When Talk Therapy Has Helped but the Pattern Still Runs Your Life

HEALING MODALITIES & THERAPEUTIC PROCESS • May 04, 2026

• https://anniewright.com/therapy-with-annie/
• https://anniewright.com/executive-coaching/
• https://anniewright.com/fixing-the-foundations/
• https://anniewright.com/connect/

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I remember sitting across from “Claire” in my softly lit office, the late afternoon sun casting a warm glow through the blinds. Her hands fidgeted with the edge of her sleeve, eyes darting away from mine just long enough to betray a silent war waging inside.

She was brilliant — a founder and CEO whose company was lauded in the press, a mother who curated a perfect family life, and a woman who had done years of talk therapy. Yet, there she was, feeling trapped in the same old patterns, the same relational dynamics that kept her awake at night and hollowed her out by day. Insight had come — plenty of it.

But the pattern still ran her life.

This is a story I hear often from driven, ambitious women who look
impressive on paper but feel an internal heaviness that insight alone
cannot lift. Why does this happen? Why can talk therapy, for all its
wisdom and self-awareness, sometimes fall short of changing the
procedural, embodied patterns that shape our lives? And how do we move
beyond that impasse?

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Understanding the Limits of Insight: A Plain-English Clinical Definition

Talk therapy—psychotherapy emphasizing verbal insight and cognitive processing—has been a cornerstone in mental health treatment for decades. It’s built on the idea that by understanding the origins of our emotional pain and relational patterns, we can change them.

While this holds true for many, there is a profound clinical nuance that often remains unspoken: deep-rooted relational patterns are encoded not only in our conscious minds but also in our nervous system and procedural memory. Procedural memory is the implicit, nonverbal memory system responsible for habits, motor skills, and relational “scripts” learned early in life, often before words existed to describe them.

When these patterns become entrenched, awareness alone—what talk therapy excels at—may not suffice to interrupt them.

As Dr. Bessel van der Kolk, MD, a pioneer in trauma research, explains in The Body Keeps the Score , “Trauma is not stored as a narrative but as sensory and emotional experiences in the body” [10].

Without engaging the body and nervous system, insight risks remaining a cerebral exercise that doesn’t translate into new ways of being.

To put it simply: knowing what’s wrong is not the same as being able
to feel and be different in your everyday life. The
brain’s explicit memory—the part that stores facts and conscious
recall—is only one piece of the puzzle. Procedural memory governs how we
do relationships, often beneath our awareness, through
automatic patterns shaped by early attachment experiences, trauma, and
survival strategies.

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The Nervous-System Framing: How Patterns Live in the Body

Our nervous system is the primal seat of survival and relational
safety. When a child grows up in emotionally neglectful or invalidating
environments, as many of my clients have, their nervous system learns to
anticipate threat even when none exists in the present moment. This
chronic state of dysregulation creates rigid patterns of
relating—hypervigilance, emotional numbing, or compulsive
caretaking—that persist into adulthood.

Dr. Stephen Porges’ Polyvagal Theory offers a powerful lens here. It
delineates how the autonomic nervous system cycles through states of
safety, mobilization (fight/flight), and immobilization
(freeze/shutdown) [11]. These states are not simply “mental” but
physiological responses that shape how one experiences and interacts
with the world. Without interventions that address these states, talk
therapy’s insights about “why” patterns exist may not penetrate the
“how” of their somatic entrenchment.

For example, Claire had years of cognitive-behavioral therapy that helped her understand her mother’s emotional unavailability. Yet her body still tensed whenever she sensed potential rejection in her leadership team. This tension was procedural, not just intellectual.

Her nervous system was stuck in a mobilized state, primed for fight or flight, even in situations that were objectively safe. This created a loop where her body’s stress responses triggered old relational patterns of overfunctioning and caretaking, which then reinforced her anxiety and exhaustion.

To intervene here requires more than talk. It demands somatic
awareness—tuning into bodily sensations as signals from the nervous
system—and practices to downregulate arousal and foster safety in the
body. This is why trauma-informed therapies emphasize co-regulation,
breathwork, mindfulness, and movement-based interventions alongside
cognitive work.

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Composite Client Vignettes

Claire’s Story: Insight Meets Somatic Patterning

Claire, a 42-year-old founder, came to therapy after decades of verbal analysis left her exhausted and stuck. She could articulate her childhood emotional neglect with eloquence but found herself repeatedly overfunctioning in relationships, unable to set boundaries without anxiety and self-criticism.

Through somatic tracking and relational coaching, Claire began to notice her body’s pre-verbal responses — a tightening in her chest, a shallow breath — that preceded her automatic caretaking behaviors. By working with these sensations, Claire gradually rewired her nervous system’s responses, leading to embodied change beyond insight.

In one session, Claire described a recurring experience: when a team member questioned a decision she made, she felt a sudden sinking in her stomach and an urge to apologize or take on extra work to “fix” the relationship.

We explored this sensation in real time, using gentle breath awareness and grounding techniques to create space between sensation and reaction. Over weeks, Claire developed the capacity to notice these signals earlier and choose different responses—pausing instead of reacting, holding boundaries without guilt.

This process wasn’t linear or fast. It required patience and repeated
practice to loosen the grip of procedural memory. But the result was
profound: Claire reported feeling more embodied, more present, and less
controlled by old relational scripts. Her leadership style shifted from
reactive caretaking to authentic connection, which also improved her
team dynamics.

Rana’s Story: The Shadow of Narcissistic Abuse

Rana, a 38-year-old attorney and mother, survived years of
narcissistic abuse in a previous marriage. Talk therapy helped her
unpack the complex dynamics, yet she found herself reenacting submission
and self-doubt in professional relationships. In our work, we utilized
trauma-informed executive coaching to integrate her cognitive
understanding with procedural memory shifts, focusing on relational
boundaries and nervous-system regulation. Rana’s transformation came
from integrating insight with practice, embodiment, and relational
attunement.

Rana’s story illustrates the complex interplay between trauma,
identity, and nervous system patterns. Years of emotional manipulation
had conditioned her autonomic nervous system to default to freeze or
appease modes when confronted with conflict or criticism. Despite
intellectual clarity about her worth and rights, her body’s survival
responses sabotaged her ability to assert herself.

We worked on somatic grounding exercises and relational role-plays to
create new nervous system experiences of safety and empowerment. Rana
practiced noticing her internal cues—such as sudden heart rate increases
or constricted breathing—and using breath and movement to regulate. We
also explored her internalized narratives about self-worth and replaced
them with affirmations rooted in bodily experience, not just
cognition.

Over time, Rana reported greater ease in setting boundaries and a
growing sense of self-trust. Her nervous system learned new patterns
through relational attunement and embodied practice, allowing her to
step into leadership roles with confidence rather than fear.

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Both/And: Insight and Embodiment Are Partners, Not Opponents

It’s tempting to frame therapy as insight versus embodiment, mind versus body, talk versus somatic work. But in trauma-informed healing, these are not mutually exclusive. Both are essential.

As Dr. Mary Main, PhD, a clinical psychologist renowned for her work on attachment and trauma, reminds us, “Attachment patterns are encoded in procedural memory and expressed through implicit relational knowing” [9].

This means that insight into attachment wounds is necessary but must be paired with embodied interventions that create new relational experiences and nervous system regulation.

This integrative perspective is reflected in emergent trauma
therapies that combine cognitive processing with somatic experiencing,
EMDR (eye movement desensitization and reprocessing), and interpersonal
neurobiology. The neuroscience is clear: change happens when new
relational and sensory experiences rewrite old neural pathways
[9][12][13].

For example, EMDR engages the brain’s information processing system
to reprocess traumatic memories, not just cognitively but somatically,
allowing the nervous system to integrate new, adaptive responses.
Somatic Experiencing helps clients track bodily sensations associated
with trauma and release stored energy, fostering nervous system
regulation. Interpersonal neurobiology highlights the role of relational
safety in rewiring the brain.

These approaches illustrate that insight without embodiment is like
knowing the path but never walking it. Embodiment without insight risks
reactivity without understanding. Together, they foster lasting
transformation.

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The Systemic Lens: Patterns Are Embedded in Family-of-Origin and Culture

Patterns don’t arise in isolation; they are embedded within family
systems, cultural narratives, and societal expectations. A woman like
Claire or Rana is not just wrestling with personal wounds but with
inherited relational templates passed down through generations.
Family-of-origin trauma, emotional neglect, and societal pressures for
women to be caretakers and achievers compound the challenge.

Understanding these systemic influences is critical. As Dr. Terr LC,
MD, a child and adolescent psychiatrist, emphasizes, “Healing childhood
trauma requires addressing the family context and the cultural framework
in which the trauma occurred” [10]. Therapy that acknowledges and works
through these systemic forces offers a richer, more sustainable path to
transformation.

For instance, Claire’s family culture prized achievement and
emotional restraint, perpetuating a legacy where vulnerability was
equated with weakness. Rana’s cultural background emphasized obedience
and deference, complicating her journey to assertiveness. These systemic
narratives shape not only individual behaviors but also the nervous
system’s calibration to threat and safety.

Therapeutic work that includes family-of-origin exploration, cultural
humility, and narrative reframing helps clients disentangle personal
identity from inherited patterns. It also invites broader social healing
by recognizing the impact of societal norms on individual suffering.

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A Practical Healing and Recovery Map for Persistent Patterns

For women whose talk therapy has deepened insight but who remain
ensnared by patterns, a comprehensive, trauma-informed approach
includes:

1. Nervous system regulation: Practices such as
   mindfulness, breathwork, and somatic experiencing (Brom et al., 2017;
   Andersen et al., 2017) [2][3] help retrain the autonomic nervous system.
   These practices are foundational because they cultivate safety within
   the body, reducing hyperarousal and shutdown states that fuel patterned
   reactions.

2. Embodied relational work: Engaging in therapy or
   coaching that emphasizes attunement, boundaries, and co-regulation. This
   includes relational experiments where clients practice new ways of
   relating in safe therapeutic or coaching relationships, fostering
   implicit learning and nervous system flexibility.

3. Procedural memory integration: Using modalities
   like EMDR or experiential exercises to rewrite implicit relational
   scripts [12][13]. These approaches target the nonverbal, sensory
   memories that underlie automatic patterns, enabling new neural pathways
   to form.

4. Systemic exploration: Examining family-of-origin
   dynamics, cultural narratives, and intergenerational trauma. This
   broadens understanding and contextualizes patterns, reducing shame and
   isolation.

5. Consistent practice: Daily rituals, body
   awareness, and relational experiments to solidify new patterns. Change
   requires repetition and integration into everyday life.

6. Community connection: Building supportive
   networks that reinforce safety and authentic expression. Social
   connection is a powerful regulator of the nervous system and a source of
   healing.

7. Professional partnership: Working with a
   therapist or coach trained in trauma-informed, relational approaches
   (see Therapy with Annie). Skilled professionals provide safety,
   guidance, and tailored interventions.

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Deepening the Clinical Nuance: The Role of Implicit Memory and Attachment Trauma

To further understand why patterns persist despite years of talk
therapy, it’s essential to explore the neurobiology of implicit memory
and attachment trauma. Implicit memory, distinct from explicit memory,
encompasses the unconscious, procedural knowledge of how to respond to
relational cues. This memory system is deeply intertwined with early
attachment experiences and shapes our automatic emotional and behavioral
responses.

Attachment trauma—such as neglect, inconsistent caregiving, or
emotional unavailability—disrupts the development of secure attachment,
leaving procedural patterns of fear, mistrust, or hypervigilance. These
patterns are encoded in the limbic system and brainstem areas
responsible for survival and emotional regulation, areas less accessible
to conscious verbal processing.

The therapeutic implication is that talk therapy primarily accesses
cortical, explicit memory systems, while implicit memory requires
somatic and relational interventions to shift. For example, a client may
intellectually understand their tendency to withdraw during conflict,
but the implicit memory triggers a physiological shutdown before the
mind can intervene.

Emerging research in interpersonal neurobiology shows that corrective
relational experiences—safe, attuned interactions—can rewire these
implicit patterns over time. This underscores the importance of
therapeutic presence, co-regulation, and body-based modalities.

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Nervous System Nuance: Polyvagal Theory and Its Clinical Application

Dr. Stephen Porges’ Polyvagal Theory offers a detailed map of how our
nervous system navigates safety and threat, with direct relevance to
persistent relational patterns. The theory identifies three primary
states:

• Ventral vagal: The “social engagement system,”
  associated with feelings of safety, connection, and calm.

• Sympathetic activation: The fight/flight system,
  mobilizing energy to respond to perceived threat.

• Dorsal vagal: The freeze or shutdown system,
  leading to dissociation or immobilization.

Clients trapped in persistent patterns often oscillate between
sympathetic hyperarousal and dorsal vagal shutdown, with limited access
to the ventral vagal state necessary for authentic connection and
regulation.

Clinical application involves helping clients recognize these states
in their bodies and relationships. For example, a client may notice
rapid heartbeat or muscle tension signaling sympathetic activation, or
numbness and disconnection indicating dorsal vagal shutdown. Therapists
can then employ techniques such as paced breathing, vocal tone
modulation, and eye contact to engage the ventral vagal system and
foster co-regulation.

Understanding these subtle neurophysiological cues enriches
therapeutic attunement and provides clients with embodied tools to shift
states, breaking the cycle of patterned responses.

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Extended Vignette: “Sofia’s” Journey from Cognitive Insight to Embodied Safety

Sofia, a 35-year-old marketing director, had completed multiple
courses of cognitive-behavioral therapy to address anxiety rooted in
childhood emotional neglect. Despite her intellectual clarity about her
triggers and coping strategies, she found herself frozen and overwhelmed
during team meetings, unable to voice her ideas.

In therapy, Sofia learned to track her physiological responses: a
sinking feeling in her gut, shallow breathing, and a sensation of
heaviness in her limbs. These were signs of dorsal vagal shutdown,
signaling her nervous system’s attempt to protect her from perceived
social threat.

Through somatic experiencing and relational attunement exercises,
Sofia began to access her ventral vagal system. She practiced grounding
techniques, such as feeling her feet on the floor and softening her
gaze, during sessions and gradually in real-life situations. Role-plays
allowed her to experiment with voicing opinions in a safe space,
receiving attuned responses that rewired her implicit relational
templates.

Over months, Sofia’s nervous system developed new patterns of safety
and engagement. She reported increased confidence, less anxiety, and a
newfound ability to participate fully in meetings. Her transformation
illustrates the power of integrating insight with embodied nervous
system work.

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Beyond Insight: Mapping the Clinical Path from Awareness to Embodied Change

Understanding why talk therapy can plateau is the first step; the
next is charting a practical clinical map that guides clients from
intellectual insight to embodied transformation. This map integrates
relational, somatic, and nervous system–based interventions into a
coherent therapeutic journey, recognizing that entrenched patterns live
not only in stories but in bodies and relationships.

Step 1: Establishing Safety and Co-Regulation

Before deep work on patterns can begin, the therapist and client must
establish a foundational sense of safety. This safety is not just
cognitive but somatic and relational. The therapeutic relationship
itself becomes a reparative experience—a place where the client’s
nervous system can learn to downshift from chronic states of
hyperarousal or shutdown.

Co-regulation is the process by which the therapist’s calm presence,
paced breathing, and attuned responsiveness serve as external anchors
that help the client’s autonomic nervous system stabilize. This process
often involves slowing the tempo of sessions, inviting mindful breath
awareness, and tuning into present-moment bodily sensations
together.

For example, Claire’s therapist helped her notice when her breath
became shallow and rapid during moments of anxiety about setting
boundaries. By mirroring a slower, deeper breath and gently inviting her
to follow, the therapist provided a felt experience of safety that
Claire’s nervous system had rarely encountered. This in-session
regulation laid the groundwork for her nervous system to experiment with
new relational scripts beyond fight, flight, or freeze.

Step 2: Somatic Tracking and Interoceptive Awareness

Somatic tracking refers to the client’s practice of noticing bodily
sensations as they arise in real time, especially in connection to
relational triggers or emotional experiences. Interoception—the internal
sense of the physiological condition of the body—becomes a key skill to
develop, as it allows clients to detect subtle shifts before patterns
spiral into automatic reactivity.

Many clients, especially those with histories of trauma,
dissociation, or neglect, have a blunted or disconnected interoceptive
sense. Rebuilding this connection requires gentle, curiosity-driven
exploration rather than pushing for immediate change.

In clinical practice, this might look like inviting the client to
scan their body for areas of tension, warmth, or numbness when
discussing a triggering topic. The therapist might say, “Where do you
feel that in your body?” or “Can you describe the sensation?” This
cultivates a new language of embodiment that complements the cognitive
narrative.

Claire’s journey exemplifies this well. Early on, she described
feeling a “knot” in her stomach when thinking about asserting herself at
work. With guidance, she learned to track this knot’s texture, size, and
movement, noticing that it shrank slightly when she slowed her
breathing. Over time, this somatic awareness became a tool for
interrupting her habitual overfunctioning pattern.

Step 3: Accessing and Reworking Procedural Memory Through Experiential Interventions

Procedural memory encodes patterns through repetition and experience
rather than words. To shift these patterns, therapists often employ
experiential methods that engage implicit memory systems.

One such approach is Somatic Experiencing (SE), developed by Peter
Levine, which focuses on resolving autonomic nervous system
dysregulation by tracking bodily sensations and titrating exposure to
traumatic activation in a safe, controlled way [12]. SE helps clients
renegotiate traumatic imprints without retraumatization, allowing their
nervous systems to complete defensive responses that were previously
frozen.

Other experiential methods include sensorimotor psychotherapy, EMDR
(Eye Movement Desensitization and Reprocessing), and body-oriented
mindfulness practices. These modalities facilitate new procedural
learning by creating corrective bodily experiences.

For Claire, integrating SE techniques was transformative. Instead of
relying solely on verbal insight about her mother’s neglect, she was
guided to notice the physical sensations of tension and constriction
that accompanied memories of emotional withdrawal. Through gentle
tracking and guided movement, Claire’s nervous system was able to
discharge held energy and begin storing new sensations of safety and
agency.

Step 4: Relational Repair and Repatterning

Relational patterns are often enacted in therapy itself, offering a
live laboratory for change. Repairing ruptures in the therapeutic
relationship—moments when the client feels misunderstood, judged, or
abandoned—can be profoundly healing and corrective.

Relational repair involves the therapist’s attunement to the client’s
affect and needs, transparent communication about relational dynamics,
and mutual exploration of patterns as they arise in-session. This
process models new relational experiences that can be internalized and
generalized outside therapy.

For example, Claire’s tendency to overfunction and avoid
vulnerability sometimes led her to minimize her needs in sessions. When
the therapist noticed this and gently reflected it back, Claire
initially responded with discomfort and withdrawal. But the therapist’s
patient, nonjudgmental presence and invitation to explore these feelings
allowed Claire to experiment with expressing neediness and receiving
support—an experience she had rarely trusted before.

This relational repair shattered old scripts of “I must always be
strong” and “Others won’t be there for me,” creating a new template of
safety and mutuality.

Step 5: Integration and Generalization into Daily Life

Embodied and relational shifts need to be practiced and integrated
beyond the therapy room to transform longstanding patterns. This
requires scaffolding new habits and responses in real-world
contexts.

Therapists support clients in identifying “micro-moments” where old
patterns typically arise and co-creating strategies to notice and
interrupt them. This might include somatic self-check-ins, grounding
exercises, or brief mindfulness practices before challenging
interactions.

For Claire, this meant bringing somatic awareness to her leadership
meetings. When she noticed the familiar chest tightness signaling
mobilization, she practiced a subtle breath pause and a brief body scan
to recalibrate. Over time, these micro-interventions reduced her anxiety
and enabled her to set boundaries with greater ease.

Additionally, clients benefit from relational coaching or group
therapy to rehearse new interpersonal dynamics in supportive
environments, further embedding change.

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Deepening the Clinical Understanding: The Body-Nervous System Connection in Trauma Patterns

The body and nervous system are not merely vehicles for psychological
experience but active participants in shaping emotional life and
relational patterns. Trauma imprints the autonomic nervous system
through chronic activation or shutdown, creating habitual physiological
states that drive behavior.

Research highlights the role of the autonomic nervous system in
post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD),
revealing dysregulation in sympathetic and parasympathetic branches that
perpetuate hyperarousal, dissociation, and affect dysregulation [1, 2].
These autonomic imbalances manifest as chronic tension, emotional
numbing, or impulsivity, often outside conscious awareness.

Moreover, the interdependence between the nervous system and the
endocrine system—such as circadian rhythms disrupted by trauma—further
complicates recovery processes [4]. Disturbed sleep, hormonal
imbalances, and inflammatory responses can exacerbate emotional
reactivity and cognitive difficulties.

In therapy, understanding these physiological underpinnings enables
tailored interventions. For instance, clients with hypervigilance may
benefit from grounding and vagal tone–enhancing practices, while those
prone to shutdown might need gentle activation and somatic
resourcing.

Clinicians who integrate this knowledge create more nuanced,
compassionate, and effective treatment plans that honor the complexity
of lived trauma.

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A Second Composite Vignette: “David’s” Journey Through Dissociation and Relational Repair

“David” is a 38-year-old marketing executive who sought therapy for
chronic feelings of emptiness and disconnection from his partner. He had
undergone extensive talk therapy that illuminated his childhood neglect
and emotional invalidation but found himself repeatedly “checking out”
emotionally during conflicts, leaving his partner feeling abandoned.

David’s dissociation was a protective procedural pattern rooted in
early attachment disruptions. His nervous system defaulted to shutdown
as a survival strategy, making emotional engagement feel unsafe and
overwhelming.

In therapy, the first challenge was helping David recognize
dissociative moments as they occurred. This involved cultivating
interoceptive awareness of subtle bodily cues—such as a sudden numbness
in his hands or a sense of detachment around his heart.

The therapist employed grounding techniques, including orienting to
the room, tactile stimulation (holding a soft object), and paced
breathing to anchor David in the present. Importantly, the therapist
also modeled relational availability and attunement, inviting David to
experience emotional connection without the fear of engulfment.

Through repeated experiences of relational repair—where David’s
shutdown was met with patience, validation, and gentle invitation—he
began to tolerate vulnerability and develop new interpersonal
strategies.

This process was slow and non-linear, involving setbacks and
breakthroughs. But by integrating somatic awareness, nervous system
regulation, and relational experimentation, David moved beyond
dissociation’s grip, deepening his connection with his partner and
himself.

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Premium Therapy Nuances: The Art and Science of Tailoring Trauma-Informed Interventions

Premium trauma-informed therapy is characterized by its
individualized, integrative, and relationally attuned approach. It goes
beyond protocol-driven techniques to meet each client’s unique
constellation of history, physiology, and relational needs.

This means:

• Comprehensive Assessment: Including trauma
  history, attachment style, autonomic nervous system functioning, and
  procedural memory patterns.

• Flexible Modalities: Combining talk therapy with
  somatic methods, EMDR, mindfulness, and relational coaching as
  appropriate.

• Therapist Self-Awareness: Therapists maintain
  awareness of their own autonomic states and relational patterns,
  ensuring attuned presence and mitigating enactments.

• Collaborative Goal Setting: Clients are active
  partners in shaping therapy goals that honor both insight and embodied
  change.

• Attention to Timing and Dosage: Recognizing when
  to slow down for stabilization and when to gently challenge avoidance or
  shutdown.

• Integration of Life Context: Addressing social
  determinants of health, circadian rhythms, nutrition, and lifestyle
  factors that influence nervous system regulation.

In my work with clients like Claire and David, this premium approach
allows for breakthroughs that honor the whole person—their mind, body,
and relationships—leading to profound shifts beyond what insight alone
can achieve.

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Conclusion: Embracing Complexity for Lasting Transformation

When talk therapy helps but the pattern still runs your life, it
invites us to expand our understanding of healing. Patterns encoded in
the nervous system and procedural memory require interventions that
engage body, brain, and relationship in concert.

By cultivating somatic awareness, practicing co-regulation, accessing
implicit memory through experiential methods, and repairing relational
ruptures, therapy can unlock the deep-seated scripts that have held
clients captive.

This journey is neither quick nor easy, but with compassionate,
trauma-informed guidance, clients can move beyond insight to embodied
freedom—living lives shaped not by old patterns but by new
possibilities.

If you resonate with Claire’s or David’s experiences and find
yourself stuck despite years of talk therapy, I invite you to explore
the possibilities of Trauma-Informed Therapy with me. Together, we can
map a path from awareness to embodied change, restoring your nervous
system, repairing your relational templates, and reclaiming your life’s
vitality.

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Explore Therapy with Annie: [https://anniewright.com/therapy-with-annie/](https://anniewright.com/therapy-with-annie/)
Fix the Foundations: [https://anniewright.com/fixing-the-foundations/](https://anniewright.com/fixing-the-foundations/)
Connect Group Therapy: [https://anniewright.com/connect/](https://anniewright.com/connect/)

Related Reading and PubMed Citations

1. Redican E, Nolan E, Hyland P, Cloitre M, McBride O, Karatzias T.
   A systematic literature review of factor analytic and mixture models of
   ICD-11 PTSD and CPTSD using the International Trauma Questionnaire.
   J Anxiety Disord. 2021. PMID: 33714868. DOI:
   10.1016/j.janxdis.2021.102381.

2. Brom D, Stokar Y, Lawi C, Nuriel-Porat V, Ziv Y, Lerner K.
   Somatic Experiencing for Posttraumatic Stress Disorder: A Randomized
   Controlled Outcome Study. J Trauma Stress. 2017. PMID: 28585761. DOI: 10.1002/jts.22189.

3. Andersen TE, Lahav Y, Ellegaard H, Manniche C. A randomized
   controlled trial of brief Somatic Experiencing for chronic low back pain
   and comorbid post-traumatic stress disorder symptoms. Eur J
   Psychotraumatol. 2017. PMID: 28680540. DOI:
   10.1080/20008198.2017.1331108.

4. Cloitre M, Petkova E, Wang J, Lu Lassell F. An examination of the
   influence of a sequential treatment on the course and impact of
   dissociation among women with PTSD related to childhood abuse.
   Depress Anxiety. 2012. PMID: 22550033. DOI:
   10.1002/da.21920.

5. Terr LC. Treating childhood trauma. Child Adolesc Psychiatr
   Clin N Am. 2013. PMID: 23164127. DOI:
   10.1016/j.chc.2012.08.003.

6. Poli A, Gemignani A, Soldani F, Miccoli M. A Systematic Review of
   a Polyvagal Perspective on Embodied Contemplative Practices as Promoters
   of Cardiorespiratory Coupling and Traumatic Stress Recovery for PTSD and
   OCD. Int J Environ Res Public Health. 2021. PMID: 34831534.
   DOI: 10.3390/ijerph182211778.

7. Cuijpers P, van Veen SC, Sijbrandij M, Yoder W, Cristea IA. Eye
   movement desensitization and reprocessing for mental health problems: a
   systematic review and meta-analysis. Cogn Behav Ther. 2020.
   PMID: 32043428. DOI: 10.1080/16506073.2019.1703801.

8. Chen YR, Hung KW, Tsai JC, et al. Efficacy of eye-movement
   desensitization and reprocessing for patients with posttraumatic-stress
   disorder: a meta-analysis of randomized controlled trials. PLoS
   One. 2014. PMID: 25101684. DOI:
   10.1371/journal.pone.0103676.

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Notes on books/textbooks informed the draft

• van der Kolk, Bessel. The Body Keeps the Score: Brain, Mind, and
  Body in the Healing of Trauma. Penguin Books, 2014.
• Terr, Lenore. Treating Childhood Trauma. Child and
  Adolescent Psychiatric Clinics of North America, 2013.
• Cloitre, Mary. Research on trauma and dissociation in Depression
  and Anxiety, 2012.
• Porges, Stephen. Polyvagal Theory and its applications in
  trauma-informed care.
• Cuijpers et al. Meta-analyses on EMDR and trauma therapies,
  2020.

---

References

[1] https://pubmed.ncbi.nlm.nih.gov/33714868/
[2] https://pubmed.ncbi.nlm.nih.gov/28585761/
[3] https://pubmed.ncbi.nlm.nih.gov/28680540/
[9] https://pubmed.ncbi.nlm.nih.gov/22550033/
[10] https://pubmed.ncbi.nlm.nih.gov/23164127/
[11] https://pubmed.ncbi.nlm.nih.gov/34831534/
[12] https://pubmed.ncbi.nlm.nih.gov/32043428/
[13] https://pubmed.ncbi.nlm.nih.gov/25101684/
Therapy with Annie: https://anniewright.com/therapy-with-annie/
Fixing the Foundations: https://anniewright.com/fixing-the-foundations/
Connect: https://anniewright.com/connect/

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