
Somatic Experiencing Therapy
What is it?
Somatic processing is a type of alternative therapy geared towards helping people find healing from trauma. It is built around the principle that trauma is trapped inside the body, leading to some of the symptoms that trauma causes. Practitioners aim to release this stress from the body through this method.
How does it work?
Many practitioners use a framework known as SIBAM (Sensation, Imagery, Behavior, Affect, and Meaning) to help clients incorporate their bodies in processing their trauma. While typical therapy uses a “top-down” method of processing, Somatic Processing uses a “bottom-up” method. This means that practitioners begin with bodily sensations before returning to thoughts.
SIBAM
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In somatic processing you begin with simply noting what you are feeling in your body. You may not be used to sitting with the sensations that course through your body and you may not be aware of how they are linked to your emotions. Here is where you can begin to identify what you are feeling.
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This part of the framework uses guided imagery or interactive guided imagery. This is where you and your therapist engage in a conversation where you share what is coming up for you during the exercise.
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Though much of this style of therapy includes you reporting how you are feeling, the behavior portion involves your therapist observing your behavioral responses. This can include body language and posture.
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Affect is how you display your emotions to the outside world. This involves your word choices, tone, and speed.
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Meaning is how you perceive the therapy and what your experiences mean to you.

What can Somatic Therapy Help With?
Somatic experiencing therapy may be helpful with aspects of:
Trauma
Substance use disorders
PTSD
