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Deep Brain Reorienting
Deep Brain Reorienting (DBR) is a trauma-focused therapy developed Dr Frank Corrigan, a psychiatrist with extensive clinical experience treating trauma. Rooted in the neurobiology of trauma, DBR draws on our understanding of how the brainstem, the most primitive and rapidly-responding part of the brain, involved in traumatic experiences, particularly those involving shock or early attachment disruption.
DBR is a body-led, "bottom-up" approach that works at a level deeper than memory or emotion, reaching the body's earliest, most automatic protective reactions to overwhelm and threat. It targets the orienting and shock responses thought to underlie intensified emotional states such as fear, panic, horror, rage and shame, as well as the defensive reactions, fight, flight, freeze, collapse or submission. Because it works from the bottom up rather than through conscious thought or language, DBR can reach early and adverse experiences that are frequently inaccessible through more traditional therapeutic approaches.
DBR is a newer approach and its evidence base, while promising, is still developing. It is grounded in established neuroscience and developmental psychology, drawing on decades of research into how the brain and body respond to threat, shock, and early attachment disruption.
Who can DBR help?
DBR may be particularly relevant for people experiencing:
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Complex-/Post-traumatic stress disorder (C-/PTSD)
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Early childhood or attachment-related trauma
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Chronic shame, a persistent sense that something is fundamentally wrong at a core level
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Distress that feels more physical than narrative, hard to put into words but clearly held in the body
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Situations where previous therapy (including EMDR) has helped, but something has not yet fully resolved
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