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Before You Talk Breathe: Regulating the Nervous System in Therapy

When we think about therapy, we often imagine diving straight into discussing our thoughts, feelings, and past experiences. However, a crucial step in the therapeutic process is frequently overlooked: regulating the nervous system. This foundational step can significantly impact the effectiveness of therapy, helping you achieve better mental health outcomes.

Why Nervous System Regulation is Essential

The nervous system, which includes the brain, spinal cord, and a vast network of nerves, plays a pivotal role in how we respond to stress, process emotions, and function daily. When our nervous system is dysregulated, it can lead to heightened anxiety, depression, and other mental health challenges. By focusing on regulating the nervous system, we create a stable foundation upon which therapeutic work can build.

How to Regulate Your Nervous System

  1. Breathing Techniques:

    • Deep Breathing: Engage in slow, deep breaths, inhaling through your nose and exhaling through your mouth. This can activate the parasympathetic nervous system, promoting a sense of calm.
    • Box Breathing: Inhale for four seconds, hold for four seconds, exhale for four seconds, and hold again for four seconds. Repeat this cycle to reduce stress and anxiety.
  2. Mindfulness and Meditation:

    • Mindfulness: Practice being present in the moment without judgment. This can help reduce the overactivity of the sympathetic nervous system (fight or flight response).
    • Meditation: Regular meditation can increase your awareness of bodily sensations and promote relaxation.
  3. Physical Activity:

    • Exercise: Engage in regular physical activities such as walking, jogging, or yoga. Exercise helps release endorphins, which are natural mood lifters.
    • Stretching: Gentle stretching can help release tension stored in muscles and improve overall well-being.
  4. Grounding Techniques:

    • 5-4-3-2-1 Technique: Identify five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste. This can help bring your focus to the present moment.
    • Progressive Muscle Relaxation: Tense and then slowly release each muscle group in your body, starting from your toes and working your way up to your head.
  5. Healthy Lifestyle Choices:

    • Nutrition: Eat a balanced diet rich in whole foods, including plenty of fruits, vegetables, lean proteins, and healthy fats. Increase awareness to food rules or judgments that you might have that create rigidity or a heightened focus on diet culture. 
    • Sleep: Ensure you get adequate sleep each night, as rest is crucial for nervous system health.
    • Hydration: Drink plenty of water to keep your body and brain functioning optimally.

The Temptation to Skip Nervous System Regulation

We often want quick fixes to our problems in life--and the same is true in therapy. This desire for rapid results can lead us to overlook the importance of nervous system regulation. We may want to jump straight into cognitive or emotional work in therapy, believing that we can think or talk our way out of distress. However, without a regulated nervous system, these efforts can be less effective and even overwhelming.

Integrating Nervous System Regulation into Your Routine

Making nervous system regulation a regular part of your routine can have profound effects on your mental health. Start by incorporating a few of the techniques mentioned above into your daily life. Over time, you'll likely notice increased resilience to stress, improved emotional regulation, and a greater sense of overall well-being.

Remember, therapy is a journey, not a race. By prioritizing nervous system regulation, you're setting yourself up for more meaningful and sustainable progress in your mental health journey. Embrace this essential step, and you'll find that the therapeutic process becomes more manageable and effective.


"To experience peace does not mean that your life is always blissful. It means that you are capable of tapping into a blissful state of mind amidst the normal chaos of a hectic life." - Jill Bolte Taylor