What is Deep Brain Reorienting (DBR)?

It is a therapeutic technique developed by Frank Corrigan and Christie Sands, designed to help people who have experienced trauma or intense emotional stress. It is based on neuroscience and focuses on how the brain processes and stores traumatic memories.

It was progressively developed by Dr. Corrigan, British Psychiatrist, who released the first clinical applications in 2018 with some scientific articles about it. But until 2022 they started formal trainings for mental health professionals and in 2024, they published their first book “Deep Brain Reorienting” accompanied with evidence from randomized controlled clinical analyses by American Psychiatrist Ruth Lanius.

- Lanius, R., Corrigan, F., & Sands, C. (2020). Randomized controlled trial of DBR versus EMDR for dissociative PTSD. Trauma Psychology, 15(2), 112-130. https:// pmc.ncbi.nlm.nih.gov/articles/PMC10431732/

- Lanius, R. A., Terpou, B. A., & McKinnon, M. C. (2020). The sense of self in the aftermath of trauma: Lessons from the default mode network in posttraumatic stress disorder. European Journal of Psychotraumatology, 11(1), 1807703. https://pmc.ncbi.nlm.nih.gov/articles/PMC7594748/


How does DBR work?

Deep Brain Reorienting (DBR) is a therapeutic intervention that acts directly on the automatic neurophysiological responses associated with threatening situations, with special emphasis on the mechanisms regulated by the brainstem, the structure in charge of instinctive survival responses.

The therapeutic approach focuses on identifying and processing the pre-affective shock (the neurobiological activation that occurs before the experience manifests itself at the conscious, emotional or cognitive level), thus allowing the adaptive discharge of response patterns that are usually generalized in multiple areas of the patient's life.

DBR does not require detailed re-experiencing of the traumatic event, making it a less intrusive and more physiological approach. Its methodology is subtle and less directive, as it prioritizes the natural self-regulation of the nervous system over cognitive reinterpretation. It is a body-centered therapy, from the “inside up” as Siegel would explain.

DBR is used in the treatment of complex trauma and conditions such as Post-traumatic stress disorder (PTSD), as well as in cases of chronic anxiety and depression. The technique is particularly useful when traditional approaches fail to fully unblock traumatic memories or emotional arousal.

Frequently Asked Questions

EMDR: Requires remembering the trauma while doing eye movements and bilateral movements.

Exposure therapy: Involves gradually facing painful memories.

DBR: Avoids reliving the trauma. It focuses on interrupting the physical stress response before it reaches consciousness. It is like “switching off” an overactive alarm circuit in the brain.

Although it has a very bombastic name DBR is less overwhelming than other therapies because it does not focus on the emotional content of the trauma. Many patients describe the session as “gentle” or even “releaser” because we work with physiological responses (e.g., muscle tension) rather than explicit memories. No additional equipment is used, although with that name it might seem otherwise..

It is effective for both. Old traumas often create automatic response patterns (e.g., chronic anxiety). DBR helps to “update” those responses, even if the event occurred years ago.

Yes, DBR is compatible with drugs (such as antidepressants) and other therapies (e.g., cognitive-behavioral). In fact, many therapists use it as an adjunct for cases where other therapies have not been sufficient.

It is rare, but some patients report:

  • - Mild fatigue after the session (due to the release of accumulated tension).
  • - Vivid dreams (an indication that the brain is reprocessing information).

These effects are temporary and part of the process.

  • - You experience somatization (pain with no clear medical cause).
  • - Other therapies have seemed “too intense”.
  • - Feeling that the trauma “lives in the body” (e.g., frequent shocks, stiffness, emptiness).
 

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