Navigating Trauma: The Healing Journey

A 27-year-old female came to my office in 2025 wearing a mask. I thought, "COVID is kind of over, so why would a beautiful young adult be afraid now?" During the in-person intake session, she explained that she had been hiding her whole life. She appeared shut down and said she couldn't talk about most things—she would be too worried about me! I then shared how therapy works. Hesitant, she said she needed time. As an experienced clinician, I understood what this meant: her trauma story.

The Importance of Co-Regulation in Therapy

Part of me wanted to know more. I wanted to keep the day moving and see what I was dealing with—the girl behind the mask. But that was me being selfish. I told myself to slow down and match her energy. It might be cool to hear this on TikTok, but it's a real-life skill that can be quite helpful. It starts with the parent-child attachment and is called "co-regulation."

Co-regulation in a clinical setting refers to the process by which healthcare providers and patients work together to manage emotional and physiological states. This collaborative approach emphasizes the importance of interpersonal relationships in fostering a supportive environment, which can enhance patient outcomes (See: relational approach/integrative approach). By actively engaging in co-regulation, clinicians can help patients feel more secure and understood. This ultimately leads to improved compliance with treatment and better overall health.

I also recognize that I am a good co-regulator because I do it too much. As a lifelong people-pleaser, it comes easily. You match the mood, and you stay out of trouble. Any trauma survivor knows this—just ask an adult child of an alcoholic parent. They know their way around. But to skillfully do it in a session takes a lot of patience. I think of my mother and how she helped children learn to read. What amount of patience did that take? I could never have done that.

I slowed down my pacing, which is also a technique in therapy, assuming the dog doesn't completely wreck it. Most good books on trauma will tell you: take your time. Repeating the story isn't a must, but generally, it helps.

Should You Tell the Trauma Story or Does That Re-Traumatize in Therapy?

When navigating the complexities of trauma in therapy, the decision to share your trauma story can be daunting. On one hand, recounting your experiences can be a vital part of the healing process. It allows you to process emotions, gain insight, and integrate the trauma into your life narrative. This storytelling can foster a sense of empowerment and agency, shifting the focus from being a victim to becoming an active participant in your recovery.

However, there is a valid concern that revisiting traumatic events may lead to re-traumatization. The act of recounting the trauma can exacerbate feelings of distress and anxiety. It is crucial for therapists to create a safe and supportive environment. Utilizing techniques such as grounding exercises and gradual exposure can help clients navigate their stories at a pace that feels manageable. Ultimately, the choice to tell the trauma story should be guided by individual readiness and the therapeutic relationship. This ensures that the process promotes healing rather than harm.

The Role of Yoga, Mindfulness, and Distress Tolerance in Healing

Yoga, mindfulness, and distress tolerance play vital roles in the healing process. Here are some key reasons why they are essential:

• Promotes Relaxation: Both yoga and mindfulness techniques help reduce stress and promote relaxation.

• Improves Focus: Mindfulness enhances concentration and helps individuals stay present, which can aid in the healing journey.

• Enhances Emotional Regulation: Distress tolerance skills equip individuals with tools to manage difficult emotions effectively.

• Physical Benefits: Yoga improves physical health, flexibility, and strength, contributing to overall well-being.

• Mind-Body Connection: These practices foster a deeper connection between the mind and body, facilitating holistic healing.

  
  

The Therapeutic Process: Being Present

As we approach the end of the session, I focus on the process in the here-and-now. "How are you doing? How was it to be here?" Then I gather the courage to say some words. I don't honestly know how long I've been doing this work, but it felt so right. Thank God it landed: "I have a feeling that some really bad things happened to you," I say quietly. She nods, still much frozen. She knows that the body keeps the score. I hope she comes back.

Conclusion: The Journey Ahead

Healing from trauma is a journey that requires patience, understanding, and support. It is essential to create a safe space where individuals can explore their feelings and experiences. Whether through storytelling, co-regulation, or practices like yoga and mindfulness, the path to recovery can be transformative. Each step taken is a step toward a healthier, more peaceful life.

In this journey, remember that you are not alone. There are resources and support available to help you navigate the complexities of trauma. Embrace the process, and allow yourself the grace to heal.

---

For more insights on mental health and therapeutic practices, visit Donna C Moss.