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Frequently Asked Questions

Common questions about the theory and science behind TRE.

Understanding TRE​

Do I need to have experienced trauma to benefit from TRE?​

No. While TRE was initially developed for trauma work and remains valuable for trauma survivors, it's fundamentally a tool for releasing everyday stress and tension that accumulates in all bodies. Work stress, relationship challenges, physical tension from sitting all day – TRE helps with all of these.

Think of it as maintenance for your nervous system, like flossing for stress.

What's the difference between TRE and shaking/dance practices?​

While they may look similar, they're quite different:

TRE tremors are neurogenic: originating from the brainstem as the nervous system discharges tension. They're involuntary once activated, rhythmic, and specifically related to stress/trauma release.

Shaking practices (like in ecstatic dance, some movement therapies, or qi gong) are usually voluntary, consciously directed movement. They can be valuable for energy release and joy, but work through different mechanisms.

TRE can complement shaking/dance practices: they're not mutually exclusive.

How does TRE relate to polyvagal theory?​

TRE works directly with the autonomic nervous system that polyvagal theory describes. The tremor mechanism helps discharge sympathetic activation and supports movement into ventral vagal (safe and social) states.

By releasing held tension and completing stress responses, TRE helps shift the nervous system from states of fight/flight or freeze/shutdown into regulation and connection.

Can children do TRE?​

Children naturally tremor more readily than adults and often don't need formal exercises. However, TRE can be appropriate for children in specific contexts:

  • Work with a certified provider experienced with children
  • Parents can learn TRE and create a supportive environment
  • Teenagers may benefit more than young children
  • Never force or pressure a child to tremor

For children who've experienced trauma, work with a child-specialised trauma therapist first.

Is TRE evidence-based?​

Yes. While research is ongoing, multiple studies have shown TRE's effectiveness for reducing PTSD symptoms, decreasing anxiety and stress, improving sleep quality, reducing chronic pain, and enhancing wellbeing.

See the Scientific Research section for specific studies and findings.

Integration with Other Approaches​

Can I combine TRE with therapy?​

Absolutely. TRE works well alongside talk therapy, EMDR, Somatic Experiencing, and other therapeutic approaches. Many therapists incorporate TRE into their practice.

The key is coordination: let your therapist know you're practising TRE, and be mindful not to overload your nervous system by doing too much at once.

Can I combine TRE with meditation?​

Yes. TRE and meditation complement each other beautifully. Some people meditate before TRE to settle and ground, others meditate after to integrate.

Just be aware that both practices work with the nervous system, so start conservatively with timing and intensity. See Meditation for more.

Can I combine TRE with breathwork?​

Yes, but with caution. Both TRE and intensive breathwork (like Holotropic Breathwork or Wim Hof) are powerful nervous system practices.

Recommendations:

  • Don't do intensive breathwork and TRE on the same day
  • Gentle breathwork (like pranayama) can support TRE practice
  • Build capacity with each practice separately first
  • Work with experienced practitioners when combining

See Breathwork for detailed guidance.

Can I combine TRE with yoga?​

Absolutely. Yoga and TRE work well together. Some considerations:

  • Gentle yoga before TRE can help you arrive in your body
  • Restorative yoga after TRE supports integration
  • Avoid intense yoga and TRE in the same session initially
  • Some yoga styles (trauma-sensitive yoga) pair especially well

Safety and Concerns​

Is TRE safe?​

When practised appropriately, TRE is safe for most people. Key safety factors:

The Safety section covers this in detail.

Can TRE bring up trauma?​

TRE can sometimes bring up stored emotional content, including trauma-related material. This is why:

  • Self-regulation skills are essential
  • Those with significant trauma history should work with providers
  • You should always work within your capacity
  • You can stop or slow any time

The body will only release what it's ready to process. Trust your nervous system's wisdom.

What if I don't feel safe practising alone?​

This is a valid concern. Options include:

  • Start by learning with a certified provider
  • Practise with a trusted friend nearby
  • Join group TRE sessions
  • Build up slowly until solo practice feels manageable
  • Continue working with a provider long-term

Your sense of safety is paramount. Honour it.

Can TRE replace therapy or medical treatment?​

No. TRE is a valuable tool for nervous system regulation and stress relief, but it's not a substitute for:

  • Professional mental health treatment
  • Medical care for physical conditions
  • Trauma therapy when needed
  • Medications prescribed by your doctor

TRE works best as part of a holistic approach to wellbeing.