Understanding TRE

Learn about trauma release exercises

Knowledge is an important part of your healing journey. Understanding what's happening in your body empowers you to trust the process and deepen your practice.

At a glance

The nervous system in three states

Ventral vagal · Safe & connected

Calm, curious, present. Digestion and repair resume. This is the state where connection, rest and healing happen.

Sympathetic · Mobilised

Fight or flight. The heart speeds up, breath quickens and muscles brace. Useful in short bursts, exhausting when it never ends.

Dorsal vagal · Shutdown

Collapse and numbness. The body's last-resort protection when fighting or fleeing is not possible.

TRE helps the body complete its stress cycle so it can move out of survival states and back toward ventral safety — not by forcing calm, but by finishing what the nervous system started.

What is TRE?

Trauma Release Exercises (TRE) is a body-based (somatic) technique designed to help release deep muscular patterns of stress, tension, and trauma. Developed by Dr. David Berceli, TRE activates a natural reflex mechanism of shaking or vibrating — called neurogenic tremors — that releases muscular tension, calming down the nervous system. When we experience stress or trauma, our bodies instinctively contract and tighten muscles as a protective response. Over time, this chronic tension can contribute to anxiety, pain, sleep issues, and emotional dysregulation. TRE helps the body complete its natural stress-release cycle.

How Does It Work?

TRE uses a series of simple exercises that gently fatigue specific muscle groups — particularly the psoas muscle, which connects the spine to the legs and is often called the "muscle of the soul" because of its connection to our fight-or-flight response. When these muscles are gently fatigued, the body's natural tremor mechanism activates. These tremors originate deep in the core of the body and can spread throughout — releasing patterns of tension that may have been held for years or even decades. The tremoring process is controlled by the brain stem, which means it doesn't require conscious thought or emotional processing. Your body knows what to release and when.

Benefits of TRE

Regular TRE practice has been associated with numerous benefits: • Reduction in anxiety and stress symptoms • Better quality sleep • Decreased muscle tension and chronic pain • Improved emotional resilience • Greater sense of calm and groundedness • Release of stored trauma without needing to re-live it • Enhanced flexibility and range of motion • Improved relationships through better emotional regulation TRE is used worldwide — by trauma survivors, veterans, first responders, athletes, and anyone seeking to manage stress and tension in their body.

Every Session Is Different

One of the most important things to understand about TRE: no two sessions are alike. Some days you may experience intense tremoring and emotional release. Other days, the tremors may be subtle or barely noticeable. This doesn't mean it's "not working." Your body releases what it's ready to release in that moment. Think of it like peeling layers — each session addresses what's on the surface. Sometimes emotions may arise during or hours after a session. You might feel energized, sleepy, emotional, or deeply peaceful. All responses are normal and valid. Trust your body's wisdom.

Important Guidelines

While TRE is generally safe, please keep these guidelines in mind: • Start slowly — begin with shorter sessions (15-20 minutes) and gradually increase • You are always in control — you can stop the tremors at any time by straightening your legs • Stay hydrated before and after sessions • If you have a history of severe trauma or PTSD, consider working with a certified TRE provider initially • TRE is not a replacement for professional mental health treatment • If any exercise causes pain (not just fatigue), stop and adjust • Allow at least 24-48 hours between sessions when starting out • Be gentle with yourself — this is a practice, not a performance

Shaking in human history

Tap a heading to read more. Shaking can look alike from the outside and still mean very different things, so we share this carefully.

Where TRE comes from

Tension and Trauma Releasing Exercises (TRE) is a body-based stress reduction method developed in the early 2000s by David Berceli. While living and working in places affected by conflict, he noticed that children often shook after frightening events and then returned to play, while adults tended to hold tension in.

He also observed that some traditional societies treat shaking after stress as normal, while in Western settings it is often suppressed. This is his own account. TRE is not a traditional practice of any particular Indigenous nation.

Shaking in other traditions

People in many cultures have used shaking and trembling in healing and spiritual life. A few documented examples:

  • The San of southern Africa hold all-night healing dances in which healers enter a trance. These are communal ceremonies tied to the community's relationship with its ancestors and spirits.
  • The Indian Shaker Church emerged among Indigenous people of the Pacific Northwest in 1881, and its members valued shaking as part of healing and worship.

These are living traditions that belong to their communities. We share them only to acknowledge that shaking has a long human history, not to teach or reproduce them. To learn more, we encourage you to seek out materials created by the communities themselves.

How TRE is different

Shaking can look similar from the outside while being very different in purpose and meaning. Here is how TRE compares with the traditions above.

Purpose

TRE: Reduce physical tension and support nervous system regulation.

Traditional practices: Healing, spiritual connection, and community life, as defined by each tradition.

How shaking starts

TRE: Specific exercises that tire the leg and hip muscles to bring on gentle tremors.

Traditional practices: Dance, prayer, music, and ceremony, often high-energy.

Energy level

TRE: Typically gentle, with the emphasis on settling.

Traditional practices: Often high arousal, building toward intensity.

Setting

TRE: Individual practice, alone or with a TRE provider.

Traditional practices: Communal, with elders, healers, and the community present.

Meaning

TRE: Physical and psychological. No spiritual framework required.

Traditional practices: Spiritual, relational, and cultural.

Who guides it

TRE: TRE providers or app guidance.

Traditional practices: Healers and community members with their own training and responsibilities.

Talking about trauma

TRE: Not required.

Traditional practices: Varies by tradition.

Indigenous-led healing

This is separate from TRE. These are Indigenous-led ideas, and we point to them rather than speak for them.

  • Historical trauma is described by Maria Yellow Horse Brave Heart as cumulative wounding across the lifespan and across generations, arising from massive group trauma experiences.
  • "Soul wound" is the term Duran and Duran use for trauma experienced through colonial processes.
  • Land-based healing is a major approach in Canada. The Thunderbird Partnership Foundation's report "Land for Healing" is a good place to start.
  • Wet'suwet'en hereditary chiefs use Indigenous focusing-oriented therapy, a trauma model that is collective, land-based, and intergenerational.
What the research says

Research on TRE is still early. A 2023 scoping review of 18 studies found possible benefits for mood, anxiety-related sleep difficulties, pain, and cognitive function, but noted that many studies used less rigorous methods, so results should be considered preliminary. Some critics also question whether the underlying explanation is biologically plausible.

TRE should be seen as a self-care practice, not a treatment for any condition.

A note on respect

We are not Indigenous healers and we do not claim to represent any tradition. We work to credit our sources, avoid borrowing sacred practices, and listen to the communities whose knowledge shapes this field. If you see something we should correct, please tell us.

"The body keeps the score. But it also keeps the cure."