There are multiple ways to tackle the symptoms of post-traumatic stress disorder. Which means even those people with complex and persistent PTSD can find a therapy – or combination of therapies – that is beneficial.

One of the many options is Tension and Trauma Releasing Exercises (TRE) and this article answers questions such as ‘What is TRE in the treatment of PTSD?’ and ‘How can tension and trauma release exercises be used?’.

The development of TRE

First, we need to explore the concept behind TRE.

The technique was formulated by Dr David Berceli, who is highly respected in the international field of trauma intervention and conflict resolution. Dr Berceli based this programme on his experience of working with people with PTSD during a career that involved delivering trauma relief workshops and recovery support in countries such as Israel/Palestine, Uganda, Sudan, Kenya, Yemen and Lebanon.

It is widely understood that humans store stress in their muscles. It is a natural reaction to trauma and part of our ‘fight, flight or freeze’ instinct. There have been various studies on how tension in our body supports if not escalates our emotional and mental anxiety.

The psoas muscle, located at the base of the spine, is responsible for putting us into a self-protective ‘ball’ when in ‘fight, flight or freeze’. Whenever you experience something shocking, traumatic, or that you (consciously or subconsciously) perceive as a threat, your psoas muscle constricts and ‘locks in’ the tension in the body. Once the tension energy is contracted into the body it stays there.

Dr Berceli developed Tension and Trauma Releasing Exercises (TRE) to release this tension.

Dr Berceli used this physiological link between emotional responses and muscles to create a series of exercises that help the body to release trauma and tension. By delivering workshops on this technique, he evidenced the potential for it to reduce reliance on psychotherapy or drugs to treat symptoms of post-traumatic stress disorder.

TRE exercises explained

The TRE programme works by focusing on deep muscle memory. It uses seven core activities – including muscle stretches – in a process which “activates a natural reflex mechanism of shaking or vibrating that releases muscular tension, calming down the nervous system.”

It can be a therapy option delivered in group settings or one-to-one. It is simple enough to be feasible for diverse levels of fitness and agility. Not least as it can be modified to take account of any physical boundaries.

In essence, the combination of activities creates a residual muscle vibration that moves along your legs and up through your body. It is possible to regulate this if the tremor becomes overwhelming. The rest period after the exercises and follow-up muscle shaking gives your mind and body chance to settle into a more relaxed state.

The aim is to create a natural balance. Including inducing improved sleep, boosting energy, tackling muscle pain, and increasing emotional resilience.

During the time spent learning the technique, the source of trauma is not explored. When you are familiar with this programme of exercises, the recommendation is that it is repeated for two or three sessions a week, with each lasting around 10 to 15 minutes.

It is important that the exercise programme is taught correctly (by someone trained in the process), in an environment that makes the individual feel safe and comfortable.

How to find a TRE therapist

There are extensive clinical trials underway to verify the effectiveness of TRE, though anecdotal evidence suggests many people find it does achieve significant improvements. This includes people with PTSD as well as those with chronic illnesses connected to muscle health, such as Arthritis and Fibromyalgia.

You can find out more information or find a therapist near you here: traumaprevention.com

When exploring your recovery options for PTSD or C-PTSD, it’s essential to find an approach that addresses both the symptoms you’re experiencing and the underlying trauma that caused them. The most effective treatments work not just to manage distress in the moment, but to help your brain process what happened and reduce long-term impact.

In the UK, the NICE guidelines (updated in 2018) recommend a number of trauma-focused psychological therapies for adults with PTSD and C-PTSD. These include Eye Movement Desensitisation and Reprocessing (EMDR), Trauma-focused Cognitive Behavioural Therapy (CBT), Narrative Exposure Therapy (NET) and Prolonged Exposure Therapy (PE). These therapies are backed by extensive research and are considered first-line treatments for PTSD and C-PTSD.

It’s important to remember that recovery isn’t one-size-fits-all. While these approaches have helped many people, everyone’s healing journey is unique. Some people may also find additional support through other therapies, self-help tools, or lifestyle changes.

Please note: nothing here is intended as a medical recommendation. Instead, it’s a guide to help you understand what’s available. Always work with a qualified professional to explore the best treatment options for you.

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