Understanding TRE (Trauma Release Exercises)

Table of Contents

The World Health Organization (WHO) estimates that 70% of people throughout the world will experience trauma during their lifetime. At such a high percentage, chances are that you or someone you care about has or will experience trauma. It also means that anyone who has experienced trauma is not alone. 

There are several treatments for trauma, including Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), talk therapy, and Eye Movement Desensitization and Reprocessing (EMDR) that involves tapping or back-and-forth movement to help the brain reprocess traumatic events and memories, reducing their emotional impact. This article is about understanding TRE (Trauma Release Exercises), an approach to trauma that began in the 1990s. 

What is Trauma?

The Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma as “experiences that cause intense physical and psychological stress reactions.” Trauma can come from a single event, a series of events, or from circumstances that cause physically or emotionally harmful effects to someone, impacting their physical, social, or emotional health. 

Of the 70% of people who will experience trauma, nearly 4% have experienced post traumatic stress-disorder (PTSD). While anyone can experience PTSD, those who have previously experienced trauma are more susceptible. Other contributing factors for PTSD include family history, age, education level, and gender (women are more likely to experience PTSD than men). 

What is TRE (Trauma Release Exercises) and How Does it Work?

Dr. David Berceli created TRE to “help release the deep tension created in the body during a traumatic experience or through chronic stress.” TRE is a series of simple, physical movements designed to release deep muscular patterns of stress, tension, and trauma stored in the body. Dr. Berceli came up with the idea of TRE while working in natural disaster areas and countries experiencing war conflict worldwide. He noticed that many people shook or trembled during or after a traumatic event, which seemed to calm them down. In this podcast episode through the University of Arizona, he explained that “the natural state of the human organism…it tremors deliberately for a purpose. And the purpose [is] to somehow reduce the anxiety and the fear. But we train ourselves out of it as adults because of this negative narrative we have around it.” Dr. Berceli goes on to explain that TRE is about activating this natural tremor mechanism to reduce stress in the body.

The exercises used in TRE gently fatigue specific muscle groups, particularly in the legs and hips, to activate the natural tremor mechanism. These tremors originate from the psoas muscle, which plays a key role in the body’s fight-or-flight response. Dr. Berceli believes this area holds unconscious tension following trauma. 

Benefits of TRE

According to the TRE website, there are numerous benefits of TRE, including:

  • Less worry and anxiety
  • Reduced symptoms of PTSD
  • More energy and endurance
  • Better sleep
  • Less conflict in relationships
  • Reduced muscle and back pain
  • Greater emotional resiliency
  • Relief from chronic medical conditions

Trauma Therapy Programs at Southern Sky Recovery

We understand that healing from addiction often means healing from trauma, so our programs work to address the deeper emotional pain that might be behind it. We believe in a trauma-informed approach to help clients explore their past and progress toward a brighter, healthier future. If you or a loved one are ready to move forward from the weight of trauma and addiction, we’re here to help. Recovery is possible. Reach out today and take your first step toward healing.

FAQs About TRE (Trauma Release Exercises)

Is TRE Safe for Everyone?

TRE is considered relatively safe for most people. If you have a history of severe trauma, complex PTSD, or other medical conditions, you should consult with a medical professional before trying it. The exercises are gentle, but everyone will experience them differently, even intensely. If possible, consider starting with a certified TRE provider. 

Do I Need a Therapist to Practice TRE?

It is recommended that you start with a certified TRE provider, but you may not need a therapist or a TRE provider long-term. In the beginning, having a guide can be very helpful in understanding TRE and ensuring that you are doing the exercises correctly. Some people have found TRE helpful alongside talk therapy, so consider that a complementary approach. 

What Does a Typical TRE Session Look Like?

TRE sessions usually begin with a series of exercises designed to activate and mildly fatigue the muscles in the legs and hips. They may be best performed on a yoga mat or similar. After the exercises, participants lie on a mat, usually on their back, and allow the body to shake or vibrate gently. Sessions end with a cool-down and time for rest or reflection. It is common for sessions to last anywhere from 30 to 60 minutes.

Can TRE Replace Therapy or Medication?

TRE is not meant to replace therapy or prescribed medication. It works as a complementary practice to release stress and trauma in the body in a way that talk therapy might not be able to.
Many people find that practicing TRE enhances their emotional resilience, improves their sleep, gives them more energy, reduces back pain, and supports their overall recovery, but it is not intended to replace medication or therapy. 

How Often Should I Do TRE?

The frequency at which you practice TRE depends on a person’s individual needs, comfort level, and how it feels. Some people do it as often as 2 to 3 times per week if they are just beginning, or perhaps they find it helpful during times of high stress; others do it much less frequently and more for maintenance. TRE works best when you listen to your body. This is another reason that starting with a certified TRE provider might be a good idea–they can help you find the right cadence for your situation.
Please note the TRE website also lists this disclaimer: TRE® has not been evaluated by the US Food & Drug Administration or the American Medical Association. This technology is not intended to diagnose, treat, cure, or prevent any disease. Medical advice must only be obtained from a physician or qualified health practitioner. Results may vary between individuals. There are no guarantees, expressed, or implied.

Request a Confidential Callback

Find Out If Your Insurance Covers Our Program

We are In-Network With:

We also accept most major PPO insurance plans. Find out your personal options for treatment right now.

Peter Bean

Licensed Physician Assistant

Peter Bean Licensed Physician Assistant Peter Bean was born and raised in Falls Church, Virginia, and graduated with a B.S. in Biology at the College of William and Mary in Williamsburg, Virginia. During college he enjoyed volunteering as an EMT at the local fire department and playing on the College’s rugby team. He moved to the Charlotte suburbs in order to study at Wingate University, and he graduated with a Masters of Science in Physician Assistant Studies in 2021. He spent the first couple years of his career doing general psychiatry before specializing in Addiction Medicine and has been working with Dr. Emmel since 2024. Peter currently resides in South Carolina along with his wife, 2 children, 2 dogs, and 3 chickens. Other hobbies (as time allows) include riding his motorcycle and helping with his family’s pepper garden.

Pam Deloach

Care Coordinator/CPRS

Pam is a Peer Support Specialist with Southern Sky, dedicated to supporting individuals on their recovery journeys with compassion, understanding, and hope. Born and raised in Hampton, South Carolina, Pam is a proud mother of two amazing boys, ages 20 and 10. She has always been drawn to work that helps others, spending 20 years as a massage therapist before beginning her own journey through recovery. Inspired by her experiences, Pam chose to use her story, strength, and insight to walk alongside others who are struggling with addiction.

In her free time, Pam enjoys going to the lake, spending time with family and friends, attending church, and cheering on her son at his baseball games. These moments keep her grounded and remind her of the joy in everyday life. She is committed to empowering individuals, building trust, and creating a safe, supportive environment for healing and growth.

Ben LaGrange

Community Relations Advocate

Ben is a person in long-term recovery with a gift for creativity, a deep connection with people, and a passion for helping others find their path to sobriety. After getting sober in 2018, he discovered that authenticity was the greatest gift he could offer. Embracing it brought genuine connection, creative freedom, and a beautiful life in recovery.

With experience in multimedia, fine art, and digital design, Ben studied photography at the University of Nebraska–Lincoln and art at the Savannah College of Art and Design. He has spent years working as a professional photographer and marketer. He has also worked in recreational and art therapy for substance use treatment and has led educational groups on anger management and relapse prevention.

Ben believes that connection is the opposite of addiction—and that when we allow ourselves to be fully authentic, we become our most powerful selves, capable of deeper connection and better equipped to help others navigate a turbulent world.

Keith Toomer

Residential House Manager

Keith began his career in the maintenance and plumbing industry, where he built hands-on experience and a strong work ethic. During that time, he faced significant challenges with addiction. His decision to seek help led him to Southern Sky Recovery in Bluffton, South Carolina—an experience that transformed his life.

Through the support of Southern Sky Recovery, Keith rebuilt his foundation and discovered his true passion: serving others on their recovery journeys. He was given the opportunity to become the Men’s Residential House Manager, a role that allows him to guide, support, and mentor men as they work toward lasting recovery.

“For the first time in my life, I found a career that truly fulfills me. I love working in addiction recovery and being part of a community dedicated to helping others heal and grow.”

Outside of work, Keith enjoys spending quality time with his family. He remains committed to his own recovery and has a strong interest in nutrition and exercise, which help him stay grounded, healthy, and focused.

He is grateful every day for the opportunity to serve his community and work in a field that gives his life purpose.

Call Now Button