What Does Somatic Therapy Feel Like Physically? A Nervous System and Neuroscience-Informed Guide

What does somatic therapy feel like physically? Learn how body-based therapy affects sensation, tension, breath, and nervous system regulation through a neuroscience-informed lens.

If you are curious about somatic therapy, one of the most common questions is also one of the most vulnerable: What will it actually feel like in my body?

Will it be intense? Awkward? Emotional? Will something happen that feels out of control? For many people, especially those with trauma histories, the idea of paying attention to the body can feel both intriguing and unsettling at the same time.

These questions make sense. Our culture has taught us to relate to distress cognitively by thinking through problems rather than sensing them. Somatic therapy gently reverses that pattern by inviting the body into the healing process. Understanding what somatic therapy feels like physically can help reduce anxiety and create a sense of safety before beginning.

This article explores the physical experience of somatic therapy through a neuroscience and nervous system-informed lens and explains how Embodied Wellness and Recovery approaches somatic work with care, pacing, and consent.

Why Somatic Therapy Feels Different From Talk Therapy

Traditional talk therapy primarily engages the prefrontal cortex, the brain region responsible for reasoning, insight, and verbal processing. Somatic therapy also includes the brainstem and limbic system, which govern survival responses, emotional memory, and bodily regulation.

Because trauma and chronic stress are stored and expressed through the nervous system, healing often requires working with sensation, movement, and physiological cues rather than words alone. This is why somatic therapy can feel different physically. The body becomes an active participant rather than a passive background.

Common Physical Sensations People Experience in Somatic Therapy

Every body responds uniquely, but there are common physical experiences that many people notice during somatic therapy sessions. These sensations are not signs that something is wrong. They are signs that the nervous system is communicating.

Changes in Breathing

Many people notice their breath change early in somatic therapy. Breathing may deepen, slow, or become more rhythmic. Others notice shallow breathing at first, which gradually softens as safety increases. Breath is one of the fastest indicators of nervous system state and often shifts as regulation improves.

Muscle Tension and Release

Somatic therapy frequently brings awareness to areas of chronic tension, such as the jaw, shoulders, neck, chest, or hips. You may notice subtle tightening followed by warmth or softening. Sometimes tension releases gradually over multiple sessions rather than all at once.

Warmth, Tingling, or Heaviness

As circulation and nervous system regulation improve, people often describe sensations of warmth, tingling, or heaviness in different parts of the body. These sensations reflect shifts in autonomic nervous system activity and increased parasympathetic engagement.

Grounding and Weight

Many clients describe feeling more grounded, heavy, or settled in their bodies. Feet may feel more connected to the floor. The body may feel supported by the chair or couch in a way that was not noticed before.

Subtle Movement or Impulses

Some people experience gentle impulses to stretch, shift posture, yawn, sigh, or move. In somatic therapy, these impulses are respected as nervous system cues rather than suppressed. Movement is always optional and guided collaboratively.

What Somatic Therapy Does Not Feel Like

One of the most important clarifications is what somatic therapy does not feel like.

It does not involve forcing emotions or sensations.

It does not require physical touch unless explicitly discussed and consented to.

It does not involve reliving trauma in an overwhelming way.

It does not bypass cognitive understanding or insight.

At Embodied Wellness and Recovery, somatic therapy is titrated and relational. This means experiences are introduced slowly, with constant attention to nervous system capacity. The goal is not intensity but integration.

Why Physical Sensations Can Feel Emotional

The body and brain are inseparable. Emotional states are physiological states. When people ask what somatic therapy feels like emotionally, the answer is often tied to what it feels like physically.

Tears may arise without a clear story.

A sense of relief may follow a release of tension.

Fear may soften into sadness or grief.

Numbness may gradually give way to sensation.

These experiences occur because the limbic system processes emotion through bodily signals. Somatic therapy allows these signals to complete cycles that were interrupted by stress, trauma, or chronic overwhelm.

What If Sensations Feel Uncomfortable or Scary

It is common to worry that paying attention to the body will increase anxiety or discomfort. For individuals with trauma histories, body awareness can initially feel unfamiliar or even threatening.

A skilled somatic therapist closely monitors these responses. If sensations become overwhelming, the therapist helps the nervous system return to a state of regulation through grounding, orientation, and pacing. You are never expected to push through discomfort.

Somatic therapy builds tolerance gradually. Over time, what once felt frightening often becomes informative rather than alarming.

How Somatic Therapy Supports Nervous System Repair

From a neuroscience perspective, somatic therapy supports healing by strengthening communication between the brainstem, limbic system, and prefrontal cortex. This integration allows the body to move out of survival states more efficiently.

As nervous system regulation improves, physical sensations often feel less chaotic and more predictable. Clients report improved sleep, reduced chronic pain, decreased anxiety, and greater emotional resilience.

The body learns that sensation does not equal danger.

What a Somatic Therapy Session Might Look Like

A typical session at Embodied Wellness and Recovery may include:

     — Checking in verbally about current stressors
    — Noticing posture, breath, or sensation
    — Gentle grounding or orienting exercises
    — Tracking bodily responses to emotion or memory
    — Integrating insight with sensation

Nothing is done without collaboration. You remain in control of pacing and participation throughout the process.

Why Curiosity Matters More Than Control

One of the most helpful shifts clients make is moving from trying to control bodily experience to becoming curious about it. Curiosity activates the prefrontal cortex and supports regulation. Control often increases tension.

Somatic therapy invites curiosity toward sensation rather than judgment. Over time, this creates a sense of trust in the body rather than fear.

Who Benefits Most From Somatic Therapy

Somatic therapy is particularly helpful for individuals experiencing:

     — Trauma or developmental trauma
    — Anxiety or panic symptoms
    — Chronic stress or burnout
    — Dissociation or numbness
    — Difficulty accessing emotions
    — Relationship or attachment challenges

At Embodied Wellness and Recovery, somatic therapy is integrated with trauma-informed psychotherapy, attachment work, EMDR, and relational approaches to support whole-person healing.

Reconnecting with Yourself Gradually and Safely

If you are wondering what somatic therapy feels like physically, the most honest answer is that it feels like reconnecting with yourself gradually and safely. Sensations become messages rather than threats. The body becomes a source of information rather than something to override.

Healing happens not by forcing change, but by allowing the nervous system to experience safety, presence, and completion.

Reach out to schedule a complimentary 20-minute consultation with our team of therapists, trauma specialists, somatic practitioners, or relationship experts, and start working towards integrative, embodied healing today. 

📞 Call us at (310) 651-8458

📱 Text us at (310) 210-7934

📩 Email us at admin@embodiedwellnessandrecovery.com

🔗 Visit us at www.embodiedwellnessandrecovery.com

👉 Check us out on Instagram @embodied_wellness_and_recovery

🌍 Explore our offerings at Linktr.ee: https://linktr.ee/laurendummit

References

1) Damasio, A. R. (1999). The feeling of what happens: Body and emotion in the making of consciousness. Harcourt Brace.

2) Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton & Company.

3) van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

When the Body Speaks: Understanding How Organs, Emotions, and the Nervous System Communicate

Discover how the body’s organs, emotions, and nervous system communicate, how emotional distress can manifest as physical pain, and how therapy supports whole body healing.

What If Symptoms Are Messages

Have you ever noticed that stress seems to settle in a particular part of your body? Tightness in your chest during grief. A knot in your stomach during anxiety. Chronic pain that persists even after medical tests come back normal.

You may find yourself wondering:

Why does my body react this way to emotional stress?

Can unresolved trauma contribute to physical symptoms?
Why do some illnesses affect mood, energy, or relationships so deeply?
Is my body trying to tell me something I have not yet understood?

Modern neuroscience and integrative psychology increasingly point toward a truth long recognized in somatic traditions. The body is not a collection of isolated parts. It is an interconnected system in constant communication with itself.

The Body as a Living Timepiece

Imagine the body as a beautifully complex timepiece. Each organ functions like a precisely calibrated gear, moving in relationship to every other part. When one gear shifts, even subtly, the entire system adjusts.

The heart, lungs, digestive organs, endocrine system, immune system, and brain are in continual dialogue through neural pathways, hormonal signaling, and autonomic regulation. This communication allows the body to maintain balance, adapt to stress, and respond to the environment.

When trauma, chronic stress, or illness disrupts one part of this system, the effects ripple outward.

The Nervous System as the Master Regulator

At the center of this timepiece is the nervous system. It coordinates communication between organs, interprets internal and external signals, and determines whether the body is oriented toward safety or threat.

The autonomic nervous system regulates:

     — Heart rate and blood pressure
    — Digestion and elimination
    — Immune responses
    — Hormonal release
    — Muscle tension and pain perception

When the nervous system is chronically activated due to trauma or ongoing stress, organs may remain in a state of prolonged tension or dysregulation.

How Emotional Distress Can Affect Organs

Emotions are not abstract experiences. They are physiological events that involve changes in heart rate, muscle tone, breathing patterns, and hormonal activity.

For example:

     — Chronic anxiety can alter gut motility and contribute to digestive distress
    — Prolonged grief can impact immune functioning and energy levels
    — Sustained anger or helplessness may increase muscle tension and pain sensitivity

These responses are mediated by neural circuits that connect the brain, the vagus nerve, and the internal organs. Over time, emotional distress can contribute to physical symptoms that feel mysterious or frustrating.

The Amygdala, Hippocampus, and Body Memory

The amygdala evaluates threat and safety. The hippocampus encodes memory and context. Together, they influence how the body responds to current experiences based on past ones.

When trauma is unresolved, the nervous system may respond to present-day stress as if the original threat is still happening. This can lead to organ-specific responses such as chest pain, shortness of breath, nausea, or chronic tension without a clear medical cause.

The body remembers what the mind may not consciously recall.

When Physical Injury Affects Emotional Well-Being

The relationship between body and mind is bidirectional. Just as emotional distress can impact organs, physical illness or injury can affect mood, identity, and relational functioning.

Chronic pain, autoimmune conditions, or organ damage can contribute to:

     — Depression or anxiety
    — Irritability and emotional withdrawal
    — Changes in self-image or sexuality
    — Strain in relationships

Neuroscience shows that inflammation, pain pathways, and hormonal changes influence neurotransmitters involved in mood regulation. This is not imagined distress. It is biology.

Pain as a Communication Signal

Pain is often the body’s way of signaling that something requires attention. Acute pain protects us from injury. Chronic pain, however, can reflect a nervous system that remains on high alert long after tissue healing has occurred.

In trauma-informed care, pain is approached not as an enemy but as information. What is the nervous system trying to communicate? Where might regulation be interrupted?

This perspective does not dismiss medical evaluation. It expands understanding.

The Viscera and Emotional Experience

The body’s vital viscera, including the heart, lungs, liver, stomach, intestines, and kidneys, are richly innervated by the autonomic nervous system. They respond dynamically to emotional states.

For instance:

     — The heart responds to emotional arousal through changes in rhythm

     — The lungs adjust breathing patterns based on safety cues
    — The gut produces neurotransmitters that influence mood

This ongoing interplay illustrates why emotional and physical health cannot be separated.

Trauma as a Systemic Disruption

Trauma is not merely an event. It is a disruption in the body’s ability to regulate itself. When trauma occurs, the entire system may reorganize around survival.

Over time, this can lead to patterns of tension, pain, fatigue, or illness that feel disconnected from any current stressor. In reality, the system learned to operate under threat and has not yet been guided back toward balance.

Therapy as System Realignment

At Embodied Wellness and Recovery, therapy is viewed as a process of realigning the system rather than suppressing symptoms.

Trauma-informed and somatic therapies work with the nervous system to restore communication between the brain and body.

This includes:

     — Increasing awareness of bodily signals
    — Supporting autonomic regulation
    — Processing unresolved emotional experiences
    — Strengthening internal safety and coherence

As regulation improves, organs often experience reduced strain.

Why Insight Alone Is Not Enough

Understanding the mind-body connection intellectually does not automatically restore balance. The nervous system requires experiential interventions to learn safety through sensation, relationship, and regulation.

This is why body-based and nervous system-informed therapies are so effective in addressing symptoms that do not respond to cognitive approaches alone.

Restoring Harmony in the Timepiece

When the body’s internal timepiece is supported, gears begin to move more smoothly. Tension softens. Pain may lessen. Emotional responses become more flexible.

This does not mean eliminating all discomfort. It means restoring communication and responsiveness so the system can adapt rather than remain stuck.

The Body Is Communicating

The body is not malfunctioning when it expresses pain or emotional distress. It is communicating. Each organ, each sensation, each emotional response exists in relationship to the whole.

By listening with curiosity and compassion, and by engaging therapies that honor the nervous system’s role, it becomes possible to restore balance and coherence within this remarkable system.

Reach out to schedule a complimentary 20-minute consultation with our team of therapists, trauma specialists, somatic practitioners, or relationship experts, and start working towards integrative, embodied healing today. 

📞 Call us at (310) 651-8458

📱 Text us at (310) 210-7934

📩 Email us at admin@embodiedwellnessandrecovery.com

🔗 Visit us at www.embodiedwellnessandrecovery.com

👉 Check us out on Instagram @embodied_wellness_and_recovery

🌍 Explore our offerings at Linktr.ee: https://linktr.ee/laurendummit

References 

1) Damasio, A. (1999). The feeling of what happens: Body and emotion in the making of consciousness. Harcourt Brace.

2) Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton.

3) Sapolsky, R. M. (2004). Why zebras don’t get ulcers (3rd ed.). Henry Holt and Company.

4) van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

Before Words: How Preverbal Trauma Shapes the Brainstem and What It Takes to Heal

Learn how preverbal trauma stored in the brainstem affects emotional regulation, attachment, and the nervous system, and discover somatic and relational ways to heal.

Before Memory: The Invisible Blueprint

There is a kind of trauma that happens before memory. Before language. Before we have words for fear or safety, it lives not in stories, but in sensations. It is stored in the brainstem and shapes the body at a level so deep that it can feel impossible to access. This is preverbal trauma, and for many people, it becomes the invisible blueprint that determines how they respond to stress, form relationships, regulate emotions, and navigate intimacy.

Do you often feel overwhelmed by emotions you cannot explain? Do you shut down when you feel closeness or conflict? Do you experience chronic anxiety, dissociation, or a sense that something is wrong without knowing why? These can be signs of trauma that happened long before you had language to understand it.

Preverbal trauma is not a life sentence. Modern neuroscience and somatic therapies now offer ways to work directly with the brain regions that house these early imprints. At Embodied Wellness and Recovery, we specialize in healing developmental trauma through nervous system repair, somatic therapy, EMDR, attachment-based work, and experiential neurobiological interventions that reach the brainstem.

This article will help you understand what preverbal trauma is, how it shows up in adulthood, and the therapies that can gently bring the nervous system back into connection and safety.

What Is Preverbal Trauma and Why Does It Affect the Brainstem?

Preverbal trauma refers to overwhelming emotional or physical experiences that occur in the first months or years of life, when the brain is still forming its basic wiring for safety, connection, and regulation.

This can include:

      — Inconsistent caregiving
     — Medical trauma
      — Neglect
      — Prenatal stress
     — Early attachment disruptions
      — Exposure to chaos or violence
      — Early hospitalizations
      — Caregiver depression or addiction

Because the thinking brain and memory systems are not yet developed, the trauma becomes stored in the brainstem and lower limbic structures, which control basic functions such as:

     — Heart rate
    — Breathing
    — Startle responses
    — Sleep
    — Muscle tension
    — Regulation
    — Threat detection

Preverbal trauma is encoded through sensory patterns, autonomic responses, and implicit memories, not through narrative memory. This is why people often say, “I do not know why I react this way” or “Something feels off, but I cannot explain it.”

From a polyvagal perspective, early trauma alters the development of:

     — The vagus nerve
    — The social engagement system
    — The ability to self-regulate
    — The capacity to form secure attachment

When the brainstem stores threat, the body continues living as if the past is still happening.

How Preverbal Trauma Shows Up in Adults

Because preverbal trauma is stored outside of conscious awareness, its symptoms often look like personality traits or lifelong patterns. Many people do not recognize these symptoms as trauma-related because they are all they have ever known.

Common signs include:

1. Chronic anxiety with no apparent cause

The nervous system is always “on guard” because the brainstem learned early on that safety cannot be assumed.

2. Dissociation or emotional numbing

The body disconnects to avoid sensations it never learned to regulate.

3. Difficulty forming secure relationships

People may feel unsafe with closeness, overwhelmed by intimacy, or confused by connection.

4. Shut down responses during conflict

Instead of communicating, the body freezes. This is brainstem dominance.

5. Fear of expressing needs

If early needs were not met, the adult nervous system does not trust that needs will be cared for.

6. Somatic symptoms

Chronic tension, digestive issues, migraines, jaw clenching, and body-based anxiety are common.

7. Feeling “wrong” or defective

A deep, preverbal sense of unsafety often becomes internalized as self-blame.

8. Unexplained grief or emptiness

The body remembers what the mind never encoded.

These symptoms are not character flaws. They are the nervous system’s attempt to protect you based on its earliest blueprint.

Why Traditional Talk Therapy Often Falls Short

Talk therapy works best when the problem is stored in language, memory, and conscious understanding. Preverbal trauma lives in the body and in the primitive brain, so talking often does not reach the root of the issue.

People often say:

     — “I understand the problem, but nothing changes.”
    — “I feel stuck in patterns I cannot explain.”

     — “Talking about it makes sense, but my body still reacts.”

This is because the brainstem learns through sensation, movement, rhythm, and relationship, not through words. To heal preverbal trauma, therapy must include somatic, relational, and neurobiological elements.

How to Heal Trauma Stored in the Brainstem

Healing preverbal trauma is deeply possible. The key is to approach the body gently, slowly, and with attuned support.

At Embodied Wellness and Recovery, we use a combination of modalities that reach the deeper layers of the nervous system.

1. Somatic Experiencing and Body-Based Therapies

Somatic therapy helps clients track internal sensations in small, manageable doses. This supports:

     — Increased interoception
    — Improved regulation
    — Completion of stuck survival responses
    — Integration of implicit memory

The body begins to communicate in ways that words never could.

2. NeuroAffective Touch

NeuroAffective Touch is explicitly designed for developmental and preverbal trauma. Through slow, attuned contact, the therapist connects with the implicit nervous system to support:

     — Regulation
    — Trust
    — Safety
    — Attachment repair
    — Brainstem calming

This works directly with the part of the brain where preverbal trauma is stored.

3. EMDR with Early Attachment Protocols

EMDR can be adapted for clients with early trauma through:

     — Resourcing
    — Bilateral stimulation

     — Early childhood templates
    — Attachment-focused EMDR
    — Somatic interweaves

These approaches help integrate nonverbal emotional memory.

4. Polyvagal Informed Therapy

Polyvagal techniques help strengthen the social engagement system and shift the nervous system toward safety.

This can include:

     — Breath patterns
    — Vocalization
    — Eye contact attunement
    — Grounding rhythms
    — Gentle movement

When the vagus nerve feels supported, the brainstem signals shift.

5. Parts Work and Internal Attachment Repair

IFS and parts work help clients connect with the preverbal self that never received the co-regulation it needed.

This work helps the adult self become the source of:

     — Safety
     — Compassion
    — Reassurance
    — Connection

This internal repair is powerful for those who have never experienced secure attachment in infancy.

6. Relational Therapy and Co-Regulation

Preverbal trauma is relational injury. The antidote is relational repair.

Healing happens through:

     — Attuned presence
    — Emotional consistency
    — Steady pacing
    — Co-regulated interactions
    — Deep listening

A regulated other helps regulate the parts of the nervous system that never learned to regulate themselves.

7. Sensory Integration and Brainstem Calming

Activities that soothe the lower brain are essential, such as:

    — Rocking
    — Weighted blankets
    — Warm compresses
    — Rhythmic breathing
    — Sensory grounding

    — Gentle self-touch

These can help the nervous system shift out of stored threat responses.

Real Hope for Deep Trauma

Although preverbal trauma lives in the oldest part of the brain, it is also one of the most responsive to somatic and attachment-based therapies. The brainstem is plastic throughout life. With the proper support, it can learn safety, regulation, and connection.

At Embodied Wellness and Recovery, we specialize in this kind of deep healing. Our trauma-informed clinicians work through the body, the nervous system, the relational field, and the brain’s natural capacity to reorganize.

You can develop a new internal blueprint, one built on safety, trust, and connection. You can learn to feel secure inside your own body. You can create relationships that feel nourishing instead of overwhelming. You can cultivate a sense of steadiness that was never available early on.

Preverbal trauma is powerful, but the human capacity for repair is even more profound.

Reach out to schedule a complimentary 20-minute consultation with our team of therapists, trauma specialists, somatic practitioners, or relationship experts, and start working towards integrative, embodied healing today. 

📞 Call us at (310) 651-8458

📱 Text us at (310) 210-7934

📩 Email us at admin@embodiedwellnessandrecovery.com

🔗 Visit us at www.embodiedwellnessandrecovery.com

👉 Check us out on Instagram @embodied_wellness_and_recovery

🌍 Explore our offerings at Linktr.ee: https://linktr.ee/laurendummit

References

1) Badenoch, B. (2018). The heart of trauma: Healing the embodied brain in the context of relationships. W. W. Norton.

2) Levine, P. A. (2010). In an unspoken voice: How the body releases trauma and restores goodness. North Atlantic Books.

3) Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton.