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Therapy in a Nutshell

The 3 States of Anxiety or Trauma in the Nervous System

Therapy in a Nutshell

Therapy in a Nutshell -Emma McAdam

Mental Health, Education, Health & Fitness:mental Health, Self-improvement, Health & Fitness

4.8658 Ratings

🗓️ 26 November 2022

⏱️ 16 minutes

🧾️ Download transcript

Summary

Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Do you ever feel hopeless, shut down, or walled off? Or do you get triggered and feel anxious, angry, or agitated? There are essentially 3 states of your nervous system: Ventral Vagal (Safe and social) Sympathetic (Fight or Flight) and Dorsal Vagal (Shut Down). Most people aren’t able to identify which state they’re in, and then they feel helpless to change. This is especially difficult for people with trauma, which includes about ⅓ of the population. When you have trauma, your nervous system can get stuck in a hypervigilant state or a frozen, numb state. And when you can identify the states of your nervous system, you can learn skills to spend more time in the safe and social state of your nervous system. You can retrain your nervous system to be healthier. One approach to learning how to feel safe in your body is the Polyvagal approach. It’s known as the science of feeling safe. The researchers and clinicians who developed polyvagal therapy have developed a system to help people learn to turn on that safe feeling in your body, so that you can feel more calm, have better relationships, and make better choices. In this video you’re going to learn the three states that your nervous system can be in according to polyvagal theory. This will help you learn to identify what state you’re in and then use self-regulatory skills to shift your nervous system to a state of safety. Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/ Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Transcript

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0:00.0

This is the Therapy in a Nutshell podcast. I'm Emma McAdam, a licensed marriage and family therapist.

0:06.2

These episodes are filled with research-backed therapeutic education that you can start applying in your life today.

0:12.0

I hope you find today's episode beneficial, and if you know of someone who could benefit from this podcast, please don't hesitate to share it.

0:19.2

Let's work together and share tools everyone can use

0:21.7

to help deal with the difficult mental health struggles they're going through. Each podcast

0:26.6

episode comes from a corresponding video. You can find them on the Therapy in a Nutshell YouTube

0:31.9

channel. Also, these podcasts are educational and don't replace the advice or direction you may be receiving

0:39.0

from a therapist or other health professionals. Please enjoy the episode. I once worked with a client

0:46.1

who was smart, energetic, motivated, maybe a little anxious, but overall pretty high-functioning.

0:51.7

But whenever we started to talk about her ex-boyfriend,

0:54.5

the one who used to abuse her as a teenager, she would keep talking, she'd keep answering my

0:59.6

prompts, but I could tell that she would go numb. She'd say things like, oh, I'm so angry about this.

1:06.4

But her body said that she was feeling flat. She'd often pull her knees into her chest or she would shrink into her chair and her body might slump down.

1:16.2

And she didn't realize that her nervous system was shifting into a shutdown reaction known as the dorsal vagal state.

1:23.6

Now do you ever feel hopeless, shut down, or walled off?

1:28.3

Or do you get triggered and feel anxious, angry, or agitated?

1:32.3

There are essentially three states of your nervous system.

1:36.3

The ventral vagal, which is safe and social, the sympathetic, which is fight or flight,

1:42.3

and the dorsal vagal, which is shut down.

1:45.9

And most people aren't able to identify which state they're in, and then they feel

1:50.3

helpless to change.

1:51.9

This is especially difficult for people with trauma, which includes about one-third of the

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