Somatic resource · July 2026

Somatic approaches for stress and anxiety

How body awareness, grounding, breathing, tension release, and progressive muscle relaxation can help calm stress and anxiety, especially when the body stays activated even after the mind understands what is happening.

Mark Anns · Health Psychologist · Fellow, Australasian Society of Lifestyle Medicine · Revision: July 2026

Companion resources

This resource sits alongside two related guides. Together they cover three common starting points in stress and anxiety: working on thoughts, working through movement, and working directly with the body.

Movement companion

Movement for stress and anxiety

This guide focuses on what happens in the body under stress, why movement helps, and how to choose walking, yoga, swimming, strength work, tai chi, or other movement that actually fits the person.

Open movement resource
Cognitive companion

Stress, anxiety, and the role of cognitions

This guide focuses on thoughts, learned patterns, appraisal, prediction, rumination, and the range of therapeutic approaches used to alter anxiety-related thinking and response patterns.

Open cognition resource

Stress and anxiety are not just thoughts

Stress and anxiety affect the whole body. They can change breathing, muscle tone, posture, digestion, heart rate, attention, energy, and the sense of safety or threat.

In real life, the physical and mental parts usually blend together. A person may feel pressured, tense, alert, worried, fatigued, restless, and physically braced all at the same time.

Common body signs
  • Shallow or held breathing.
  • Tight jaw, shoulders, chest, or abdomen.
  • Poor sleep or difficulty fully relaxing.
  • Restlessness, agitation, heaviness, or collapse.
  • Gut discomfort, nausea, or a “knot in the stomach.”
  • Feeling mentally safe but still physically activated.
Why somatic work matters

The body can learn a pattern so well that it reacts before conscious thought catches up

That does not mean the reaction is irrational or imaginary. It means the body has become highly practised at preparing for danger, pressure, uncertainty, or discomfort. In those moments, direct work with breathing, posture, tension, grounding, support, and attention may help more quickly than reasoning alone.

What somatic approaches are

Somatic approaches work directly with the bodily side of stress and anxiety. They help a person notice what the body is doing, reduce unnecessary bracing, and move back toward steadier breathing, less tension, and a greater sense of ease.

This can happen in stillness as well as in movement. Somatic work includes grounding, orienting, body awareness, breathing, progressive muscle relaxation, and practical ways to release tension and improve support.

Important distinction

Somatic does not just mean exercise

Movement-based approaches often use walking, yoga, swimming, strength training, tai chi, or other activity to change the state of the body. Somatic approaches overlap with that, but can also work while sitting, lying down, standing still, or using small, carefully chosen physical adjustments.

That is why this guide is separate from the movement resource, even though the two overlap substantially.

Three overlapping doors, not competing schools

People often ask whether they should work on thoughts, movement, or the body. In practice, these are usually overlapping ways into the same system, not separate schools that compete with each other.

Approach Main focus When it may help most
Cognitive Thoughts, predictions, beliefs, interpretations, attention, rumination, and learned mental patterns. When worry, catastrophic thinking, mental replay, dread, or misreading of situations seems to be driving the reaction.
Movement-based Activity, rhythm, posture, breathing, coordination, outward attention, and the release that comes from moving the body. When stress feels restless, physically stirred up, stagnant, or easier to shift once the person gets moving.
Somatic Body awareness, grounding, orienting, breath regulation, support, tension release, progressive muscle relaxation, and settling. When the body stays braced, shut down, breath-held, or uneasy even after the person understands the situation mentally.

Yoga, tai chi, mindfulness, breathing exercises, grounding, and relaxation training may partly belong to more than one category. That overlap is normal.

How body-based approaches can help

Stress and anxiety often feed themselves through loops in the body. Tension, shallow breathing, poor posture, sensory overload, poor settling, and physical discomfort can all keep the system feeling as if the demand is still present.

Body-based approaches can help interrupt these loops. When breathing becomes easier, muscles release, support improves, and attention reconnects with the present, the body often becomes less guarded and the mind has less alarm to work with.

A simple way to think about it

The body both reflects stress and helps maintain it

If the jaw remains tight, the breath stays shallow, the shoulders stay lifted, and the person never fully settles, the body keeps sending signals consistent with pressure or threat. Changing those patterns does not solve every problem, but it can make the whole system easier to shift.

This is one reason somatic approaches can be useful even when a person already understands their stress mentally.

Breathing, settling, and the vagus nerve

Stress and anxiety often change breathing before a person fully notices what is happening. Breathing may become shorter, faster, higher in the chest, or intermittently held, while the jaw, chest, shoulders, or abdomen remain braced.

When breathing becomes easier and less guarded, and when muscular tension reduces, many people notice that the body begins to settle and clearer thinking becomes more available.

A cautious explanation

Keep the focus on what you can notice

The vagus nerve is part of the wider autonomic nervous system involved in everyday regulation of the body, including some aspects of heart rate, breathing, and digestion. It is often mentioned in discussions of stress because calmer, easier breathing and less muscular guarding are commonly linked with a greater sense of settling.

The practical question is not whether a person can feel the vagus nerve working. It is whether breathing is becoming less strained, the body less braced, and the overall sense of pressure less intense. If a breathing method feels forced, dizzying, or over-controlled, it may not be the right starting point.

What tends to change the system

The same few ingredients matter again and again. Somatic work helps when it improves awareness of what the body is doing, releases tension, frees breathing, and helps the body settle more fully.

1. Interoceptive awareness

This means noticing internal signals earlier: the tightening chest, the lifted shoulders, the clenching jaw, the hollow stomach, the speeding breath, the flattening energy, or the “buzzing” that says activation is rising.

2. Grounding

Stress often pulls attention upward and inward. Grounding uses feet, seat, floor, pressure, and support to give the body more contact with something stable and real.

3. Orienting

Orienting means looking, listening, and allowing attention to reconnect with the actual environment rather than staying trapped in internal alarm or threat anticipation.

4. Breath regulation

When breathing becomes short, high, or effortful, the body often reads that as ongoing urgency. Slower, easier breathing can help reduce the sense of emergency.

5. Tension release

Stress frequently lives in the jaw, shoulders, neck, chest, hands, belly, hips, and upper back. Releasing these patterns is not cosmetic; it changes the physiology of bracing.

6. Recovery and settling

The goal is not to remove all activation. It is to help the body come down more fully once the demand has passed, rather than staying switched on for longer than needed.

Why progressive muscle relaxation belongs here

Progressive muscle relaxation is one of the clearest ways to work directly with the tension that stress and anxiety leave in the body.

Many people are so used to holding tension that they no longer notice it clearly. Progressive muscle relaxation helps make the difference between tension and release easier to feel.

Progressive muscle relaxation

Learning the difference between holding on and letting go

The basic method is simple: notice a muscle group, tense it gently for a few seconds, then release it and compare the difference. Over time this makes it easier to notice where the body is holding on, and easier to let go of it.

It can be done as a full head-to-toe sequence, or as a shorter version focused on the jaw, shoulders, hands, chest, abdomen, and legs. It can be especially useful when the body feels wound up but the person is not sure exactly where the tension is being held.

Why it helps
  • Improves awareness of where tension is being held.
  • Provides a concrete rather than vague relaxation method.
  • Helps people who cannot tell they are bracing until they compare tension and release.
  • Can reduce the muscular part of anxiety even when worry has not fully settled yet.
  • Creates a reliable home practice that can be repeated often.
Useful cautions
  • Tense lightly rather than forcefully, especially with pain, injury, frailty, fatigue, or high sensitivity.
  • Stop if the method increases pain or feels too activating.
  • Some people prefer starting with only a few areas rather than a full-body routine.
  • For some people, a brief supported version works better than a long formal session.

Breathing and bodily regulation

Stress and anxiety often change breathing before a person fully notices what is happening. Breathing may become shorter, faster, higher in the chest, or intermittently held, especially when the body is braced.

When breathing becomes easier and less guarded, and when muscular tension reduces, many people notice that the body begins to settle and clearer thinking becomes more available.

What this means in practice

Less strain, less bracing, steadier breathing

Slower breathing, a slightly longer exhalation, reduced muscular guarding, humming, gentle vocal vibration, and a greater sense of physical support may all help some people feel less physically activated.

Not every breathing method works for every person. If a technique feels forced, dizzying, or over-controlled, it may be the wrong starting point. The useful question is whether breathing is becoming easier, less strained, and less guarded over time.

Practices that fit a somatic approach

The best somatic resource gives people concrete options. Some people need stillness and support. Others need a little movement first and then direct work with breath or tension.

Grounding through contact

Feel both feet on the floor, notice the weight of the body in the chair, or lean gently into a wall or backrest to increase a sense of support.

Orienting to the room

Look around slowly, notice shapes, colours, light, edges, distance, and sounds, and let attention widen beyond the worry or body sensation.

Body scan with choice

Notice internal sensations without forcing prolonged attention into any area that immediately feels too intense or overwhelming.

Breath settling

Use easy nasal breathing where possible, soften the out-breath, and aim for less effort rather than deeper effort.

Self-contact or containment

A hand on the chest, upper arms, abdomen, or shoulders can be helpful when gentle pressure feels steadying rather than intrusive.

Restorative positions

Supported sitting or lying positions can reduce unnecessary muscular effort and help the body register that it is allowed to settle.

Working directly with the body

Somatic approaches are not limited to self-directed practices. Some people respond well to hands-on or body-focused approaches that reduce guarding, improve comfort, or make it easier to notice what the body has been holding.

These approaches are not automatically calming for everyone, and not every practitioner or method is a good fit. What matters is whether the person feels safer, less braced, and more settled afterwards.

Examples
  • Massage therapy, when touch feels safe and helps reduce muscular guarding.
  • Osteopathic or physiotherapy approaches that improve mobility, posture, breathing mechanics, or pain-related bracing.
  • Chiropractic care, where a person finds it reduces pain or stiffness that has been feeding tension and alertness.
  • Warm water, hydrotherapy, stretching tables, or other physical supports that help the body feel less compressed or defended.

Float tanks and low-stimulation settings

Some people find that float tanks, quiet darkened rooms, or very low-stimulation environments help the body let go of muscular effort and constant alertness. The reduction in noise, visual input, pressure, and performance demand can make settling easier.

For others, especially if stillness, enclosed spaces, body sensations, or reduced sensory input feel unfamiliar or threatening, the same setting can increase discomfort. A float tank is not automatically calming just because it is designed for relaxation.

Practical point

Useful for some, not for all

A float tank may be a good fit when the body is exhausted by constant stimulation and responds well to quiet, warmth, weightlessness, and reduced sensory demand. It may be a poor fit when the person becomes more anxious with inward focus, unfamiliar body sensations, confinement, or loss of external orientation.

Sensory overload and autism

For some people on the autism spectrum, stress and anxiety are tightly linked to sensory overload, difficulty filtering input, or cumulative exhaustion from environments that are too noisy, bright, fast, crowded, unpredictable, or socially demanding.

In that situation, the body may remain on alert not because the person is misreading the environment, but because the environment is genuinely too much. Somatic approaches can still help, but they need to be adapted carefully and introduced slowly.

What may help

Caution: people who may be on the autism spectrum, or who have difficulty with sensory awareness, body awareness, or interoception, may need to go more slowly. The first step may be to reduce sensory load and improve predictability rather than to increase inward focus.

  • Reducing sensory load first, rather than expecting the person to calm down inside the same overwhelming environment.
  • Using predictable, repeatable practices with clear structure.
  • Preferring quieter settings, softer lighting, familiar spaces, and less social demand.
  • Using pressure, weight, warmth, rocking, or repetitive movement when those are soothing for the individual.
  • Respecting that some forms of touch, breathing work, or inward body focus may be too much rather than helpful.

When body-focused work may need extra care

For some people, especially those with a trauma history, dissociation, weak body awareness, or strong sensory sensitivity, body-focused work may need to begin slowly and carefully. Paying attention inward is not always calming.

If inward focus quickly increases distress, numbness, panic, shutdown, or confusion, it may be better to begin with external grounding, movement, co-regulation, practical support, or work with a therapist who can help pace the process.

Go slowly

More body awareness is not always better at first

  • Start with short practices rather than long inward focus.
  • Keep the eyes open if closing them increases discomfort.
  • Use feet on the floor, looking around the room, or contact with a chair as anchors.
  • Pause if the practice increases flooding, disconnection, confusion, or distress.
  • For some people, the first task is to reduce overload, not to go further inside it.

When somatic work may be especially useful

Somatic approaches may be a useful starting point when the body side of stress and anxiety feels more immediate than the thought side, or when understanding something mentally has not yet changed how the body reacts.

Signs it may fit
  • “I understand it mentally, but my body still reacts.”
  • Breathing stays shallow or guarded even when the situation is safe.
  • The person is chronically tight, braced, or unable to switch off.
  • Movement helps somewhat but does not fully land.
  • The person feels numb, collapsed, or disconnected rather than only worried.

When another starting point may fit better

Somatic work matters, but it is not always the first or only doorway. Sometimes the main driver is worry, prediction, rumination, or a real external stressor that needs practical change or support.

Other possible starting points
  • If worry, prediction, or mental replay dominate, start with the cognitive resource.
  • If restlessness drops quickly once the person walks, swims, cycles, or practises yoga, start with the movement resource.
  • If an external stressor is ongoing and severe, practical support and safety may need to come before self-regulation strategies can fully work.
  • For many people, the most effective plan combines all three approaches over time.
Where to begin

Which doorway to start with is highly individual

There is no single correct order. For one person, changing thoughts first makes the biggest difference. For another, walking or swimming creates enough shift for everything else to become easier. For another, the missing piece is direct work with breath, grounding, tension, or progressive muscle relaxation. The practical task is to notice what actually changes the pattern, then repeat it often enough for the change to hold.

Practical ways to begin

Most people do better starting small and repeatable rather than aiming for an ideal routine they will not maintain.

A gentle starting sequence
  1. Notice one body sign of stress, such as jaw tension or held breathing.
  2. Ground through the feet, seat, or back support.
  3. Slow the out-breath slightly without forcing a deep inhale.
  4. Release one area of tension, or use a short progressive muscle relaxation sequence.
  5. Repeat regularly so the body learns the pattern, not only in a crisis.
Remember

A strategy is only helpful if it actually changes what the body is doing. Going through the motions is not the same as the work landing. If the shoulders stay tight, the breath stays guarded, and the body never really settles, the approach may need adjusting.

Final thoughts

Stress and anxiety are physical as well as mental. Somatic approaches matter because they work with the body directly, not as a secondary issue but as part of the pattern itself.

Cognitive, movement-based, and somatic approaches are all important. They overlap substantially, and the best starting point depends on the individual person, the pattern, and the moment.

Key message

Different doors, one system

The aim is not to find one perfect method. The aim is to understand what stress and anxiety are doing in the body, notice which kind of intervention actually shifts that pattern, and build enough repetition for that shift to become easier to access over time.

Further reading

If you want to explore this area further, these are easier places to start.