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Conscious Decision Programme · 6 October 2025

The body speaks too: how emotions show up physically

By Arantxa Pisón, licensed health psychologist, register no. G-2337 · Updated on 15 November 2025

Sometimes you think you are “just tired”, that “it was something you ate” or that “the neck pain will go away”. Yet your body rarely lies: when an emotion cannot find words, it expresses itself through sensations. Tension, a knot in the stomach, tightness in the chest, insomnia… It is no coincidence. It is information.

The body speaks too: understanding the somatic logic

Your nervous system works like a coordinated team made up of mind, emotion and body. When you perceive a threat (external or internal), the stress response is triggered: adrenaline increases, cortisol rises, your breathing speeds up and your muscles get ready to “do something”. If that activation is sustained, the body stays on alert and physical signals appear.

They are not the body’s “whims”, but messages.
– If you clench your jaw, perhaps you have spent days holding on to something you are not saying.
– If your stomach closes up, you may be trying to “digest” a situation.
– If your chest tightens, perhaps you are holding back fear or sadness.

This is what we call the somatic pathway: emotion is translated into sensation. It is not magic; it is biology. The amygdala (the fear centre) coordinates automatic responses and, when the rational cortex cannot integrate what you are feeling, the body takes over and speaks. That is why you “know” something in your body before you can explain it with your mind.

The good news is that it also works the other way round: regulating the body helps to regulate emotion. Breathing more slowly, moving your body, loosening your shoulders and jaw or lengthening your out-breath sends signals of safety to the nervous system. It is the beginning of change: moving from fighting or freezing to being present.

Physical signals that hide emotions

Not all physical tension has an emotional origin, but much of it carries an emotional component that the body uses as a way of expressing itself. Recognising these signals is not meant to make you worry more, but to help you listen to yourself better.

1. Tension in the neck and shoulders
It often appears when you are carrying too many responsibilities or feel obliged to “hold on”. The body literally bears a weight that is not its to carry.
👉 Notice when it is triggered: in meetings? When you look at your emails? When you think about a particular person?

2. Pain or pressure in the chest
More common than it seems, it is sometimes mistaken for anxiety or even for a heart problem. It is the feeling of not being able to breathe freely, typical of someone who is holding back sadness or fear.
Breathing deeply and putting the discomfort into words usually eases it more than looking for a distraction.

3. Digestive problems
The digestive system is very sensitive to stress. When we do not emotionally “digest” a situation, the gut is affected.
Nausea, acidity or heaviness can be a way of saying “I am finding this hard to swallow”.

4. Persistent fatigue or a feeling of mental exhaustion
Beyond physical tiredness, it can be a sign of disconnection. Living on alert for a long time drains your vital energy and leaves the body with no “emotional battery”.

5. Headaches or bruxism
These appear in people who think too much, who are constantly analysing, controlling or anticipating. The body tries to stop the mind with a clear signal: “enough”.

It is not about “putting everything down to psychosomatics”, but about seeing the relationship between mind and body. The body has no verbal language, but it does have memory. If each sensation keeps coming back in the same contexts, it is probably not a coincidence.

How to listen to the body (and not just the symptom)

Listening to the body does not mean becoming hypervigilant, but curious and present. The body is always trying to cooperate with you: it lets you know when you have too much or too little of something, when you are holding back or overdoing it. The sooner you pay attention to these signals, the less it will have to shout later.

1. Take pauses for body awareness.
Do not wait until you are in pain. Close your eyes for a few seconds and ask:
Which part of me feels tense? What does it need?
Sometimes the answer comes as an emotion, an image or a short phrase.

2. Swap the question “why is this happening to me?” for “what is this feeling for?”.
This change of focus opens the door to understanding. The body does not punish: it communicates. If you interpret it with compassion, it becomes an ally.

3. Move your body.
Walking, stretching or dancing are ways of releasing stagnant energy. When the body moves, the mind calms down and emotion finds a way out. You do not need to do it perfectly, just to do it with presence.

4. Write or say it out loud.
What goes unsaid builds up. Putting a sensation into words is like giving the emotional river a channel: “I feel pressure in my chest” → “I am afraid of letting people down”. That step turns a symptom into awareness.

5. Be grateful for the message.
Even if it hurts, your body is not your enemy. It is the most honest part of you. When you give it attention instead of fighting it, it responds with balance.

Closing the circle

The mind needs to understand, the heart needs to feel and the body needs to express. When these three parts work together, clarity returns and decisions flow without so much mental effort. It is not about getting rid of the discomfort, but about reading it as information: every symptom is an unfinished conversation with yourself.

🌿 Listening to your body is the most direct way back home.

Arantxa Pisón

Arantxa Pisón

Licensed health psychologist, register no. G-2337. I work in Vigo and online.

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