The Polyvagal Theory in Therapy Quotes

“The job of the autonomic nervous system is to ensure we survive in moments of danger and thrive in times of safety. Survival requires threat detection and the activation of a survival response. Thriving demands the opposite—the inhibition of a survival response so that social engagement can happen. Without the capacity for activation, inhibition, and flexibility of response, we suffer.”
― Deb Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation

“If we are not safe, we are chronically in a state of evaluation and defensiveness” (Porges, 2011b, p. 14). It is a ventral vagal state and a neuroception of safety that bring the possibility for connection, curiosity, and change. A polyvagal approach to therapy follows the four R’s: Recognize the autonomic state. Respect the adaptive survival response. Regulate or co-regulate into a ventral vagal state. Re-story.”
― Deborah A. Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation

“Neuroception precedes perception. Story follows state. Through a polyvagal framework, the important question “What happened?” is explored not to document the details of an event but to learn about the autonomic response. The clues to a client’s present-time suffering can be found in their autonomic response history.”
― Deborah A. Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation

“Through a polyvagal lens, we understand that actions are automatic and adaptive, generated by the autonomic nervous system well below the level of conscious awareness. This is not the brain making a cognitive choice. These are autonomic energies moving in patterns of protection. And with this new awareness, the door opens to compassion.”
― Deborah A. Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation

“It is when we feel as though we are trapped and can’t escape the danger that the dorsal vagal pathway pulls us all the way back to our evolutionary beginnings. In this state we are immobilized. We shut down to survive. From here, it is a long way back to feeling safe and social and a painful path to follow.”
― Deborah A. Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation

“Coming safely into stillness requires the ventral vagus to restrain the escape movements of the sympathetic nervous system and join with the dorsal vagal system while inhibiting its movement into protective dissociation. For many clients, the autonomic challenge of becoming safely still is too great. Without enough cues of safety from another Social Engagement System to co-regulate or the ability for individual regulation through a reliable vagal brake, the autonomic nervous system quickly moves out of connection into collapse and dissociation.”
― Deborah A. Dana, The Polyvagal Theory in Therapy: Engaging the Rhythm of Regulation