Understanding Trauma through Polyvagal Theory

Polyvagal Theory was a new way to understand trauma through the neuropsychological role of the vagus nerve in regulating emotions and fear responses and how they affect social connections in 1994 when it was introduced by Stephen Porges. The theory expands the two types of threat responses, fight or flight, into a third called “freeze.” It is what some animals do in the wild. Freezing is the body’s way of “playing dead” to become uninteresting to a threat until it passes. The natural way someone exits the freeze response and return to balance in the body is to bring ourselves into social engagement, in which we are open and receptive which establishes within the body that we’re not under threat.

The autonomic nervous system is responsible for this survival mechanism. It regulates heart rate, blood pressure, respiration, digestion, and sexual arousal. In times of extreme threat, one branch of our parasympathetic nervous system kicks us into shutdown mode. When we look back on the experience it is normal to wonder why we did not react differently such as fighting off the attack or running away. It can be confusing and make us think we are weak.

That confusion causes trauma energy to become blocked in the body where it is stored. The person can stay stuck in trauma and anxiety perpetually until it is discharged. The way this stored energy is discharged is through entering back into a state of threat, shut-down and immobilization, and working back into social engagement where we become relaxed and open again. Traveling back and forth threat to safety allows a person to truly recognize they are safe, where they can become open and receptive again so they can explore further healing.

The Three Parts of the Nervous System

Deb Dana, a clinical social worker and therapist recognized the need for a practical application of polyvagal theory and developed a therapy around it. She published three books, The Polyvagal Theory in Therapy, Clinical Application of the Polyvagal Theory and Polyvagal Exercises for Safety and Connection. In her books, she organizes the nervous system into three parts, hierarchy, neuroception and co-regulation.

Hierarchy refers to the three states of the nervous system: The ventral vagal, sympathetic and dorsal vagal, and how they activate in a particular order. The ventral vagal helps us feel safe, show up and communicate. It is our home base line and place of safety. Sympathetic is that energy that gives us fight or flight to help us survive danger. If we cannot flee or fight, then the dorsal vagal has us shut down, collapse and go numb to protect ourselves.

Neuroception is when our nervous system is constantly scanning the environment for clues of any danger. It listens inside and outside our bodies, and to interactions between people for any trouble. Neuroception determines whether we need to be in ventral vagal, sympathetic or dorsal vagal, depending on the environment and threat level. Dana describes co-regulation as the need to be safely connected with others throughout our lifetime in order to survive.

Understanding our nervous system is the first step in navigating challenges more effectively. The nervous system informs the brain, therefore it is essential to first comprehend the processes of the nervous system before understanding the brain. When people come to an understanding of why their nervous system acts the way it does, people can guide themselves back to their home safety state. When people are stuck in the sympathetic state, people with unhealed trauma may carry fear, lack of trust and anxiety. Those stuck in the vagal state may carry loneliness, disconnection and numbness. When survivors heal, it is a triumph because they can reside in the ventral vagal state of their home base where they have let go of their stories of suffering and become connected and attuned with others.

Somatic Experiencing Therapy for Trauma

What is Somatic Experiencing?

Somatic Experiencing is a naturalistic form of therapeutic body work that aids the healing of Post-Traumatic Stress Response (PTSR) and other issues related to trauma. It was established by Peter Levine in the 1970s and has been used in the treatment of trauma. It is based on Wilhelm Reich’s theory of blocked energy in the body and how it needs to be released in order to heal.

Healing comes through Somatic Experiencing by addressing where imbalances occurred through the excess energy that was trapped in the body following a traumatic incident. During a traumatic incident, adrenalin floods the body in order to fight and run for survival. It’s just something the body does in normal reaction mode. When the traumatic event is over, the body gradually goes back to resting state, but sometimes the body can go into a freeze state and the brain can dissociate to leave the present moment and take refuge elsewhere. This can cause energy to be trapped in the body. The excess energy needs to be discharged but the body doesn’t like to waste energy and tends to store it. This is often the root of dysfunctions following trauma. In order to heal trauma, we must release that energy. It can be deeply uncomfortable, however, it is far better to go through it for our mental and emotional health, than let it fester or bury deeper inside.

The Somatic Experiencing approach is to assist a person to notice their physical sensations in relation to difficult thoughts and emotions connected with their traumatic events. Instead of talking about the experience and reliving it, Somatic Experiencing uncovers and identifies the sensations in the body that are energetically linked to the traumatic emotions or memories. For instance, when a traumatic memory comes up, a person would notice where they feel sensations of pain or discomfort in their body. The person would make the connection between that part of the body and the traumatic event. While that connection if fresh, the person would immediately think of a positive thought or memory, such as basking in the sunshine or a favorite vacation spot. By bringing in a pleasant, positive experience, there is a somatic overwrite and the person should feel relief in the form of a tingling sensation, calming or the feeling as if a weight has been lifted.

These are some techniques used in Somatic Experiencing to release traumatic energy trapped in the body:

Breathing can be used to breathe out and release blocked and stored energy.

Mindfulness to strengthen awareness of surroundings, thoughts, and the way the body feels.

Meditation to calm and increase awareness.

Somatic Psychotherapy may be used to talk about the experience and pinpoint correlating body discomfort.

Body movement is used to release trapped energy and identify areas of stress to process it for healing.

Positive Imagery can be used to calm the body and mind to help bring healing to stress areas.

Conclusion

Normally we can sufficiently recover from a traumatic event but we each process trauma differently both physically and emotionally. Trapped energy from a traumatic event can cause imbalances in the body. Those imbalances over time can become chronic pain, behavior disorders or disease. Trauma therapy should be sought at the first sign of trauma symptoms, or right after a traumatic event, but we don’t always realize that we need help. Waiting until pain and discomfort become so unbearable is what normally drives people to seek therapy. Somatic Experiencing is a way to release stored trauma energy by identifying body discomfort associated with a trauma memory. Using positive imagery, the trauma memory energy can be uncovered and released. Relief in the form of a freer, lighter feeling can be achieved.


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Sensorimotor Therapy to Heal Trauma

How Does Sensorimotor Therapy Heal Trauma?

Sensorimotor Therapy- Research has shown that people who have been diagnosed with PTSD, have experienced child or adult sexual abuse and those who suffer from anxiety, depression and other trauma-related symptoms benefit from Sensorimotor Therapy. It was first discovered by Dr. Pat Ogden in the 1970s and is meant to re-establish the connection between mental health and the sensorimotor skills of patients at the psychiatric hospital where she worked. It works on the theory that when we experience trauma or a traumatic event, memory of the experience can become trapped in the body. Affected persons may not even be aware that the energy of unresolved trauma is what is causing pain and problems in their body. It can affect the nervous system, mood and numerous other secondary symptoms.

Normal survival responses to trauma are fight, flight, freeze, flop or friend. The freeze response shuts us down in a paralysis, thus our attempts to physically protect ourselves may not have been completed for several reasons, we may have been overpowered by the assailant. Situations where we are unable to protect ourselves can lead to mannerisms like shaking, clenching or nervous ticks. It can also lead to anxiety, hopelessness and depression.

In Sensorimotor Therapy, the incomplete actions are played out in a safe environment which can give the person a sense of closure. The playact is performed in a state of mindful awareness or mindfulness in order for the experience to reach directly into the subconscious. Mindfulness helps the closure experience reach the old trauma memories to augment them into a better state of wholeness.

Benefits of Sensorimotor Therapy are:

· Reduction in physical and emotional pain
· Post Traumatic Stress Disorder (PTSD) symptoms
· Reduction in anxiety-related symptoms
· Mood disorders and emotional regulation
· Improved physical coordination
· Increased capacity for intimacy
· Improved ability to set boundaries
· Substance abuse and addictive behavior
· Self harm and suicidal behavior

The Three Phases of Sensorimotor Therapy

Phase 1: Safety and Stabilization– This is a gentle exploration of thoughts, emotions, memories and sensations. Mindfulness is cultivated throughout the investigation.

Phase 2: Processing– This is an exploration of memories that are attached to physical sensations and movements in the body. The person learns and practices movements that empower them to defend themselves that they may not have been able to use during the time of the trauma. This stimulates a triumphant response to the original threat.

Phase 3: Integration– This is where the client is empowered with a strong sense of self, improve relationships and to cultivate an ability to pursue pleasant, playful activities to feel joy and contentment.

Conclusion

In Sensorimotor Therapy, people become aware of their awareness, thus remaining cognizant while being able to observe mind and body. People are taught how to regulate their nervous system and emotions. This enables them to remain calm despite the intrusion of traumatic memories. It can reduce fight or flight or freeze reactions to stressful situations.


Holistic approaches to healing trauma down-loadable free Ebooks written by Lou Lebentz.

https://docslib.org/doc/9096180/solutions-to-trauma-part-i-psychosomatic-and-holistic-methods-lou-lebentz-trauma-thrivers-trauma-thrivers

https://docslib.org/doc/9096180/solutions-to-trauma-part-ii-psychosomatic-and-holistic-methods-lou-lebentz-trauma-thrivers-trauma-thrivers