Part of Trauma Therapy cluster.
Short Answer
Your body often recognizes non-trauma-informed therapy before your conscious mind does. Somatic red flags include: leaving sessions more dysregulated than when you arrived, feeling disconnected from your body during sessions, dreading appointments in a physical way, or developing stress symptoms (insomnia, GI issues, tension) after starting therapy. Your nervous system is registering lack of safety.
What This Means
Trauma-informed therapy should help you feel more resourced, grounded, and safe over time. If instead you notice: dissociation during sessions, physical shutdown (unable to speak, frozen), hypervigilance in the therapy room, or worsening symptoms weeks into treatment—these are somatic signals that the therapeutic approach isn't matching your trauma needs. Good trauma therapy works with your nervous system, not against it.
Why This Happens
Non-trauma-informed approaches often push verbal processing before stabilization, demand eye contact or vulnerability that floods your system, or use cognitive techniques that bypass somatic reality. Your body goes into defense—freeze, fight, flight—because it doesn't feel safe. Trauma lives in the body; trauma therapy must engage the body gently.
What Can Help
- Trust your body: Somatic signals are data; don't override them with "shoulds"
- Name your needs: Tell therapist you need grounding, slower pace, less talking
- Shop around: Not every therapist is right for you; interview several
- Somatic modalities: Look for SE, IFS, sensorimotor, or somatic experiencing
- Safety first: You have the right to end therapy that isn't helping
When to Seek Support
If you're in therapy and your symptoms are worsening, trust your body and find a trauma-informed practitioner. The International Society for Traumatic Stress Studies (ISTSS) has guidelines; look for therapists who reference somatic approaches explicitly.