Category Archives: For Therapists

My Takeaways from my Interview with Dr. Steve Terrell

Who is Steve?

I had the good fortune of getting to interview Dr. Steve Terrell, a leading expert in the field of developmental trauma.  He has performed more than 25,000 individual transforming touch sessions.  Steve has developed his own touch-based training called Transforming the Experience-Based Brain.  It’s a regulation based approach to working developmental trauma that he has taught to thousands of students from around the world.  And he is hosting one of these trainings in STL in Sept 2023!

He’s also still a practicing therapist in Texas at the Austin Attachment and Counseling Center in Austin, Texas. Steve has written two books.  One is called Nurturing Resilience, a book for therapists about helping clients move through developmental trauma that he wrote with Kathy Kain.  And the other is a new release called TEB LIKE 123, a book for parents and children that Steve coauthored with Shiri Sher.

Why Touch is Important in Healing Developmental Trauma

Touch has the power to heal even a very disorganized, nervous system.  It can be used as a regulation intervention at any age.  We never grow out of our need for touch.  Touch is one of the earliest forms of nurturing and regulation, starting from infancy.

Developmental trauma is anything that interrupts the development of the human from conception on.  Usually this shows up in a person’s behavior.

Shock Trauma vs. Developmental Trauma

Shock trauma is what we hear most about when we think of post-traumatic stress disorders.  It is when a traumatic event occurs and after that event your life is different.  With shock trauma often all we have is a memory of the event and the desire to return to life before the event.  There is a story, image, or narrative.

Conversely, in developmental trauma we don’t know what it was like before.  Often there is no memory of it.   Nobody has that information, so it’s like we’re working in the dark.  That’s why a therapist’s ability to hold space is so important. Being present and building trust in the relationship are key.  So is, letting go of the need to be the expert.

How to Work with Touch even in a Virtual Space

You can learn and work with touch intentionally using the same protocols that you would if you were in person.  The pandemic taught us that it actually works really well.

The Language of Touch

Before using physical touch it’s important to use collaborative language.  Instead of, I’m gonna do this to you. We are gonna do this. We are going to allow this to expression.  Co-regulation can only happen through collaboration and only in the context of safety.

For Body Workers

It is important to keep in mind that you can listen no matter how you’re trained. It doesn’t matter what school you went to. Massage and body workers oftentimes feel like they’re not doing enough. They want their client to leave happy. They want them to leave like “oh, that really felt good”.  I really try to get a release of some kind.  Your client doesn’t need to feel great when they’re done. What you want to say is “I’m going to support you even if you feel bad.”  That’s the goal.  You don’t need to fix anybody.

How  the Transforming the Experienced-Based Brain (TEB) training works

There are three modules that build on each other.  Each takes three and a half days.  All the lectures are pre-recorded and on online.  You get to view them 30 days before the in-person training.  After viewing the videos, you can ask questions at the in-person training which is hands-on learning.  Throughout the training, 6-7 interventions are gonna be taught to you. So you’re gonna get at least that many times on the table as the client and as the therapist or practitioner, and as an observer.  Each day we’re doing an enhancement or a piece of work. We explain why this is a regulation focused intervention and why it’s important.  Each module you are given plenty of time to ask questions and process as a group.  It’s an intense and rich three and a half days of training.

Post-Training Perks

After the first module, Steve or Robin Sullivan (lead assistant) gives a free online consultation every Thursday morning.  Anyone who’s finished module one can join.  Usually around 65 to 75 show up.  This is followed by a 45 minute guided healing process. You will be guided through the protocol and enhancements.  Every Tuesday at 1:00 CST Ellen Keating does a weekend review and she goes into a different enhancement and how to work with those enhancements. And that’s free as well.  Also, there is a 50% discount should you decide to retake the training.

Resources:

Austin Attachment and Counseling Center

Nurturing Resilience by Steve Terrell and Kathy Kain

TEB LIKE 123

TEB training in STL

Scholarships are available for those who qualify

Dance of Change Counseling

6 Principles of Healing Developmental Trauma using Touch

 

 

 

6 Principles of Healing Developmental Trauma Using Touch

Treating early developmental trauma can be a complex and challenging task for even the most skilled therapists. As healers, we often feel the pressure to quickly fix our clients’ complex problems. This is especially true when they have sought our services after having visited multiple providers before us, often to mixed results. However, developmental trauma is a tricky nut to crack, and healing it requires a different approach.  This is where somatic therapy comes in.  Understanding the underlying causes and patterns of developmental trauma is crucial. Developmental trauma is often a result of childhood experiences that can shape a person’s behavior and emotional regulation. It can lead to a variety of symptoms such as anxiety, depression, and dissociation.

How developmental trauma happens

Developmental trauma occurs when a child experiences a lack of nurturing, support, and protection during crucial stages of their development. This can lead to patterns of behavior and emotional disturbances on the nervous system level that can be difficult to identify and treat. It can affect all aspects of a person’s well being. From their physical and mental health, to their ability to form healthy relationships or attachments with others. Touch therapy, also known as somatic touch therapy, has been shown to help clients with developmental trauma to regulate their nervous system, process emotions, and build healthy relationships.

 

Why somatic touch therapy is helpful for healing early trauma

Studies have shown that somatic touch therapy can be an effective way to help clients with developmental trauma to regulate their nervous system. Developmental trauma can lead to disorganization of the nervous system, making it difficult for clients to manage their emotions and responses to stress. Research has shown that somatic touch therapy can help to reduce stress and promote relaxation, which can help to regulate the nervous system and improve emotional regulation.

Developmental trauma can lead to a variety of emotions, such as anger, fear, and shame, that can be difficult to process and manage. Often clients spend a lot of time just managing symptoms. Somatic touch therapy can help clients go beyond simply symptom management by allowing them to access and process these emotions & physical reactions in a safe and supportive way. In some cases, the symptoms are greatly diminished or may even become a non-issue over time.

The 6 core principles for healing early trauma using touch

That said, healing developmental trauma is definitely not easy. There are many programs out there to help both therapists and clients in this endeavor. But not all programs and practices are helpful. Here are a few practices and principles that I think are really essential for healing developmental trauma.

1. Practice Healthy Separation

Learn to identify what’s happening in your own body-mind experience as separate from your client’s. The tendency to merge with a client’s experience is real. And often it can lead to therapist burn out. This is especially true if you do any hands on work. You can easily get sucked into a client’s energy field and trauma material. On the other end of the spectrum you also don’t want to have overly rigid boundaries. Some healers, in attempt not to merge with clients will hold back too much. Not touching, responding to or having compassion for clients are just some examples.

2. Lay a Strong Somatic Foundation for Touch Work to Happen.

Somatic touch therapy can be a direct and extremely effective way to help clients                     with developmental trauma to heal. And it is considered an advanced skill. That’s                     why you should have a strong foundation in somatic work before attempting to use                 touch to heal this type of deep trauma. There are a few basic somatic therapy                             training programs I really like for this kind of foundational work. One program is                       Somatic Experiencing another is Pat Ogden’s work.

It’s important that you, as a therapist, get solid training and awareness of boundaries of self and others in order to provide sensitivity and respect for a client’s boundaries. Some clients with developmental trauma may have a history of physical or sexual abuse, and touch therapy may trigger traumatic memories or feelings of discomfort. Also if a client has never experienced a healthy boundary before they may become confused. Clients may have a tendency either to blur boundaries or to have overly rigid ones or some of both. That is why it is essential to create a safe and supportive environment as a foundation for touch therapy

3. Get Tools to Help you Stay Grounded, Regulated and Clear in the Midst of the Chaos.

Developmental trauma can lead to a variety of emotions, such as anger, fear, and shame in the client that can be difficult to process and manage. And that’s just the mental health side of it. Often there are a constellation of physical symptoms as well that are some times changeable. Clients often come in understandably overwhelmed and with a lot of confusing symptoms that can also lead to overwhelm for the therapist too.  Touch therapy can help a client access and process these emotions in a safe and supportive environment. But they can only do that if the therapist is relatively present and grounded.

4. Learn to See the REAL Nervous System Pattern that’s Underlying all those Confusing Symptoms BEFORE you Intervene.

Often there’s an underlying nervous system pattern that’s really running the show.  The truth is that when it comes to trauma, looks can be deceiving. And if we jump too soon for an intervention in order to relieve our client as quickly as possible ( which, let’s face it, many of us do) we end up missing the mark. This leads to spending too much time and energy throwing intervention after intervention into the trauma fire to little or no effect (at best), or worse, we end up making things worse. Why? Because in our rush, we failed to see what was TRULY going on in our nervous system and theirs. In other words, we didn’t take enough time with the assessment of the two bodies in the room before we intervened.

I don’t want that for you, or your client. What I’d like is for your to feel confident enough in your own regulation to actually see clearly. And from that clear seeing, to be able to know exactly when to intervene and also why.

5. Learn to Undo the Many Double Binds on a  Nervous System Level.

Because early trauma is by its nature a relational trauma, often many double binds exist for the client. Those double binds make up part of the overall pattern of disorganization in a client’s nervous system.

A double bind is a situation in which a person is faced with two conflicting options or expectations. In the context of developmental trauma, double binds can arise when a caregiver is perceived as unpredictable or inconsistent in their behavior towards a child. For example, a child may feel two seemingly opposite reactions towards their caregiver at once: the impulse to go towards that parent for protection and away from the parent out of fear. These conflicting emotions can create a sense of confusion and helplessness that can be difficult to overcome without therapeutic intervention.

This is why adult survivors of developmental trauma can  find it difficult to form healthy relationships with others in their present life. They have so many double binds when it comes to relationship. Touch therapy can help people process these double binds and also learn how to establish healthy boundaries, communicate effectively, and build relationships based on mutual trust, respect and safety.

6. Enjoy the Connection

Yes, trauma healing can be hard work, but it can be deeply rewarding too, both for client and therapist. Not enough people are talking about this side of it. Perhaps we are embarrassed to admit we all have this basic human need that gets easily overlooked, even in healing circles. But trauma healing after all is about restoring connection, maybe even for the first time. And that is a reason to celebrate!

Jump Private Practice

Need help putting these principles into hands-on practice? Join us!

Whether you want more confidence in working with difficult cases of complex trauma, or you are interested in healing your own trauma or both, there is help and support for you!

Please consider joining us for Steve Terrell’s training on how to use touch skills for healing the effects of early developmental trauma. It’s called: Transforming the Experienced Based Brain (TEB). If you are in or near Saint Louis the place to go is here. If you are in another part of the country or world you can go here. In this training you will learn how to see, feel and treat developmental or attachment trauma. Knowing the how, why and what to do in a hands on, supportive environment, makes a huge difference. Hope to see you there!

Book Recommendations on Healing Trauma

People often ask me for book recommendations on trauma. There are SO many great books out there on healing trauma right now.  So I’ve tried to narrow it down a bit  and divided them by category.

For those Just starting Somatic Therapy:

Why you can’t think your way out of Trauma. This article is a quick read and lays the case for the importance of using the body’s wisdom to heal trauma.

A great starter book and even comes with a CD of basic exercises that can be a nice compliment to therapy.

A classic and also a good starter book for understanding trauma and its impact on the nervous system.

For Parents & Kids:

I really like this simple and straight forward video for elementary school aged children by Gina Ross. It’s especially helpful in the aftermath of war violence or natural disaster .  Just scroll down to the bottom for the two videos. The original was made in Hebrew and the English version is dubbed but still quite helpful. My kid loves it and often quotes from it 🙂

For Therapists:

A great companion book for therapists and students going through the first year of the Somatic Experiencing Training Program.

A helpful look at how to heal developmental (early childhood) trauma from a somatic therapy perspective. Written by two senior therapists in the field of Somatic Psychology.

Many therapists love this primer on Steven Porge’s Polyvagal theory.  It lays the theoretical foundation for the Somatic Experiencing approach and many other therapies and somatic models today.