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TRE uses a series of simple exercises to gently fatigue muscles and encourage natural tremoring. This tremor response is intended to help release stored tension and calm the nervous system.

What happens in a TRE session?

You will be guided through exercises on the floor or standing. A practitioner should teach you how to start and stop the tremor response and how to self-regulate intensity.

What can TRE help with?

  • Stress and chronic tension
  • Body-held anxiety
  • Recovery from high-pressure situations

Safety and suitability

TRE may not be suitable for everyone. If you have significant trauma symptoms, dissociation or mental health conditions, work only with a trauma-informed practitioner and seek clinical advice.

History of Tension and Trauma Releasing

TRE was developed by Dr David Berceli and draws on trauma theory and body-based regulation practices. It is used internationally in wellbeing and therapeutic contexts.

Typical conditions that use Tension and Trauma Releasing

Showing 62 conditions where Tension and Trauma Releasing is commonly used.

Condition Evidence Notes

Neck pain

strong

Common musculoskeletal issue.

Anger issues

moderate

TRE for anger and emotional release.

Attachment issues

moderate

TRE for attachment issues.

Complex PTSD

moderate

TRE for PTSD and complex trauma.

Domestic abuse recovery support (sensitive)

moderate

TRE for domestic abuse recovery.

Emotional dysregulation (neurodiversity)

moderate

TRE for emotional dysregulation.

Emotional regulation difficulties

moderate

TRE for emotional regulation.

Joint pain

strong

Manual assessment and treatment.

Post-traumatic stress disorder (PTSD)

moderate

TRE for PTSD.

Trauma after accident or assault

moderate

TRE for trauma after accident/assault.

Anxiety

moderate

TRE for anxiety.

Back pain (lower)

moderate

TRE for lower back pain.

Bipolar disorder (support alongside medical care)

moderate

TRE supportive in bipolar management.

Body image concerns

moderate

TRE for body image and somatic work.

Caregiver stress

moderate

TRE for carer stress.

Chronic illness adjustment

moderate

TRE for chronic illness adjustment.

Chronic pain

moderate

TRE for lower back pain.

Compulsive behaviours

moderate

TRE for compulsive behaviours.

Depression

moderate

TRE for depression.

Erectile dysfunction

moderate

TRE for erectile dysfunction.

Family conflict

moderate

TRE for family conflict.

Feeling overwhelmed

moderate

TRE for overwhelm.

Fibromyalgia support

moderate

TRE for fibromyalgia.

Generalised anxiety disorder (GAD)

moderate

TRE for GAD.

Grief and bereavement

moderate

TRE for grief.

Guilt

moderate

TRE for guilt and shame.

Insomnia

moderate

TRE for insomnia with trauma component.

Intimacy concerns

moderate

TRE for intimacy concerns.

Intimacy difficulties

moderate

TRE for intimacy difficulties.

Irritability

moderate

TRE for irritability.

Life transitions / adjustment issues

moderate

TRE for life transitions.

Loneliness

moderate

TRE for loneliness.

Low confidence

moderate

TRE for low confidence.

Low mood

moderate

TRE for low mood.

Low mood in men

moderate

TRE for male low mood.

Low self-esteem

moderate

TRE for low self-esteem.

Multiple sclerosis support (adjunct)

moderate

TRE for MS.

Muscle tension

moderate

TRE for muscle tension.

Neuralgia support

moderate

TRE for pain management.

Painful sex (dyspareunia)

moderate

TRE for dyspareunia.

Panic attacks

moderate

TRE for panic.

Parenting stress

moderate

TRE for parenting stress.

Pelvic pain

moderate

TRE for pelvic pain.

People pleasing

moderate

TRE for people pleasing.

Postnatal emotional support

moderate

TRE for postnatal emotional support.

Pregnancy anxiety support

moderate

TRE for pregnancy anxiety.

Relationship conflict

moderate

TRE for relationship conflict.

Relationship stress (men)

moderate

TRE for male relationship stress.

Resilience building

moderate

TRE for resilience.

Rumination / overthinking

moderate

TRE for rumination.

Self-harm thoughts (sensitive)

moderate

TRE for self-harm recovery.

Sensory overload

moderate

TRE for sensory overload regulation.

Separation / divorce support

moderate

TRE for separation/divorce.

Shame

moderate

TRE for shame.

Sleep anxiety

moderate

TRE for sleep anxiety.

Social anxiety

moderate

TRE for social anxiety.

Stress

moderate

TRE for stress.

TMJ / jaw tension

moderate

TRE for TMJ with tension component.

Trouble falling asleep

moderate

TRE for sleep onset insomnia.

Trust issues

moderate

TRE for trust issues.

Vaginismus

moderate

TRE for vaginismus.

Workplace stress

moderate

TRE for workplace stress.

Frequently asked questions

Will I lose control during tremors?

No. Movements are invited and can be paused at any time. Pacing and grounding are built in.

Can I practise at home?

Yes. Basic exercises are taught with clear safety guidance.

Is it suitable for everyone?

Not always. Discuss pregnancy, recent injury, surgery or significant mental health concerns with a clinician first.