How stress lives in the body, how TRE™ works with the body’s own tremor reflex, and how to learn a practice you can keep for life.
Somatic nervous system regulation means using the body, not only the mind, to help your nervous system move out of stress and back towards calm. TRE™ (Tension and Trauma Releasing Exercises) is one simple way to do it: a few exercises invite a natural tremor that many people find settling. You learn it in a few guided sessions and then practise on your own.
Under stress, the nervous system prepares you to act. The sympathetic branch raises your heart rate, tightens muscles and triggers adrenaline, while a slower hormonal pathway releases cortisol. When the pressure passes, the parasympathetic branch helps you rest, digest and recover. Problems start when that recovery phase rarely arrives, and the body stays braced long after the demand is over.
Your autonomic nervous system works mostly below conscious awareness. Moment by moment, it decides whether you are safe enough to rest or need to mobilise. That is healthy: a quick surge of energy gets you through a presentation, a difficult conversation or a near miss on the road.
Modern stress is rarely that tidy. Deadlines roll into each other, messages arrive late at night, and the threat is often a feeling rather than an event. Many people notice the result in the body first: shallow breathing, a tight jaw or shoulders, restless sleep, a stomach that never quite settles.
Somatic simply means “of the body”. Somatic regulation works from the bottom up, through movement, breath and sensation, rather than only from the top down through thinking. Both matter. This guide focuses on the body side, and on one practice in particular: TRE™.
TRE™ (Tension and Trauma Releasing Exercises) is a short sequence of simple exercises, developed by Dr David Berceli, that activates the body’s natural tremor reflex. You stretch and gently tire the leg muscles, then lie down with your knees bent and let a mild, self-regulated shaking release tension. It is a self-help practice, not a therapy.
A session usually takes 60 to 90 minutes. You wear loose clothing and lie on a mat. There is no fitness level to reach and no need to talk about the past: the work happens through the body, and you decide how long each tremor period lasts.
What sets TRE™ apart from many body-based approaches is independence. Most people learn it in 3–4 guided sessions with a certified provider and then use it on their own as a lifelong self-regulation tool. If you are comparing it with other somatic methods, read TRE™ vs Somatic Experiencing: what is the difference?
Neurogenic tremoring is shaking that comes from the nervous system rather than from conscious effort. In TRE™ it usually starts as a soft vibration in the legs, which may travel to the hips, back or arms. It is not painful and it is not a seizure. It settles within moments when you straighten your legs.
Most of us know this kind of trembling: shaky legs after a near miss, or trembling hands after a big speech. Many animals are observed to shake in a similar way once a threat has passed, an idea central to TRE™. TRE™ invites the same reflex on purpose, in a safe setting and in small doses.
People describe the tremor in many ways: a buzz, a gentle rocking, small pulses that come and go. Some notice a wave of emotion, tears or laughter, often without any story attached; others simply feel heavy and relaxed. For a step-by-step account, read what happens during neurogenic tremoring.
In Dr Berceli’s model, TRE™ works the legs and hips because that is where the body braces hardest when it senses danger. The psoas, a deep muscle linking the lower spine to the thigh bone, helps curl the body into a protective position. Gently tiring the leg muscles makes it easier for the tremor to begin.
Think about how you react to a sudden loud noise: shoulders lift, belly tightens, knees bend slightly, ready to protect the front of the body or move away. When stress is constant, a milder version of that bracing can become the body’s normal setting. Many people only notice it when they finally let go.
The TRE™ exercises are simple stretches and holds that work the legs and hips. They are not a workout. Their job is to tire these muscles just enough that, when you lie down, the body stops holding and the tremor can start. You may see this described online as “releasing the psoas”; in practice, the tremor usually involves the pelvis and legs as a whole rather than one muscle.
Vagal tone describes how strongly the vagus nerve, the main nerve of the rest-and-digest system, calms the heart and body. It is usually estimated through heart-rate variability (HRV), the small changes in time between heartbeats. Higher resting HRV is generally linked with a more flexible stress response; long-term stress tends to go with lower HRV.
HRV is not a score to chase. It varies with age, fitness, sleep, illness, alcohol and even the time of day. But it is a useful reminder that regulation is physical: when the body is on alert for long periods, the heart’s rhythm has less room to flex.
Here we need to be honest. Research on TRE™ specifically is limited. Small studies and practitioner reports describe reductions in stress, anxiety and physical tension, but there are not yet large, controlled trials, and we do not claim that TRE™ raises vagal tone or HRV. What many people who practise regularly report is simpler: deeper sleep and more calm under pressure.
One published pilot study followed 21 caregivers at an SOS Children’s Village in Cape Town who practised TRE™ for 10 weeks. 91% kept to the practice schedule, and their self-rated quality of life improved (Berceli et al., Global Advances in Health and Medicine, 2014). It was a small study without a comparison group, so it shows TRE™ is practical and well received, not that it is proven to work.
TRE™ suits anyone who wants a simple, body-based way to manage stress: busy professionals, leaders, coaches, therapists, carers and people recovering from burnout. For most healthy adults it is gentle and low-risk, and you can stop the tremors at any time. Some people should speak to a doctor or therapist before starting.
Check with a professional first if you live with a mental health condition that needs close clinical management, have a history of complex trauma or dissociation, are pregnant, have a heart or neurological condition such as epilepsy, have had a recent injury or surgery, or have recently changed psychiatric medication. The full list, and how we keep practice safe, is in Is TRE™ safe?
Many people come to TRE™ because of stress or anxiety. It can be a helpful self-regulation tool, but it is not a treatment for an anxiety disorder. We look at what it can and cannot do in neurogenic tremors for stress and anxiety.
You can start with an introductory workshop or a few one-to-one sessions with a certified provider. If you want to go deeper, Module 1 teaches TRE™ as a personal practice. Modules 2 and 3 then train you to teach it to individuals and groups, leading to the Global TRE™ Provider certificate issued by TRE™ for All.
Isabelle Claus Teixeira, who wrote this guide, is a Global TRE™ Certifying Trainer and trained directly under Dr David Berceli. She teaches in Singapore, in Europe (including Lisbon) and online.
Somatic coaching combines goal-focused coaching conversations with attention to the body: breath, posture, sensation and your stress responses in real time. Where TRE™ gives you a practice for releasing tension, coaching helps you change what keeps creating it, from how you lead and set boundaries to how you recover after demanding weeks.
Isabelle is an ICF Professional Certified Coach (PCC) and Senior Executive Coach who spent more than 30 years in HR and talent leadership roles in Fortune 100 companies across 9 countries. Her coaching is somatic, trauma-informed and neuroscience-informed, and usually runs over 6–12 sessions, in person in Singapore or Japan, or online.
For senior leaders, coaching can sit within the Holistic Mastermind Ecosystem, which brings mind, body, energy and vision together. Read more in somatic coaching for executive burnout in Singapore.
Most people can practise TRE™ on their own after 3–4 guided sessions with a certified provider, with support whenever they need it.
Yes, with the right setup. Sessions run online via Zoom. Your facilitator needs to see your whole body on camera, and we ask for a trusted person nearby and a signed consent form. See how to prepare for an online session.
No. You never need to talk about what happened. The body releases in its own way, and no story is needed.
No. TRE™ is a self-help practice, not a therapy. It works with the body rather than through conversation, and many people use it alongside therapy, coaching or medical care, not instead of them.
Loose, comfortable clothing, a yoga mat, and a pillow or blanket. Online, you also need a camera that can see your whole body.
More questions? See the full TRE™ FAQ.
This article is general information, not medical advice. TRE™ is a self-help practice and is not a substitute for diagnosis or treatment by a doctor or mental health professional.
What the tremor feels like, why it starts in the legs and how you stay in control.
What TRE™ can and cannot do, and when to speak to a professional first.
Two body-based approaches compared: who leads, how they work and how to choose.
Coaching that includes the body, in person in Singapore and online.
Who should check with a doctor first, and what you might feel afterwards.
Short, honest answers about sessions, training and certification.