Skip to main content
Trauma

How the Body Balances the Score

Somatic self-care intervention can support well-being and promote healing.

Key points

  • Healing is not just an individual journey but a communal process that thrives in supportive environments.
  • Body-based approaches to therapy can help stabilize the nervous system.
  • “Bottom-up” or body-based therapies can complement “top-down” cognitive approaches.
Chat GPT image generator, 2025.
Source: Chat GPT image generator, 2025.

Body-based approaches, such as my organization's Community Resiliency Model (CRM), help stabilize the nervous system by recognizing the deep connection between the mind, body, and spirit. They focus on how the body senses and processes information, often outside of our conscious awareness. Sensations first pass through brain areas that don’t use language — the brainstem and limbic system — and only later become conscious thoughts and words.

In The Body Keeps the Score, Bessel van der Kolk argues that healing from trauma and its effects — like anxiety, depression, dissociation, and PTSD — requires more than just talk therapy. He emphasizes “bottom-up” or body-based therapies to complement “top-down” cognitive approaches.1

Body-centered therapies have been in existence for a long time and are well-established in certain parts of the world, although they receive less research support compared to Cognitive Behavioral Therapy (CBT). But while CBT can be a useful intervention for some people who have experienced trauma, it may have limitations when taking into consideration body-centered concepts.

The basics of how trauma affects the brain and body, along with research on body awareness (interoception) and how people’s brains can synchronize with each other (neural synchrony), help explain why individuals and communities feel better when they utilize the Community Resiliency Model’s body-awareness skills. In a new article published in the journal Healthcare — "The Body Can Balance the Score" — researchers express that with mental-health services often hard to access, CRM’s six core skills offer an easy-to-learn self-care approach that can reach more people, especially in underserved areas. The review also points to areas for future research, such as studying how these skills affect the body, how they improve connections within and between people, and how interoceptive training might help people manage emotions, especially those who have experienced trauma or violence.2

The Community Resiliency Model is informed by neuroscience, somatic psychology, and public health. Its theoretical foundations reflect a comprehensive, biologically-based approach to trauma healing and wellness promotion.3 Key underpinnings include:

Nervous System Regulation. CRM highlights the crucial role of the autonomic nervous system (ANS) in shaping how individuals perceive and respond to cues of safety, danger, or threat in their environment. Drawing on polyvagal theory, CRM highlights how the vagus nerve serves as a bridge between the body and mind, regulating heart rate, digestion, and social engagement behaviors. Through its practical skills, CRM helps individuals learn to notice when they are in their “Resilient Zone”—the state of optimal nervous system functioning in which they can think clearly, connect with others, and adapt to challenges. By recognizing signs of hyper- or hypo-arousal, individuals can utilize CRM skills to gently guide their nervous system back toward balance, thereby improving their capacity to handle stress without becoming overwhelmed.

Neuroplasticity. At its core, CRM is grounded in the principle that the brain and nervous system are dynamic and capable of change throughout the lifespan. Scientific research shows that repeated experiences can strengthen or weaken neural pathways. CRM’s simple, repeatable wellness skills leverage this capacity by encouraging daily practice that rewires the brain toward greater emotional regulation and resilience. Over time, individuals may find that sensations of calm and stability become more familiar and accessible, even in the face of adversity. This aspect of CRM reinforces hope: Traumatic stress does not have to define one’s future functioning.

Solution-Focused Psychotherapy. CRM aligns with Solution-Focused Brief Therapy (SFBT) by emphasizing what is working well rather than what is broken. This approach encourages individuals to identify personal strengths and resources that have helped them manage difficulties in the past. By shifting attention from problems to solutions, CRM supports a sense of agency and self-efficacy. CRM reinforces the belief that change is possible and that people are more resourceful than they may realize in moments of distress.

Sensory Integration Theory. CRM recognizes that effective processing and integration of sensory information, such as touch, movement, sight, and sound, are fundamental for regulating behavior, attention, and emotions. When sensory processing is disrupted, individuals may feel overwhelmed by ordinary sensations or disconnected from their bodily experiences, which can exacerbate trauma-related distress. CRM’s skills help people tune in to neutral or pleasant body sensations, supporting self-regulation and a greater sense of well-being.

Somatic Psychology. Unlike models that primarily rely on cognitive insight, CRM incorporates principles of somatic psychology, which emphasize that trauma is stored and expressed in the body. CRM teaches a “bottom-up” approach, guiding individuals to pay attention to internal physical sensations (interoception) that signal safety, comfort, or threat. By learning to notice and amplify sensations of well-being, individuals can interrupt automatic stress responses and gradually restore a felt sense of calm. This embodied practice helps people reconnect with their innate capacity for self-regulation and healing, often bypassing the need to retell traumatic stories.

Public Health and Social Justice Orientation. CRM was intentionally designed as an accessible, community-based model that can be utilized by mental health practitioners, and it does not require advanced clinical training to deliver. It can be taught to teachers, parents, faith leaders, peer support workers, and other trusted community members, expanding the reach of trauma support far beyond clinical settings. CRM promotes mental health equity by prioritizing culturally humble approaches that honor the unique experiences of underserved and historically marginalized populations. This orientation supports community resilience and reduces stigma by normalizing biological reactions to adversity as a natural and modifiable response.

Systems Thinking and Community Well-Being. CRM can operate within a systems framework, acknowledging that individual trauma cannot be separated from family, community, and societal contexts. Healing is not just an individual journey but a communal process that thrives in supportive environments. CRM fosters relational resilience by encouraging peer-to-peer learning, mutual aid, and sustainable skill-sharing. By equipping communities with tools to collectively regulate stress, CRM helps build a foundation for social cohesion, empowerment, and adaptive recovery in the aftermath of collective trauma or chronic adversity.

References

1. van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

2. Nicholson, W. C., Sapp, M., Karas, E. M., Duva, I. M., & Grabbe, L. (2025). The Body Can Balance the Score: Using a Somatic Self-Care Intervention to Support Well-Being and Promote Healing. Healthcare, 13(11), 1258. https://doi.org/10.3390/healthcare13111258

3. Miller-Karas, E. (2023). Building resilience to trauma: The trauma and community resiliency models, 2nd Edition. Routledge/Taylor & Francis Group.

advertisement
More from Elaine Miller-Karas MSW, LCSW
More from Psychology Today