Let me first start by saying Dr. Bessel van der Kolk is a brilliant, brilliant man. He’s an author who has dedicated tons of his research towards PTSD. You may have heard of his book, The Body Keeps The Score. After reading this book a while back and listening to many interviews with him, I was not surprised when I found out his approach to treating trauma is done through bodywork, such as yoga. In fact, yoga addressed many trauma wounds that talk therapy was not able to reach or heal.
Dr. Bessel van der Kolk talked about the two most common therapies that are used in a New York Times Magazine post: cognitive behavioral therapy (CBT) and exposure therapy. He stated that the purpose of this therapy is to “desensitize” the patient to the fear, which isn’t effective therapy for trauma because desensitization is not the same thing as healing. The other therapy commonly used, CBT, is where the patient will look at their thoughts and see the illusions with a rational perspective. However, again, he pointed out that this is another ineffective therapy for trauma because “Trauma has nothing to do with cognition, it has to do with your body being reset to not interpret the world as a dangerous place.” Trauma needs to be reset in the primitive parts of the brain, which talk therapy, or CBT, cannot reach.
Most therapy uses the “top-down” approach, which addresses the “evolved” part of the brain, otherwise known as the neocortex. This is where you’ll talk and learn to observe your emotions and thoughts. Now, of course, this is helpful, but trauma is stored in the body through sensory. You cannot rationalize with that part of you that goes into “fight or flight”. This is why therapies such as EDMR, brain spotting, somatic therapy, yoga, and hypnosis really help propel one’s recovery from sexual abuse.
This is also why addiction is hard to break when it is just approached by addressing emotions. We must understand that aside from emotions and genetic factors, the limbic system in the body is highly activated. You cannot rationalize with surfacing addiction urges, just like you cannot rationalize with PTSD triggers. This is why this “bottom-up” therapy approach can help with addiction, especially if trauma related. I talked in my podcast (Episode 2) this past week about how to deal with this part of the brain, which is the limbic system.
I thought that by avoiding certain people, places, sounds, or experiences would prevent me from being triggered. Yet, after trauma your entire nervous system is still on high alert, meaning your body is still acting as if you are still in the trauma. If you are someone, or know someone that experiences frequent flashbacks, nightmares, or can’t seem to be brought down to earth, then here are some suggestions that have helped me, and still to this day continue to. The “bottom-up” approach to healing trauma is essential. It really gave me a glimmer of hope when I felt like I was failing talk therapy that I had been going to for years.
Types of Therapies That Address The Body:
-Trauma Sensitive Yoga
Books, Videos, and Resources: