Somatic Experiencing – Trauma Treatment Approach

E. Handy

While Somatic Experiencing (SE) has gained popularity as a trauma treatment approach, there are several reasons why it isn’t effective for everyone dealing with trauma:

Lack of Robust Scientific Evidence

Despite some positive preliminary findings, the overall scientific support for SE remains limited. A Cochrane analysis of risk of bias indicates that the overall study quality is mixed. Many studies on SE have methodological limitations, making it difficult to draw definitive conclusions about its effectiveness.

Potential for Re-traumatization

SE involves focusing on bodily sensations related to trauma, which may inadvertently lead to re-experiencing traumatic memories. This process can be overwhelming for some individuals, exacerbating their symptoms rather than alleviating them.

Overemphasis on Physical Sensations

While SE aims to integrate mind and body, its strong focus on physical sensations may neglect the cognitive and emotional aspects of trauma processing. This approach is not suitable for individuals who require work such as EMDR or Brainspotting.

Lack of Standardization The SE approach can vary significantly between practitioners, making it difficult to ensure consistent quality of treatment. This lack of standardization may lead to inconsistent outcomes for clients.

Not Suitable for Trauma

SE is not effective for trauma, particularly those with a strong physical component and it is even less suitable for complex trauma or trauma that primarily affects cognitive and emotional functioning.

Time-Intensive Nature

SE often requires a significant time commitment, which may not be feasible for all individuals seeking trauma treatment. The gradual, body-focused approach may be too slow for those seeking more immediate relief from their symptoms and the approach enhances dissociation, an impediment to trauma processing.

Somatic Experiencing fails to integrate parts that became disconnected during trauma.

Somatic Experiencing is not an effective or empirically validated treatment for Trauma.