Polyvagal Theory 101
Polyvagal Theory (originally outlined by Dr. Stephen Porges and studied by Deb Dana) provides a map of the autonomic nervous system (ANS), defining how this system shapes experiences of safety and impacts our ability for connection. The stories you tell about yourself about who you are and how the world works begin in the ANS.
We come into the world wired to connect. Our ANS is built to help us feel safe in our bodies and in our relationships with others. Our ANS is always on guard, below the level of our conscious awareness, for cues of safety and cues of danger in our environment (a concept known as "neuroception").
"Because we humans are meaning-making beings, what begins as the wordless experiencing of neuroception drives the creation of a story that shapes our daily living." - Deb Dana
When our ANS detects danger in our environment, it has very skillful ways of protecting us from harm, keeping us alive, and allowing us to maintain connections with the beings around us. All of this protection happens in our nervous system and in our bodies, below the level of conscious awareness.
Your Autonomic Nervous System (ANS) is made up of two main branches:
Parasympathetic
Sympathetic
And it responds to signals and sensations through 3 main pathways, or branches, each with a characteristic pattern of response:
Sympathetic
Ventral Vagal
Dorsal Vagal
The sympathetic branch is found in the middle of the spinal cord. It is the pathway that prepares us for action. When it detects cues of danger in our environment, it releases adrenaline and ignites our fight or flight response.
In the parasympathetic branch, the remaining two pathways are found in a bundle of nerves called the vagus. The vagus travels in two directions: down through the lungs, heart, and diaphragm, and up to connect with nerves in the neck, throat, eyes, and ears.
The two pathways in the vagus nerve are the ventral pathway and dorsal pathway.
The ventral pathway repsonds to cues of safety and supports feelings of safety and connection.
The dorsal pathway responds to cues of extreme danger or life threat and takes us out of connection and into a protective state of collapse.
Over time, our nervous systems evolved into the complex systems they are today, beginning with the dorsal vagal pathway, which developed first, followed by the sympathetic pathway, and finally the newest part of our nervous system: the ventral vagal pathway.
However, if we feel trapped or unable to take action, our nervous system may activate the dorsal vagal pathway, leading to a state of collapse and shut-down, back even further in our evolutionary development. In this state we are immobilized in order to survive (think of the frog who plays dead in order to prevent the predator from attacking).
You can think of your nervous system like a ladder that you're always moving up and down. Your experiences change as you move up and down the ladder.
At the top of the ladder is the ventral vagal pathway.
When we are grounded in the ventral vagal pathway, we may experience:
Safety & connection
Heart rate is regulated
Breath is full and steady
Tune into conversations & tune out distractions
See the "big picture" and connect to the world
Experience the world as safe, fun, and peaceful
Able to take care of yourself
Able to engage in play
Feel regulated
Regulated blood pressure
Healthy immune system
Good digestion
Quality sleep
Overall sense of well-being
Moving down the ladder is the sympathetic pathway.
When we are triggered into this state, we may:
Feel a sense of unease & danger
Fight or flight response
Heart rate speeds up
Breath is shallow
Hyper-vigilance about danger in our environment
High blood pressure
Tightness &tension
Anxious
Angry
Rush of adrenaline
The world may feel dangerous, chaotic, or unfriendly
Difficulty focusing
Panic attacks
Relationship distress
The bottom of the ladder is the dorsal vagal pathway.
We drop into this state when all else has failed and we are unable to take action. We may experience:
Shut-down
Collapse
Dissociation
Hopeless
Feel a sense of aloneness
May feel abandoned
Foggy
Too tired to act or think
The world may feel empty, dead, and dark
Problems with memory
Depression
Lack of energy
Chronic fatigue
Low blood pressure
Your nervous system is a system that is brilliantly engineered to keep you safe and connected, and understanding how it works is the first step to healing if you are feeling stuck in the sympathetic or parasympathetic state.
If you are interested to learn more about how to use all of this information to create change in your life and heal your nervous system, please reach out to myself or another therapist who is trained in Polyvagal Theory. There are also a variety of resources that can support you on your healing journey, including The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation by Deb Dana, which was used to inform much of the information in this article. Other useful works by Deb Dana include her most recent book Anchored, as well as her website. I am incredibly grateful to her and Dr. Porges for bringing the work of Polyvagal Theory into my own life.