Mind-Body Therapies for Vagus Nerve Disorders-Dr. Arielle Schwartz

Restore Health for Vagus Nerve Disorders

Vagus Nerve Disorder Dr. Arielle Schwartz

A healthy vagus nerve supports your digestive system, helps to regulates your sleep patterns, and calms down your nerves. Learning to regulate vagal tone is associated with a reduction in inflammation and better prognosis in people suffering from chronic illness, migraines, auto-immune disorders, anxiety, and depression. If you suffer from any of these vagus nerve disorders, then this post is for you.

“Healthy vagal tone involves engaging your social nervous system. You can learn to manage the symptoms of vagus nerve disorders by skillfully working with your mind and body to tone your vagus nerve. Mind-body therapies effectively increase your resilience by helping you develop your capacity to feel safe, calm, and connected—even during times of stress.”
-Dr. Arielle Schwartz

The Social Nervous System

Vagus Nerve Disorders Dr. Arielle Schwartz

Research by Dr. Stephen Porges explores the connections between early attachment history, traumatic exposure, and your health as related to the functioning of the vagus nerve (the tenth cranial nerve). The vagus nerve connects the brain to major systems in the body including the stomach, gut, heart, lungs, throat, and facial muscles. Porges’ Polyvagal Theory (PVT) proposes that there are three functions of the autonomic nervous system: social communication, defensive mobilization, and defensive immobilization. (You can read more about polyvagal theory and PTSD here.) Getting stuck in defenses responses is a key contributor to vagus nerve disorders.

The social communication system, also known as the “ventral vagal complex” (VVC) is the branch of the vagus nerve which has a calming and soothing effect. Your social nervous system gets its name because it is responsible for your facial expressivity. In addition, the social nervous system is responsible for both the expressive and receptive domains of verbal communication. This guides the rhythm and tone of your speech and helps provide meaning to your communications. Furthermore, your social nervous system enhances your ability to listen to others allowing you to pick up on emotional nuances within communications. And, considering that the vagus nerve links the heart to the muscles of your face, you will be more likely to engage empathic responses.

Heart Rate Variability and Vagal Tone

Vagus Nerve Disorders Dr. Arielle Schwartz

Vagal tone is measured through the oscillations in heart rate variability that occur with the breath. This is referred to as Heart Rate Variability or HRV. Healthy tone of your vagus nerve involves a slight increase in heart rate on the inhalation and a decrease inheart rate when you exhale. According to Bessel van der Kolk (2006), “Heart rate variability (HRV) provides the best available means of measuring the interaction of sympathetic and parasympathetic tone, that is, of brainstem regulatory integrity.

Healthy vagal tone can be thought of as an optimal balance of parasympathetic and sympathetic nervous system actions. People with higher HRV can move more easily from excitement to relaxed and can recover more easily from stress.

Stress, Trauma, and the Vagus Nerve

Vagus Nerve Disorders

Individuals with long-term, chronic trauma exposure can lose the ability to accurately perceive whether people or places are safe or trustworthy.

In other words, you might respond to a situation as threatening when you are actually safe. In these situations, you can learn to override unnecessary defensive traumatic reactions of fight, flight, freeze, or faint.

Engaging your social nervous system helps to manage vagus nerve disorders. Your social nervous system is strengthened by repeated practice which myelinates the nerve pathways. Myelination is the fattycoating on nerves that is developed through repeated use and leads toincreased speed and control.

Blended States and The Vagus Nerve

Vagus Nerve Disorders Dr. Arielle Schwartz

Once you know how to engage your social nervous system you can apply these skills during times when you feel keyed up with anxiety or contracted into depression. Engagement of your social nervous system while mobilized by your sympathetic nervous system allows you to access your creativity, become playful, and dance with the available energy.

Conversely, engaging your social nervous system when you feel shut down by traumatic memories might allow you to override unwarranted defensive immobilizing reactions. Here you can focus on connecting with your heart in a place of stillness or connecting with a loved one for greater intimacy. Such a blend is also valuable to facilitate ease during childbirth, nursing, or bonding. Porges (2017) suggests that this blend can assist you to connect to a universal unbounded sense of oneness.

Tone your Vagus Nerve

Vagus Nerve Therapy Dr. Arielle Schwartz

Mind-body therapies regulate the vagus nerve and increase your resilience through “safe mobilization and safe immobilization” (Sullivan et al., 2018). This involves initially developing your capacity to feel peaceful, calm, and connected. Once you have a solid foundation of being able to access your social nervous system you can slowly build your tolerance for distressing physiological activation. This is accomplished by blending social engagement with both mobilization and immobilization until you can re-establish a sense of safety with those nervous system states. Over time, you increase your capacity to move in and out of different nervous system states.

Mind-body therapies and somatic psychology invite you to simultaneously attend to your body sensations, breath, emotional experience, and your thoughts. Additionally, you focus on sensing your external environment which will help you recognize that you are safe here and now. Some practices involve mindful use of movement (e.g. yoga postures, tai chi, walking meditation) and others, mindful use of stillness (seated meditation, relaxation, yoga nidra).

In Practice

Vagus Nerve disorders Dr. Arielle Schwartz

Engaging the vagus nerve during movement or stillness can allow for different social nervous system blending for varying health needs and energy levels. Explore the following 4-Part practice designed to help you recover from vagus nerve disorders:

Part 1: Find a Safe Space

Begin by finding a place where you know you are safe to explore this mind-body practice. Find a comfortable position either standing, seated, or laying down. Look around your space, identify visual cues that tell yourself that you are safe, here and now. Repeat to yourself these words throughout the practice, “I am safe, I am connected, I am calm.”

Part 2: Increase Sensory Awareness

Take several long, deep breaths. Notice the sensations of the breath in your body and the subtle movements created by your breath. Now, bring your awareness to the sound of your breath. Expand your sensory awareness to notice any other sensations in your body. Repeat the phrase, “I am safe, I am connected, I am calm.” If at any point in the practice you experience anxiety or other distress return to step one by looking around your space to remind yourself that you are safe now.

Part 3: Explore Mindful Mobilization

Now, begin to explore increasing the intensity of your breath while moving your body. Maybe you stand up into an active yoga posture. Perhaps you walk vigorously in place or around the room. You can even put on your favorite song and dance! Increase your heartrate just enough to notice that your breath quickens to support your movement. Repeat your phrase, “I am safe, I am connected, I am calm” as you move your body. Once again, if you experience any anxiety or other distress, look around your space to remind yourself that you are safe now.

Part 4: Explore Mindful Immobilization

The final step of this practice invites you to return to stillness either standing, seated, or laying down. Allow your heartrate to slow down. Surrender your weight down toward the earth. Invite long, deep breaths extending your exhale longer than your inhale to initiate a relaxation response. Choose to be still and soften any unnecessary holding in your muscles. Repeat your phrase, “I am safe, I am connected, I am calm” as you connect to stillness. Once again, if you experience any anxiety or other distress, look around your space to remind yourself that you are safe now.


  • Porges, S. W. (2017). ‘‘Vagal pathways: portals to compassion,’’ in The Oxford Handbook of Compassion Science, ed. E. M. Seppala (New York, NY: Oxford University Press), 189–202.
  • Sullivan, M., Erb, M., Schmalzl, L., Moonaz, S., Noggle Taylor, J., Porges, S. (2018) Yoga therapy and polyvagal theory: The convergence of traditional wisdom and contemporary neuroscience for self-regulation and resilience. Frontiers in Human Neuroscience Hypothesis and Theory(27) doi: 10.3389/fnhum.2018.00067
  • Van der Kolk, B. (2006) Clinical Implications of Neuroscience Research in PTSD. Annals of the New York Academy of Science, 1071, 277-293. doi: 10.1196/annals.1364.022

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About Dr. Arielle Schwartz

Dr. Arielle Schwartz Complex PTSD, EMDR Therapy, Somatic Psychology

Dr. Arielle Schwartz is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offers trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy. Like Dr. Arielle Schwartz on Facebook,follow her on Linkedin and sign up for email updates to stay up to date with all her posts. Dr. Schwartz is the author of four books:

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