DBR
Deep Brain Reorienting (DBR) is a trauma therapy that targets the body sensations in the face, head, and neck to process the brain’s initial shock response. In a randomized controlled trial, PTSD symptoms improved by 36.6% after eight sessions and 48.6% at a three-month follow-up.
Overview of Deep Brain Reorienting Therapy
Deep Brain Reorienting (DBR) is a specialized trauma therapy designed to help individuals process and release trauma stored in the body and brain. This approach focuses on sensations in the face, head, and neck, targeting the brain's initial shock response to traumatic events.
Key Features of DBR
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Targeted Sensations: DBR emphasizes the importance of body sensations, particularly in the head and neck, to process trauma.
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Neuroscience-Based: The therapy is grounded in contemporary neuroscience, focusing on subcortical brain areas responsible for emotional processing and survival instincts.
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Gentle Approach: Clients do not need to discuss traumatic events in detail, making it a less distressing option compared to traditional therapies.
Effectiveness of DBR
Clinical Outcomes
DBR has shown promising results in treating post-traumatic stress disorder (PTSD). A randomized controlled trial revealed:
Time Frame | Improvement in PTSD Symptoms |
|---|---|
After 8 Sessions | 36.6% |
3-Month Follow-Up | 48.6% |
Client Experiences
People often report feeling more connected to their bodies and experiencing a decrease in shock and distress. Many have noted improvements in sleep and overall emotional well-being following DBR sessions
The Brain Science
Traditional cognitive-behavioral interventions risk prematurely activating the client's prefrontal cortex, leading to intellectualized coping mechanisms (e.g., visualizing a river to "flow" past thoughts) rather than processing the underlying neurophysiological trauma response. DBR is selected as the primary intervention because it targets the midbrain (specifically the superior colliculus and periaqueductal gray), where the orienting tension and shock of a threat are stored before cognitive appraisal occurs.
By tracking somatic anchors—such as the tension identified at the base of the skull and the subsequent emptying sensation in the abdomen—DBR allows the client to safely process the physiological "shock" of trauma triggers (e.g., agoraphobic distress in crowds) without cognitive bypass.
If you’re currently in danger, feeling unable to stay safe, or having thoughts of suicide, call 988, 911, speak to someone who you trust, or go to your nearest emergency room.