Post-Traumatic Stress — When the Body Remembers What the Mind Cannot Hold

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— Bessel van der Kolk, MD

«Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies.»

How PTSD Develops

Post-Traumatic Stress Disorder (PTSD) can arise when a person experiences or witnesses an event that overwhelms their capacity to respond — evoking intense fear, helplessness, or terror.

Common causes include:

  • Natural disasters (earthquakes, floods, hurricanes)

  • Accidents (car crashes, falls, fires)

  • Assault, abuse, or violence

  • Medical trauma

  • Witnessing harm to others

  • Combat or war experiences

  • Relational betrayal or sexual abuse

During trauma, the body’s normal systems for processing experience — breath, movement, fascia, autonomic regulation — become overwhelmed.

What could not be integrated remains encoded in the body, shaping posture, breath, relational field, and autonomic state.


When Trauma Becomes PTSD

After traumatic events, it is natural to feel shock, fear, grief, confusion. For many, these reactions diminish as the nervous system gradually returns to balance.

But when trauma cannot be processed or integrated — often because the experience was too overwhelming, or relational support was absent — symptoms persist and consolidate into Post-Traumatic Stress Disorder (PTSD).

PTSD symptoms may emerge immediately or remain hidden for weeks, months, or even years — often surfacing later when the person encounters triggers or new life stress.


Why Some Trauma Remains Stuck

When an experience overwhelms the nervous system, the body is unable to complete its natural cycle of fight, flight, or freeze resolution.

The charge remains trapped — in fascia, breath, posture, and energetic field.

Neurofascial Encoding™ locks these patterns into the tissue.

The Energetic Breath Cycle™ is disrupted — pulsation freezes or fragments.

The person remains caught in a loop of hyperactivation or shutdown.

How PTSD Manifests in the Body

In PTSD, trauma is not just a memory — it is an ongoing state of the bodymind:

  • The body remains trapped in cycles of hyperarousal or collapse

  • The fascia holds patterns of rigidity, fragmentation, or freeze

  • The breath is disrupted — often held, shallow, or fragmented

  • The relational field feels unsafe — marked by hypervigilance, withdrawal, or mistrust and impaired capacity for attuned contact.

  • The body’s capacity for pleasure, curiosity, and contact is impaired

In Neurofascial Encoding™, these trauma imprints become stored in the connective tissue matrix — shaping how the person breathes, moves, and relates to others.


Symptoms of PTSD

PTSD symptoms are commonly described in three interwoven patterns — each reflecting autonomic and somatic dysregulation:


🔹 Reliving the Trauma (Intrusion)

  • Flashbacks → sudden reliving of the event in body and mind

  • Nightmares or distressing dreams

  • Bodily reactions when exposed to triggers (sweating, heart racing, trembling)

  • Intrusive memories or images

  • Somatic flashbacks → bodily sensations without conscious narrative


🔹 Avoidance and Numbing

  • Avoidance of reminders → people, places, conversations

  • Emotional numbing → flat affect, loss of pleasure

  • Detachment from relationships → withdrawal, isolation

  • Dissociation → periods of “spaced out” or fragmented awareness

  • Loss of future orientation → sense of hopelessness


🔹 Hyperarousal and Hypervigilance

  • Startle responses → exaggerated reactions to minor stimuli

  • Sleep disturbances → insomnia, hyper-alertness

  • Irritability, outbursts of anger

  • Chronic muscle tension → jaw, shoulders, diaphragm, pelvic floor

  • Restlessness, inability to relax

  • Constant scanning for threat → nervous system stuck in survival mode


Befriending the Body — Why Body-Oriented Therapy is Essential

As Bessel van der Kolk writes: recovery requires reconnecting with the body — befriending the sensations that were once too overwhelming.

At the Institute for Bodymind Integration, we know that:

  • Talking alone does not resolve PTSD → the trauma lives in the body

  • A respectful, body-centered approach is essential → restoring embodied safety and integration

  • Touch, breath, movement, and relational presence are key to unlocking frozen patterns


Our Approach — The Neurofascial Transformation Process™

Through the Neurofascial Transformation Process™, we help clients:

  • Release trauma imprints stored in fascia and breath

  • Restore the body’s Energetic Breath Cycle™

  • Rebuild felt safety and boundaries in the relational field

  • Integrate dissociated parts of the bodymind

  • Reclaim a grounded, resilient sense of self


Core Strokes®— A Pathway to Trauma Integration

Core Strokes® offers a deeply integrative, somatic pathway for healing PTSD:

  • Attuned touch helps release frozen charge and restore flow

  • Breathwork restores rhythm and pulsation

  • Movement and fascia release support the unwinding of contraction and fragmentation

  • Relational presence rebuilds safety and trust in contact

  • Clients learn to sense and express boundaries — reclaiming agency, choice, and embodied strength

  • Dissociated or numb areas are gently brought back into awareness and integration

  • The relational field becomes a space of co-regulation, where the bodymind learns it is safe to feel, connect, and be present again

Additional Supports for Healing

In addition to Core Strokes® and the Neurofascial Transformation Process™, we may integrate:

Individual Therapy

  • Supporting clients to explore the roots of trauma

  • Developing embodied awareness of how PTSD lives in breath, posture, and relational dynamics

  • Teaching self-regulation skills grounded in body awareness

Group Work

  • Providing safe relational space for co-regulation and witnessing

  • Practicing boundaries, voice, and embodied presence

  • Reducing isolation by connecting with others on a shared healing path

Family and Relational Support

  • When appropriate, offering guidance to loved ones — helping them understand trauma dynamics and support recovery

Movement, Grounding, and Emotional Expression

  • Breath-centered movement to restore flow and vitality

  • Grounding practices to anchor the body’s felt sense of safety

  • Expressive work (sound, movement, imagery) to integrate emotions that were blocked or frozen during trauma


The Journey of Healing PTSD

Healing PTSD is a layered and non-linear process. It takes time, compassion, and the right support — especially when trauma was complex, relational, or early in life.

But with an embodied approach — rooted in respect, presence, and trust in the body’s wisdom — survivors can:

  • Restore rhythm and regulation to the nervous system

  • Reclaim their body as a safe home

  • Unwind trauma imprints from fascia, breath, and movement

  • Rebuild trust and connection in the relational field

  • Reclaim a life of authentic vitality, choice, and presence

At the Institute for Bodymind Integration, we honor this profound journey — supporting each person to rediscover their inner resilience, dignity, and wholeness.

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Individual therapy sessions

Dirk Marivoet psychotherapist in Belgium

Dirk Marivoet, MSc. is a European certified psychotherapist (ECP). He studied physiotherapy as well as psychomotor therapy at the University of Leuven. Next he worked in the clinics and taught for 11 years at this university. For over 30 years now he has worked in a holistic way and is especially interested in the integration of body, mind and spirit in service of individual, collective and global development.

Dirk Marivoet and his colleagues at the IBI (International Institute of Bodymind Integration) offer individual therapy sessions for those interested in this mind-body approach.

In Ghent (Belgium), Europe, the rest of the world and online.

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