The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

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#1 New York Times bestseller
“Essential reading for anyone interested in understanding and treating traumatic stress and the scope of its impact on society.” —Alexander McFarlane, Director of the Centre for Traumatic Stress Studies
A pioneering researcher transforms our understanding of trauma and offers a bold new paradigm for healing in this New York Times bestseller
Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent over three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust. He explores innovative treatments—from neurofeedback and meditation to sports, drama, and yoga—that offer new paths to recovery by activating the brain’s natural neuroplasticity. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score exposes the tremendous power of our relationships both to hurt and to heal—and offers new hope for reclaiming lives.

From the Publisher

The Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain BooksThe Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain Books

The Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain BooksThe Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain Books

The Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain BooksThe Body Keeps The Score, Bessel van der Kolk, M.D., Self Help, Brain Books

Publisher ‏ : ‎ Penguin Books
Publication date ‏ : ‎ September 8, 2015
Edition ‏ : ‎ Reprint
Language ‏ : ‎ English
Print length ‏ : ‎ 464 pages
ISBN-10 ‏ : ‎ 0143127748
ISBN-13 ‏ : ‎ 978-0143127741
Item Weight ‏ : ‎ 14.4 ounces
Reading age ‏ : ‎ 18 years and up
Dimensions ‏ : ‎ 1.1 x 5.4 x 8.4 inches
Best Sellers Rank: #45 in Books (See Top 100 in Books) #1 in Post-Traumatic Stress #1 in Popular Psychology Pathologies #1 in Anxiety
Customer Reviews: 4.8 4.8 out of 5 stars 81,385 ratings var dpAcrHasRegisteredArcLinkClickAction; P.when(‘A’, ‘ready’).execute(function(A) { if (dpAcrHasRegisteredArcLinkClickAction !== true) { dpAcrHasRegisteredArcLinkClickAction = true; A.declarative( ‘acrLink-click-metrics’, ‘click’, { “allowLinkDefault”: true }, function (event) { if (window.ue) { ue.count(“acrLinkClickCount”, (ue.count(“acrLinkClickCount”) || 0) + 1); } } ); } }); P.when(‘A’, ‘cf’).execute(function(A) { A.declarative(‘acrStarsLink-click-metrics’, ‘click’, { “allowLinkDefault” : true }, function(event){ if(window.ue) { ue.count(“acrStarsLinkWithPopoverClickCount”, (ue.count(“acrStarsLinkWithPopoverClickCount”) || 0) + 1); } }); });

Reviews (8)

8 reviews for The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma

  1. Jay A. Nesbit

    A powerful book for those wanting a deep dive into the sicience of trauma and recovery
    As a Behavioral Health Pharmacist, I work with many patients dealing with PTSD and other trauma-related mental health issues. I wanted to read The Body Keeps the Score to better understand how trauma affects the brain and body, and to be able to explain to my patients why sticking with their prescribed medications can be an important part of their healing process.This book is packed with information. Dr. van der Kolk does a wonderful job of explaining how trauma changes brain chemistry, often leaving people stuck in a cycle of stress and emotional distress. I found the discussions on fight, flight, or freeze especially interesting, as they really helped connect the dots between mental health symptoms and physical reactions. The book also explores different treatment approaches, including traditional therapies and alternative methods like yoga, drama, and neurofeedback, which I found useful.That said, this book isn’t the easiest to read. It’s dense, and at times, I felt like it could have been more concise. Some of the detailed trauma accounts were difficult to get through and might be triggering for some readers. I also think it could have done a better job acknowledging resilience—many people do recover from trauma without extensive therapy, and that wasn’t really addressed.Overall, I’m glad I read it. It gave me valuable insights that will help me guide my patients and explain why managing trauma often requires a combination of medication, therapy, and lifestyle changes. While it may not be for everyone, it’s a powerful book for those wanting a deep dive into the science of trauma and recovery.

  2. JBM

    Journey Through Trauma Healing
    “The Body Keeps the Score” by Bessel van der Kolk is not just a book; it’s a guiding light through the labyrinth of trauma, offering profound insights and practical tools for healing. As someone who has experienced trauma firsthand, this book has been nothing short of life-changing in my journey towards understanding and processing my experiences.Comprehensive Understanding: One of the most remarkable aspects of this book is its comprehensive exploration of trauma and its effects on the brain, mind, and body. Van der Kolk draws upon decades of research and clinical experience to provide a deep understanding of how trauma manifests physically, emotionally, and psychologically. His insights shed light on the complex interplay between trauma and various mental health conditions, offering clarity and validation to those who have struggled to make sense of their experiences.Holistic Approach: “The Body Keeps the Score” emphasizes the importance of taking a holistic approach to trauma healing, addressing not only the psychological aspects but also the physiological and relational dimensions of trauma. Van der Kolk explores a range of therapeutic modalities, from traditional talk therapy to innovative approaches such as EMDR and neurofeedback, demonstrating how each can play a vital role in the healing process. This holistic perspective resonated deeply with me, providing a roadmap for integrating mind, body, and spirit in my own healing journey.Practical Tools: What sets “The Body Keeps the Score” apart is its emphasis on practical tools and techniques for healing. Van der Kolk offers a wealth of exercises and strategies that readers can incorporate into their daily lives to regulate their nervous systems, cultivate self-awareness, and foster resilience in the face of trauma. From mindfulness practices to yoga and creative expression, these tools empower readers to take an active role in their healing journey, offering hope and agency amidst the darkness of trauma.Validation and Empowerment: Perhaps the most profound impact of “The Body Keeps the Score” is its validation of the trauma survivor’s experience and its message of empowerment. Van der Kolk emphasizes that healing is possible, that survivors are not defined by their trauma, and that they have the capacity to reclaim agency and meaning in their lives. This message of hope and empowerment is a beacon of light for anyone who has felt lost or hopeless in the aftermath of trauma.In conclusion, “The Body Keeps the Score” is a masterpiece of trauma literature that offers profound insights, practical guidance, and unwavering hope to trauma survivors and professionals alike. It has helped me navigate the darkest corners of my psyche, find solace in the embrace of community, and reclaim a sense of agency and purpose in my life. If you have experienced trauma or work with trauma survivors, I cannot recommend this book highly enough. It has the power to transform lives and ignite a path towards healing, one page at a time.

  3. Michael Philliber

    Captivating!
    After being struck by trauma – combat, auto accident, assault, abuse – why do the dreams come and come and come? From where does the anxiety, distractedness, or outburst originate? Are there reasons for the gut balling up into a knot and the chest squeezing tight and feeling like it will implode when unwanted memories of the distress invade? Why does the recall come in pieces, chunks, or flashes? And then there’s the inability to communicate, the mental shut-down, the emotional-frigidity; what is that all about? Is there any way to move from the trauma and its aftermath to some sense of genuine wellbeing? All of these subjects, and more, are covered by Bessel van der Kolk, founder and medical director of the Trauma Center in Brookline, Massachusetts, professor of psychiatry at Boston University School of Medicine, and director of the National Complex Trauma Treatment Network, in his 464 page paperback, “The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma”. This volume is written for both the helping-professions technician and therapist, as well as for the traumatized and their families. With thousands of book reviews already posted and published, I’ll make this review brief.“The Body Keeps the Score” unpacks the way trauma affects us, mind, brain, and body. The author looks at multiple forms of therapy, showing their strengths and limits. He recognizes that there are “fundamentally three avenues [of therapy]: 1) top down, by talking, (re-) connecting with others, and allowing ourselves to know and understand what is going on with us, while processing the memories of the trauma; 2) by taking medicines that shut down inappropriate alarm reactions, or by utilizing other technologies that change the way the brain organizes information, and 3) bottom up: by allowing the body to have experiences that deeply and viscerally contradict the helplessness, rage, or collapse that results from trauma” (3). Van der Kolk addresses each of these approaches while explaining in detail what harrowing ordeals do to people.The author’s proposition through the pages is that the anguish of assault and abuse “changes brain development, self-regulation, and the capacity to stay focused and in tune with others…experiences change the structure and function of the brain – and even affect the genes we pass on to our children…devastates the social-engagement system and interferes with cooperation, nurturing, and the ability to function as a productive member of the clan” (349, 351). One of the aspects that surprised me was how the “ventral vagal complex” – the vagus nerve that interfaces with other nervous systems – takes what my brain is experiencing (even re-experiencing through PTSD, etc.) and mobilizes muscles, heart, lungs and other body parts, so that I feel the alarm – or helplessness – or grief in my brain all the way down into my chest and stomach! Which means my body begins to take on muscle-memory (as we put it in martial arts)! Therefore, if “the memory of trauma is encoded in the viscera, in heartbreaking and gut-wrenching emotions, in autoimmune disorders and skeletal/muscular problems, and if mind/brain/visceral communication is the royal road to emotion regulation, this demands a radical shift in our therapeutic assumptions (88). It’s this “radical shift in therapeutic assumptions” that dominates the authors final eight chapters, where he methodically explains different “paths to recovery”. This is truly a captivating read!Van der Kolk weaves into the technical aspects of the book biographical and autobiographical tales that help the reader to see what has gone on, and not gone on, in the world of psychiatry and psychology regarding trauma. The stories also help to cement into the imagination and comprehension what he is trying to communicate. The book is reasonably technical with neuroscience, brain studies, physiology, professional acronyms and so forth. But the author is careful to not leave anyone in the dark. It is a fascinating read that treats the audience as mature enough to handle the subject and grasp the material. I disagreed with the evolutionary explanations of how the brain develops and found the little political rant in the epilogue disappointing. But beyond these, I was almost mesmerized by the book!“The Body Keeps the Score” is a whole textbook on physiology, brain studies and neuroscience, as well as therapeutic theories. It is not a self-help book, but readers who are looking for help will likely find it beneficial. Helping professionals may also find it advantageous as the author has a plethora of notes on various studies and articles. But I think that the biggest value will be for those who have family members, friends, and parishioners that have been through violent experiences. It gives a bigger and better perspective on what s going on, and they will be able to draw from the various paths to recovery approaches they can take as they seek to be part of the remedy and not the trauma. I highly recommend the book.

  4. ilaria

    Precious, insightful, deep, mind-blowing at times. Must read for anyone on a path of self discovery

  5. F

    Good book

  6. Kevin D Whitelaw

    What is the book about?In this excellent volume, BVDK gives an overview of the knowledge about the effects of psychological trauma, abuse, and neglect based on three emerging disciplines:• Neuroscience: the study of how the brain supports mental processes.• Developmental psychopathology: the study of the impact of adverse experiences on the development of mind and brain.• Interpersonal neurobiology: the study of how our behaviour influences the emotions, biology, and mind-sets of those around us.What are the books’ key messages?Trauma is not just the event(s) that took place sometime in the past. It is also the imprint left on mind, brain, and body. This imprint has on-going consequences for how the human organism manages to survive in the present. Trauma results in a fundamental reorganisation of the way mind and brain manage perceptions. It changes not only how we think and what we think about, but also our very capacity to think. What has happened – the events themselves – cannot be undone. This leaves us with a series of challenges:• Finding a way to become calm and focused.• Learning to maintain that calm in response to images, thoughts, sounds, or physical sensations that remind you of the past.• Finding a way to be fully alive in the present and engaged with the people around you.• Not having to keep secrets from yourself, including secrets about the ways that you have managed to survive.These goals are not steps to be achieved, one by one, in some fixed sequence. They overlap, and some may be more difficult than others, depending on individual circumstances.Narrowing down to developmental trauma, BVDK provides a good summary of the original 1990’s ACE study. In the years since TBKTS’ publication in 2014 this has been widely disseminated. The section concludes with a valuable re-frame: the idea of the problem being a solution, while understandably disturbing to many, is certainly in keeping with the fact that opposing forces routinely coexist in biological systems… What one sees, the presenting problem, is often only the marker for the real problem, which lies buried in time, concealed by patient shame, secrecy and sometimes amnesia – and, frequently clinician discomfort.Following a refreshing discussion of the DSM’s weaknesses is a summary of BVDKs’ as-yet unsuccessful, attempts to establish developmental trauma as its own recognised diagnosis. Readers are led to recognise that two hurdles need to conquered: (1) PTSD, C-PTSD, and developmental trauma each need to be recognised as their own diagnoses and (2) the blinkered brain disease model summarised below needs to be replaced with multi-modal helping approaches blending BVDKs’ three avenues (as below) to best suit the individuals’ needs.The brain’s own natural neuroplasticity can be developed to help survivors feel fully alive in the present and move on with their lives. There are fundamentally three avenues to follow:• Top down, by talking, (re-)connecting with others, and allowing ourselves to know and understand what is going on with us, while processing the memories of the trauma.• By taking medicines that shut down inappropriate alarm reactions, or by utilizing other technologies that change the way the brain organises information.• Bottom up: by allowing the body to have experiences that deeply and viscerally contradict the helplessness, rage, or collapse that result from trauma.What BVDK referred to as the the brain-disease model ignores four fundamental truths – we ignore them at our peril:• Our evolutionary legacy provides us with a set of capabilities – and constraints. The more we – or others – push those boundaries, the more likely we are to suffer. This is central to restoring and sustaining our well-being.• Our intelligence gives us the potential to develop ourselves, others, our environments, and our responses.• We have the capability to regulate aspects of our own physiology, including some of the so-called involuntary functions of the body and brain, through such basic activities as breathing, moving, and touching.• We can, collectively, change social conditions to create environments aligned with our evolutionary needs and expectations within which we can feel safe and where we can thrive.When we ignore these basic truths of our humanity, we deprive ourselves of ways to both prevent maladies in the first place and to heal when they do occur. We may subordinate our agency and render ourselves patients of the healthcare system, rather than exercise our agency to drive our healing process. Connecting with – rather than disconnecting from – what makes us incredible.Seeing issues with our mental health as internal processes, grants us much-needed agency – that feeling of being in control of our lives: being able to make the decisions that will lead us to our chosen future. If we consider the causes of mental health issues as external factors, something that happens to or around us – or as a biochemical anomaly – then it becomes a piece of history we can never dislodge. If, on the other hand, mental health issues are what take place inside us, resultant of what happened, then healing becomes a credible possibility. Trying to keep mental health issues at bay – or subcontracting them out to the medics (the doctor is responsible for resolving that issue while I get on with my life) hobbles our capacity to know ourselves better – to develop our agency.What are its weak-spots?Due to its very nature, the content runs the risk of triggering some readers: it’s difficult to see an easy solution to this.TBKTS delivers on its intentions to disseminate knowledge about the effects of psychological trauma, abuse, and neglect based on the three emerging disciplines of neuroscience, developmental psychopathology, and interpersonal neurobiology. It was not intended as a self-help ‘how to heal yourself’ which may leave some readers looking for more.While not a weakness, TBKTS was published around ten years ago. Given the pace of research, I wonder if there is scope or plans for a revised edition.How does this relate to my practice with Solution Focused Hypnotherapy?BVDK refers to one of the key underpinning theories of SFH – the triune (three phase) theory of human brain evolution. With that theory understood, we introduce two further key concepts: (1) the existence of a dynamic equilibrium between evolutionary phases and (2) developing the capability to manage that dynamic equilibrium to our advantage. Academically, these two concepts are supported by the generally accepted Broaden & Build theory (Frederickson.)Trauma – among other things – can shift the dynamic equilibrium to limit our options and plunge us in to vicious cycles of anger, and or anxiety and or depression (which can manifest in a myriad of ways.) Additionally, developmental trauma can lead to neurobiological effects in the hippocampus, amygdala, and pre-frontal cortex.Without downplaying the seriousness of this, there are counter-balancing positive factors. To varying degrees, we each have four capabilities: Self-Awareness (interoception), Imagination, Conscience and Free-will, as articulated by Viktor Frankl. These sit at the root of us developing our sense of agency. The same process of neuroplasticity that shaped our developing neurology as children can support us in developing our adulthoods. Through the work of BVDK and many others, we have an emerging understanding of the lifelong effects of developmental trauma, and an ever-growing understanding of how these can be mitigated.Solution Focused Hypnotherapy can be highly effective in helping those at threshold (motivated, and responsible for their outcomes) with anger, anxiety, and depression. Adding the body of knowledge supporting the PERMA model (this profound model is the reason I call my practice Perma Hypnotherapy) creates a solid platform for developing and sustaining wellbeing for those in the acceptance and action areas of the awareness / acceptance / action spectrum. Those in the earlier – awareness, acceptance – areas would benefit more from the traditional analytical / counselling approaches to helping.Who would benefit from reading this book?With the caveat that some readers may find elements of the content triggering, this is an ideal read for those who have ever wondered if events of their childhood are negatively affecting their present.For those experiencing developmental trauma, and those living with and supporting those who are – this is one of the must reads.

  7. Amazing! ❤️

    Very nice product, truly recommend it!

  8. Yessica

    Es un libro que puedes leer sin saber nada de psiquiatría o psicología, trae incluso varios esquemas que explican todo muy bien. Me encanta que no es un libro tipo “superación personal” (que igual no tiene nada de malo), sino uno que relata con fundamento, casos reales y evidencia científica los procesos de trauma y recuperación. Personalmente, el proceso de lectura también sirve mucho para validar tus sentimientos, es muy bello❤️‍🩹

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