The Whole Therapist

Titrating Trauma

Jul 6, 2021
Discover the art of titration in trauma therapy as Abby and Kellee explore how to pace healing while ensuring safety. They dive into the crucial role of the amygdala and the significance of therapist presence in rewriting traumatic memories. The conversation highlights why clients sometimes withdraw after deep work and how to navigate these moments without self-blame. With insights on blending modalities like EMDR, parts work, and somatic approaches, they emphasize individualized healing and the importance of therapist self-awareness.
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INSIGHT

What Titration Actually Means

  • Titration means keeping a client one foot in and one foot out with dual awareness and containment.
  • This prevents the amygdala from taking over so clients can access resources and reflection.
ADVICE

Be An Amygdala Whisperer

  • Prioritize being an "amygdala whisperer" by maintaining safety and containment during trauma recall.
  • Avoid flooding clients because that triggers defensiveness and re-traumatization.
ANECDOTE

Harsh Supervision Hindered Trauma Training

  • Kellee recalled a supervisor who yelled she couldn't dive into trauma and emphasized safety.
  • The harsh delivery modeled non-titrated practice and hindered learning instead of teaching titration.
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