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

The Journey of Human Compassion Practices Where are YOU on the journey of human compassion practices?  I modified interpretations of compassion to present a more formal depiction of compassionate practices and skills.  Go ahead; take the compassion quiz. Your Goal: To Reduce Human Suffering Human Warmth   Unconditional Positive Regard   Human Caring     Compassionate Actions […]

Meditations and Mantra: Try Them Out in Your Practice There are many forms of meditation.  In most cases, the common meditation forms fall into one of two categories: Mindfulness and Insight.  There are also demanding concentration meditations, chakra meditations, and mantra meditations. Here we’ll deal only with the two forms noted above and the use […]

Insights – Vipassana Mediation There will be future, more advanced vipassana meditations posted on the site. For now, however, we will end this series with a final post about the insights often experienced via vipassana meditation. We learn via experience about impermanence, suffering and its causes, no-self, emptiness and many other things – or, perhaps, […]

Mediation:  Conscious or Not? A true, in depth understanding about what human consciousness is and how it works has eluded mind and brain scientists for many years.  A few very interesting ideas have been presented by Stuart Hameroff, professor emeritus and director of the University of Arizona’s Center for Consciousness Studies. Consciousness rests in the […]

More RESPECT Needed for People Being Served Recently, I read a post by William White, the well-known Recovery advocate.  The post dealt with the troublesome area of language used to describe, refer to people suffering from various conditions – addictions being only one.  While some may respond to his post by thinking it is simply […]

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 […]

  How Most People Learn in Psychotherapy It is highly important that clients learn from their therapists.  In most cases this includes alternative ways of thinking, emoting, and behaving. So what can we learn from educational research on how people learn? Of course we all know it begins with a solid therapeutic alliance – the […]

More Psychoanalytic Gems – In an earlier post, I noted a list of Psychoanalytic Psychotherapy Gems, including a later post on D.W. Winnicott’s approaches to building a therapeutic alliance.  My general aversion to this form of therapy has more to do with its slowness and high costs than to its effectiveness. It is effective!  However, […]

Happiness Path  – The 14th Dalai Lama His Holiness The 14th Dalai Lama has suggested, among many other important things, that humans may experience true inner happiness by regular practice on the path to enlightenment. In his 2012 book, From Here to Enlightenment, he noted that personal happiness may be attained via specific behaviors and ways of […]

Practicing Interoceptive Meditations Anthony R. Quintiliani, Ph.D., LADC The mindfulness-based process and intervention of interoception (also called neuroception) has slowly moved from meditation practice into clinical practice, now being part of the recommended MBSR, ACT, and more current CBT-based therapies. The three brief meditations below are presented to expand the use of interoceptive processes in […]

So Many Ways to Self-Medicate –  It Just Brings More Suffering Very often poor child-parent (child-caretaker) object relations, attachment with care takers, and attunement by care takers negatively impact young children early in their lives.  The well-documented scientific fact that environmental conditions play a more important role in gene-expression than pure genetics implies clearly that […]

Mindful Happiness – Happiness – Guided Imagery of Your Life This experience will include guided imagery and multi-sensory memory of happy experiences in your life.  At time, shadow experience may pop up, in which a happy memory has an unhappy component.  Your mindful concentration will be needed to remain on track with only the happy […]

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. […]

Forms of Happiness from Buddhist Psychology Given the season “to be jolly” I plan to write several posts on the topic of happiness. The following information notes five stages or levels of happiness.  Read them over and see what stage/level may be appropriate for you at this time in your practice. Note that some meditation […]

Overcoming the Hindrances of Ill-Will and Aversion Although regular daily practice and sincerely following of The Eight-Fold Path in one’s life may be the best ways to overcome various hindrances, there may be some additional practical suggestions to consider on the path.  We will begin our discussion with common human pain and suffering; we will […]

Honoring First Nation – Native American Spirited-Wisdom American First Nation or Native American People (according to how they wish to be named) have  a strong spiritual traditions honoring life, the earth and the heavens.  Naming these wise peoples is a problem; out of respect one would call them First Nations, Native American, or a specific […]

I Have Questions Our spiritual traditions have many sources of powerful spiritual origination: Shiva, Buddha, Jesus, Saint Francis to note just a few.  The Roman thinker Seneca noted that our most feared day is our last on earth, but this is also the beginning of our eternity.  As a practicing Buddhist, a secular meditation teacher, […]

An Advanced View on Meditations on Emptiness An earlier post on the Dalai Lama’s book, Meditations on the Nature of Mind, ended with suggested meditations (my own personal contemplation’s) about emptiness.  I will first review those contemplations.  Contemplate deeply on what emptiness means personally to you.  Contemplate about a time when you received a glimpse of personal emptiness. […]

Beads: Significance in Spiritual and Religious Practices The significance of religious and spiritual practices in the world is enormous.  Christian, Muslim, Hindu, and Buddhist practitioners make up the overwhelming majority of the world’s population. The  CIA estimates are that Christians (33%), Muslims (23%), Hindus (14%) and Buddhist (7%) make up the majority of religious followers. […]

Forgiveness Meditation Practice – Mindful Happiness – Dr Anthony Quintiliani Sit comfortably in a meditation posture. Allow your breath to remain natural without any intentional modification.  Allow your body to relax, and allow your mind to be open to and to expect forgiveness.  Focus attention on your heart area deep within your soul, and allow […]

Mindful Categories

Mindful Happiness Pages

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

Copyright © 2023 · Mindful Happiness