What Does “Top-Down” and “Bottom-Up” Processing Mean in Trauma Therapy?
Top-down and bottom-up approaches describe different ways trauma is processed — through thinking, meaning-making, and through the body and nervous system. Many people find therapy most supportive when these approaches are combined.
How Global Uncertainty Can Affect Our Nervous System - and how to find some calm and stability
In an interconnected world, global instability does not stay “out there.” Even when we are physically safe, uncertainty at a collective level can register in the nervous system, contributing to anxiety, fatigue, or a sense of being on edge. Quietly naming this can be an important first step toward stability.
Trauma Therapy for PTSD: Why One Size Rarely Fits All
While evidence-based therapies like CBT are highly effective for many people with PTSD, clinical experience shows that no single approach works for everyone. Trauma can be held not only in memory, but also in the body and nervous system — which is why some people benefit from integrating cognitive and body-based approaches over time.