Exploring the Benefits of Somatic Psychotherapy Through the Lens of the Polyvagal Theory

Carefree young person feeling relaxed outside in the morning light

The polyvagal theory is a relatively new framework for understanding the role of the autonomic nervous system (ANS) in regulating our physiological and emotional responses to stress and other environmental stimuli. Developed by Dr. Stephen Porges, the polyvagal theory suggests that the ANS is not a single, uniform system, but rather a complex network of interconnected pathways that evolved over time to help us respond to threats and other challenges.

According to the polyvagal theory, there are three distinct branches of the ANS, each associated with a different adaptive strategy for responding to stress and danger. The oldest branch, known as the dorsal vagal complex, is associated with immobilization and disconnection and is typically activated when we perceive a threat that is overwhelming or insurmountable. The second branch, known as the sympathetic nervous system, is associated with mobilization and fight-or-flight responses and is activated when we perceive a threat that is challenging but manageable. The third branch, known as the ventral vagal complex, is associated with social engagement and connection and is activated when we feel safe and secure in our environment.

So, how does the polyvagal theory relate to somatic psychotherapy? The theory suggests that our physiological and emotional responses to stress and other stimuli are intricately linked, and that unresolved trauma and emotional distress can become lodged in the body, leading to a range of physical and emotional symptoms. By working with the body directly, somatic psychotherapy aims to help individuals release these unresolved patterns and create new, more adaptive responses to stress and other challenges.

Somatic psychotherapists use a range of techniques and interventions to support clients in this process. Some of these techniques involve focused attention on bodily sensations and experiences, such as breathing exercises, body scans, or movement practices. Others involve the use of touch or other physical interventions to facilitate the release of tension or trauma held in the body.

One key way that somatic psychotherapists use the polyvagal theory is by helping clients develop greater awareness of their physiological and emotional states. By learning to tune into the bodily sensations associated with different ANS states, clients can gain greater insight into their patterns of reactivity and arousal, and learn to regulate their responses more effectively.

For example, a somatic psychotherapist working with a client who experiences intense anxiety and panic attacks may use techniques such as breathwork or body scanning to help the client identify the bodily sensations associated with these states. By developing greater awareness of these sensations and learning to regulate their breath and other physiological responses, the client may be able to reduce the frequency and intensity of their panic attacks over time.

Another way that the polyvagal theory informs somatic psychotherapy is by highlighting the importance of safety and connection in the healing process. According to the theory, the ventral vagal complex is the branch of the ANS associated with feelings of safety, social engagement, and connection. By creating a safe and supportive therapeutic environment, somatic psychotherapists can help clients activate this branch of the ANS and begin to experience a greater sense of safety and connection in their lives.

In conclusion, the polyvagal theory is a powerful framework for understanding the complex interplay between our physiological and emotional responses to stress and other stimuli. By recognizing the importance of the mind-body connection and the role of the ANS in regulating our responses, somatic psychotherapists can help clients release unresolved trauma and create new, more adaptive responses to stress and other challenges. By developing greater awareness of their bodily sensations and cultivating a greater sense of safety and connection in their lives, clients can experience profound healing and transformation through somatic psychotherapy.

Disclaimer: This blog shares general information only, not professional advice or recommendations. Consult healthcare providers for personal guidance. Decisions based on content are the reader's responsibility. Thank you.

Clayre runs a group practice of three queer and trans therapists, including youth therapist Audrey Wolfe, RCC, LGBT therapist Camber Giberson, RCC, CCC, and gender-affirming therapist Clayre Sessoms, RP, RCT, RCC, CCC, ATR-P. Work with us: book a session.

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