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neuroscience

Autonomic Nervous System

The part of the nervous system that controls involuntary bodily functions like heart rate, breathing, and digestion. In trauma, the ANS becomes dysregulated, keeping survivors stuck in states of hyperarousal (anxiety) or hypoarousal (numbness/shutdown).

"Your autonomic nervous system is automatic—it responds to threat before you can think about it. This is protective: you don't have to decide to jump away from danger. But after trauma, this automatic system can stay stuck in defense mode, treating the present as if it were still the past."

What is the Autonomic Nervous System?

The autonomic nervous system (ANS) is the part of your nervous system that controls involuntary bodily functions—the processes that happen automatically without conscious thought. It regulates:

  • Heart rate
  • Blood pressure
  • Breathing
  • Digestion
  • Arousal and alertness
  • Body temperature
  • Pupil dilation
  • Sexual arousal
  • Stress responses

“Autonomic” means automatic. This system responds to your environment—especially perceived safety or danger—without you having to think about it.

The Branches of the ANS

Traditional View: Two Branches

Sympathetic Nervous System (SNS)

  • The “accelerator”
  • Fight-or-flight response
  • Activates in response to threat
  • Increases heart rate, breathing
  • Prepares body for action
  • Releases stress hormones

Parasympathetic Nervous System (PNS)

  • The “brake”
  • Rest-and-digest response
  • Activates during safety
  • Slows heart rate
  • Promotes digestion
  • Supports recovery

Polyvagal View: Three States

Polyvagal theory adds nuance:

  1. Ventral Vagal (PNS - new branch)

    • Social engagement
    • Calm, connected, present
    • Safe and able to relate
  2. Sympathetic (SNS)

    • Fight-or-flight
    • Mobilized for defense
    • Activated but not collapsed
  3. Dorsal Vagal (PNS - old branch)

    • Freeze, shutdown, collapse
    • Last-resort survival
    • Immobilization, dissociation

The ANS and Survival

Automatic Protection

Your ANS responds to threat before conscious thought:

  • Heart races before you “decide” to be scared
  • You freeze before you “choose” not to move
  • Digestion stops before you “know” you’re anxious

This automatic response is protective—it’s faster than thought.

The Problem After Trauma

After trauma, this automatic system can malfunction:

  • It stays activated when danger has passed
  • It responds to triggers as if they were actual threats
  • It gets stuck in defensive states
  • It struggles to return to baseline

ANS Dysregulation

What Is Dysregulation?

A dysregulated nervous system struggles to:

  • Maintain a calm baseline
  • Respond appropriately to stressors
  • Return to calm after activation
  • Distinguish real threats from triggers
  • Stay within the window of tolerance

Signs of Dysregulation

Hyperarousal (Stuck in Sympathetic)

  • Chronic anxiety
  • Hypervigilance
  • Insomnia
  • Irritability
  • Startle response
  • Racing heart/thoughts
  • Difficulty relaxing

Hypoarousal (Stuck in Dorsal Vagal)

  • Numbness
  • Depression
  • Fatigue
  • Dissociation
  • Feeling foggy
  • Low motivation
  • Disconnection from body

Both/Cycling

  • Swinging between states
  • Emotional volatility
  • Unpredictable reactions
  • Exhaustion from cycling

The Window of Tolerance

Concept

The window of tolerance is the zone of arousal where you can function effectively—where you’re neither overwhelmed nor shut down. Within this window:

  • You can think clearly
  • You can feel emotions without being overwhelmed
  • You can respond rather than react
  • You can stay present

Trauma Narrows the Window

After trauma, the window shrinks:

  • It takes less to push you into hyperarousal
  • It takes less to drop you into hypoarousal
  • You spend less time in the functional zone
  • Triggers easily knock you outside the window

Healing Widens the Window

Recovery involves:

  • Gradually expanding the window
  • Building tolerance for activation
  • Learning to return to the window
  • Increasing overall capacity

Regulation and Co-Regulation

Self-Regulation

Learning to regulate your own nervous system:

  • Noticing when you’re dysregulated
  • Using techniques to shift states
  • Returning to the window of tolerance
  • Building this capacity over time

Co-Regulation

Using connection with regulated others:

  • A calm presence calms your nervous system
  • Safe social engagement activates ventral vagal
  • Being with regulated people helps you regulate
  • This is neurobiological, not just emotional

Humans are designed for co-regulation. We regulate each other’s nervous systems through presence, voice, and connection.

How Trauma Affects the ANS

During Trauma

  • The ANS shifts into survival mode (fight-flight-freeze)
  • This is automatic and protective
  • The body prioritizes survival over everything else
  • This response is not a choice

Living with Chronic Abuse

  • The ANS stays in chronic defensive states
  • Baseline becomes hypervigilance or shutdown
  • The system forgets what calm feels like
  • Resources for “rest and digest” are unavailable

After Trauma

  • The ANS may stay stuck
  • Triggers reactivate the survival response
  • The system treats the present as dangerous
  • Regulation becomes difficult

Healing the Nervous System

It’s Possible

The nervous system is plastic—it can change throughout life. While you can’t undo trauma, you can:

  • Build new regulatory capacity
  • Expand your window of tolerance
  • Teach the system that safety is possible
  • Develop resilience

Approaches to Healing

Bottom-Up Approaches Working through the body:

  • Breathwork
  • Movement and yoga
  • Somatic experiencing
  • Body-based therapies
  • Sensory techniques

Top-Down Approaches Working through the mind:

  • Cognitive therapies
  • Understanding your system
  • Mindfulness
  • Psychoeducation

Relational Approaches Working through connection:

  • Safe therapeutic relationships
  • Co-regulation with safe others
  • Repairing attachment
  • Community support

Daily Practices

Grounding

  • Connect to present-moment sensation
  • Feel your body in space
  • Use your senses
  • Return to the here and now

Breathwork

  • Slow, deep breathing
  • Long exhales (activate vagal brake)
  • Diaphragmatic breathing
  • Consistent practice

Movement

  • Discharge activation through physical activity
  • Gentle movement for shutdown states
  • Rhythmic movement (walking, swimming)
  • Whatever feels safe for your body

Social Engagement

  • Time with safe, regulated people
  • Eye contact, warm voices
  • Physical touch if safe
  • Community connection

For Survivors

Your nervous system has been working hard to protect you:

  • Hypervigilance was looking out for danger
  • Numbness was protection from overwhelm
  • Your body has been trying to keep you safe
  • These responses make neurobiological sense

Now, with understanding and practice, you can help your nervous system learn:

  • The danger has passed
  • Safety is possible
  • Regulation can be rebuilt
  • Your window of tolerance can widen

Healing your nervous system isn’t about controlling it—it’s about working with it, understanding it, and gently teaching it that a new response is possible. Your body learned to survive. Now it can learn to thrive.

Frequently Asked Questions

The autonomic nervous system (ANS) is the part of your nervous system that controls involuntary functions: heart rate, breathing, digestion, arousal, and fight-or-flight responses. It operates automatically, without conscious control, constantly regulating your body based on detected safety or danger.

Traditionally, the ANS has two branches: the sympathetic (activating, fight-or-flight) and parasympathetic (calming, rest-and-digest). Polyvagal theory adds nuance, distinguishing between ventral vagal (social engagement/safety) and dorsal vagal (freeze/shutdown) within the parasympathetic system.

Trauma can dysregulate the ANS, causing it to stay stuck in defensive states. Survivors may experience chronic sympathetic activation (anxiety, hypervigilance) or dorsal vagal states (depression, numbness). The system may have difficulty returning to a calm, regulated baseline.

Dysregulation means the nervous system struggles to maintain a healthy baseline or return to calm after activation. Signs include: chronic anxiety or numbness, overreacting to small stressors, difficulty calming down, swinging between states, and triggers causing intense reactions.

Yes. The nervous system is plastic—it can change and heal with consistent practice. Techniques include: breathwork, grounding, co-regulation with safe others, vagal stimulation, somatic therapies, and gradually expanding the window of tolerance. Healing takes time but is possible.

The window of tolerance is the zone of arousal where you can function well—neither too activated (hyperarousal) nor too shut down (hypoarousal). Trauma narrows this window. Healing involves gradually widening it, increasing your capacity to handle stress while staying regulated.

Related Chapters

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Related Terms

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neuroscience

Polyvagal Theory

A neurobiological theory developed by Stephen Porges explaining how the autonomic nervous system regulates social engagement, fight-or-flight, and shutdown responses. Essential for understanding trauma responses and why abuse survivors may freeze, dissociate, or struggle with connection.

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Vagus Nerve

The longest cranial nerve, connecting brain to heart, lungs, and gut. The vagus nerve is central to stress regulation, the mind-body connection, and trauma responses. Practices that stimulate the vagus nerve can help survivors regulate their nervous system and reduce anxiety.

clinical

Hypervigilance

A state of heightened alertness and constant scanning for threat, common in abuse survivors, keeping the nervous system in chronic activation.

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Window of Tolerance

The optimal zone of nervous system arousal where a person can function effectively—trauma narrows this window, and recovery expands it.

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