Polyvagal Theory and OCD: The intersection of methodologies
Polyvagal Theory is based on the recognition that our autonomic nervous systems are a key factor in determining how we respond to stress and trauma. By understanding how polyvagal theory applies to OCD work, clinicians can help their clients better manage experiences of distress and more effectively address persistent symptoms.
Recent research has indicated a strong link between trauma and Obsessive-Compulsive Disorder (OCD).
The polyvagal theory suggests that when a person experiences trauma or fear, the sympathetic side of their autonomic nervous system becomes activated which can lead to increased anxiety, rumination on negative thoughts, avoidance of fearful situations, or the development of compulsive behaviors.
In addition, trauma has been found to cause changes in brain chemistry which can also contribute to OCD symptoms.
Studies have shown that people who have experienced trauma tend to have lower levels of serotonin and higher levels of cortisol than those without a traumatic history. This shift in neurotransmitter levels can make it harder for someone who has PTSD or another type of trauma-related disorder to regulate their emotions and control the intrusive thoughts and compulsions associated with OCD.
The polyvagal theory suggests that when faced with a threat, our bodies activate the sympathetic (fight-or-flight) or parasympathetic (rest-and-digest) branches of the autonomic nervous system.
The polyvagal nerve then helps us access additional resources in moments of high arousal. This includes behaviors such as social engagement, calming through body awareness activities and relaxation techniques, and increasing safety through mindfulness practices.
In the context of OCD work, polyvagal theory can be used to understand how the body responds to intrusive thoughts, sensations, obsessions and compulsions.
Trauma can cause dysregulation of this balance leading to an overactive sympathetic response which may manifest in OCD symptoms.
Clients are often able to more easily manage these experiences of distress when they recognize the role their autonomic nervous system plays in their response.
How do you reset the polyvagal nerve?
The process for resetting the polyvagal nerve begins with being mindful and aware of your thoughts and surroundings. You should also focus on connecting with your breath as this helps to switch off the sympathetic response (fight or flight) and activate the parasympathetic response (resting & digesting). Once you are in a relaxed state, start to massage a specific area in the middle of your neck just below the base of your skull, which is known as the vagal nerve. This can be done using fingertips or a massage tool, and should be done for several minutes until you feel your body relax.
After massaging this area, move onto doing deep diaphragmatic breathing exercises. Start by taking long slow breaths with an emphasis on breathing out longer than in. This will activate the parasympathetic system and allow it to take control over your sympathetic response. As you continue to do this type of breathing exercise, focus on releasing any tension from your body so that all physical sensations become more relaxed and comfortable.
By following these steps, you should begin to feel calmer and more relaxed. However, it's important to practice the resetting process regularly in order to help your body maintain this state of relaxation and emotional balance. Doing so will have long-term positive effects and can help you become more resilient to stress and difficult situations. Resetting the polyvagal nerve is a powerful technique, and with regular practice it can lead to improved emotional regulation, enhanced resilience and better overall health and wellbeing.
* * *
By utilizing polyvagal theory as part of treatment, clinicians can help clients access a greater range of emotional states and behaviors. This may include improved self-regulation skills, increased feelings of safety and trust, and enhanced resilience in the face of stress or trauma.
To learn more about how we incorporate polyvagal therapy and use mindfulness in our treatment, please contact Kairos Wellness Collective today.
