Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

  • Home
  • Dr. Anthony Quintiliani
    • About
  • Mindful Happiness
  • Mindful Expressions Meditation CD
  • Contact

March 25, 2018 By Admin

Polyvagal Interventions for Anxiety

Polyvagal Interventions for Anxiety

S. Porges and his Polyvagal Theory may provide innovative interventions for both anxiety and depression. Many people become trapped in ruminating about the past or worrying about the future; they cannot seem to keep their mind and body in the present moment.  Some strong, fear-based, bodily defenses may not respond well to “talk therapy” alone. In helping clients with such suffering it is important to include a very strong clinical alliance and relationship, as well as personal narrative on internal introjected messages about their vulnerabilities, fears, and self-doubts. Recall that anxiety is generally a body-based defense from lower brain areas (limbic and brain stem). These areas are often un-affected when just “talk” occurs in therapy. There are certain signs that a person’s anxiety is acting up in a clinical session. These are:

  1. Higher pitched voice, sometimes with speedy delivery;
  2. Prolonged silences;
  3. Tighter, flat face and tight jaw – often with the upper face lifting slightly;
  4. Random nervous body movements;
  5. Rapid, higher-chest breathing;
  6. Problems in awareness, memory, and cognitive comprehension; and,
  7. Sometimes full blown panic.

When such anxious defenses appear, the therapist needs to move to grounding and calm breathing interventions.  Talking it through, working it through may be insufficient to restore emotion regulation. Porges makes the following suggestions to activate polyvagal interference to anxiety. If successful, emotion regulation will be re-established.

  1. Request the client to exhale more slowly, and with more emphasis.
  2. Then have the person extend slightly their exhalation. Be careful not to extend too far; discomfort will follow.
  3. If the person is fearful of public speaking or presenting in a group therapy session, request that they add more words to their sentences. This will require a change in breathing process – thus extending the exhalation.
  4. Practice longer exhalations as the client breathes more slowly and more deeply.
  5. Have the client lay on their back with their slightly bent legs high up on a wall – breathe

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Breathing, Featured, Interventions, Polyvagel Tagged With: ANXIETY, POLYVAGAL, S PORGES

Twitter

Mindful Happiness -Currently in Production

Mindful Happiness Posts

Equanimity, Suffering, and Resilience It is said that equanimity (Pali – upekkha), the seventh factor of enlightenment and the tenth perfection, is an end-product of life-long personal practice in meditation and/or meditative yoga. It is about “walking the walk.” Some practitioners note that equanimity is the foundation for other helpful states of mind and body. […]

Drink a Cup of Tea with Thich Nhat Hanh According to the article “A Perfect Cup of Tea” by Noa Jones, The Great Meditation Master offers this sage advice about the best way to enjoy a great cup of tea. I suppose if you would rather drink coffee, the same suggestions may apply. Recognize that […]

From The Eleanor R. Liebman Center for Secular Meditation, Monkton, Vermont – Five Breathing and Meditation Practices – Attention and concentration on the breath are common practices to attune meditation capacity. We use the breath as an object of attention in our mind training.   The better your quality of attention and concentration, the better […]

Mindful Solidarity with Standing Rock Sioux Earth Protectors The Standing Rock Sioux earth protectors are fighting earth destruction, environmental degradation, oil profiteering, and corporate greed.  Yes, I suppose finding huge reserves of crude helps many people become employed in the Dakotas. This is important. But other earth-wise activity (more solar for example) would be far […]

The Principles of Nature and Natural Healing This is an advanced post on Eastern views of healing. From ancient shamanic traditions all the way to today’s AMA approved procedures in energy medicine, healers have been trying to discover and integrate the foundations of nature into healing. This reality exists from shamanic rituals all the way […]

Failure and Success: After We Fail, We Succeed Humans tend to get very discouraged when things do not go our way. This may be especially true for younger people, who have grown up attached to their instant gratification digital devices. Below I will list several highly successful people, but I will also note their many […]

The True Nature of Phenomena Here I will present common steps in the process of vipassana meditation.  My presentation will end with a brief discussion of nirvana (enlightenment). 1) It will be helpful not to have strong conceptual intention about your goal of attaining insight.  You will know when you have entered it via your […]

A Radical Feminist in her Time Over 800 years ago Hildegard of Bingen presented radical viewpoints on women-power and male-dominance in the Christian Church, stone/gem healing, meditation, insight and intellect, the web of life or planetary oneness, being in nature, environmentalism, and personal stories of suffering, etc.  Despite her outspoken manner and her popularity among […]

Improving Your Self-Esteem – An Action Contemplation The UCLA Higher Education Research Institute’s surveys and V. Mamgain’s ideas about neoclassical economics of happiness help provide a means to deconstruct improved learning in higher education and also personal happiness in the process. According to the UCLA research surveys, higher education students want more spirituality and personal […]

Liberation of the True Self Socrates is reported to have noted that “the secret of change is to focus all of your energy, not on fighting the old but on building the new.” In Buddhism there are clear relationships between “no-self” and the force of impermanence, that reality that ensures constant change and thus personal […]

Mindfulness Based Contemplations Best to practice both of these contemplations using the lectio divina method, that is each time you contemplate the content of the two messages concentrate a bit more, go a bit deeper into your mind. Concentrate! Concentrate! Concentrate! Go deeper into your mind to discover your answers. Contemplation 1 – Who Am I? If I […]

Essential Knowledge for Clinical Supervisors This post will include information and skills dealing with research on role induction practices, quality of clinical supervision, psychodynamics of alliance, and progress measurement.  Since the information and skills for all these topics is complex, I will do my best to keep it as clear as possible. This information aims […]

Enhancing Hope in Psychotherapy The enhancement of personal hope is a key part of successful psychotherapy practice. Some view this requirement as a foundational aspect of the therapeutic alliance; others do not hold the same view.  In the case of serious co-occurring disorders, especially trauma and substance misuse, initiating, developing, and sustaining a hopeful future-view […]

Advanced Meditation Practices on Perception As the Sutra story goes, the Buddha instructed Ananda to visit the ailing venerable Girimananda, who was very, very ill.  In an effort to help the ailing man, the Buddha told Ananda to guide him in the Ten Meditation on Perceptions (on sensory input and the objects of mind). According […]

Breath, Mindfulness and Liberation J. Goldstein, (2007).  in volume two of Abiding in Mindfulness – On Feelings… brings clear focus to the infinite importance of feelings – the sensation-based associations of various emotional and physical states. Via on-going and regular practice of mindfulness and contemplation we may access the four areas of human awareness: body, feelings, heart-mind, […]

Looking at Early Judeo-Chrsitian Meditation Practice An early description of enlightened liberation in Buddhist meditation practice reads like this: Birth is destroyed, the spiritual life has been lived, what had to be done has been done. There is no more coming back to any state of being.  Ignorance was banished and true knowledge arose, darkness […]

Mindful Happiness – Brain on Meditation Reports from various MRI and self-report measure studies support the proposition that your brain changes (neuronal plasticity) when you practice meditation on a regular (daily) basis.   The same is likely true when you practice yoga on a regular basis. Here are some noted changes in brain functioning that […]

Self-Care as Ritual Self-care for Americans is often considered a luxury.  Due to our technological demands and addictions (Demons as they are), and the slow slipping of our economic structures, we are often at the mercy of the bottom line at work. Over-paid CEOs and CFOs and their many assistants eat up so, so much […]

COVID-19 Brings Higher Stress and Emotion Dysregulation The Book of Job notes “Man is born unto troubles as the sparks fly upward.” Current stress surveys indicate Americans are stressed out due to COVID-19 concerns, work stress (money needs), imbalance in life-work experience, and lack of support (social, emotional, financial).  The 2020 American Psychological Association national survey […]

Mind Training Over Our Impulses Mindful awareness of our impulses is a very important pathway to improved emotion regulation and, perhaps, more happiness in life. It can be unusually helpful to people suffering from anxiety, depression, and substance misuse. Vedana refers to the feeling tone in our body.  It is one of the foundations of mindfulness […]

Mindful Happiness Tags

ANTHONY QUINTILIANI TRAINING SELF COMPASSION THICH NHAT HANH ADDICTION MEDITATION MINDFUL VERMONT SELF SELF CARE CLINICAL SUPERVISION BREATHING SELF ESTEEM ELEANOR R LIEBMAN CENTER BUDDHISM HAPPINESS VIPASSANA MEDITATION WALKING MEDITATION ENLIGHTENMENT JOURNALING THERAPY. MINDFUL HAPPINESS TRAUMA PSYCHOTHERAPY COVID-19 MINDFUL MEDITATION CONSCIOUSNESS EXERCISES PRACTICES DR ANTHONY QUINTILIANI ACTIVITY COMPASSION MINDFUL TRAINING MINDFULNESS EMPTINESS BRAIN MBSR WISE MIND VIPASSANA ACTIVITIES MEDITATION PRACTICE MINDFULNESS TRAINING SELF MEDICATION PRACTICE SUFFERING

Mindful Categories

Mindful Happiness Pages

  • About
  • Contact
  • Dr. Anthony Quintiliani
  • Mindful Expressions Meditation CD
  • Mindful Happiness
  • Site Map

Copyright © 2022 · Mindful Happiness