Relieving Post Traumatic Stress Related Symptoms with Trager® Approach to Psycho- physical Integration

Relieving Post Traumatic Stress Related Symptoms with Trager® Approach to Psycho physical Integration - by Michael Lear  

Excerpt from Total War on PTSD Compiled by Courtenay Nold, Edited by Paul Gilliland

Synopsis: Developed over 90 years ago for treating polio and sciatica, The Trager®  Approach to movement re-education facilitates lasting neuro-muscular improvement. Dr.  Milton Trager, a veteran, was a recipient of three battles stars in the United States Navy. In  the development of his approach, Dr. Trager would work on fellow service members  during wartime service at sea on the U.S.S. Thomas Stone.  

Since its inception, Dr. Trager’s work in psycho-physical integration has incorporated  components of what is now understood as Mindfulness, Trauma-informed practices, and  Non-Violent Communication in a tactile sense. Its efficacious underpinnings also leverage  elements of Neuroplasticity, Epigenetics, and Heart-Brain Coherence, which can positively  impact PTSD symptoms.  

The Trager® Approach utilizes gentle touch and movement as a language to dialogue with  the nervous system which appears to quickly establish a psycho-emotional, neuro physiological state of trust and safety distinct from massage. This "somatically" held space  allows the nervous system to down-regulate and release dysfunctional musculoskeletal  holding patterns that manifest as pain and functional limitation. These compensatory  patterns are in response to injuries, surgeries, or traumas of various kinds and PTSD. Vagal  tone can be restored, the capacity for social engagement can be positively recalibrated.  Through the reduction in pain, increase in mobility, and capacity to relax, a greater sense  of wholeness and well-being may result. Empowering self-care movement exercises are  provided so that clients may recall, elicit, and habituate relaxation responses like those  experienced during their session.  

A few months after turning 22 in 1986, having a degree in finance and working in a  management position, I was found to have impressively high blood pressure measuring  162/105 and elevated cholesterol levels. I also suffered from compromising chronic back  pain which became acutely sharp at times. Being 40 pounds heavier than the average  weight for my height didn’t help the situation. Being allergic to many medications,  including the most widely used array of prescription pain-killers, I had to explore other  alternatives to find relief. My body had rejected even muscle relaxants which left me with  little latitude to journey comfortably forward.  

Fortunately, through some serendipitous events, a unique method of psycho-physical  integration or somatic movement re-education system called the Trager® Approach came  on to my radar. Named after Dr. Milton Trager who developed the technique over his  lifetime and professional career, it seemed like a good place to start. At that time, I had  only the pain to lose. 

Alternative approaches, including massage, were considered ‘fringe’ in the late ‘80s as  they still lacked wide acceptance. Nearly a decade later, in 1995, hands-on therapies,  including the Trager® Approach, were cited as “Eye of the Newt Therapies” in the Market  Place section of a Wall Street Journal issue. The Trager Approach has stood the test of time.  

My first experience with The Trager Approach was profound and would prove to be  pivotal. Though I had arrived at the session with some discomfort, there was no time  during the session that I experienced pain. In fact, most of what I felt was curiosity mixed  with relaxation. I was feeling that most, if not all, of my body felt good, not heavy or  restricted as it had an hour before. Often during the session I wondered why the  practitioner was working on a part of me seemingly not related to the pain I had been  experiencing. Yet, when the session was over, all traces of functional limitation and  discomfort were gone. “Where did they go,” I thought to myself, “if they were not worked  on directly?”  

After my session I was given movement exploration exercises to do on my own, Trager®  Mentastics® (mental gymnastics), to help me meet my world differently; to explore  movement possibilities outside my default, habituated way of moving about my  environments such as work and home. It was through these homework movement  exercises that the Trager® Approach got its traction within me.  

I began receiving sessions monthly to ensure that the pain did not return. In other words,  so I did not fall back in to old movement patterns that set up the painful conditions. Also, I  had become a committed student of the Mentastics which are like Tai Chi or gentle yoga type movements that leverage principles of autogenic training, a widely recognized  method of biofeedback used to lower blood pressure as it elicits physiological change  through silently repeated phrases. Mentastics also encourages memory of the session, of  how it felt when I received the work, re- living the therapy in my mind. Every movement  after a session is an opportunity to reprogram how one moves in their body and in relation  to their world.  

Mentastics requires mindfulness and, indeed, this was changing my relationship to the  world around me. I even found that the underlying principles of The Trager Approach  worked in dialogues, meetings, negotiations and in my relationships. They impacted all  aspects of my life.  

To note, The Trager Approach can be likened to piano lessons, where the student studies  with a teacher and then practices in between each lesson so the next lesson can build  upon the previous one. I discovered that each session was a lesson for my nervous system  which then was reinforced by living differently through my body afterward. It was more  than a treatment for my physical body as it worked on my mind as well which, in turn,  affected my body’s function.  

The phrase “One doesn’t have to feel bad to feel better,” comes to mind as, although  comfortable, I continued to receive the sessions regularly. Not only did I remain pain-free,  but I also noted increasing fluidity, grace and lightness in my body, qualities that had been 

shut down through restricted habituated movement patterns which were compensatory  responses to injuries and to surgeries which I had as a child.  

That first Trager session was May 13, 1987 and my latest was just two days before  beginning to write this chapter. Discovering the Trager Approach changed the course of  my life significantly. It made me interested in, curious about, and aware of how I moved in  my body; who I was towards myself as I lived in my body; and how all that impacted my  movement experience, either by limiting it or by opening it up to new potential, like doing  Yoga.  

My body was feeling better and the deep relaxation fostered by the sessions facilitated the  release of deeply seated muscle holding patterns that clearly had subconscious emotional  counterparts. The insights I gained were game-changing. The work took me into foreign  territory. Terrain that was inside of me, not outside, and which connected me to what was  and what wasn’t comfortable. The Trager Approach’s capacity to provide a safe context for  my body-mind to assess, re-organize and let go of dysfunctional muscle holding patterns  that manifested as functional limitation and pain was extra-ordinary, comfortable,  pleasurable. It facilitated a ‘remembering’ of my body’s inherent coherence and, once it  felt safe, my body naturally migrated toward more balance and harmony. I had let go of  learned dysfunctional muscle patterns developed and valid at an earlier time which were  now simply limiting.  

The relaxation and release of stress promoted by the mindfulness of The Trager Mentastics  led to a controlling of my body's 'fight or flight' response. This produced a decrease in  cortisol and adrenalin release, normalizing my blood pressure and leading to a lowering of  my cholesterol levels. In addition, the decreased stress curbed my emotional eating and  encouraged me to make better nutritional choices. As I was pain-free, I became more  active which also contributed to a reduction in my body weight.  

So, affected by the experiences that I continued to have, I began to wonder what  education one needed to be able to impart such a feeling state to others. I then registered  for the professional Trager Approach training and became a certified Trager Practitioner in  1991. Also, Trager had led me to Ashtanga yoga and Vipassana meditation. Today, these  three form the tripod of daily practices upon which my day’s rest.  

So, what is The Trager Approach and what are its applications for addressing Post  Traumatic Stress Disorder related pain? Succinctly stated by Deane Juhan, Senior Trager  Instructor and author of “Job’s Body, A Handbook for Bodywork”:  

“Unconsciously habituated muscular responses and adaptations to life’s adverse  circumstances, such as accidents, illness, surgery, emotional traumas, or high levels of  daily stress, often develop into poor postures and patterns of movement that can become  the silent accumulative context for further pain, injury or disease. And wasteful, ineffective  muscular patterns can also frequently slow down, compromise, and even ultimately limit  the process of recovery from physical or 

emotional breakdowns of many kinds. The Trager Approach is a rapid, effective, and  painless, indeed pleasurable, method of deprogramming these accumulated negative  muscular patterns, and  

of restoring the positive body image and feeling, tone, and organized responses that are  essential to healing and healthy development.” The purpose of my work,” Dr. Trager has  said, “is to break up these sensory, motor, and mental patterns which inhibit free  movement and cause pain and disruption of normal function.”  

The Trager Approach consists of the use of hands-on contact and movement re-education  to influence deep- seated psycho -physiological patterns in the mind, and to interrupt their  dysfunctional projection into the body’s tissues. The method is to impart to the patient  what it is like to feel right in the sense of a functionally integrated body-mind. Since the  inhibiting patterns are affected at the source, the mind, the patient can experience long lasting benefits. “  

Juhan Continues, “During a Trager tablework session, the practitioner uses gentle,  pleasuring rocking motions, compressions and elongations, gravity-assisted swings and  hangs of the limbs,  

and shimmers of the tissues to facilitate a more and more painless and passive perception  of movement throughout the patient’s body. These manipulations are not perceived as  intrusive because they do not work against the organism’s basic reflexes and defenses, but  rather simulate the normal ranges of elongation, compression, and jiggling of coordinated  movement in the body. And the pleasuring aspect of each exploratory movement is not  incidental to the treatment. On the contrary, it is of the essence, and any pain or  discomfort is always an indication to modify the depth, range, or speed of the  practitioner’s imposed movements.  

This pleasuring is important for three reasons: 1) Pain inevitably engages reflex muscular  defensiveness, producing amplified, not reduced contractions and holding patterns; 2)  Pleasuring is a potent biofeedback element which leads to deeper relaxation, softening,  and increased ranges of motion within the limitations of the actual conditions in the body;  3) Trauma and pathology themselves have created pain and fear, frequently to the extent  that the patient can no longer  

imagine any part of their body as a source of pleasure, comfort, or strength. The goal is to  create in the session a sense of safety and ease in which new and better patterns can be  learned, a delicate process that can be easily disturbed by any increase in pain or  discomfort. “Every shimmer of the tissue,” Dr. Trager has said, “is sending a message to the  unconscious mind in the form of a positive feeling experience. It is the accumulation of  these positive patterns that can offset the negative patterns so that the positive can take  over.” 

The table-work portion of the session takes place on a massage table with the client  draped and clothed to the degree they’re most comfortable with. No oils or lotions are  used. A typical session with Mentastics Instruction lasts about ninety minutes, however  time varies depending on the setting and the practitioner.  

Some reported benefits from The Trager Approach include:  

Increased mobility, vitality, clarity, capacity to relax and a sense of overall peace.  Improved sports performance with less likelihood of injury.  

Quickened recovery from surgery or injury.  

Relief from stress, joint pain, muscular pain, sciatica, chronic back/neck pain, headaches  and temporomandibular joint (TMJ) pain.  

Relief from fibromyalgia and chronic fatigue.  

Improved neuro-muscular function in those with Parkinson’s disease, cerebral palsy and  multiple sclerosis.  

Improvement in status with ankylosing spondylitis and post-stroke paralysis.  

Please understand, this is not to claim that Trager is a cure for these or any other  pathologies. “But in the absence of a cure, improved emotional balance, superior coping  mechanisms, more effective compensations, and a measure of control over and active  engagement in their own present and future will always be of extreme importance to these  patients, and to anyone personally associated with them.” Deane Juhan.  

Over the course of my career, I have successfully worked with clients with various painful  or limiting physical conditions, stress-related symptoms, congenital neuromuscular  disorders and survivors of various kinds of trauma as well as with clients who, although  comfortable, wish to expand their range of motion and physical capabilities. During the  time that I spent in post- tsunami Sri Lanka, I worked with numerous disaster survivors  who still experienced pain and limited mobility long after the apparent healing of the  initial injury. Self-medication, sometimes imprudent, did not help with their pain. The  Trager Approach greatly improved their conditions, almost always decreasing or even  eliminating pain and restoring greater degrees of function and enhancing ease in mobility.  

One specific client experienced arm swelling a year out from the tsunami. She had been  pinned down by that arm when a cabinet fell upon it, trapping her as the waves were  rushing in. She nearly drowned before she was rescued. After her first Trager session, the  swelling reduced by about 80% and subsequent sessions relieved the situation completely.  In this particular case, it was the artifact, the memory of the experience that had remained  frozen in her mind and body and produced a physical expression long after the original  incident. Through the gentle touch and inquiring movements of Trager, her mind was able  to experience safety and eventually release the pattern holding the physical expression. 

Similarly, the effects of sexual abuse are present long after the trauma takes place,  sometimes producing a fear of physical contact altogether or a dissociation with bodily  identity. Through The Trager Approach I have been able to help such clients to  acknowledge their physicality and reset their level of comfort with healthy normal contact  with others.  

The touch dialogue that The Trager Approach sets up can be compared to the approach of  “Non Violent Communication” as described by Marshall Rosenberg in his book of the  same name. For example, if you were yelled at, how long would you listen? In the same  way, to force the body to do something that it is not ready to do sets up a similar  resistance-push back. It’s important to emphasize that Trager is not a form of  psychotherapy or “talk” therapy and references made to the “touch as a language” or  touch dialogue” pertain to the use of hands to engage in a conversation with the  unconscious mind.  

Trager practitioners feel/listen for resistance patterns and honor their set points. They do  not attempt to move into muscular resistance or change what is true for the body-mind.  Instead, the Trager Practitioner will emphasize ranges of motion that are acceptable, safe  and comfortable so as to invite the client’s letting go of such patterns that may be no  longer relevant. As the body feels safe and ‘heard’, it can choose to let go of valid but  outmoded patterns that may have projected into the tissue as pain or limitation. For  Veterans experiencing pain, this non-intrusive process may be of particular benefit. Like  any learning process, success requires repetition and continuity of practice for a new  pattern to establish itself.  

The restoration of optimal sensorimotor patterns through neuromuscular re-learning, or  through the choice of the body-mind or on the nervous system’s terms, contributes greatly  to the health of the body by improving joint mobility, circulation, and reducing pain and  functional limitation.  

Trager’s gentle and subtle approach may also serve those suffering with phantom limb pain  associated with amputations. The initial trauma to the body usually produces a variety of  protective bracing patterns and subsequent compensatory patterns to aid the body in  healing. If these patterns persist after the healing is completed, the potential exists for there  to be excessive limitation and sensitivity near the point of amputation. The Trager  Approach in general, helps the body to experience greater integration, helping it release  such patterns. This may also assist the nervous system at its subtlest level to decrease the  triggering and sensitivity of the portion of the nerve fibers associated with the lost limb.  

Painful muscle spasms may be reduced using The Trager Approach. It was shown that 20- minute sessions of Trager Therapy three times per week had a significant impact on the  level of spasticity within Parkinson’s patients in a study published in the Journal of  Manipulative and Physiological Therapeutics, September 2002. (The Effect of Trager®  Therapy on the Level of Evoked Stretch 

Responses in Patients with Parkinson’s Disease and Rigidity by Christian Duval, Denis  Lafontaine, Jacques Hebert, Alain Leroux, PhD, Michael Panisset, MD, and Jean P Boucher,  PhD)  

The relaxation response of The Trager Approach is also profound. The practitioner him/ herself cultivates a state of deep relaxation from which to do the hands-on table work so  that the relaxed state can be imparted to the client. This relaxed state after only ten  minutes of Mentastics is measurable in Heart Rate Variability studies. (Dr Gebhard Breuss,  Heidi Stieg-Breuss, Dr Alfred Lohinger, www.autonomhealth.com). The Heart Rate  Variability of the client is also measurably changed. Heart rate variability is a well-known  measure of emotional resilience and relaxation/ stress measurement. Shifts in mind states  to enhance relaxation increase levels of comfort whereas stress is known to exacerbate  pre-existing painful conditions.  

Dr. David Hubbard, formerly Medical Director at Sharp Pain Rehabilitation Services, Sharp  Health Care, San Diego, CA published studies in Spine, 18, 13, 1803-1807, 1993 that  showed that intrafusal muscle fibers that figure prominently in fibromyalgia were  innervated by the sympathetic nervous system. It was found that painful muscular  conditions were exacerbated by sympathetic nervous system arousal. Dr. Hubbard used  TheTrager Approach in his clinic to facilitate the release of these sympathetically  stimulated mechanisms that were causing pain. He found that The Trager® Approach, with  its invitatory touch dialogue which includes compressions and elongations of the muscle  spindles, elicited relaxation responses.  

Muscular changes may also be elicited through the mental movement explorations,  Mentastics, of The Trager Approach. Utilizing self-inquiry, Mentastics helps to keep a  moment-by-moment awareness of what is occurring within the framework of the body, the  mind in relationship to the environment and how that is feeling to us. An important  component of these movement explorations is to stay within pain-free ranges of motion to  reinforce movement without painful consequence. The range of motion expansion should  remain acceptable and comfortable. Much like the table-work explorations performed by  Trager Practitioners, who move the body while maintaining the body’s comfort, Trager  Mentastics help the nervous system drop anticipatory contraction patterns that can  exacerbate painful conditions. Once anxiety over possible discomfort is relieved, the body  mind can make a truer assessment of what is happening.  

Much like the success of autogenic training in biofeedback, Mentastics mindful movement  utilizing self-inquiry can elicit new and more comfortable shifts in the musculature. Self inquiries such as “What would feel lighter or freer, more fluid here?” or the visualization of  something that embodies these qualities, can invite the body to follow the mind. This  process is much like how a dancer or actor will take on the characteristics of the role  they’re playing and, by getting in to character, they initiate change in their carriage,  deportment and gestures, even tone of voice. Our bodies are designed to get good at what  we practice, even when we practice in our thoughts. All of us have been able to call on a  memory and bring forth a physiological response with a recalling of the feeling. Perhaps  too often we reflect on negative experiences rather than recalling and re- living positive, 

relaxing or soothing ones with the enjoyable feelings that accompanied them. We can go  there too, but only through practice. By recalling the Trager session where lightness and  fluidity are experienced, one can begin to elicit similar muscular changes and comfort. For  those suffering from trauma, this may present some challenges, but the Mentastics process  is gentle and patient. When practiced properly, Mentastics does not re-traumatize the body  mind but rather provides a safe movement experience.  

The efficacy of Mindfulness practices, such as Mentastics, is supported by the growing  body of evidence-based research regarding the benefits of Mindfulness practices and  Trauma-informed Yoga. Mindfulness implies keeping a moment-by-moment awareness of  what is occurring within the framework of the body, our feelings, bodily sensations,  surrounding environment (what comes through the five sense doors) and even our  thoughts. An important component of this state of awareness is being equanimous with, or  accepting of, what we observe as it is in particular physical sensations. In doing so we are  in the present moment, not ruminating over the past or being anxious about the future and  experiencing their associated emotional states. Coupled with curiosity, self-inquiry, these  mindful movements have a capacity to reprogram our motor function to be more efficient,  comfortable and easy.  

In addition to controlling heart rate variability, Mindfulness has been shown to result in a  decrease of the grey matter of the brain’s amygdala, the region known for its flight or fight  role in stress. This decrease of the amygdala allows for increased self-control as it  decreases impulsivity allowing for more emotional resilience. These studies have also  shown a beneficial thickening of the grey matter in the pre-frontal cortex, the area of the  brain responsible for emotional control, awareness, concentration, problem-solving and  planning. The hippocampus of the brain, which helps with memory and learning as well  as emotion, also has been shown to have increased amounts of grey matter with  mindfulness practices. This is especially important for those suffering with depression or  Post Traumatic Stress Disorder as the hippocampus is covered with receptors for the stress  hormone cortisol which can be damaged by chronic stress such as those conditions may  cause.  

Additional evidence that Mindfulness and Trauma-informed Yoga can reduce symptoms of  anxiety and depression was reported in a research study found in the February, 2018  Journal of Alternative and Complementary Medicine. The study, “Mind-Body Therapy for  Military Veterans with Post- Traumatic Stress Disorder: A Systematic Reviewwas co authored by Kathryn Braun, professor at University of Hawaii at Manoa and Robin  Cushing, Army Physician Assistant. Braun and Cushing researched the effects of  Mindfulness, mind-body therapy and Yoga on Veterans diagnosed with Post Traumatic  Stress Disorder and found a significant reduction in symptoms for all the Veterans studied  who had participated in the Mindfulness, mind-body therapy and Yoga practices.  

My own personal experience teaching Trauma-informed Yoga in prison and residential  juvenile justice settings demonstrated the benefits of mindful movement practices with a  breath awareness component. In these settings, many within the populations suffered from 

un-resolved abuse trauma and PTSD that led them to engage in behaviors that resulted  their incarceration. Trauma- informed yoga, like The Trager Approach and its Mentastics  mindful movement component, focuses on greater body awareness, development of  enhanced psycho-physical integration. Ensuring safety, predictability, consistency and  choice, coupled with non-violent communication as well as meta-cognition techniques  also facilitates favorable results. Gains were noted in the empowerment of survivors by  increasing emotional resilience, decreasing impulsivity and de- escalating hyper-vigilant  nervous systems.  

Over the course of my career, whether as a Trager Practitioner, a Trauma-informed Yoga  Instructor or working with international relief efforts in disaster areas such as Sri Lanka and  Haiti or in post- conflict regions such as South Sudan and Uganda, the creation of a safe  environment for those affected by PTSD has been a priority as its benefits cannot be  overstated. Until they can safely experience what is true for them in the moment, with a  high degree of equanimity fostered by  

mindful breathing and movement practices, the potential exists for persons with PTSD to  be governed by their symptoms, physical or emotional.  

This holds true for everyone. Safety is paramount for the body to let go of protective and  limiting patterns, whatever they may be. Both The Trager Approach and Trauma-Informed  Yoga with Mindfulness provide a safe context for the body to migrate back to balance and  harmony, the place where it is designed to rest when given the proper support.  

“There is a something on the other side of relaxation. And, that is peace.” Dr. Milton  Trager.  

For more information about The Trager® Approach, or to find a Practitioner in your area,  please contact The United States Trager® Association.  

United States Trager Association Tel: (440) 834-0308 www.tragerapproach.us  Books on The Trager® Approach:  

1) Trager® for Self-Healing: A Practical Guide for Living in the Present Moment -Audrey  Mair 2) Mentastics: Movement As A Way to Agelessness, Dr. Milton Trager and Cathy  Guadagno  

3) Moving Medicine, The Life and Work of Dr. Milton Trager: Jack Liskin  Additional information can be found at. http://www.tragerfordailylife.com 

New Research Project 2024: 

In partnership with Special Forces Foundation: https:/specialforcesfoundation.org The Trager® Approach & Special Forces Performance Optimization and Trauma Recovery  Research Project. https://michaellear.com/sff-potff-research/  

Research Overview:  

• Proposed short-term research to demonstrate Trager® efficacy across a variety of  applications initially.  

• Greater treatment efficacy and lasting recovery more than massage for addressing PTSD  related pain and anxiety experienced by veterans.  

• Performance enhancement and reduction of performance related injury during SOF  training and active duty.  

• Active Operation (in the field) or post op de-escalation to prevent accumulation of deep  seated psycho-neuro emotional/ musculoskeletal trauma patterns that may compromise  performance and post-deployment well-being.  

• Train Special Operations Combat Medics in a somatic, polyvagal down-regulation  protocol for in the field application.  

• Veterans can be trained* to a certified professional level to work in clinics to address the  veteran community (* through VA Voc Rehab)  

• Spouses could be trained as well for at-home support.  

• Further investigation of releasing trauma patterns before and post surgery to improve  interventions for candidates receiving extensive neuro-modulation surgery for lower limb  motor control.  

To learn more about the The Trager® Approach & Special Forces Performance  Optimization and Trauma Recovery Research Project or to Donate: Please visit https:// michaellear.com/sff-potff-research/  

The Special Forces Foundation (SFF) is a 501(c)(3) tax exempt non-profit organization  serving U.S. Army Special Forces (Green Berets) and their families. The foundation has  agreed to be the recipient of donor funds for this research project and will administer and  account for funds dedicated to research activity.  

The Special Forces Foundation (SFF) provides a range of programs aligned with the  SOCOM Commander’s Preservation of The Force and Family (POTFF) program, designed  to address the fraying of the forces after nearly two decades of sustained combat.  

Their programs contribute to the maintenance of the mind and body and provide acute  and ongoing support in resolving psychological, emotional, and relationship issues before  they become chronic. For more information, visit https://specialforcesfoundation.org 

For more information on Trauma-informed Yoga and Veterans PTSD, the following books  and organizations may be helpful. It has been reported that Veterans tend to prefer Yoga  teachers who are also Veterans as they better identify with those who have shared  experiences. It is always best to find a Yoga teacher with whom you resonate, one who is  interested in empowering the student to perform on his or her own.  

1) The Body Keeps the Score: Mind, Brain and Body in the Transformation of Trauma -  Bessel Van Der Kolk  

2) Trauma-Sensitive Yoga in Therapy: Bringing the Body into Treatment - David Emmerson  

3) Best Practices for Yoga with Veterans Editor: Carol Horton, Ph.D - Yoga Service Council  Publication  

4) Non-Violent Communication: Marshall Rosenberg  

5) The Pocket Guide To Polyvagal Theory: The Transformative Power Of Feeling Safe: Dr.  Stephen Porges, (Norton Series on Interpersonal Neurobiology)  

6) The Myth of Normal: Gabor Mate 

Organizations:  

1) Veterans Healing Veterans from the Inside Out http://veteranshealingveterans.com/ index.html  

2) Veterans Yoga Project www.veteransyogaproject.org  

3) Warriors at Ease http://warriorsatease.org/ 

Michael Lear Biography

Since 1992 I have been working both domestically and internationally as a Trager®  Practitioner/Instructor and as an Ashtanga Yoga Instructor My client base spans five  continents and includes refugees, incarcerated adults and youth, homemakers and  business persons, medical professionals, corporate leaders and entertainers, some of  whom are Academy Award and Grammy winners.  

In addition to international service, I contribute locally in my home town as a founding  board member, Trauma Recovery Yoga Instructor and lead trainer with The Shanthi Project,  a non-profit organization which conducts Trauma-Informed Yoga and Mindfulness classes  at the county prison, juvenile justice center, Boys and Girls Club, and area school districts  for grades K-12.  

I was fortunate to have studied with Dr. Milton Trager, the founder of "The Trager®  Approach,' who passed away in 1997. Further study with outstanding Trager Instructors  has provided me with a professional expertise for which I am very grateful. Studying Yoga  with Sri K. Pattbhi Jois, who introduce the West to Ashtanga Yoga as well as with many of  Ashtanga's foremost instructors enriched my life immeasurably. Of additional benefit to  my endeavors is the knowledge received while obtaining Plant Based Nutrition  Certification through Cornell University, the classes having been taught by Dr. T. Colin  Campbell, author of "The China Study" and "Whole."  

My passion for service found me engaged as Director of International Relations for Real  Medicine Foundation and working closely with UN Agencies and foreign governments. It  was a privilege to participate in so many international relief programs to improve primary  health care service in disadvantaged areas of post-conflict, disaster affected and poverty  stricken countries, including Sri Lanka, South Sudan, Uganda, Kenya, Nigeria, Pakistan,  Armenia and post-earthquake Haiti.  

It was humbling to be honored by mention in South Sudan’s Medical Journal/JubaLink as a  principal in establishing the country’s first College of Nursing and Midwifery. The work I  conducted to introduce Trager® to physical therapists in post-tsunami Sri Lanka, which I  also did in Japan, was recognized with a cover article in Massage Therapy Journal in 2007.  

To maintain balance in my personal life, I play drums professionally. As a life-long  drummer, I have played professionally in a variety of genres. To contribute to the  drumming community, I developed an entire on-line yoga and mindfulness program  specifically for drummers, www.yoga4drummers.com, to help them access their full  potential and offer touring wellness services for performing artists.  

Though my professional journey began with a Bachelor's Degree in Finance and  International Management from Rider University in Lawrenceville, N.J. and was followed  by extensive work in the corporate field, I’m grateful that my path led to mind-body,  somatic education, and a career improving the physical and emotional well-being of  others. I can be reached at Michael@michaellear.com. For more information please visit  www.michaellear.com