rein logo

Amy Rein, PhD - Clinical Orientation

Overview

My clinical work is grounded in an integrative, nervous-system–informed approach to psychotherapy. I understand emotional suffering not as pathology or personal failure, but as the result of adaptive survival responses shaped by trauma, chronic stress, and early relational experiences. From this perspective, symptoms are meaningful signals rather than problems to be eliminated.

I work with the assumption that human beings are fundamentally oriented toward healing, connection, and self-regulation. When this natural movement is disrupted—by trauma, loss, attachment injury, or prolonged stress—people may become organized around survival rather than authenticity. Therapy, in my view, is about creating the conditions that allow the system to safely reorganize.

How I Work

I work both top-down and bottom-up, moving fluidly between cognitive, emotional, relational, and somatic levels depending on what the client’s nervous system can tolerate and what is most clinically appropriate in the moment.

Top-down approaches support reflection, understanding, meaning-making, and regulation. Bottom-up approaches engage the body and nervous system directly, working with sensation, movement, breath, and physiological responses that are often outside of conscious awareness. This allows implicit memory, trauma, and attachment patterns to resolve without relying solely on narrative or insight.

A central organizing principle of my work is that healing occurs through increasing nervous system capacity, not through forcing emotional intensity, catharsis, or insight. I place strong emphasis on pacing, titration, and safety.

Trauma, Attachment, and the Nervous System

Trauma is not defined solely by what happened, but by how the nervous system responded—and whether it had the opportunity to complete protective responses and return to regulation. Many symptoms such as anxiety, depression, panic, emotional reactivity, and dissociation reflect nervous systems that remain organized around threat.

Early attachment experiences shape how individuals relate to themselves and others. My background in psychodynamic and object relations theory informs my understanding of relational patterns and emotional development, while also recognizing attachment as a felt, embodied experience encoded in the nervous system.

Somatic and Experiential Approaches

Somatic Experiencing (SE) plays a central role in how I pace and structure the work. SE emphasizes nervous system regulation, titrated processing, and the completion of disrupted survival responses.

I have offered EMDR since 2000 and integrate it within a somatic and attachment-informed framework, with careful attention to pacing, regulation, and bodily cues.

I am also trained in Internal Family Systems (IFS), viewing parts as intelligent adaptations rather than problems to eliminate. Somatic awareness is often integrated with parts work.

My work is further informed by training in yoga, breath-based practices, mindfulness, hypnosis, TFT, and Buddhist mindfulness principles.

Psychedelic-Assisted Psychotherapy

I am trained in Psychedelic-Assisted Psychotherapy and offer Ketamine-Assisted Psychotherapy (KAP) for appropriate clients. This work is grounded in careful preparation, nervous system support, and thoughtful integration, rather than peak experience alone.

The Deeper Aim of the Work

While symptom relief is often meaningful, my deeper aim is to help clients reconnect with their authentic or true self—an embodied sense of vitality, clarity, and inner knowing. This sense of self emerges as survival-based patterns soften and the nervous system regains flexibility.

Clinical Stance

My clinical stance is collaborative, attuned, and deliberately non-coercive. I prioritize safety, pacing, and relationship over technique, trusting the organism’s natural capacity to heal when given appropriate support.

How to Use This Page

This page is intended for those who want a deeper understanding of how I think about healing and the therapeutic process. If you are considering working together, I invite you to read this slowly and notice what resonates.