THE POLYVAGAL THEORY SYTAR 2014 Lynn Hughes, D.O. RYT-500 Robin Rothenberg, E-RYT 500, CYTh WHY SHOULD I BE FAMILIAR WITH THIS STUFF AS A YOGA THERAPIST? • • • The nervous system is wired to assess the potential risk in the environment. This could be physical, psychological, real or imagined. **From here flows the propensity towards approach and avoidance on all kosha levels. How we perceive our internal and external world is real to our body and brain as mediated through the nervous system. If we perceive safety…then the more advanced systems inhibit and modulate the Visceral states color our perceptions and therefore our “world” GENES AND STRESS • • • Mild to moderate stress orients our brain to learn and become more “plastic”. In this environment, genes turn on proteins which can create new connections or strengthen previous connections between neurons (the cells of the nervous system). This is what learning looks like at a cellular level. High levels of stress can inhibit or disrupt the brain’s integrative capacity (right and left as well as up and down). End organ effects of the Sympathetic and Parasympathetic nervous systems From: Sapolsky. Why Zebras Don’t Get Ulcers. A MORE NUANCED WAY TO LOOK AT STRESS • • • In the past, the emphasis has been on the fight and flight system of the sympathetic nervous system (SNS). Stephen Porges proposed a theory backed by much research that stress vulnerability may be better viewed as withdrawal of the newest part of the rest and digest system or the parasympathetic nervous system (PNS). The PNS tone (vagal tone) prior to the challenge may define stress vulnerability. POLYVAGAL COMPONENTS from Peter Levine (In an Unspoken Voice) • • • • These systems evolved in sequence. They also THREE BASIC NEURAL ENERGY develop in that order in each of us. SUBSYSTEMS: OVERVIEW The two oldest systems we will discuss evolved in very different times. There was no time to “think” about the tiger between you and your cave. You needed to ACT to survive. Because survival was at stake, the “cost” to the body and psyche in using this powerful chemistry was not relevant. The newest system (our vagal brake) gives us THE VAGUS AKA THE WANDERER • THREE NEURAL ENERGY SUBSYSTEMS IN THE POLYVAGAL The oldest more reptilian system is comprised THEORY of the unmyelinated branches of the vagus nerve (PNS). Lots of below the diaphragm targets for these nerves. • • In the middle is the sympathetic nervous system (SNS) with fight or flight and its connection to the hormone system. This is where the HPA (hypothalamus-pituitaryadrenal) axis is predominantly impacted. The Social Engagement System (SES) is found IT SOMETIMES WORKS AS A LAST RESORT OUR OLDEST SYSTEM • • • The major nerve of the PNS is the vagus nerve. It has branches that underlie our oldest and our newest neural energy systems. The oldest system underlies the primitive defense of immobilization such as freeze, feigning death, behavioral shut down, and is shared with most vertebrates. In trauma, this may be expressed as dissociation. It originates from an area of the brainstem called the dorsal motor nucleus of the vagus. DON’T THINK…RUN! THE SNS SANDWICH • • • • Between the old (unmyelinated vagus/PNS) and new (myelinated vagus/PNS/vagal brake) is the SNS energy of fight or flight. Associated with increased metabolic activity and increasing cardiac output. Main influence on cardiac pacemaker. If it was unopposed by our vagal brake, our heart rates would be much faster and unsustainable. Think of the complexity and physiologic cost of over activation and/or prolonged activation of LET’S DANCE! SOCIAL ENGAGEMENT SYSTEM MYLENATED VAGUS SYSTEM • • This brain-face-heart connection begins to “wire up” in the third trimester. It is measured through heart rate variability linked to exhale (PNS) and inhale (SNS). The more variability, the more resilience because your brake has more range/gradations. It allows for social gaze and controls a number of important muscle groups: facial expression, middle ear (extracts human voice from background sounds), ingestion and sucking, FROM GOOGLE IMAGES LET’S REVIEW • • • • We evolved with increasing control of the heart via the myelinated mammal vagal system. It developed in parallel with increased neural regulation of the facial muscles. Decrease in vagal tone (weak or floppy brake) disinhibits the older two systems. This is often studied by measuring heart rate variability (HRV) between inhale and exhale. Greater HRV indicates a more flexible and YOGA • • Strengthens the myelinated vagus (see bibliography) building resilience so that we can increasingly handle life’s ups and downs without resorting to full on fight/flight or freeze/dissociation when it is not needed. Studies show the positive impact of yoga on various measures of health and well being e.g. heart rate variability and other autonomic measures as well as measures of emotional stability, mood, problem solving, pain, immune function, and multiple other health A FEW PRACTICAL APPLICATIONS • • If people are afraid, or if pain (emotional or physical) is overwhelming, they can’t learn. Start there. As safe and comfortable as possible. Practice modulating YOUR SES and they will tap into that resonance. In essence, they are “borrowing” your vagal brake. In trauma, too much eye contact can feel dangerous. Sitting in a circle may be overwhelming. Keep eyes open initially. We are working to unlink immobility and fear through moving even a little. • IN LIGHT OF THIS...ASK YOURSELF What might be the consequences A depressed mother of: on the development of her infant’s social engagement system? • • • Parents on their phones instead of interacting with their children? Social media where face to face contact is minimized and emotional volatility goes unchecked (and is often rewarded)? The profound lack of movement and physical play in our modern world? SOMETIMES LIKE THIS AND SOMETIMES LIKE THIS…. BREATHE!! BIBLIOGRAPHY • • • Fosha, D. Siegel, D. Solomon, M. editors. The Healing Power of Emotion: Affective Neuroscience, Development and Clinical Practice. W.W. Norton. New York. 2009. Hanson, R. and Mendius, R. Buddha’s Brain. New Harbinger. Oakland, CA. 2009. Lazaridou, A. Philbrook, P. Tzika, A. Yoga and Mindfulness as Therapeutic Interventions for Stroke Rehabilitation: A Systematic Review. Evidence-Based Complementary and BIBLIOGRAPHY • • • Siegel, D.J. Mindsight: The New Science of Personal Transformation. The Random House Pub. Group. New York. 2010. Siegel, D.J. and Harziwell, M. Parenting From The Inside Out. Penguin Books. 2003. **Streeter, C.C. Gerbarg, P.L. Saper, R.B. Ciraulo, D.A. Brown, R.P. Effects of Yoga on the Autonomic Nervous System, Gammaaminobutyric-acid and allostasis in epilepsy, depression, and post- traumatic stress
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