Jeffrey Rutstein, PsyD: You Can Shift the State of Your Nervous System

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December 31, 2024

Jeffrey Rutstein, PsyD: You Can Shift the State of Your Nervous System

Jeffrey Rutstein December 31, 2024

Our understanding of the human nervous system has grown exponentially in recent years, thanks to astounding discoveries from neuroscience, Polyvagal Theory, trauma research, Attachment Theory, and other emerging fields. No longer do we see the functioning of the nervous system as an unconscious process outside of our control. Today, we know that you can actually befriend and work with your nervous system to self-regulate in the face of emotionally triggering situations, release unresolved trauma from the “stuck places” inside, and reclaim a life of integration and wholeness. Sounds True’s annual training, The Healing Trauma Program, was designed expressly for these purposes. In this podcast, Tami Simon speaks with psychotherapist and lead teacher of the program Dr. Jeffrey Rutstein. 

Tune in for an eye-opening conversation on: the connection between unhealed trauma and nervous system dysregulation; raising self-awareness around your personal triggers and conditioned responses; shifting from defensiveness to feelings of safety and belonging; chronic dysregulation; accurately discerning when you’re in danger; the vagus nerve, the ventral vagal response, and the “tend and befriend” zone where we can be fully present; the interplay of genetics and your upbringing in the formation of your “go-to nervous system states”; a nervous system approach to transforming self-blame and shame into self-compassion and worthiness; three pools of energy—hyperarousal, hypoarousal, and the Window of Tolerance; the empowering firsthand experience of changing your nervous system states; why there are no “bad” nervous system states; why being in a regulated state is so critical to healthy relationships; neuroception; simple, on-the-spot techniques (or “nervous system hacks”) you can use to self-regulate, from breathwork to gentle stretching and more; the shortcomings of talk therapy; co-regulation and the social engagement zone; the four key questions of the aspiring nervous system co-regulator; severe trauma and how “the state drives the story”; meditation practice, the true self, and the inner “hijacker”; and more.

 

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com

Dr. Jeffrey Rutstein is a clinical psychologist, an expert in the treatment of trauma, a certified Hakomi Mindfulness-Centered Somatic psychotherapist, and a meditation teacher who has been in private practice for over 35 years. He has practiced meditation for over 50 years. He has devoted his professional life to helping people reduce their suffering and struggle while empowering them to claim their strengths, their talents, and their unique abilities to live a more fulfilling and rich life.

Author photo © Josh Hailey

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Also By Author

Jeffrey Rutstein, PsyD: You Can Shift the State of You...

Our understanding of the human nervous system has grown exponentially in recent years, thanks to astounding discoveries from neuroscience, Polyvagal Theory, trauma research, Attachment Theory, and other emerging fields. No longer do we see the functioning of the nervous system as an unconscious process outside of our control. Today, we know that you can actually befriend and work with your nervous system to self-regulate in the face of emotionally triggering situations, release unresolved trauma from the “stuck places” inside, and reclaim a life of integration and wholeness. Sounds True’s annual training, The Healing Trauma Program, was designed expressly for these purposes. In this podcast, Tami Simon speaks with psychotherapist and lead teacher of the program Dr. Jeffrey Rutstein. 

Tune in for an eye-opening conversation on: the connection between unhealed trauma and nervous system dysregulation; raising self-awareness around your personal triggers and conditioned responses; shifting from defensiveness to feelings of safety and belonging; chronic dysregulation; accurately discerning when you’re in danger; the vagus nerve, the ventral vagal response, and the “tend and befriend” zone where we can be fully present; the interplay of genetics and your upbringing in the formation of your “go-to nervous system states”; a nervous system approach to transforming self-blame and shame into self-compassion and worthiness; three pools of energy—hyperarousal, hypoarousal, and the Window of Tolerance; the empowering firsthand experience of changing your nervous system states; why there are no “bad” nervous system states; why being in a regulated state is so critical to healthy relationships; neuroception; simple, on-the-spot techniques (or “nervous system hacks”) you can use to self-regulate, from breathwork to gentle stretching and more; the shortcomings of talk therapy; co-regulation and the social engagement zone; the four key questions of the aspiring nervous system co-regulator; severe trauma and how “the state drives the story”; meditation practice, the true self, and the inner “hijacker”; and more.

 

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com

Unwinding Trauma and PTSD: The Nervous System, Somatic...

The mind-body connection is still a new concept in Western medicine. Descartes’s declaration “I think, therefore I am” encouraged many to view the mind as separate from and superior to the bodyfor almost 400 years! So, to understand the discovery of feedback loops in the nervous system linking body and mind is to undergo a major paradigm shift, with radical implications for how we view and treat conditions like trauma and PTSD—and how you can empower yourself around your own healing journey.

Why Embodiment Decreases for Trauma Survivors

Until trauma survivors feel their safety has been truly restored, their nervous system relies on defensive mechanisms like dissociation, numbing out, or immobilization. This can feel subjectively like becoming a two-dimensional “stick figure” energetically, with a body that’s barely there.

If you feel like you’re not really inhabiting your body, know that it’s not your fault and you probably had very good historical reasons to leave it. With recent advances in mind-body therapies and somatic psychology, however, there are many ways—when you’re ready—to safely return to experiencing your fully embodied self. 

Perhaps the most popular of these therapies is Somatic Experiencing®.

What Is Somatic Experiencing?

Somatic Experiencing is a form of therapy originally developed by Dr. Peter Levine. It proceeds from the premise that trauma is not just “in your head.” Though you may feel off-kilter psychologically in the wake of trauma, you’re not “crazy”you have a nervous system that has been put into overdrive.

The body can’t distinguish physical trauma from mental or emotional trauma, and this leads the brain, once you’ve had trauma, to get stuck in a state of believing that you’re in perpetual danger.

Without a way to shake off the effects of having been in a dangerous situation in the past, trauma survivors disconnect from their bodies; the trauma gets “frozen” inside. With this frozenness in the body, your emotions can become dysregulated easily; you might at times feel spacey, agitated, depressed, panicky, collapsed—or all of the above.

Again, it’s not your fault that any of this is happening: dissociating and numbing are a natural  defense mechanism. Still, it may take some work, often within a therapeutic container, to start to “thaw” the frozenness or unwind the trauma.

Somatic Experiencing practitioners help clients increase their awareness of their kinesthetic, embodied experience, and lead them through techniques to gradually release stresses that have been locked into the body. Allowing both physical responses and emotions to come through, bit by bit, restores psychological balance and can help resolve even long-term PTSD.

How It All Works: Polyvagal Theory

Neuroscientist and psychologist Dr. Stephen Porges synthesized Polyvagal Theory as a way to explain human behavior in terms of the evolution of our autonomic nervous system. It not only provides a biological frame for parts of Somatic Experiencing, it has helped therapists develop a host of somatically attuned interventions and refined the way they interact with clients.

The centerpiece of Polyvagal Theory is the vagus nerve. This long nerve mediates what Porges calls the “social engagement” system. The vagus nerve’s ventral branch supports social engagement: a calm and playful, pro-social state. Its dorsal branch supports the opposite: immobilization (characterized by dissociation, depression, numbness, or “freeze.”)

If you undergo a trauma, the dorsal branch of the vagus nerve activates a state of immobilization. On the other hand, when you feel safe and embodied, your parasympathetic nervous system functions smoothly and you can (ideally) engage socially. What makes all this possible is neuroception, perception that takes place without our conscious awareness, tipping us from safety into other modes, like fight, flight, or freeze.

Clinicians trained in Polyvagal Theory support clients in making shifts in their autonomic responses, from “freeze” and shutdown to fight or flight—to safety—in order to restore a healthy range of responses and the feeling of being safe. 

Practicing co-regulation with their clients helps the clients to re-establish inner safety and other positive feeling states.

How You Can Increase Your Embodiment

Trauma severs us from our body, and embodiment brings us back. 

Embodiment practices like somatic therapies, qigong, and various athletic activities are some of the best medicine around for the nervous system. Even just taking a long walk while paying attention to your feet making contact with the earth can be quite supportive.

Sounds True also has created The Healing Trauma Program to offer support for your healing. The course has a faculty of 13 esteemed trauma experts—including Somatic Experiencing founder Dr. Peter Levine, Polyvagal Theory expert Deb Dana, Dr. Gabor Maté, Konda Mason, Thomas Hübl, and many others. The program takes place over nine months and is truly an immersion into the world of trauma recovery, with teachings, guided practices, live practice sessions and Live Q&As. Find out more about The Healing Trauma Program.

A Compassionate Approach to Recognizing Trauma Bonding

The theory of attachment styles became popularized in the last 15 years; now trauma is (finally) getting recognition from the mainstream. But most of us aren’t yet clear about the very deep connection that exists between trauma and certain attachment styles. This is where the concept of “trauma bonding” comes into play.

What is trauma bonding?

Trauma bonding happens when we get attached to someone who is often neglectful or abusive (physically, emotionally, or psychologically), but is also occasionally kind. When we’re attached to someone like this, we typically explain away their bad behavior, claiming “they had a hard day” or “it was my fault they got mad at me.” Rationalization offers us a semblance of protection from seeing the reality of the danger and inequality in the relationship. 

It’s common to form a trauma bonding pattern when one of our parents or partners is erratic, abusive, or absent. But often the template of trauma bonding gets applied to many of our relationships.

Signs You Have a Trauma Bond

If you’re in a trauma bond relationship right now, you may make dramatic or sudden life changes or even great sacrifices for the sake of the relationship to the detriment of outside friendships, family, and your autonomy. 

Even if the original, harmful relationship is now a thing of the past (e.g., you moved out, you broke up with the manipulative partner, or your former abuser has died), the trauma bonding pattern may remain embedded until you learn how to consciously uproot it.

Signs this trauma bonding template is still present can include:

  • Emotionally caretaking others while your own needs and desires are swept under the rug
  • Acting as if you continually need to prove your worth to others (and yourself)
  • Avoiding being authentic or open because it feels like too great a risk
  • Feeling frustrated, exhausted, hypervigilant, or unsupported in relationships due to perceiving pressure coming from others
  • A pattern of feeling disempowered around coworkers, a spouse, or family members

What Causes Trauma Bonding?

When we experience stress and feel (consciously or unconsciously) we’re in danger, our sympathetic nervous system activates the “fight or flight” response. As long as that circuitry is activated, we’re not able to plan for the future or assess risks very clearly; our nervous system gets locked in survival mode to get through the stress. In other words, it’s not your fault that you can’t see what’s going on.

The challenge is heightened because of the intermittent reinforcement that characterizes trauma bonds: we receive occasional comfort or love in the relationship, which is sprinkled on top of the typical abuse or neglect. Like other forms of intermittent reinforcement, it’s an addictive combination to be exposed to, and one that hampers our ability to understand we’re being mistreated. 

Because we focus so intently on the positive reinforcement we experience from time to time with our abuser, we contort ourselves psychologically to try to get the love as often as we can. Once this pattern is established, it is naturally hard to stop engaging it—again, because of the way our nervous system developed. Getting outside support to stop the cycle is an act of strength and wisdom.

Should You Break a Trauma Bond?  

If you’re in clear and real danger, it is most important to find a way to safely remove yourself from harm. Over the longer term, the best approach is learning to create healthy relational boundaries so as not to form or reform trauma bonds.  

Once you start to become aware of the trauma bonding pattern operating in you, you can recognize and address the behaviors it causes. You can uncover and listen to your buried needs and wants, and reclaim your personal power and freedom. Doing this can help you shift your nervous system out of past trauma bonding tendencies and toward new possibilities, including nurturing mutual relationships with people who are interested in your happiness and will support your thriving.

To find out more about healing traumas (including trauma bonding), please check out The Healing Trauma Program, hosted by Jeffrey Rutstein, PsyD, CHT.

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Our understanding of the human nervous system has grown exponentially in recent years, thanks to astounding discoveries from neuroscience, Polyvagal Theory, trauma research, Attachment Theory, and other emerging fields. No longer do we see the functioning of the nervous system as an unconscious process outside of our control. Today, we know that you can actually befriend and work with your nervous system to self-regulate in the face of emotionally triggering situations, release unresolved trauma from the “stuck places” inside, and reclaim a life of integration and wholeness. Sounds True’s annual training, The Healing Trauma Program, was designed expressly for these purposes. In this podcast, Tami Simon speaks with psychotherapist and lead teacher of the program Dr. Jeffrey Rutstein. 

Tune in for an eye-opening conversation on: the connection between unhealed trauma and nervous system dysregulation; raising self-awareness around your personal triggers and conditioned responses; shifting from defensiveness to feelings of safety and belonging; chronic dysregulation; accurately discerning when you’re in danger; the vagus nerve, the ventral vagal response, and the “tend and befriend” zone where we can be fully present; the interplay of genetics and your upbringing in the formation of your “go-to nervous system states”; a nervous system approach to transforming self-blame and shame into self-compassion and worthiness; three pools of energy—hyperarousal, hypoarousal, and the Window of Tolerance; the empowering firsthand experience of changing your nervous system states; why there are no “bad” nervous system states; why being in a regulated state is so critical to healthy relationships; neuroception; simple, on-the-spot techniques (or “nervous system hacks”) you can use to self-regulate, from breathwork to gentle stretching and more; the shortcomings of talk therapy; co-regulation and the social engagement zone; the four key questions of the aspiring nervous system co-regulator; severe trauma and how “the state drives the story”; meditation practice, the true self, and the inner “hijacker”; and more.

 

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com

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Learn more about integrating Ayurvedic principles into Western medicine; lifespan versus health span; vitality, enthusiasm, and joy; forging stronger ties with your community and purpose; the causes and effects of cellular damage; the nine mechanisms of aging; bringing prana, or life-force energy, directly into your body through your natural surroundings and your diet; how all health and illness begins with the energetic body; what nourishment means in the Ayurvedic perspective; the Ayurvedic understanding of body tissues; good inflammation (yes, that’s a thing!); five Ayurvedic lifestyle interventions you can explore today; breathwork and the adage, “the inhale excites you and the exhale relaxes you”; giving and receiving love; the five doshas, or elements; and more.

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Turning to my Filipino Roots to Tend to Womb Loss

October is a meaningful month for me as it honors two important parts of my identity. It is Filipino American History Month, a time to acknowledge and honor the presence and contributions of Filipino Americans. Although my parents immigrated to the United States from the Philippines in 1980, records show that Filipinos were present here as early as 1587, landing in present-day Morro Bay, California as part of a Spanish galleon. In an interesting moment of alignment, I am writing this to you from Morro Bay, feeling the palpable power of the land and seeing the sacred 600-foot-tall Morro Rock–known as Lisamu’ in the Chumash language and Lesa’mo’ by the Salinan people–standing proudly just outside the window of our Airstream trailer. October is also Pregnancy and Infant Loss Awareness Month, a time to increase awareness about and honor those of us who have endured such loss- what I often refer to as womb loss.

This October is particularly meaningful with my book, To Tend and To Hold: Honoring Our Bodies, Our Needs, and Our Grief Through Pregnancy and Infant Loss, officially launching on October 22. In it I share how my identities as a Filipina American and bereaved mother intertwine, and how valuable it can be for survivors of womb loss to turn to their cultural traditions for support as they grieve and as their postpartum bodies return to a non-pregnant state. How I came across this online essay and found solace in the language of my ancestors who use terms to describe miscarriage as “someone from whom something was taken away” rather than placing blame with the prefix mis- which means wrongly or badly. I did not carry my pregnancies wrongly or badly. Loss was something that my body experienced.

The following is an excerpt from To Tend and To Hold that I hold dear as it shares a traditional Filipino dish I grew up eating and that I share now as a postpartum doula to offer comfort and nourishment to those who are postpartum, both with living children and after loss. I hope it may offer you comfort as well, no matter if your experience of womb loss was recent, in the past weeks, months or even many years ago. My heart is with you and please know that you are not alone as you grieve and as you heal- at your own pace and in your own way.

~

I recently cooked this recipe for champorado, a Filipino rice porridge, for my beloved friend Katrina on a very tender anniversary, the due date of one of her children and the death date of another. Her child, Zeo Thomas, would have been born that day had he not died in the womb at five months gestation. It was within the same year of his death that her second child, Solis Vida, died in the womb in the first trimester. In truth, Katrina had been bleeding for over a week to release her second pregnancy, but as she bled through Zeo’s due date, she felt an intuitive pull to honor this same date as Solis’s death date. I thought of my friend as I made my way slowly through the grocery store. Though it was crowded and busy, I felt cocooned in my thoughts and intentions for her—how I wanted to help her feel seen and held during this difficult time—and I found myself gathering each of the ingredients in a mindful way that felt like the beginning of a bigger ritual. Knowing I was going to cook for her to honor her, her babies, her grief, and also her longings added a layer of reverence to what would otherwise be a standard grocery run. Later as I cooked the porridge in her home, I channeled my love and condolences into each step. And when I finally brought the warm bowl of champorado to her and saw her reaction, it was my turn to feel honored. Honored  to be there with her. Honored to tend to her. And with a dish we both knew from our childhoods. She dubbed it “postpartum champorado,” and so it shall be known.

Warm and soft, rice porridge is one of the best postpartum foods as it is easy to eat, warming to the body, and gentle on the digestive system. Its very nature is to offer comfort. In my opinion, champorado, a Filipino chocolate rice porridge I grew up savoring, is one of the most heartwarming dishes, with the cacao tending as much to the emotional heart as to the physical body. It can be offered any time of day for both a filling meal and a gentle reminder that there is still sweetness in life even amidst grief.

In this nourishing version, cacao powder is used in place of cocoa so that we may benefit from all that this superfood has to offer, including iron to help rebuild red blood cells, flavonoids to improve blood flow, and magnesium to ease anxiety and depression. In addition to being nutrient-rich, cacao is also known to lift the mood. If the thought of preparing food feels beyond your current capacity at this moment, consider sharing this recipe with a partner, postpartum doula, or other support person and asking them to cook it for you. Additionally, if you are currently pregnant, please consult your health-care provider before consuming cacao as it contains caffeine.

Champorado: Filipino chocolate rice porridge

  • 1 cup sweet rice (also called glutinous or sticky rice) or sushi rice
  • 5 cups water
  • 1/4 cup cacao powder
  • 1/2 cup brown sugar
  • 1 tablespoon unflavored protein powder (optional)
  • Condensed coconut milk for topping
  • Cacao nibs (optional)

Rinse the sweet rice several times until the water runs clear when drained.

Combine rice and water in a pot over medium-high heat. Bring to a boil, then reduce heat to medium and continue to cook until the rice is soft and the porridge thickens (about 20 minutes), stirring often to keep from sticking to the bottom of the pot.

Add cacao powder, brown sugar, and unflavored protein powder. Stir to combine, then remove from heat.

Drizzle condensed coconut milk (or other milk of choice) and top with cacao nibs. Serve hot.

To Tend and to Hold

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