Anne Lewis Anne Lewis

Therapy Basics

It All Begins Here

A guide to understanding therapy, trauma, and the healing process

If you’ve ever wondered what therapy actually is, how it works, or what terms like trauma, EMDR, or attachment mean, you’re not alone. This page breaks down the most common therapy concepts in simple, clear language.

What is Therapy?

Therapy is a safe, confidential space where you work with a trained professional to understand your thoughts, emotions, behaviors, and experiences. It helps you process challenges, heal from past experiences, and develop healthier patterns.

What Happens in Therapy?

In therapy, you talk openly about your experiences while your therapist helps you:

  • Identify patterns

  • Process emotions

  • Build coping skills

  • Develop insight and awareness

Sessions are tailored to your goals and needs.

Confidentiality in Therapy

Confidentiality means what you share in therapy stays private. Therapists are legally and ethically required to protect your information, with a few exceptions (such as risk of harm to yourself or others).

Informed Consent

Informed consent means your therapist explains the therapy process, your rights, risks, and benefits before you begin. You have the right to ask questions and make informed decisions about your care.

What is Trauma?

Trauma is not just what happened to you—it’s how your nervous system responded. Trauma occurs when an experience overwhelms your ability to cope, leaving lasting emotional, psychological, or physical effects.

Types of Trauma

  • Acute trauma: A single distressing event

  • Chronic trauma: Repeated or prolonged stress

  • Complex trauma: Exposure to multiple traumatic events, often in relationships

Developmental Trauma

Developmental trauma happens in childhood when emotional needs are not consistently met. It can impact identity, relationships, and emotional regulation later in life.

Childhood Emotional Neglect

This occurs when a child’s emotional needs are overlooked or dismissed. Even without obvious abuse, it can lead to difficulty identifying emotions, low self-worth, and disconnection.

How Trauma Affects the Brain and Body

Trauma impacts the nervous system, often keeping the body in survival mode. This can show up as anxiety, shutdown, hypervigilance, or emotional overwhelm.

Fight, Flight, Freeze, Fawn

These are automatic survival responses:

  • Fight: Confrontation or anger

  • Flight: Avoidance or escape

  • Freeze: Shutdown or numbness

  • Fawn: People-pleasing to stay safe

What is Attachment Theory?

Attachment theory explains how early relationships with caregivers shape how we connect with others throughout life.

Attachment Styles

  • Secure: Comfortable with closeness and independence

  • Anxious: Fear of abandonment, seeks reassurance

  • Avoidant: Discomfort with closeness, values independence

  • Disorganized: Mixed patterns, often linked to trauma

Attachment Wounds

Attachment wounds form when early relationships feel unsafe, inconsistent, or neglectful. These wounds often show up in adult relationships.

What is EMDR Therapy?

EMDR (Eye Movement Desensitization and Reprocessing) is a therapy approach that helps process and heal traumatic memories using guided eye movements or other forms of bilateral stimulation.

What is Brainspotting?

Brainspotting is a therapy method that identifies specific points in your visual field connected to unprocessed trauma. By focusing on these “brainspots,” the brain can process and release stored emotional pain.

What is Internal Family Systems (IFS)?

Internal Family Systems (IFS) is a therapy model that views the mind as made up of different “parts” (such as wounded parts, protective parts, and a core Self). Therapy helps these parts heal and work together.

What is Cognitive Behavioral Therapy (CBT)?

CBT focuses on the connection between thoughts, feelings, and behaviors. It helps identify and change unhelpful thinking patterns.

What is Somatic Therapy?

Somatic therapy focuses on the body’s role in healing. It helps release trauma stored physically through body awareness and regulation techniques.

What is Mindfulness-Based Therapy?

This approach uses present-moment awareness to reduce stress, increase emotional regulation, and improve overall well-being.

What is Addiction?

Addiction is a pattern of compulsive behavior despite negative consequences. It often develops as a way to cope with pain, trauma, or overwhelming emotions.

Trauma and Addiction

Many addictions are rooted in unresolved trauma. Substances or behaviors may be used to numb or manage distress.

What is an Eating Disorder?

Eating disorders are complex mental health conditions involving unhealthy relationships with food, body image, and control.

Types of Eating Disorders

  • Anorexia Nervosa

  • Bulimia Nervosa

  • Binge Eating Disorder

Triggers

A trigger is anything that activates an emotional or trauma response. Triggers can be internal (thoughts, feelings) or external (people, places, situations).

Emotional Regulation

Emotional regulation is the ability to manage and respond to emotional experiences in a healthy way.

Dissociation

Dissociation is a sense of disconnection from thoughts, feelings, or surroundings. It can be a protective response to overwhelming experiences.

Inner Child

The “inner child” represents the younger parts of you that carry early experiences, emotions, and unmet needs.

Coping Skills

Coping skills are strategies used to manage stress, emotions, and challenges in daily life.

Grounding Techniques

Grounding techniques help bring you back to the present moment, especially during anxiety or trauma responses.

Read More