Massage: Relaxation Versus Trauma-Sensitive Massage

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When processing trauma, we must look at the body as a whole. Somatic reactions within the body can often be indicative of repressed emotions and over time this leads to persistent pain, changes in body posture, sleep disturbances, and other forms of physical dysregulation. Massage therapy utilizes touch as a healing element. Connecting with a massage therapist gives one space to reconnect with the physical self and release accumulated tension. A massage therapist receives specific training in specific skills and knowledge about the body’s functionality. Through muscle manipulation, the therapist works with the client to increase oxygen and blood flow.

Some of the known benefits of massage include:

  • Relaxation through decreased cortisol, a stress induced hormone

  • Stress reduction by allowing reduction of pain and increased energy

  • Decreased blood pressure

  • Reduced muscle tension through release of dopamine and serotonin, calming the nervous system

  • Increased lymph circulation and blood flow which aids muscle function

  • Improved posture by realigning the body and improving mobility

  • Strengthened immune system through relaxation

In addition to relaxation, massage can be helpful in healing from a traumatic experience. Therapists practicing trauma-sensitive (trauma-informed) massage have an additional focus and skill set. The trauma-sensitive approach is unique and includes elements that differ from a traditional approach. Intake and information gathering with the client is in depth and includes topics around boundaries and pacing.

The goals of trauma-sensitive massage include:

  • Establishing a place of safety for the client

  • Control over body and boundaries

  • Pleasure through neutral and safe touch

  • Decreased experiences of disassociation

  • Re-integration of body memories with the experience of the self

At Dallas Healing House, we have the unique ability to offer massage through the lens of trauma-sensitivity. As the massage therapist (and LPC), I conduct phone-intakes just like I would for therapy and address the client’s needs upfront. As we prepare to begin the massage sessions, I discuss topics of grounding and coping with a focus on feelings of safety and pacing. We keep a dialogue around boundary setting and comfort with dress during the session. Because massage is a separate treatment from talk-therapy, I will often ask clients if they are currently seeing a therapist and make referrals if necessary.

Massage can be another part of the holistic treatment of trauma, anxiety, depression, and more. More information can be found here on our website!

Authored by Rachel Tweed, LPC, LMT