★   PTSDIY · Field Manual   ★   Part III   ★
Chapter 10
Somatic body work
Work from the body up
FM 10-SOM-101Run time 5–15 min
Pub. No.FM 10-SOM-101
SubjectBody-based regulation
EvidenceEmerging
Req. equipmentFloor space
10-1.Mission brief

Trauma lives in the body as much as the mind: braced shoulders, a clenched jaw, a gut that never unknots. Somatic work starts with physical sensation instead of thoughts, which helps when talking about it is too much.

10-2.Intel

EmergingSomatic Experiencing has one controlled trial showing PTSD improvement and a growing but limited research base. Progressive muscle relaxation has stronger support for anxiety and stress. Expect help with regulation, not a replacement for trauma-focused therapy.

10-3.Field procedures
01Short body scanMove attention from feet to head. Notice, don't fix. Name one place that feels neutral or okay.3 min
02Find your resourceLocate a spot in the body that feels steady (hands, feet, back against the chair). That's home base.1 min
03TitrateTouch a mildly uncomfortable sensation for a few breaths, no more. Small doses, not the whole thing.1 min
04PendulateSwing attention back to home base. Back and forth teaches your system it can go there and come back.3 min
05ReleaseTense each muscle group for five seconds, then let go. Shake out arms and legs. Let the body discharge.5 min
10-4.Rules of engagement

Go slow. If you feel numb, far away, or flooded, stop, open your eyes and ground (Chapter 5). People with heavy dissociation should do this work with a trained practitioner.

10-5.Common faults & corrections
✕Fault: Diving into the worst sensationCorrection: Titration means small doses. Work the edge, not the center.
✕Fault: Skipping home baseCorrection: Without a resource to return to, you're just flooding yourself. Find it first.
10-6.Call for backup

Look for a Somatic Experiencing Practitioner (SEP) or a trauma therapist trained in sensorimotor approaches. Ask about their training and how they handle dissociation.

Companion episode — [IN PROGRESS]
PTSDIY · FM 10-SOM-101 · Part III10