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Incident trauma enters our lives unanticipated and uninvited. It ruptures the fabric of life and can be devastating—whether it be motor vehicle collisions, medical diagnosis, assaults of any kind, natural disasters, accidents, illnesses, loss, and the list goes on. As therapists, we need to be cognizant not only of the intense disruption and dysregulation to the autonomic nervous system (ANS), but we need to be aware of the disruption to identity that often comes with the experience.

Psychotherapists are often curious about, how do I bring the body into my clinical practice?

Chronic shame is deeply woven into the stories and neurophysiology of many of clients seeking therapy. Because chronic shame is a relational injury, with its roots in early life, it is woven into the fabric of the self and largely nonverbal in origin.

Attachment theory and research seems to be everywhere these days and I routinely hear from clinicians, how do I apply attachment theory to my clinical practice?

In my clinical practice I see a thread of chronic shame woven throughout the fabric of life of many of my male, or male identifying clients; a thread just waiting to be plucked that sets in motion a degree of dysregulation and personal pain.

In reflecting on what it means to be an attachment oriented, relationally focused, somatic psychotherapist and educator, I come to three questions that speak to the heart of the matter.