Brainspotting vs Trauma-Sensitive Yoga
A side-by-side comparison: mechanism, evidence, the conditions each treats, philosophical roots, and where they actually disagree clinically.
At a glance
Brainspotting
- Tradition
- Trauma-Focused
- Founder
- David Grand (2003)
- Evidence
- RCT-supported
- Focus
- Processing + Somatic
- Format
- Individual
- Duration
- Short-medium
Trauma-Sensitive Yoga
- Tradition
- Somatic
- Founder
- David Emerson / van der Kolk (2005)
- Evidence
- RCT-supported
- Focus
- Body-Based + Stabilization
- Format
- Group or individual
- Duration
- Variable (typically 10-week group format; individual adaptations exist)
How they work
Brainspotting
Core mechanism: Focused eye position accesses subcortical processing of trauma capsules; therapist attunement supports activation and discharge
Ontology: Trauma stored subcortically in body/brain; accessed through visual field-somatic connection
Trauma-Sensitive Yoga
Core mechanism: Repeated practice of noticing and making choices about physical experience within a safe relational context restores interoceptive awareness and the capacity for self-regulation that trauma disrupts
Ontology: Trauma as disruption of the body's capacity to be inhabited safely. Healing requires restoring the relationship to bodily experience through titrated, choice-based somatic practice.
Conditions treated
3 shared · 1 Brainspotting-only · 3 Trauma-Sensitive Yoga-only
Both treat
Only Brainspotting
Only Trauma-Sensitive Yoga
What each assumes — and misses
Brainspotting
Philosophical roots: Merleau-Ponty (body-subject, perception); Levine (somatic trauma); Damasio (somatic marker hypothesis); Grand (subcortical processing thesis)
Blind spots: Very limited controlled research; proposed mechanisms largely speculative; training lacks standardization compared to EMDR
Therapeutic voice: Just notice where your eyes naturally want to go when you hold that feeling. Stay there.
Trauma-Sensitive Yoga
Philosophical roots: van der Kolk (body keeps the score); Merleau-Ponty (embodied subjectivity); Levine (somatic experiencing); Porges (polyvagal theory)
Blind spots: Certification standards vary; quality of instruction is highly variable outside certified programs; not a standalone treatment; limited RCT replication
Therapeutic voice: Notice if there's anything happening in your body right now. You might try this shape, or something else entirely, or just stay still. Whatever works for you.
Choosing between them
Brainspotting (Trauma-Focused) and Trauma-Sensitive Yoga (Somatic) come from different traditions, which means they assume different things about what a person is, what causes suffering, and what the therapeutic relationship is for. The choice between them is often less about "which works better" and more about which set of assumptions fits the client and the therapist.
For deeper coverage: see the full Brainspotting and Trauma-Sensitive Yoga pages, or use the interactive comparison tool to add more modalities to this comparison.