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Would You Introduce Ketamine Into a Session Without Training? I Don't Think So

Updated: Apr 9

Somatic Work Isn’t Something You “Throw In”

I’ve been spending some time in therapist Facebook groups lately, and I keep seeing the same question come up in different forms:


“What somatic movement should I use with my client?”

Or,

“I want to start adding some somatic work… any suggestions?”


I understand where this is coming from. The field is shifting and clients are asking for more than talk therapy. The body is finally being recognized as part of trauma resolution.


But I want to say something clearly — and I mean this with respect.


Somatic work isn’t something you just “throw in.”


There’s a reason we don’t approach other powerful interventions that way.


I would hope no therapist would casually introduce ketamine into a session without proper training. But body-based interventions can shift the nervous system just as powerfully—often without being recognized that way.

And because it looks simple — a breath, a posture, a small movement — it’s easy to underestimate what’s actually happening underneath it.

The Part That Gets Missed

A movement is never just a movement. When you ask a client to bring awareness to their body, change their breath, or shift their posture, you are interacting directly with their nervous system.

You’re influencing:

  • arousal levels

  • emotional processing

  • memory activation

  • sense of safety or threat

Sometimes in very subtle ways. Sometimes not subtle at all, and without a framework, it can become guesswork.


You might get a positive response, yet you might also open something that moves faster than expected. And believe me, I've heard some horror stories from our grads that have had other therapists throw in some somatic work when they aren't trained.


Why a Framework Matters

This work requires more than techniques. It requires a clear clinical framework for when, why, and how to use them. When you have a comprehensive training, you know you're not going to just ask clients "where they feel that in their body".


Not every client needs activation. Not every client needs calming. Not every moment in a session is the right time to bring the body in. It depends on the clients dosha, resources and nervous system regulation. Sometimes the most skillful intervention is actually doing less, not more.


A proper / safe framework helps you track:

  • what state your client is in

  • what direction would actually support them

  • how much to titrate without overwhelming the system


It also helps you understand what you’re seeing in real time — not just what to do, but why something is (or isn’t) working.


And after understanding all of that, you'll then need to know how to bill insurance (if you work with insurance) appropriately in order to protect yourself.


This Is Why I Created the Cheat Sheet for Our Grads

The Insurance Billing Cheat Sheet I’ve created isn’t meant to give you a list of things to try.

It’s meant to give you orientation once you add somatic movement into therapy.


A way to quickly ground yourself in:

  • what you’re looking for

  • what might be appropriate

  • and how to stay within a range that feels clinically responsible



Because that’s really what’s missing in most conversations I’m seeing online. Structure and understanding. And that's what CYI offers to our grads.


A Different Way to Think About It

If a therapist wants to bring the body into their work, they don’t need to jump into something complex. But they do need to respect that they’re working with something powerful. The nervous system responds quickly. Usually much faster than cognition.


And when you understand how to work with that — even in small, contained ways — it changes how sessions feel.


Get the proper training in somatic movement. You'll gain more confidence, have less guessing and hesitation, because you'll have safety and clarity instead.
You don't want to be the horror story in your clients life.

Curious about what we offer our grads?


Get the Clinical Yoga Institute Insurance Billing Cheat Sheet Here → [Link]


Take a look at it. Sit with it a bit. You don’t have to implement everything right away.

Even just having a clearer lens can shift how you see what’s already happening in your sessions.




 
 
 

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