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Writer's pictureSepideh Hossaini, MA, RP, CSFT

Somatic-Oriented Therapy: A Polyvagal Lens

Have you ever wondered why certain situations make your heart race or why, in other moments, you feel frozen and unable to respond? These reactions aren’t random—they’re part of how your nervous system keeps you safe. Understanding this connection is at the heart of somatic-oriented therapy, especially when viewed through the lens of Polyvagal Theory.


What is Somatic-Oriented Therapy?


Somatic-oriented therapy focuses on the connection between your mind and body. It recognizes that your emotions, thoughts, and physical sensations are deeply linked. This approach doesn’t just involve talking about your feelings—it also explores how your body holds stress, trauma, and emotions. By working with the body, somatic therapy helps you process and heal on a deeper level.


When combined with insights from Polyvagal Theory, somatic therapy becomes even more powerful. It helps you understand *why* your body reacts the way it does and teaches you how to regulate those reactions for better emotional health and stronger relationships.


A Quick Look at Polyvagal Theory


Polyvagal Theory, developed by Dr. Stephen Porges, explains how your nervous system responds to feelings of safety or danger. It highlights three main states your body can be in:


1. Calm and Connected

This is your "safe zone." When your ventral vagal system is active, you feel relaxed, open, and ready to connect with others. It’s where meaningful interactions and healing happen.


2. Fight or Flight

When you sense danger, your sympathetic nervous system takes over. You may feel anxious, angry, or panicked as your body prepares to either confront the threat or escape it.


3. Freeze or Shutdown

If the danger feels overwhelming, your dorsal vagal system steps in, causing you to freeze or shut down. You might feel numb, detached, or stuck.


These states aren’t just responses to physical threats—they’re also triggered by emotional stress, like a difficult conversation or a feeling of rejection.


How Somatic-Oriented Therapy might help


Somatic-oriented therapy uses body-based techniques to help you move out of "stuck" states like fight, flight, or freeze and into a place where you feel calm and connected. This is called nervous system regulation, and it’s the foundation for healing and growth.


Here’s how it works:


1. Building Awareness

The first step is understanding your body’s signals. Maybe you notice your chest tighten during a disagreement or your shoulders tense when you’re stressed. These sensations are clues to your nervous system state.


2. Regulation Techniques

Once you recognize your body’s responses, somatic therapy introduces tools to help you shift out of distress. Techniques like deep breathing, grounding exercises, and gentle movement can help calm your nervous system and bring you back to balance.


3. Processing Emotions Safely

In a regulated state, you’re better able to process emotions and memories without becoming overwhelmed. This is where lasting healing happens.


Polyvagal Theory in Relationships


Somatic-oriented therapy through a Polyvagal lens isn’t just for individual healing—it’s also transformative in relationships.


For example:


- Have you ever had a fight where one partner became angry and defensive, while the other shut down or walked away?

- These reactions are often nervous system responses, not intentional behaviors.


Polyvagal Theory helps couples recognize these patterns and understand that they’re rooted in feelings of safety or threat.


In therapy, partners learn to:


- Identify their own nervous system states and how these affect communication.

- Use tools like mindful breathing or physical touch to calm their systems and reconnect.

- Foster a sense of safety within the relationship, making it easier to navigate conflicts and deepen intimacy.


Why Choose a Somatic Approach?


Traditional talk therapy focuses on understanding your thoughts and feelings, but somatic-oriented therapy goes a step further by addressing the body’s role in your experiences.


This approach may especially be helpful if:


- You feel stuck in patterns of anxiety, stress, or trauma that talking alone hasn’t resolved.

- You want to feel more present and connected in your relationships.

- You’re curious about how your body and mind work together to shape your experiences.


Finding Safety and Connection


Dr. Porges famously said, "Safety is the treatment." In somatic-oriented therapy, safety isn’t just a feeling—it’s a state your body needs to be in for healing and connection to happen.


By understanding your nervous system through a Polyvagal lens, you can:

- Regain a sense of control over your emotions.

- Build stronger, healthier relationships.

- Create a life where you feel more present, connected, and at ease.


If this resonates with you, exploring somatic therapy might be the next step in your journey. It’s a powerful way to work with your body and mind to create meaningful, lasting change.



Ready to learn more or begin your journey? Contact me to explore how somatic-oriented therapy might be helpful.

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