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Lately I’ve been reflecting on what makes therapy actually healing—not just helpful, but transformative. Therapy is like home to me. The longer I do this work, the more I believe in the power of being with someone, with intention. The more I slow down and attune, the more I see how transformative it can be for people to be deeply witnessed. Last month I read Undoing aloneness and the transformation of suffering into flourishing, a book by Diana Fosha, PhD about AEDP, which I highly recommend to therapists. AEDP is a model of psychotherapy founded and developed by Fosha in 2000, and it's an acronym for "Accelerated Experiential Dynamic Psychotherapy", although today it is believed that the essence of the model has outgrown its original description. The AEDP Institute website describes it as "an experiential model that seeks to alleviate patients’ psychological suffering by helping them process the overwhelming emotions associated with trauma in a way that facilitates corrective emotional and relational experiences that mobilize positive changes in our neuroplastic brains." Learning more about AEDP felt as if someone sat in my office and put words to the nuances of what I try to do every day. It reminded me that being present is the work. When sessions feel alive, when there’s real connection in the room, I leave changed, too. But how does AEDP work? What does “undoing aloneness” mean? And how can relational work help with emotional suffering? Here are a few reasons why AEDP feels so aligned for me. 1. It’s a bottom-up approach In AEDP, like in Somatic Experiencing (SE) and EMDR, healing doesn’t come just from thinking about our problems or talking them through (though that can be useful). It comes from what happens in the body and in the present moment. While insight can be powerful, I’ve often found that people already know a lot—they’ve read the books, made the connections, journaled for years. But insight doesn’t always shift the pain. Bottom-up approaches work from the body’s internal experience—emotions, sensations, nervous system cues—and help the system find safety, integration, and healing from the inside out. 2. Healing is innate A foundational belief in AEDP (and one that shows up in SE and Hakomi, too) is that the capacity to heal already lives in all of us. Our bodies are always moving toward healing—toward integration, connection, and wholeness—especially when we’re given the right kind of support: a safe enough space, and someone attuned to us. This idea feels both hopeful and empowering. It’s not about fixing someone: it’s about helping them access what's already there. 3. Healing starts immediately One thing I love about AEDP is that we’re not waiting months or years for the “aha” moment. The model is built around new, positive experiences happening right away—often in the first session. These are moments of being seen, felt, understood, cared for. And those moments? They change the brain. Literally. Not just by giving insight, but by replacing aloneness with connection, fear with safety, and shame with resonance. It’s powerful to witness—and to feel. 4. It’s experiential and present-moment based Rather than simply talking about past events and hoping for new insight, AEDP invites us to notice what happens in our bodies right now, as we talk about those events. What do you feel as you say that? What’s happening in your body? What’s it like to have me here with you in this? This isn’t to stay in pain—it’s to open the door to something new: a shift, a release, a wave of emotion that finally moves through. The present becomes a place of possibility. 5. Neutrality is contraindicated This might be one of my favourite AEDP principles. Rather than staying distant or blank-faced, AEDP invites therapists to be deeply attuned: emotionally present, responsive, real. We attune to pain, yes, but also to delight, to tenderness, to the moments of lightness. And even more than that, we name the relationship as part of the healing. We ask: what’s it like to share this with me? What do you notice as I respond? Therapy becomes not just a solo processing space, but a space of connection. A place where we undo aloneness. 6. It’s all about co-regulation Our nervous systems don’t heal in isolation. Through regulated, attuned presence, therapists help clients find grounding, not by teaching it from a distance, but by offering it in real-time. This kind of co-regulation is powerful for people who’ve had to do so much alone. And it’s deeply relational—another reason AEDP feels like such a natural fit for how I already work. Final wordsMany of these principles aren’t new to me. They're rooted in other approaches I've trained in, and I see echoes of AEDP in them, like Somatic Experiencing, EMDR, Hakomi, healing shame work and Focusing. In AEDP, I see them woven together in a way that is beautifully integrated and deeply human, with intention and heart. That's why it feels like a kind of homecoming.
If you resonate with these ideas, I hope this gives you a bit more language for the kind of work we might do together.
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AuthorNicole Perry is a Registered Psychologist and writer with a private practice in Edmonton. Her approach is collaborative and feminist at its heart. She specializes in healing trauma, building shame resilience, and setting boundaries. About the Blog
This space will provide information, stories, and answers to big questions about some of my favorite topics - boundaries, burnout, trauma, self compassion, and shame resilience - all from a feminist counselling perspective. It's also a space I'm exploring and refining new ideas.
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