Move and use rhythm to shift state
Walking, swaying, drumming, dancing — rhythmic, whole-body movement to discharge and reset arousal.
Why it works
Movement changes the bodily inputs the brain uses to construct emotion, and rhythmic, repetitive movement in particular tends to be organizing and soothing for an activated system. Physical activity also shifts arousal directly and, over time, reduces baseline anxiety and depressive symptoms. The book’s emphasis on yoga, movement, and rhythm sits on this base.
How to do it
- When keyed up or stuck, choose movement over sitting with the feeling alone.
- Favor rhythmic, repetitive forms: a brisk walk, swaying, gentle bouncing, dancing, drumming.
- Match intensity to your state — gentle when collapsed, more vigorous when agitated.
- Notice the body afterward rather than rating whether you "feel fixed."
Evidence
Exercise reliably reduces anxiety and depressive symptoms in meta-analyses. Yoga specifically has shown promise for PTSD symptoms in small trials, though the evidence base is still limited. (rct)
General exercise benefits are robust; the trauma-specific yoga trials are small and preliminary. Treat movement as a strong general regulation tool, not a proven standalone trauma treatment.
Sources
- Schuch et al. (2016), exercise as treatment for depression, meta-analysis, J. Psychiatric Research
- van der Kolk et al. (2014), yoga as adjunctive treatment for PTSD, small RCT, J. Clinical Psychiatry
Common mistake
Waiting to feel motivated before moving. From a low or shut-down state, motion usually has to come first and motivation follows — and forcing high intensity from collapse can spike anxiety instead.
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More practices for The Body Keeps the Score, Honestly Explained
- Regulate the body before you process the story
When you are activated, settle the body first — insight cannot land on a flooded nervous system.
- Use slow, rhythmic breathing to down-regulate
Lengthen and steady the breath to move the autonomic system out of alarm.
- Practice noticing what your body is doing
Build the skill of sensing internal signals — tension, heart rate, breath — without being hijacked by them.
- Use safe relationship to regulate
Reach toward safe people and steadying contact — we calm down through each other before we do it alone.
- Ground in the present when the past intrudes
Use the senses and the room to signal "that was then, this is now" when memory floods the body.