Is the Safe and Sound Protocol (SSP) Right for Me?
If you’ve found your way here, you’re probably somewhere in the process of trying to figure out whether the Safe and Sound Protocol (SSP) might actually help with your particular history, your nervous system, and where you are right now.
What follows is meant to help you discern whether Safe and Sound Protocol is appropriate for you.
What is the Safe and Sound Protocol?
The Safe and Sound Protocol is a listening-based therapy that uses specially filtered music to work with your neuroception, or your nervous system’s often-unconscious read on whether you’re safe or in danger. Over five hours of listening, delivered through an app at a pace tailored to you, SSP is designed to help shift a nervous system out of a defensive, threat-oriented state and toward one that supports calm, connection, and resilience. You can read more about how it works on the main Safe and Sound Protocol page.
Who Tends to Seek Out SSP?
People come to SSP from a lot of different starting points, so there isn’t one single profile. In my practice, I see a few threads come up again and again: people managing a chronic medical condition whose nervous system seems to be working against them, people whose sensory world feels like consistently too much, people who’ve done real work in therapy but still feel stuck, and people carrying trauma that talk therapy alone hasn’t fully reached.
Could SSP Support a Chronic Illness Like POTS or Long COVID?
If you’re managing a condition like POTS, Long COVID, EDS, or another autoimmune or chronic illness, you likely already know what it’s like to feel like your body is bracing for the next flare, even when nothing is actively wrong in the moment. That’s not just in your head – there’s real, growing research connecting these conditions to autonomic nervous system and vagal dysfunction, and SSP is a therapy specifically designed to work with that same system.
With regard to my scope here, I want to note the same way I am on my blog post about SSP and chronic illness: there are currently no published clinical trials testing SSP specifically on POTS, MCAS, or Long COVID. I don’t offer SSP as a treatment or cure for any of these conditions, and I can’t guarantee outcomes. What I can offer is support for your nervous system’s capacity to regulate, which, for many people managing a body that already works overtime, is a meaningful piece of a much bigger picture of care. This work happens alongside your medical team, never instead of them.
Could SSP Help With Sensory Overwhelm?
Do ordinary environments regularly feel like too much? Noise that other people don’t seem to notice, lighting that grates on you, textures you can’t tolerate, a hard time filtering out background input so everything hits you at once, or needing far more recovery time after social or sensory demands than seems to make sense… This is one of the areas where SSP has the most established research behind it, particularly for autistic adults and people with auditory processing differences. If this is the thread that resonates most with you, this is likely where SSP has the clearest evidence to point to.
Could SSP Be Helpful If I’ve Already Tried Therapy?
There’s a real difference between understanding your patterns – being able to name your triggers, explain your history, and talk fluently about what happens to you – and having your nervous system actually respond differently in the moment. Talk therapy is often excellent at building the first kind of change. SSP works at the second, more physiological level.
SSP is not better than or a replacement for psychotherapy. For many people, it’s most effective as a complement that can make the insight work you’ve already done more accessible to your body, not a shortcut around it.
SSP and Trauma
SSP can be incorporated into trauma-informed care, and for many clients, it’s part of a broader course of trauma work rather than a standalone intervention. Pacing matters enormously here since trauma histories often mean a nervous system that’s especially sensitive to new input. Drawing from over a decade of trauma specific therapy, we go through SSP slowly, train you on how to read your own responses during your intake session, and stay in contact with you by email throughout so we can adjust together if anything feels like too much or too fast.
How is SSP different than Somatic Experiencing?
I’m often asked how SSP relates to Somatic Experiencing (SE), since I offer both. They’re related but distinct:
– Somatic Experiencing is a body-based psychotherapy – ongoing talk-and-body-awareness work that helps you process and release stored trauma responses, session by session, with me actively present and responsive throughout.
– SSP is a music-based nervous system intervention – a defined, time-limited listening protocol, done largely on your own schedule between a structured intake and debrief session, and aimed specifically at shifting your baseline nervous system state.
Some clients do SSP on its own. Many do both, sometimes SSP first to help create enough regulation for SE work to land more easily, sometimes SE first to build a foundation before adding SSP. Which order (or whether you need both at all) is something we figure out together based on your specific situation.
What Happens When I Begin SSP?
The process starts with an intake session, where we talk through your history, your goals, and any relevant medical or nervous-system considerations. I’ll also train you during this session on how to pace your own listening based on how your body responds. You’re never handed the music and left to figure it out alone. From there, you move through the five hours of listening at your own pace, checking in with me by email as often as you need to along the way. We close with a debrief session to talk through what came up and where to go from here.
How Long Does SSP Take?
The core protocol is five hours of listening (in small increments of time), framed by an intake session at the start and a debrief session at the end. Because listening is self-paced, the total timeline varies from person to person. Some people move through it over a couple of weeks, others take longer, depending on how their nervous system responds along the way. There’s no fixed schedule you’re expected to keep; the pace is yours.
Can SSP Be Done Remotely?
Yes. I see clients in-person in Chicago and via telehealth throughout Illinois, and the listening portion of SSP is designed to be done independently through the Unyte app, wherever you are. You’ll need a set of over-ear headphones (I recommend the OneOdio A70) — we’ll cover the logistics of getting set up during your intake session.
Quick Self-Check
You might be a good fit for SSP if some of this feels familiar:
- Your symptoms (physical or emotional) flare in response to stress, even stress you thought you’d already handled
- You understand your patterns intellectually, but your body still reacts like nothing’s changed
- Everyday sounds, environments, or social demands feel like more than they should
- You feel disconnected from your own body, like you’re managing it rather than living in it
- You’ve done real work in therapy and still feel like your nervous system hasn’t caught up
How Do I Know Whether SSP Is Appropriate for Me?
Every nervous system and every history is different, and a short consultation lets us look at your specific situation rather than trying to generalize from a webpage. If anything on this page resonated with you, I’d be glad to talk it through.
Schedule a free 15-minute consultation
This page reflects general information about the Safe and Sound Protocol and is not a substitute for individualized clinical assessment. SSP is not a treatment or cure for any specific medical or mental health condition, and outcomes cannot be guaranteed.
What is a Dysregulated Nervous System?: Understanding Stress and Its Impact
Nervous system dysregulation occurs when your body struggles to shift smoothly between different states of activation and rest. This imbalance can leave you feeling “stuck” in certain patterns:
- Stuck on “ON”: Constantly in overdrive, feeling anxious, hypervigilant, or overwhelmed.
- Stuck on “OFF”: Struggling with low energy, exhaustion, or difficulty finding motivation to get through the day.
When the nervous system is unable to move smoothly between these states, it can impact your physical health, emotional well-being, and relationships. Symptoms like chronic stress, anxiety, or burnout may seem overwhelming to deal with, but regulation is possible.
The Safe and Sound Protocol (SSP) offers a proven approach to help recalibrate the nervous system, making it easier to find balance, resilience, and ease.
Common Signs of Stress
Stress affects everyone differently, but some of the most common signs of stress include:
- Anxiety and heightened panic: Persistent worry or sudden feelings of fear.
- Physical tension: Tightness in areas like the hips, neck, and shoulders.
- Irritability: A shorter temper or heightened sensitivity to triggers.
- Fatigue: Constant exhaustion, even after rest.
- Sensory overwhelm: Feeling overstimulated by noise, lights, or activity.
- Racing thoughts: A mind that feels stuck in overdrive.
- Difficulty focusing: Struggling to concentrate or stay present.
- Insomnia and restlessness: Trouble falling asleep or staying asleep.
When stress goes untreated, it can contribute to more serious health issues over time, including:
- Autoimmune disorders.
- Digestive dysfunction.
- Endocrine imbalances.
- Cardiovascular symptoms.
Recognizing these signs early is key to managing stress effectively and preventing further health complications.
How the Safe and Sound Protocol (SSP) Can Help with Stress
Since stress often manifests physically, creating a connection between the mind and body is essential for healing. The Safe and Sound Protocol (SSP) uses a gentle, music-based approach to support nervous system regulation by:
- Encouraging a state of calm and relaxation.
- Helping the body shift out of fight-or-flight responses.
- Building resilience to stress over time.
Whether you’re experiencing mild stress or navigating the long-term effects of chronic stress, the SSP offers an accessible and effective way to bring balance and ease back to your life.
Frequently Asked Questions
What does the SSP process actually look like?
We’ll start with an assessment. Before any listening begins, we spend real time in your intake session talking through your nervous system’s history: what tends to activate you, what helps you settle, any medical or trauma history that’s relevant, and what you’re hoping this work will support. That conversation will inform how we approach your specific protocol, rather than starting from a blank template.
The listening itself happens through the Unyte app, using a set of over-ear headphones, at home and on your own time. Over your intake session, I train you to recognize your own signals, so pacing isn’t guesswork. Five hours of specially filtered music make up the core listening, but there’s no fixed daily requirement to hit.
Pacing looks different for everyone. Some people move through the listening fairly quickly. Others need to go slowly, with more space between sessions. There’s no standard timeline – together we will figure out what your particular nervous system can absorb well, and adjust from there.
You’re welcome to reach out by email as often as you need while you’re listening to report on how you’re responding.
If activation comes up during listening, that’s considered useful information (not a setback) and helps us pace appropriately. When it happens, you pause, let me know as soon as you can, and we draw upon the plan we created in your intake session to navigate the activation.
We’ll finish with a debrief session, where we talk through what came up, what shifted, and where to go from here.
Do I have to talk about my trauma to do SSP?
No. SSP works with the nervous system directly through listening. It doesn’t require you to narrate or relive difficult experiences. Many clients find it especially helpful because it doesn’t ask this of them.
Will this still work if I struggle with mindfulness, visualization, or "sitting with" my body?
Yes. SSP doesn’t rely on visualization or traditional mindfulness skills. It is a passive listening process, so it works well even if those approaches haven’t clicked for you before.
Is Safe and Sound Protocol covered by insurance?
BCBS PPO plans typically cover the intake and debrief sessions. The listening portion itself (since it’s completed independently, not during a session) is not covered. Total cost depends on your specific plan. Reach out and Sara will walk you through your individual pricing.
How is SSP different from a regular talk therapy session?
SSP is a complementary tool, not a replacement for therapy. It works on nervous system regulation at a physiological level, which can make the insight-based work you do in talk therapy easier to access and sustain. Sara is always happy to provide referrals after SSP sessions to match you with long-term providers.
Can I do SSP remotely?
Yes. Sara is licensed to provide SSP via telehealth throughout Illinois, so you can complete the listening portion from home on your own schedule.
I have a sensory processing difference or am neurodivergent. Is SSP still appropriate?
Very often, yes! SSP was originally developed with sensory sensitivity and auditory processing in mind, and many neurodivergent clients find it a good fit. Sara can talk through your specific sensory profile during your free consult to make sure it’s the right fit before you commit.
What do I need to bring to my sessions?
Not much! You’ll need a set of over the ear headphones to listen to the music. If there’s something you’d like to occupy yourself with as you listen (fidget toys, coloring books, knitting, etc.), those are great too.
Do I need to listen to the 5 hours all at once?
Definitely not! While there are a total of 5 hours worth of therapeutic listening music, most people listen for 30 seconds to 15 minutes at a time. Sara will work with you to determine a length of listening that is tailored to your nervous system and goals.
What is your cancellation policy?
Your time slot is reserved for you and only for you. A $165 cancellation fee applies if your intake session is not cancelled at least 24 hours in advance.
About Somatic Psychotherapy Chicago
Our Philosophy
At Somatic Psychotherapy Chicago, we assess the individual symptoms that you have and decode them to help them run their course. For example, perhaps tension in a specific muscle combined with surges of panic is actually your body communicating that it needed to defend itself in a way that it never got to do yet. Once your body senses that it has effectively used its trauma response, that response will recede. And importantly, if that symptom comes up again, you’ll remember how to deal with it.
An important element of the work at Somatic Psychotherapy Chicago is the emphasis on the unique experience of everyone’s nervous system. There are many ways that a body may express its trauma, and each expression requires a different intervention. Tools like breathing can be helpful for some folks and feel like torture for others. We work together to find a method that is not only pleasant for you, but fits into your lifestyle. For example, a busy mom of toddlers isn’t going to find 30 minutes to meditate, so the tools we’d develop for her would be portable and able to be implemented in the face of tantrums and the day-to-day responsibilities of parenting.
Sessions can always be focused on learning what is going on during a trauma response at a level that works best for you. Whether you’re the “rather not revisit science class” type who prefers your learning to be in metaphor form or you’d like to understand the nitty gritty science behind polyvagal theory, Sara will meet your learning style and adapt the space to your needs.
Meet Sara Moskowitz
Sara Moskowitz is a somatic psychotherapist and the owner of Somatic Psychotherapy Chicago. Her specialties include:
- Pre- and perinatal trauma
- Early developmental trauma
- Transgenerational trauma
- Event trauma
- Medical trauma
- Sexual boundary violation trauma
A lifelong learner and self-proclaimed nerd, Sara has over 400 hours of post-graduate trauma training (and counting). Sara’s advanced training in Somatic Experiencing includes:
- Advanced Strategies for Working with Sexual Trauma and Sexuality with SE Faculty Arielle Giaretto
- Healing Sexual Trauma with SE Founder Peter Levine and Kimberly Ann Johnson, SEP
- It’s Never Too Late: Healing Prebirth and Birth at Any Age with Mia Kalef
- Pre- and Perinatal Trauma Workshop with SE Faculty Raja Selvam
- Relational Development, Rupture and Repair Workshop with SE Faculty Dave Berger and Abi Blakeslee
- Touch Skills Training Level 1 with SE Faculty Kathy Kain
- Jewish Ancestral Healing with Taya Mâ Shere, SEP
Sara is also passionate about psychoeducation, or helping clients understand what exactly is happening in their bodies. Sometimes understanding what is happening can make all of the difference when it comes to feeling intimidated (or not) by seemingly random symptoms. Sara also creates and collects meditations on Insight Timer for those interested in exploring more there.
Feel a connection? Reach out today!