19/06/2026
A few years ago, the word "somatic" seemed to be everywhere.
I had two reactions to it. Part of me, the CBT therapist trained on evidence and structure, was a bit cynical about some of the nervous system techniques doing the rounds. But another part of me thought: hang on, I'm already teaching most of this. I've been using a lot of it myself for years.
That's the part that surprised me. Once I looked properly at what's happening in the nervous system, and at the research on sleep, hormones and stress physiology, I realised these weren't fringe ideas at all. So much of it was already woven through my work, I just hadn't been calling it "somatic."
Because here's the thing: you can't think your way out of a dysregulated nervous system. CBT gives us brilliant tools for working with our thoughts, but the body often needs to feel safe first, before the thinking brain comes back online. That's especially true in perimenopause and menopause, when shifting oestrogen can leave the stress response more easily triggered and sleep so much harder to hold onto.
Six body-based practices I genuinely recommend, and use myself:
✨ Let your out-breath lead. When everything speeds up, slow the exhale right down. A long, unhurried breath out is one of the fastest ways to tell your body the threat has passed.
✨ Soothe through the body, not just the mind. A hand on your chest, a low hum, a quiet sigh. Simple cues that switch on the calming side of your nervous system when words alone won't reach you.
✨ Give the stress somewhere to go. Shake your hands out, roll your shoulders, move. Stress is physical, and your body is built to release it, not store it at a desk all day.
✨ Anchor your day with daylight. Getting outside early sets your body clock, which steadies your mood, energy and sleep. Not woo, just biology, and it matters even more through menopause.
✨ Feed your nervous system steady fuel. Skipped meals and sugar crashes register as stress in the body. A protein-rich breakfast does more for your calm than another coffee ever will.