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The other day in my live Q&A for my members, I was asked “How can I get regulated again after getting dysregulated?”
What I assume that the person means is that they want to get back to the safe and social state of the nervous system, the parasympathetic response where you feel relaxed and calm and can think clearly.
I’m going to assume that you already know a little about the nervous system- you understand the fight/flight freeze response, and about the shutdown response (if not check out my video on the 3 states of the nervous system). Because if you’re asking about dysregulation, you understand that we can’t just think our way into changing our nervous system. You know about using the powerful tool of the body to regulate the mind and nervous system. You already know about how to use body based skills like deep breathing, the yawn, body scan, mindfulness. (if you don’t, take my free grounding skills course).
Like right now- take a really slow breath, make a big yawn. Gently tap your face.
And I’m assuming that you know about the skills to slow things down. That you’ve already tried writing about it. Going for a walk or exercising, and talking with a safe and understanding person.
So I’m going to assume that you’ve tried all these things, and that it’s not working. These skills work the majority of the time, but not always. So let’s talk about what to do when these aren’t working. I love doing this work. Let’s troubleshoot together shall we? There are at least 3 reasons why you’re having a hard time regulating your nervous system, despite your best efforts. So let’s explore them and their antidotes.
00:00 Introduction to nervous system regulation
00:11 Common ways to regulate your nervous system
02:41 1. Building your parasympathetic «Muscle»
04:08 2. You’re not safe- you need to take some action
05:45 3. You’re trying to force nervous system regulation
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Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life’s direction.
And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love
If you are in crisis, please contact the National Suicide Prevention Hotline at or 1-800-273-TALK (8255) or your local emergency services.
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As someone who has been severely struggling with anxiety and a disregulated nervous system for nearly 7 years, Pema Chodron’s “When Things Fall Apart” and “The Places That Scare You” have tremendously helped me.
Pema writes about how you should meditate and sit with your feelings and get familiar with being uncomfortable, and also practice loving-kindness – being compassionate and gentle with yourself as Emma states in her third point.
I’ve come to realize that I’ve been so anxious, distressed, and physically unwell due to my disregulated nervous system for years because I’ve spent the whole time running away, disassociating, fighting, and having a “i need to fix this” mentality towards my anxiety and negative emotions/thoughts. I’m also an asshole to myself (due to my upbringing and having emotionally unavailable/abusive parents) and am extremely impatient so I’ve been in this toxic cycle. I’m trying to implement letting things be and feeling all the feels even if it’s hard, and being kind to myself. I literally only realized this and have been implementing this recently and so it’s been so difficult because again, I’ve been accustomed to avoiding and distracting, and judging myself for so long.
If anyone else is on this journey I definitely recommend you to look into Pema Chodron’s teachings. And remember to be kind to yourself no matter what. It’s so incredibly hard but we can do this.
Thank you for the videos. Did you have your baby??
I pay a few dollars a month for a Adam Savage's extra channel on YouTube. I'd pay a bit of money a month for a channel like this. $50 in one pop for a course is a bit much, but like $2.99-$4.99 a month I would do if it keeps quality content that is helpful to me. Or access to groups with other recovering folks
I was very critical to this channel for past 12 months due to over-reliance to faulty and detrimental CBT (CBT is wrong approach for anyone with social anxiety symptoms).
This is the correct path, it is right direction.
Polyvagal theory is not recognized by official medical industry, since CPTSD is not either (although it is recognized by WHO's ICD-11).
Trauma is trapped inside our body – so apart from handling our thoughts, it is the body where trauma is stored. It is not behaviour, as CBT claims. It is non-intuitive, how body can store trauma, but it makes sense since brain is organ and nervous system is made up of body parts. It is logical then that bad experiences are stored somewhere in the body.
With trauma we think we must be strong, that we must fight and we think our trauma responses are wrong and stupid and proof we are inept. Then we get idea that we must fix ourselves – which only deepens trauma and toxic shame.
In reality – polyvagal explains what our goals need to be to get back to our healthy state. It is being social.
Anxiety is not disorder – it is trauma, conditioning of being in toxic ambient.
4:19 "Sometimes anxiety isn't disorder, it's just a message that something needs to change. Woman who had been diagnosed with a half -dozen disorders over 25 years – anxiety, depression, psychosis, bi-polar, panic disorder, BPD. And when she finally left her abusive husband, most symptoms went away. Problem was not a mental disorder, it was situation."
Yes!
That was my critical words were about. That what I was trying to say in somewhat rude manner, due to anger how this is not recognized by CBT.
This information will help to a lot of people who tried everything.
I would suggest anyone struggling with emotions to take ACE test – if we were exposed to narc abuse in childhood (constant criticism) there are high chances we have low immunity to difficult people and struggle how to cope with emotions which toxic people trigger around.
This:
Improving our relationships is improving our mental health.
William Glasser
Interpersonal strife with those close to us leads to rifts and resentments that produce symptoms of mental illness; these problems are, in fact, the logical consequence of troubled relationships.
Glasser emphasizes that lasting psychological problems are usually caused by problems in our personal relationships (rather than signifying a biochemical abnormality in the brain), and distress can be remedied through repairing these relationships without recourse to psych drugs.
WILLIAM GLASSER
Controlling Habits:
Blaming
Criticizing
Complaining
Nagging
Rewarding To Control
Threatening
Punishing
William Glasser
William Glasser "What's my Choice" Connecting Habits:
Listening
Supporting
Encouraging
Negotiating
Respecting
Accepting
Trusting
please please please please PLEASE somebody please help :/ i dont really have a whole lot of an idea of whats happening with my brain n memory n its kinda flippin me out! sometimes, like a few minutes ago ill smell something n itll trigger, not just an emotion but basically a straight up flashback to old good times 20 years ago, im 34 now and became addicted to opioids around the time my grandmother died when i was about 14, yea wasted more than half my life so far :/ that makes me feel great when that runs thru my head.. also the reason she died was FROM overdosing on opiates..n my dumbass goes n does that..?? tf?.. anyway since then there unfortunately hasnt been any significant amount of time that i was clean n my body could recover, anything more than a few months at best but iv been trying the past few years n especially the past year, iv cut back on this Fn suboxone junk doctors give u as far as i possibly can and still tolerate being alive, but the past few months, along with withdrawal iv been getting absolutely amazing feelings in my head, i genuinely feel like iv woken up after 15 years, my brains suddenly conscious again.. and its a little much at once to b completely honest.. how would i deal with HARDcore emotions n feeling i get from flashbacks like that, one of the main feelings is that i miss those old times, another part is that its jarring having memories that vivid i totally understand if ppl read this n their eyebrows r simply raised with no idea how to help.. in fact i kind of expect that, its not exactly the most common thing..
This is huge, you’ve helped me so many times
Thank you 🙏🏼
This Is effective with OCD? Have a Nice day 🙂
Do you have a mailing address or P.O. Box?
If yes, what is it?
Emma, this background music is really soothing and beautiful. Who is the guitarist?
My nervous state is a little off after getting off benzos I'm 4 months clean.
Using computers and electronic devices has a devastating effect on the nervous system. My meditation teacher always warns us about it it – he keeps his computer use to an absolute minimum.
as a Muslim we belive there is dearms come true so I am sooo scared of dreams I overthinking of anything m living in past and future not present
This video is very much useful for me as I'm very much prone to be anxious all the time.
I think the reason for most of my problems is my family I can't leave them because I'm stuck with them I can't be independent because of my environment, and because I'm a girl and It's annoying to live the results of other people's decisions.
I feel stuck, there is nothing I can do and I don't know how to escape.
❤️❤️❤️
Hi mam 💞
2:44 Music ends! 😅
These are the most wonderful people in the world, thank you. I love you a lot. Greetings from Croatia
Okay so just 'thankyou' – thankyou for saying that "while trauma changes the brain, healing does also" so many people/sites/experts/podcasts whatever, say 'trauma changes the brain' and then just leave it like that So way to go – CSA survivors just have a whole load of secondary abuse crap dumped on them, when they could easily say what you have just said HEALING CHANGES THE BRAIN ALSO! alleluia – we are not just 'damaged goods' for nonsurvivors to dump their own insecurities upon but living, breathing HEALING people – most of which is done by US I would add as the rest of society is too disconnected to give a dam! Facing feelings, running towards them, and feeling also works with triggers – but with triggers use insight, make sure you're safe, and remember that the current 'overreaction' might really be a reaction to past trauma.
anyway to get this without music?
Hi Emma can you do a video on Depersonalization and Derealization ?
" The problem is not a mental disorder. It is a situation that needs changing. Sometimes action needs to be taken and your body is going to keep sending you messages until you get it." Thanks!! 💥
After getting diagnosed with POTS and going through 4 months of treatment I've discovered that 80-90% of what I thought and had been told by countless professional over 20+ years were mental issues were in reality physical issues. Don't get me wrong, there's still some mental issues there, but the best thing I've ever been able to do to help my whole autonomic system is getting a proper diagnosis
Soooo helpful, thank you
Hey, I loved your video, thank you! I wanted to show it to my grandparents but they don't speak English. Have you ever considered translating your content into different languages?
Thank you, thank you, thank you for sharing this! I am going to watch and rewatch it and try to do some of the recommended actions.
Hello Therapy in a Nutshell! Good day! I am Angelo, 27, and I am currently experiencing anxiety after my cat passed away a month ago. This anxiety is further aggravated with the animal injustices/cruelty that I'm witnessing, especially in my workplace where the head, directress, owner, office staffs, and some of my co-teachers normalize k*lling cats. I own several cats and I am very compassionate about animals. I confronted, one time, the directress about this issue (since she's so accustomed to k*lling cats) but she just did a fake smile and said "Want to take home cats? I have a sack here". Btw that woman commands the gardener to put cats in a sack and left them under the sun to die. One time, I saved a cat that they put in a sack and recorded it for others'awareness of their cruelty, but no one seems unbothered by the directress' action— not even my co-teachers. I want to suggest doing TNR instead of putting them in a sack. But, I highly doubt they will do it as they are very stingy and financially and morally corrupt. I've been planning to do TNR on my own, but my salary isn't enough, plus I don't think people around me will support me as many of them treat animals horribly (also, I already have 27 cats in our house— some of them are adopted strays while others are the offspring of our adopted strays). I told the directress that if only I had a very large house and enough resources, I would adopt all the cats that they're catching, but I don't have. I want to report the directress to the police but I have no enough evidence for my claim of animal cruelty and I have no enough money to do it. Also, I feel like no one will support me if I report that evil woman to the police. Together with my anxiety, I've been feeling extremely angry, frustrated, helpless, desperate, and unsupported. I've been feeling this for a month now and yesterday I broke down again. How can I cope with this type of injustice or ignore their depravity? How can I deal with these multiple uncomfortable emotions/feelings— grief, guilt, and anxiety due to pet loss accompanied by anger, frustration, despair, helplessness, and loneliness from the animal cruelty that I've been witnessing? Thank you so much.
dont force, anxiety can be just a siganl that something needs more attention mabe set more boudaries, quit toxic sensation, quit being a people pleaser
I’m very grateful for you and your channel. Thank you for taking the time to create these videos. 😊🙏🏼🌟💛🌟
You’re so great, Emma! Your videos help me both personally and professionally as a therapist ❤😊
Might be really helpful for some folks if we had a kind of reference about what is exactly "The good solid college try" for something, and when "we're being silly about it and wasting time". I know I have my own kind of dubious judgment on the matter, and so far, it's seemed to serve me pretty well… BUT from the younger generations who seem to think "If it hasn't helped me in 3 minutes, this is NEVER going to work" to the hard-liners with their own "If it hasn't helped you yet, just keep doing it" version… It can be a damnably dubious and frustrating world of rabbit holes and pitfalls to try to differentiate when "enough" is actually enough, and when we should be stepping back and looking around to questions "Okay, what the hell am I missing here? This ain't working!"
You never know… I might even learn a thing or 3… ;o)
Great video I really enjoy your videos and how you explain everything so well. Thank you so much.
I’ve been practicing and training for years and you drove right to the heart of the issue in less than 10 minutes. And that’s why I send my clients to watch your videos. Thank you!
Now I can’t stop yawning😂.
For real, thank you!
This immediately helped me to slow down.
Really love ❤the way you explain very much clear and crisp….
Thank you so much for the video, and sharing very valuable lessons …. 🙏
This is EXACTLY what is wrong with me.! Parasympathetic nervous system.
You are such an amazing therapist and human! I've been following you for several years, so glad to see you have over 1 million subs, you help so many people and I'm thankful for you! ❤️
thank you so much for the content you make! i started my healing journey recently, trying to treat my anxiety with regulation skills, and i've noticed that when i drink coffee/alcohol i feel a lot more anxious than i used to…confusing
When nothing helps I watch a video of yours. Always does the Trick:)
You've helped me so much, thank you Emma !
You’re so wonderful! Thx for all you share!!
I love that this video ended with emphasis on not trying to chase out your emotions. Willingness is so powerful, and empowering.
Thank you, thank you, thank you for this. Wow. I'm not even sure what else to say, as I'm still processing – so, just thank you again. You are a God send, and I pray that you continue to be blessed 💕