Clinical Social Work Journal

, Volume 42, Issue 3, pp 237–246 | Cite as

The Body Comes to Therapy Too

  • Peg DurosEmail author
  • Dee Crowley
Original Paper


Current research reveals that trauma often cannot be resolved solely through interventions that utilize left-brain functions, such as those used in traditional talk therapy. Because trauma is actually something that happens deep in the core of the brain and the body, the most effective treatment approaches integrate traditional therapy modalities with those that focus on calming the nervous system such as yoga, mindfulness, imagery, expressive arts, and eye movement desensitization and reprocessing. This paper will focus on synthesizing current information on traumatic stress, the neurobiology of trauma, and evidence-based, body-integrative interventions provided within the framework of the Collaborative Change Model (CCM) (Barrett in The systemic treatment of incest. Taylor & Francis, Bristol, 1989; Treating complex trauma: a relational blueprint for collaboration and change. Rutledge, New York, 2014). Through the framework of the CCM, this paper will provide clinicians with an understanding of how and when to engage clients in body–mind approaches, how to help clients learn to recognize when they are in fight, flight, or freeze response patterns, and how to develop skills for managing emotional dysregulation. A detailed case study will be provided to illustrate this integrative approach in the treatment of trauma.


Psychotherapy Trauma Neurobiology Mind–body interventions Yoga 


  1. Barrett, M. J. (1989). The systemic treatment of incest. Bristol: Taylor & Francis.Google Scholar
  2. Barrett, M. J. (2014). Treating complex trauma: A relational blueprint for collaboration and change. New York: Rutledge.Google Scholar
  3. Emerson, D. (2011). Overcoming trauma through yoga. Berkeley: North Atlantic Books.Google Scholar
  4. Hanson, R. (2009). Buddha’s brain. Oakland: New Harbinger.Google Scholar
  5. Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion.Google Scholar
  6. Levine, P. (1997). Waking the tiger: Healing trauma. Berkeley: North Atlantic Books.Google Scholar
  7. Levine, P. (2013). Creating safety in practice: How the right tools can speed healing and reduce symptoms for even the most traumatized clients (webinar) in NICABM series. Retrieved from:
  8. Malchiodi, C. (2007). The art therapy sourcebook. New York: McGraw-Hill.Google Scholar
  9. Naparstek, B. (1995). Staying well with guided imagery. New York: Warner Books.Google Scholar
  10. Ogden, P. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. New York: W.W. Norton.Google Scholar
  11. Ogden, P. (2013). Building the body’s resources: Why focusing on the present moment can help us heal trauma (webinar). National Institute for the Clinical Application of Behavioral Medicine Webinar Series. Retrieved from:
  12. Shapiro, F. (1995). Eye movement desensitization and reprocessing. New York: Guilford.Google Scholar
  13. Shapiro, F. (2013). The power of EMDR to treat trauma: Identifying, reprocessing, and integrating traumatic memories (webinar) in NICABM series. Retrieved from:
  14. Underwood, K. (2010) Transformative insight imagery: Wholeness of being for healing practitioners. Practicum.Google Scholar
  15. Van der Kolk, B. (2013). How expanding our perspective on trauma can improve diagnoses, increase effectiveness, and lead to new treatment strategies (webinar) in NICABM series. Retrieved from:
  16. Van der Kolk, B. A., McFarlane, W. L., & van der Hart, O. (2007). History of trauma in psychiatry. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 47–74). New York: The Guilford Press.Google Scholar
  17. Weintraub, A. (2004). Yoga for depression. New York: Broadway Books.Google Scholar
  18. Weintraub, A. (2012). Yoga skills for therapists. New York: W.W. Norton.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Center for Contextual ChangeSkokieUSA

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