01/23/2026
đ§ Trauma Bodywork, the good, bad and the ugly đ
Iâve posted a few times on this topic in the past but Sandy Fritz recently posted about it too on her own FB page. đ Sandy is a long established massage educator and textbook author, best known for Mosby Elsevier teaching texts used widely in massage training. Sandy has given me permission to share her post, pasted into the comments.
â ď¸ Sandy recently raised a clear concern about the current saturation of trauma related marketing in massage and bodywork. She points out how phrases like âtrauma informedâ, ânervous system healingâ, and âsomatic releaseâ are being used as selling points, and she warns that aiming to ârelease traumaâ can be more harmful than helpful.
The line that cuts through it is her reminder that âindicating that your specific skills heal someoneâs trauma is more about you and your sense of self rather than the clientâ.
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I agree with her on this. Itâs direct, itâs to the point, and it cuts through the noise.
Trauma informed language is everywhere right now. A lot of it is well intentioned. Some of it is marketing dressed up as care. The risk is that therapists start to believe they are doing trauma treatment, when what they are actually doing is touch based work that can be supportive, soothing, and regulating, but is not psychotherapy, not diagnosis, and not a substitute for mental health care.
â ď¸ If you are a therapist who believes you can find, assess, and âreleaseâ trauma or emotion from someoneâs body, or if you are a client staying in care because you have been told trauma is trapped or stuck in your tissues and only a specific style of hands on therapy can remove it, please hear this clearly. That message is, at best, a misunderstanding wrapped in confident language. At worst, it is a claim that crosses ethical lines because it sells certainty where there is none.
đ§ Trauma is not a substance in fascia waiting to be extracted.
Emotional responses during bodywork do not prove that trauma is leaving the body. Touch can be calming, supportive, and grounding. It can help someone feel safer in their body. It cannot diagnose trauma, and it cannot replace appropriate mental health care.
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Trauma informed practice is not a special technique. It is a way of practising that supports safety, choice, collaboration, and trust, with an awareness that past experiences can shape how people respond to touch, power, and uncertainty. That fits with UK definitions of trauma informed practice, recognising impact and preventing retraumatisation, not digging into the story or trying to change it with bodywork.
đŠ The problem is the drift. Therapists are being taught, sometimes in short in person or online trainings, to target âtrauma effectsâ directly. That can go wrong fast. It can also create false expectations, where normal reactions like a sigh, a tremor, or a tear get labelled as âtrauma leaving the bodyâ. Those responses can mean many things, including simple relief, fatigue, discomfort, or feeling safe enough to soften. Labelling them as trauma release is guesswork, and guesswork is not a safe clinical strategy.
None of this is new. The massage world has cycled through versions of âsomatic holdingâ and âreleaseâ narratives before. It flows through culture, beliefs, and gurus, raising its problematic head whenever simple stories start selling better than careful practice. Itâs like an old tune that keeps getting remixed and marketed as a breakthrough.
đ§ So here is the line I want therapists to hold. Trauma informed care is baseline professionalism. It means we treat every client with the same respect for autonomy, pacing, consent, and non judgement. We do not need the specifics of anyoneâs story. We do not need trauma disclosure to do good work. We do need clarity about scope.
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Scope clarity in practice looks like this. You ask permission often, not once. You explain what you are doing and why, in plain language. You offer choices, position, pressure, areas to avoid, whether they want talk or quiet. You watch for signs of threat response such as freezing, dissociation, agitation, sudden shut down, and you slow down or stop and check in.
đ¤ You avoid process led dialogue and avoid leading questions that steer someone towards a trauma narrative. You do not frame touch as âreleasing stored traumaâ or âunlocking memoriesâ. You do not say to a client âthat was a lot of trauma leaving your bodyâ.
đ If someone presents with distress that is beyond your role, you refer, and you document clearly. đ
đŠ It is also worth mentioning training and marketing that are prevalent in our profession. If a course teaches or implies that trauma is stored in fascia and can be released by technique, that is a problem. If it celebrates catharsis or crying as a treatment goal, that is a problem. If it encourages you to ask for trauma history, or to invite disclosure, that is a problem. If it claims you can heal PTSD, replace therapy, or provide trauma recovery, that is well outside massage scope and it is ethically shaky.
đ§Š Polyvagal theory is part of the mess too. It gets misquoted, simplified into memes, then used to justify techniques it was never designed to endorse. A therapist does not need a nervous system brand to practise safely. You need good consent, good boundaries, good pacing, and a referral mindset.
đ How do you vet trauma informed training properly, before you spend money or start using the language in your clinic? My line is simple. Take your time to research and critique any short or online course claiming to resolve, release, or treat trauma.
đŞ If their marketing is bigger than their comprehensive training, grounded evidence and scientific credibility, walk away.