Worksheet
Grief doesn't have to be processed all at once. This somatic exercise, developed with Dr. Kate Truitt, PhD, Clinical Psychologist and Trauma Expert, teaches clients to titrate: moving in small doses between a mildly distressing grief sensation and a remembered place of ease. Breathwork and mindful touch help the body learn it can hold discomfort and calm together.

by Insight Timer in collaboration with Kate Truitt

Introduce this exercise once a client has some grounding capacity. Guide them through the four prep steps to identify a target sensation, a preferred state, a memory, and a color. Lead the titration sequence in session first, pairing each round with the 4-count inhale and 6-count exhale. Teach CPR for the Amygdala® as a self-directed off-ramp for use between sessions.
This guide is for individuals and therapy clients experiencing overwhelming grief or somatic distress after loss. It's a gentle, self-paced tool for sitting with painful feelings without becoming dysregulated. It also serves clinical psychologists, trauma therapists, and somatic practitioners seeking evidence-based titration protocols.
Related Topics
References
Levine, P. A. (1997). Waking the Tiger: Healing Trauma. North Atlantic Books.
Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197-224.
Zaccaro, A., Piarulli, A., Laurino, M., et al. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of
slow breathing. Frontiers in Human Neuroscience, 12, 353.
Dreisoerner, A., Junker, N. M., Schlotz, W., et al. (2021). Self-soothing touch and being hugged reduce cortisol responses to stress. Comprehensive Psychoneuroendocrinology, 8, 100091.
Truitt, K. (2022). Healing in Your Hands: Self-Havening Practices to Harness Neuroplasticity, Heal Traumatic Stress, and Build Resilience. PESI Publishing.
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