Somatic therapy is a body based approach to healing trauma. Instead of relying on talking alone, it uses physical sensation, breath, and movement to help your nervous system process what your mind already understands. I didn't believe in it the first time someone suggested it to me but it turned out I was just afraid of being connected to my body.
By that point, I'd spent years in talk therapy. I could narrate my own history with the kind of clean, articulate detail you'd expect from someone with a master's degree in counseling. I knew exactly where my anxiety came from. I knew the names for my patterns. I could explain, in full paragraphs, why my chest tightened every time I felt a relationship getting too close.
None of that knowing made my chest stop tightening.
That gap, between what I understood and what my body still did anyway, is what eventually brought me to somatic work. It's the same gap I see in almost every high achieving woman who walks into my practice.
Why Insight Alone Wasn't Enough
Here's something nobody tells you about trauma: understanding it and healing it are two different processes, run by two different parts of you.
Your mind can hold the whole story. It can connect the dots, explain the pattern, even tell yourself that you're safe now. None of that requires your nervous system to agree.
Your nervous system doesn't process trauma in language. It processes trauma in sensation such as the tight chest, the shallow breaths, the indescribable feeling and urge to shrink and shut down. Talk therapy is excellent at helping you understand those reactions. Changing them is a different task, because the place where trauma actually lives isn't entirely accessible through conversation. Your brain can understand one thing while we feel something entirely different.
I spent fifteen years building a practice around several methods and techniques, combining EMDR, Internal Family Systems, and somatic work, because trauma rarely responds to just one approach. Somatic therapy is often the piece that finally reaches what talking alone could not.
What Actually Happens in a Somatic Therapy Session
I want to clear up a misconception here, because somatic therapy gets a strange reputation. It is not vague energy work. It is not asking you to "just breathe" and hoping for the best.
In practice, it looks like this. We slow down. We notice where a feeling lives in your body right now, not just what the feeling is called. We track sensation as it shifts, sometimes through breath, sometimes through small movements, sometimes through simply staying present with a tight throat or a clenched jaw long enough for it to finally release.
It can feel strange at first or even scary and overwhelming, especially if you're used to being disconnected or dissocaited from your body and experiences. A lot of my clients describe the early sessions as frustrating or uncomfortable in a way that's hard to put into words. That discomfort is usually a good sign, it means we're doing something to create change.
What changes, over time, is the body's relationship to the memory itself. The chest that used to tighten on cue starts to stay open. The flinch softens. The nervous system slowly learns that the threat has passed, after experiencing real safety for long enough to believe it. We learn to tolerate the sensations and feelings in our bodies as we recognize that no feelings last forever. They rise, crest, and eventually fall just likes waves in the ocean.
What I See in My Practice
The women who end up in my office for somatic work are almost always the same kind of woman. They're intellectualizers, overthinkers, and live in the brain. She can tell you exactly why she overworks. She can name her attachment style. She has probably read several books on trauma and recognized herself on every page.
And she still can't fall asleep some nights without her mind racing. She still feels her body brace before opening certain emails. She still can't explain why she keeps feeling the same way and doing the same thing even though she understands it all perfectly.
That disconnect often means the healing needed to happen somewhere language cannot fully reach. Somatic therapy is built for exactly that gap. Women across Nashville, Brentwood, and Franklin tell me some version of the same thing in our first session: they've done the thinking work for years, and they're tired of being the only ones who haven't gotten the memo their body apparently needs.
Common Questions About Somatic Therapy
What is somatic therapy?
Somatic therapy is a body centered approach to healing trauma that uses physical awareness, breath, and movement alongside talking. It works directly with the nervous system rather than relying only on insight and conversation.
How is somatic therapy different from talk therapy?
Talk therapy helps you understand and process trauma through language and reflection. Somatic therapy works with how trauma is stored physically, helping the nervous system release patterns that talking alone often cannot fully reach.
Does somatic therapy actually work for trauma?
For many people, yes, especially those who already have strong insight into their patterns but still feel stuck physically or emotionally. It's often most effective when combined with other approaches like EMDR or IFS.
What happens during a somatic therapy session?
Sessions typically involve slowing down to notice physical sensation, tracking how feelings show up in the body, and using breath or gentle movement to help process and release stored tension, all guided by a trained therapist.
Who is somatic therapy a good fit for?
It's especially helpful for people who understand their trauma intellectually but still feel physically stuck, anxious, or reactive. Many clients have already done years of talk therapy before somatic work finally reaches what was left.
Can I do somatic therapy online in Tennessee?
Yes. I offer somatic therapy virtually to women across Tennessee, including Nashville, Brentwood, Franklin, and surrounding areas, alongside EMDR and IFS as part of an individualized approach.
If This Sounds Familiar
If you've done the work of understanding your trauma and you're still waiting for your body to catch up, you are not broken and you are not doing it wrong. You may simply need an approach that speaks the language your nervous system actually understands.
I'm Nicolette Tomaszewski, a Licensed Professional Counselor with fifteen years of experience helping women across Tennessee heal trauma through EMDR, somatic therapy, and Internal Family Systems. My approach is built around you specifically, not a single method applied the same way to everyone.
If you're ready to stop explaining your trauma and start actually healing it, let's talk.
Book a free 15 minute consultation → https://nicolettetomaszewski.sessionshealth.com/
Nicolette Tomaszewski is a Licensed Professional Counselor (LPC-MHSP) and Transformation Coach with 15 years of experience. She provides virtual trauma therapy for women across Tennessee using EMDR, somatic therapy, and Internal Family Systems (IFS). She specializes in helping high achieving women heal childhood wounds.
Therapy services are available to Tennessee residents only.
06/18/2026
By Nicolette Tomaszewski, LPC-MHSP | Somatic Therapy for Women in Nashville & Across Tennessee