Polyvagal Theory

“With trauma work we are healing patterns of protection that have replaced patterns of connection.” Stephen Porges

Polyvagal Theory

In order to sustain life, the body has two complementary nervous systems: the sympathetic (arousing) and the parasympathetic (calming). Both are needed not only for psychological balance but for survival. Without a parasympathetic modification, the heart would beat too quickly to sustain life.

Ideally there is a smooth balance between the two, a gentle collaboration. The sympathetic is dominant in exertion, exercise, athletics, emotional and sexual arousal, as well as in stressful situations. The parasympathetic takes over in relaxation, sleep, meditation, massage, gentle touch, connecting deeply with another person and nurturing—both the nurturer and the nurtured.

When stress is very great, the sympathetic system automatically goes to a fight or flight response. This is built into the system. It can happen in response to external threat or the perception of threat. Either fighting or fleeing can resolve the stress. If neither is possible or successful, the sympathetic arousal can get so extreme that it is too much for the body to handle.

At this point, we have a failsafe survival mechanism. The parasympathetic system spikes. It comes in so strongly that it overwhelms the sympathetic arousal and sends the person into a state of freeze. This can be full collapse, dissociation, or a more partial freeze such as an inability to think clearly or access words or emotions, or to move parts of the body. This can be momentary, short term—such as a possum freezing and becoming reanimated after the predator leaves, or, in humans, it can continue indefinitely.

Stephen Porges has focused his attention on the vagus nerve, one of the largest nerves in the body and a major part of the parasympathetic system. The vagus has two branches: dorsal (back) and ventral (front). The dorsal vagus is a large, primitive nerve that is common to all animals, including fish. It goes down the spine and has a role in controlling our lungs, hearts (moderating heartbeats so they don't get too rapid) and stomach (where it actually aids digestion). It is prominent in sleep and relaxation. Normally, the dorsal vagus serves a very positive function. It helps the body gently pendulate between arousal and relaxation. However, when the sympathetic system is too aroused, the dorsal vagus nerve can shut down the entire system and we go into freeze. This is most common in trauma and in shame, which is developmental trauma.

The ventral or front vagus nerve goes directly to the muscles of the face and helps determine expression and is active in social engagement. When the ventral vagal nerve is active we seek and initiate social contact. Social engagement for mammals is a way of activating the parasympathetic system.Ventral vagal social engagement—or attachment behavior—is a way to prevent and come out of dorsal vagal shutdown.

Understanding this theory can help unlock the symptoms of PTSD and other traumatic responses. One of the most painful outcomes of PTSD is the experience of a lack of control that can occur when you feel trapped by feelings of anxiety, panic, overwhelm, or despair. The Polyvagal theory describes how our autonomic nervous system is influenced by the central nervous system and it offers a valuable framework for understanding and effectively responding to the intense emotional and physiological symptoms of PTSD.