The 3 States of Anxiety or Trauma in the Nervous System
Therapy in a Nutshell
Therapy in a Nutshell -Emma McAdam
4.8 • 658 Ratings
🗓️ 26 November 2022
⏱️ 16 minutes
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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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