that the body will no longer be able to cope with the energy and respond with symptoms.

Symptoms of PTSD

Many people have feelings of deep sadness, depression or guilt and anger after a traumatic experience. In addition to these very understandable emotions, there are three symptoms that often occur and can last for years:

  • Flashbacks and nightmares
    You experience the event again and again. These flashbacks can be extremely realistic with all the emotions, sweats and noises from back then. Minor things in everyday life can cause a flashback. If, for example, you had a car accident in the rain, a rainy day can trigger a flashback.
  • Avoidance behaviour and deafness
    The experience may have been so painful or stirring that you avoid any memory of it. You try to distract yourself, perhaps through a hobby, through too much work, or by spending your time crosswording. You avoid places, situations and people who remind you of them. You try to cope with your feelings by not feeling anything anymore. You become emotionally deaf. You communicate less with people. They then find living together or working together with you exhausting.
  • Hypervigilance
    You are constantly on your guard. You cannot relax, you do not sleep well and your fellow human beings perceive you as erratic, quick to react and easily irritable. You yourself do not know why this is the case.

Somatic Experiencing - Berlin & München

Photo by Nicole-Mason on Unsplash

Other PTSD symptoms include

  • Tension, muscle pain
  • Diarrhoea
  • Headaches
  • Feelings of panic and anxiety
  • Depression
  • Irregular heartbeat (palpitations)
  • Excessive drinking
  • Drug and painkiller use

How can I tell if I have PTSD?

You have had a corresponding experience.

  • You have flashbacks, vivid memories or nightmares.
  • You avoid anything that reminds you of it.
  • You feel emotionally dull or deaf.
  • You are constantly on the go, quickly irritable, but don’t know why.
  • You distract yourself to deal with it.
  • You are depressed and exhausted.
  • You find it difficult to deal with others.
  • You eat more, drink more alcohol, take drugs or sedatives.
  • Your emotions shoot up uncontrollably.

If the event was less than six weeks ago and the symptoms are slowly diminishing, this is part of the normal adjustment process.
If the event occurred more than six weeks ago without the symptoms improving, you should talk to a doctor.


„Some traumas – loss, death, accidents, disease or abuse are explicit. Others, like the emotional deprivation of an unloved child, are more subtle. And some, like my own feelings of estrangement, seemed to come from nowhere. But it’s hard to imagine the scope of an individual life without envisioning some kind of trauma. And its hard for most people to know what to do about it. . . It’s rare for someone to get through life without experiencing trauma. . . (My father) did his best to keep it out of his consciousness as long as he could.“

Mark Epstein, The Trauma of Everyday Life


Why is PTSD often not recognized?

  • You don’t like to talk about things that upset you, worry you, or frighten you deeply. (This is the case with most people.)
  • People close to you and even doctors feel uncomfortable when you try to talk about cruel events. Then why should you reveal yourself to these people?
  • You don’t want to admit that you have one symptom or another because you don’t want others to judge you as weak or mentally unstable.
  • You notice a few symptoms, but you don’t see their connection or cause.
  • It is much easier for you to talk about accompanying problems (such as headaches, sleep problems, tension, problems with alcohol or work) than about the cause itself.
  • You hope that at some point the symptoms will stop by themselves.

Somatic Experiencing - Berlin & München

Photo by Jordy Meow on Unsplash

What are complex traumas (complex PTSD) ?

People with complex trauma have a history in which they have been subjected to long-term totalitarian control. These include

  • Sexual abuse
  • Child sexual abuse
  • Neglect in early and earliest youth
  • Physical abuse
  • Emotional abuse
  • Domestic violence
  • Torture, concentration camps – and all those forms of trauma in which the victim cannot flee or does not think he can flee, for example when he is buried under an avalanche and does not know if help will come.

“In all of us there is a force that spontaneously strives for contact, health and vitality. As much as we have retreated and isolated ourselves, or as serious as the trauma we have experienced may be, at the deepest level there is an impulse in each and every one of us towards being connected and healing, comparable to the way the plant grows towards the sunlight.”
Laurence Heller/Aline LaPierre, Healing Developmental Trauma


Symptoms of complex PTSD

Complex traumas occur weeks or months after the event, but it can take years for them to be detected. The loss of trust in people – and in the world in general – is a central part of complex PTSD. Some children respond by being defensive or aggressive. Other children disconnect from what is happening and grow up with a sense of shame and guilt. They feel uncomfortable in their skin and have no confidence.

In addition to the classic symptoms of PTSD, complex PTSD also has the following symptoms:

  • Feeling of deep shame and guilt, lack of self-esteem, negative self-image.
  • Feeling light-headed or numb.
  • Feeling of alienation (depersonalization).
  • Feeling of helplessness, defencelessness and helplessness.
  • Feeling of subliminal threat.
  • Lack of body awareness up to the blackout of body areas.
  • You can’t trust anyone and would prefer to always stay in control.
  • You cannot rejoice, do not react to the joy of others, lack of empathy.
  • You control your feelings through drugs or alcohol.
  • You disconnect yourself internally from what is happening in your environment (dissociated).
  • You cannot express your feelings in words.
  • You very often deal with thoughts of suicide.
  • You spontaneously take risks, do things spontaneously, have problems with aggression and impulse control.
  • You have problems with contact to other people. You have the feeling that you don’t belong anywhere and feel like a burden.
  • You have problems setting limits and saying no bluntly.
  • You feel constantly stressed and under pressure.
  • You discover a lot of flaws in yourself and react very vulnerable to rejection.
  • You simply don’t know what you need and feel that your needs don’t deserve to be met.

Somatic Experiencing - Berlin & München

Photo by Carolina Heza on Unsplash

Worsening factors in complex PTSD are:

  • The younger the person, the worse the trauma.
  • The trauma is caused by the primary caregiver (e.g. the mother).
  • The trauma lasts for a long time.
  • You are isolated.
  • You still have contact with the person or situation that threatens or abuses you.

Worth reading books on the subject are:

Judith Lewis Herman, Trauma and Recovery: The Aftermath of Violence–From Domestic Abuse to Political Terror) 304 pages, $30,58, Basic Books, ISBN-13:978-0465087303,
J. L. Herman is a professor at Harvard University and has introduced the term “complex PTSD”. In her book, she describes the effects and parallels of domestic violence, private terror such as rape, and public terror as experienced by veterans and victims of political terror. The book provides an understanding of problems that have so far been dismissed as “personal problems” and relates them to a broader socio-political framework. Published in 1992, the book has changed the way people think about trauma and how trauma is treated.

Susan Hart, The Impact of Attachment: Developmental Neuroaffective Psychology, 427 pages, 40,95 €, W. W. Norton & Company, ISBN 978-0393706628
Susan Hart, Brain, Attachment, Personality: An Introduction to Neuroaffective Development, 400 pages, 54,40 €, Karnac Books , ISBN 978-1855755888
Susan Hart combines the findings of neurobiology with those of interpersonal relationships and shows the effects on early childhood bonding patterns. With many examples from daily life and from her practice, she explains how a healthy mother-child relationship develops and what can go wrong.

Laurence Heller/Aline LaPierre, Healing Developmental Trauma 320 pages, 19,31 €, North Atlantic Books, ISBN 978-1583944899
This book explores the deepest human needs. It leads to a profound understanding of the fundamental conflicts between oneness and separateness, these two seemingly irreconcilable opposites, and shows a path to personal growth and maturity. It describes how early childhood trauma undermines the ability to relate to oneself and others. The resulting diminished liveliness is the hidden dimension behind many psychological and physiological problems.


References:
http://patient.info/health/post-traumatic-stress-disorder-ptsd
http://en.wikipedia.org/wiki/Complex_post-traumatic_stress_disorder


If you have any questions, please feel free to contact me in my practice in Berlin or Munich. Here you will find the contact page.