Polyvagal theory, applied

I’m summarizing polyvagal theory, originated by Dr. Stephen Porges, from a 10:48-minute video interview of him. I’m doing this for my own understanding, and I want to share because it’s a new way of thinking about traumatic responses. It has major implications for my work, and I’ve added my own comments in brackets. I am sure I will continue to refine my understanding.

Dr. Porges says that polyvagal theory is the understanding of how our body reacts to various challenges. The autonomic nervous system [involuntary, like heart beat] has evolved in vertebrates, changing and adding new circuits that function in a hierarchy. The newer circuits can inhibit older circuits. The older circuits were circuits of defense. Continue reading

Improving vagal tone

When do you feel safe? When are you on guard?

If you feel safe except when there is an actual threat to your safety, then you have high vagal tone.

If you feel guarded most or all of the time, even when there is no actual threat to your safety, you have low vagal tone. Low vagal tone can be raised. Continue reading

An interview with Stephen Porges: polyvagal theory, or how the nervous system is affected in autism, ADHD, borderline personality disorder, and trauma

Nexus, Colorado’s Holistic Health and Spirituality Journal.

This interview with Dr. Stephen Porges, whose career is based on understanding the evolution of the human nervous system, outlines some of the basics of polyvagal theory.

This theory is being tested in trauma recovery sessions. It’s exciting because it helps explain how and why people freeze or experience fight-flight reactions in response to trauma — and the route back to normal, healthy functioning, no matter how long ago the trauma occurred or how often it happened.

Polyvagal theory is increasingly becoming part of the training of bodyworkers, therapists, and educators. In a future post, I will describe how to tell which nervous system (freeze, fight or flight, or parasympathetic) is dominant at any given moment.

This theory is based on an in-depth understanding of the vagus nerve, also known as the 10th cranial nerve, which wanders (the Latin word vagus means wandering, like vagabond and vagrant) from the brain stem down through the body, affecting the face, heart, lungs, and gut.

The brain evolved hierarchically in vertebrates, and the neural circuits of the older nervous systems are still present, accessed hierarchically.

RD: So one thing happens then another thing happens then another thing?

SP: Right. This influences how we react to the world. The hierarchy is composed of three neural circuits. One circuit may override another. We usually react with our newest system, and if that doesn’t work, we try an older one, then the oldest. We start with our most modern systems, and work our way backward.

So polyvagal theory considers the evolution of the autonomic nervous system and its organization; but it also emphasizes that the vagal system is not a single unit, as we have long thought. There are actually two vagal systems, an old one and a new one. That’s where the name polyvagal comes from.

The final, or newest stage, which is unique to mammals, is characterized by a vagus having myelinated pathways. The vagus is the major nerve of the parasympathetic nervous system. There are two major branches. The most recent is myelinated and is linked to the cranial nerves that control facial expression and vocalization.

Here’s how it works in action:

SP: Let’s say you’re a therapist or a parent or a teacher, and one of your clients, students or children’s faces is flat, with no facial expression. The face has no muscle tone, the eyelids droop and gaze averts. It is highly likely that individual will also have auditory hypersensitivities and difficulty regulating his or her bodily state. These are common features of several psychiatric disorders, including anxiety disorders, borderline personality, bipolar, autism and hyperactivity. The neural system that regulates both bodily state and the muscles of the face goes off-line. Thus, people with these disorders often lack affect in their faces and are jittery, because their nervous system is not providing information to calm them down.

RD: How will polyvagal theory change treatment options for people with these disorders?

SP: Once we understand the mechanisms mediating the disorder, there will be ways to treat it. For example, you would no longer say “sit still” or punish a person because they can’t sit still. You would never say, “Why aren’t you smiling?” or “Try to listen better” or “Look in my eyes,” when these behaviors are absent. Often treatment programs attempt to teach clients to make eye contact. But teaching someone to make eye contact is often virtually impossible when the individual has a disorder, such as autism or bipolar disorder, because the neural system controlling spontaneous eye gaze is turned off. This newer, social engagement system can only be expressed when the nervous system detects the environment as safe.

There’s much more fascinating information you can read by clicking the link at the top of this post.

Altucher on oxytocin and polyvagal theory, with humor

10 Unusual Ways to Release Oxytocin Into Your Life Altucher Confidential.

I love this guy. He’s so real. I can only wish I was as good a writer as James Altucher.

He tells about being caught shoplifting as a kid, his disgust for going to the bathroom, cortisol, stress, the vagus nerve, a photo of a woman’s tattoo of “Fight or Flight”, and oxytocin.

There’s another photo of a foot with the chemical formula for oxytocin tattooed on it.

Then he lists 10 ways to increase your oxytocin levels.

One of the ways happens to be shooting guns. I don’t think that one would work for me. Loud sudden noises like gunshots make me really jumpy. That’s cortisol, not oxytocin. Maybe that’s a guy thing?

I would replace that one with getting a massage. I notice that with almost everyone, receiving massage decreases their cortisol. I can tell from feeling their energy before and after, gauged by how they move and their voices.

For others, especially those who are accustomed to regular massage, an hour or so of good bodywork vastly increases their oxytocin. They are all soft and mellow and receptive and happy afterwards.

I would also add rocking a sleeping baby, but you might have had to nurse your own baby first to get that feeling.

The rest of Altucher’s recommendations for increasing oxytocin work. Even using Facebook! And I especially like his strategy for dating.

I will tell you my pre-date secret. In the brief period when I was single in between separation and re-marriage I had a technique before every date. I would watch either Michael Cera doing comedy or Louis CK doing standup. This would get me laughing, make my oxytocin hormones go on fire, and then I’d go right into the date, with all my sex hormones raging. Plus. I would be temporarily funnier, with a half-life of about two hours. I knew after four hours I would be boring again so the date would have to be over by then. I do this before talks also.