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You can understand your trauma perfectly and still flinch at a footstep. That gap is why trauma therapists work bottom-up (body and nervous system) as well as top-down (talk and cognition), with an honest look at what the evidence supports.
·4 min read
Trauma narrows the zone where you can stay grounded, Dan Siegel called it the window of tolerance. Here's the map of hyperarousal and shutdown, and concrete skills for returning to the middle.
·4 min read
Three of the most established body-aware trauma modalities work on overlapping problems through different mechanisms. Here's the clinical decision tree experienced Oregon trauma therapists use to match a client to the right approach, and what to ask in a consult call.
·5 min read
Polyvagal theory is the most widely cited framework in trauma therapy in the last twenty years, and the most distorted. Here's what the actual research says, where the clinical applications hold up, and where pop psychology has overreached.
·5 min read
Complex PTSD is widely under-diagnosed and frequently mistreated as simple PTSD, borderline personality disorder, or treatment-resistant depression. Here's the clinical picture, the most common misdiagnosis paths, and the phased-treatment framework that experienced trauma clinicians use.
·5 min read
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