{"id":2182,"date":"2019-08-08T15:44:35","date_gmt":"2019-08-08T15:44:35","guid":{"rendered":"http:\/\/trecollege.com\/?p=2182"},"modified":"2019-08-08T17:19:42","modified_gmt":"2019-08-08T17:19:42","slug":"what-are-the-limits-of-tre","status":"publish","type":"post","link":"https:\/\/trecollege.com\/what-are-the-limits-of-tre\/","title":{"rendered":"What are the limits of TRE?"},"content":{"rendered":"

Exploring the limits of TRE and trauma therapy<\/b><\/span><\/h2>\n

TRE is simple and powerful. For some people not talking, just shaking, coming into their body and working on their own is a life changing. These limits can also be hard for some people; they may benefit from finding a community, social justice, appropriate medication, ongoing one to one talking therapeutic support. In these cases TRE work best as part of a package of care.<\/span><\/p>\n

No one knows how to treat trauma successfully for all clients. We do not claim TRE is cure for all people, nothing works all the time for everybody<\/a>, this is the same for any intervention. Treating trauma is complex and evidence is unclear. TRE has some limited research, very good theory, lots of anecdotal evidence and passionate advocates.<\/span><\/p>\n

Current trends in western medicine of working with trauma are based on finding better medications to dampen down body responses (eg beta blockers and anti-psychotics etc) or CBT as the gold standard therapeutic intervention. The evidence base for CBT<\/a> is mixed at best. Most trauma theorists are focused on some form of graded exposure<\/a> to intense sensations and teaching emotional regulation. The better ones appreciate emotions emerge from the body.<\/span><\/p>\n

There is excellent theory<\/a> and very good developing evidence<\/a> about changing body reflexes – the core of the TRE model – and a number of exciting modalities trying to find the best ways of down-regulating over protective reflexes (eg EMDR, Mindfulness Based Stress Reduction MBSR). The goal is changing the body in the first instance; not starting with the mind and focusing on cognitive understanding and tools.<\/span><\/p>\n

Some of the talking treatments that have been researched – eg brief intervention therapies<\/a> and talking treatments (famously research on talking treatments post 9-11<\/a> in USA was not supportive) – do not come out very well at all in some long term studies<\/a>. It is hard working with trauma, particularly if people are dissociated. Dissociation is massively under appreciated in the most therapeutic approaches. <\/span><\/p>\n

The best metaphor for how TRE works is probably not releasing tension, rather, ‘waking your body up’. It is often more effective to frame shaking as a process that safely generates new feelings of connection that are inherently anti dissociative.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Exploring the limits of TRE and trauma therapy TRE is simple and powerful. For some people not talking, just shaking, coming into their body and working on their own is a life changing. These limits can also be hard for some people; they may benefit from finding a community, social justice, appropriate medication, ongoing one […]<\/p>\n","protected":false},"author":4,"featured_media":2162,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[9,10],"tags":[110],"cp_meta_data":{"_llms_is_restricted":[""],"_llms_restricted_levels":[""],"_edit_lock":["1565284660:4"],"_edit_last":["4"],"post-option":["{\"sidebar\":\"default-sidebar\",\"left-sidebar\":\"Footer 1\",\"right-sidebar\":\"Footer 1\",\"page-title\":\"\",\"page-caption\":\"\"}"],"_llms_reviews_enabled":[""],"_llms_display_reviews":[""],"_llms_num_reviews":["0"],"_llms_multiple_reviews_disabled":[""],"_yoast_wpseo_content_score":["30"],"_yoast_wpseo_primary_category":["10"],"_thumbnail_id":["2162"],"_wp_convertkit_post_meta":[""],"_et_dynamic_cached_shortcodes":["a:0:{}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:18:\"et-gf-josefin-sans\";s:111:\"Josefin+Sans:100,200,300,regular,500,600,700,100italic,200italic,300italic,italic,500italic,600italic,700italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.25.0\",\"wp\":\"6.5.2\",\"enable_all_character_sets\":\"false\"}\";}"]},"_links":{"self":[{"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/posts\/2182"}],"collection":[{"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/comments?post=2182"}],"version-history":[{"count":0,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/posts\/2182\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/media\/2162"}],"wp:attachment":[{"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/media?parent=2182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/categories?post=2182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/trecollege.com\/wp-json\/wp\/v2\/tags?post=2182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}