titration

Healing from Trauma – Titration

In Peter Levine’s excellent book about trauma, Waking the Tiger, he talks about the principle of titration. This means that when healing from trauma, one must make sure not to re-experience the trauma too strongly to the point where one becomes overwhelmed. There is something called the zone of tolerance, where one is experiencing some discomfort but not so much that they become overwhelmed and either dissociated or potential re-traumatized. This is important to remember if trying to work with trauma. Some discomfort is necessary, but it should not be overwhelming. Before I learned healthier practices, I was engaged in some spiritual practices that emphasized having intense cathartic experiences. This is not helpful for healing, instead a gentle gradual approach is best.

This also will help when attempting to get more into one’s body. This can easily bring up intense feelings and if the feelings are too intense it is okay to back out and go gradually. When one is dissociated, no healing can occur. This also will reinforce the idea that you are in control, and you get to decide when to go in and out of the trauma. This is an antidote to the feelings of being out of control and helpless that are commonly associated with trauma. It is also a way of being gentle and having compassion for oneself.