Trauma and the Nervous System
- Polyvagal theory as a framework for understanding relational trauma
- The response of the nervous system to:
- PTSD
- Complex trauma
- Developmental trauma
- Attachment-related trauma
- Autonomic nervous system states: Connected, mobilized, immobilized
- Signs of sympathetic activation vs dorsal vagal shutdown
- Mixed states in polyvagal theory: Relevance to trauma and emotional regulation
- Five steps to access safety in mobilized and immobilized states
- Experiential activity: Tracking your own nervous system states
Assess and Address Nervous System States
- A new look at existing assessment tools
- Tools for mapping and tracking nervous system states
- Determine states of felt safety, stabilization, processing and re-integration
- Trauma and stressor-related disorders in the DSM-5TR™
- Assess trauma’s comorbidities
- Signs of mixed nervous system states
- Limitations of the research and potential risks
- Experiential activity: Tracking your own mixed states
A Path Toward Healing: Polyvagal-Informed Intervention
- A framework for individualized treatment planning
- Breakthrough roadblocks: Three tips to work through unresolved mixed states
- Integrate polyvagal principles into EMDR, Somatic Experiencing, CBT, DBT, and more
- Progress tracking: Nervous system attunement and shifts
- Video demonstration: From assessment to intervention
Build Therapeutic Rapport via the Social Engagement System
- Attachment-based strategies for rupture and repair in relationships
- Stuck in shutdown: Eight ways to help clients break free
- What client resistance says about nervous system states
Leverage the Nervous System to Build Resilience and Self-Regulation
- Somatic approaches to unpack stress and trauma memories
- EMDR resourcing and bilateral stimulation
- Five easy-to-implement expressive arts activities to foster emotional release
- Outside-the-box mindfulness and grounding strategies
- The art of therapeutic containment
- Experiential activity: Harness the power of sound to promote regulation and flexibility
- Four helpful journal prompts and expressive writing techniques
- Interoceptive activities to build self-awareness
- The window of capacity: Three exercises to foster growth over time
- Hands-On Learning: Tracking body messages through Art
From Theory to Practice
- Tips to avoid oversimplification or misinterpretation of mixed states in clients
- Beware: Potential risk of inadvertent activation of defense system
- Core guidelines, ethical considerations, and research limitations


