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.


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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