Somatic Therapy & Nervous System Regulation in New Jersey

Your body has been keeping score. This is where we start listening.

Have you ever noticed that your body reacts before your thoughts even catch up?

The shallow breath when you're stressed. The tension in your jaw at the end of a long day. The tight chest before a difficult conversation. The feeling of being "off" without a clear explanation for why.

These aren't random. They're your nervous system communicating — and somatic therapy is how we learn to hear it.

I'm Shanley O'Keefe, LPC, a licensed therapist offering somatic therapy and nervous system regulation sessions in Red Bank, NJ and virtually throughout New Jersey. I work with adults who are ready to go beyond talk therapy and into the deeper, body-level healing that traditional approaches sometimes can't reach.

You're holding it all together & barely holding on

Your body has been keeping score. This is where we start listening.

Have you ever noticed that your body reacts before your thoughts even catch up?

The shallow breath when you're stressed. The tension in your jaw at the end of a long day. The tight chest before a difficult conversation. The feeling of being "off" without a clear explanation for why.

These aren't random. They're your nervous system communicating — and somatic therapy is how we learn to hear it.

I'm Shanley O'Keefe, LPC, a licensed therapist offering somatic therapy and nervous system regulation sessions in Red Bank, NJ and virtually throughout New Jersey. I work with adults who are ready to go beyond talk therapy and into the deeper, body-level healing that traditional approaches sometimes can't reach.

Somatic Work: What It Is and Why It Works

Somatic work simply means working with the body — not just the mind.

Traditional talk therapy is powerful. But sometimes, we can understand exactly why we feel anxious, stuck, or exhausted — and still feel that way. That's because emotions and stress don't only live in our thoughts. They live in our bodies, held as tension, tightness, inflammation, or a chronic sense of unease.

Somatic therapy pairs body-based awareness with cognitive tools to address both layers — what you think and how your body carries it.
In sessions, we use cognitive tools to understand thoughts and somatic tools to release the emotions stored in your body. When the mind and body work together, the changes you make actually last.

Somatic therapy can help with:

  • Anxiety and chronic stress
  • Nervous system dysregulation (feeling constantly "on edge" or unable to relax)
  • Burnout and physical symptoms of long-term stress
  • Life transitions that feel stuck in the body, not just the mind
  • People-pleasing and boundary challenges rooted in nervous system responses
  • Difficulty relaxing even when life "should" feel okay
  • Physical symptoms without a clear medical cause — tension, jaw clenching, fatigue, inflammation

Understanding Nervous System Dysregulation

When your nervous system feels safe, everything else becomes more achievable — from thinking clearly, to making decisions, to healing.

But when your nervous system is stuck in a chronic stress response, even small things can feel overwhelming. Your body is working hard to protect you — and it's exhausting.

  • You feel "on" all the time and can't seem to wind down
  • Small stressors feel disproportionately big
  • You experience physical tension, jaw clenching, or tight shoulders regularly
  • You feel emotionally flooded quickly — or numb and disconnected
  • Brain fog, fatigue, or a sense of burnout that rest doesn't seem to fix
  • You haven't felt truly relaxed or laughed freely in a while


Signs your nervous system may need support:

These aren't character flaws. They're signals. And learning to regulate your nervous system is one of the most foundational skills you can build — in therapy and beyond.

What Somatic Therapy Actually Looks Like in Session

Somatic work doesn't require anything unusual or uncomfortable. Sessions are grounded, collaborative, and paced entirely by you.

We may work with:

  • Breath Awareness — noticing how your breath shifts with different emotions and learning to use it as a regulation tool

  • Body Scanning — gently bringing attention through the body to notice where tension or emotion lives

  • Somatic Noticing — pausing to ask, "What is my body doing right now?" as a way of deepening emotional awareness

  • Grounding Practices — techniques to help you feel present and settled in your body during moments of overwhelm

  • Reframing Body Posture & Expression — noticing how posture, breath, and physical tension reflect and influence your internal experience

All of this is integrated with cognitive therapy. We don't abandon the mind — we bring the body online to work alongside it.

This is the right fit for you if...

  • Traditional talk therapy has helped, but you feel like something is still missing

  • You understand your patterns intellectually but struggle to feel differently

  • You carry stress in your body — tension, tightness, fatigue — and you're ready to address it at the root

  • You want therapy that includes practical, body-based tools you can use in daily life

  • You're in New Jersey and looking for a somatic therapist who integrates body-based work with evidence-based cognitive approaches

Why I Integrate Somatic Work Into Every Session

Shanley O'Keefe, LPC — High-Functioning Anxiety Therapist, Red Bank, NJ

I've experienced, firsthand, what it feels like when your body holds more than your mind can process on its own.

Recovery and healing taught me that the mind and body are always on the same team — even when it doesn't feel that way. When we slow down enough to hear what the body is communicating, that's often where the deepest and most lasting shifts begin.

I weave somatic awareness into my work not as a technique layered on top — but as a core part of how I help clients move from understanding to actually feeling different.



Frequently Asked Questions About Somatic Therapy in New Jersey

What is somatic therapy, exactly?

Somatic therapy is a body-centered approach to mental health that works with physical sensations, breath, and nervous system responses alongside traditional cognitive tools. Rather than focusing only on thoughts and words, it includes the body as an active part of the healing process.

Is somatic therapy evidence-based?

Yes. Mind-body approaches, including somatic work, breathwork, and nervous system regulation, are supported by research in neuroscience and trauma-informed care. When combined with Cognitive Behavioral Therapy (CBT), they offer a comprehensive approach to lasting change.

Do I need a trauma diagnosis to benefit from somatic therapy?

No. While somatic therapy is particularly effective for trauma, it's also deeply helpful for anxiety, chronic stress, burnout, nervous system dysregulation, and anyone who feels like they intellectually understand their challenges but can't seem to shift them emotionally.

What's the difference between somatic therapy and regular therapy?

In traditional therapy, most of the work happens through conversation — exploring thoughts, feelings, and patterns. Somatic therapy adds the body as a source of information and a site of healing. It asks: "What is your body holding?" and works to release what's stored there.

Do you offer virtual somatic therapy in NJ?

Yes. Many somatic tools — breath awareness, grounding, body scanning, nervous system regulation — translate beautifully to a virtual setting. I offer virtual somatic therapy to clients throughout New Jersey.

How do I get started?

Book a free 15-minute consultation using the link below. We'll connect, answer your questions, and determine whether working together is the right fit.