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Polyvagal Exercises to Manage Anxiety

  • Writer: Dr. Chinwe Madu, PharmD, MSW
    Dr. Chinwe Madu, PharmD, MSW
  • May 4
  • 4 min read

Anxiety can feel overwhelming at times. When your heart races, your breath shortens, and your mind spins, it’s hard to find calm. But there is hope. Understanding how your nervous system works can open the door to relief. One powerful way to soothe anxiety is through polyvagal exercises. These gentle practices help regulate your nervous system and bring you back to a place of safety and ease.


In this post, I will guide you through what polyvagal theory is, how it relates to anxiety, and simple exercises you can try at home. These tools are designed to support you in moments of stress and help build resilience over time.


Understanding Polyvagal Exercises for Anxiety


Polyvagal theory, developed by Dr. Stephen Porges, explains how your nervous system responds to stress and safety. It focuses on the vagus nerve, a key part of your parasympathetic nervous system. This nerve helps control your heart rate, breathing, and digestion. When you feel safe, the vagus nerve activates a calming response. When you feel threatened, your body shifts into fight, flight, or freeze modes.


Polyvagal exercises aim to stimulate the calming pathways of the vagus nerve. By doing so, you can reduce anxiety symptoms and feel more grounded. These exercises often involve breath work, gentle movement, and mindful awareness. They help your body recognize safety signals and shift out of stress responses.


If you want to explore more about polyvagal exercises for anxiety, this resource offers practical guidance and support.


How Polyvagal Exercises Work


When you practice polyvagal exercises, you are essentially sending signals to your brain that it is safe to relax. This can:


  • Lower your heart rate

  • Slow your breathing

  • Reduce muscle tension

  • Improve digestion

  • Enhance emotional regulation


Over time, these exercises can help retrain your nervous system to respond more calmly to stress. This is especially helpful if you experience chronic anxiety or have faced trauma.


Close-up view of a person sitting cross-legged on a yoga mat practicing deep breathing
Close-up view of a person sitting cross-legged on a yoga mat practicing deep breathing

What is the 3-3-3 Rule for Anxiety?


The 3-3-3 rule is a simple grounding technique that can help you manage anxiety in the moment. It encourages you to focus on your surroundings and your body to bring your attention away from anxious thoughts.


Here’s how it works:


  1. Look around and name 3 things you can see. This helps anchor you in the present moment.

  2. Listen carefully and identify 3 sounds you can hear. This sharpens your awareness and distracts your mind from worry.

  3. Move 3 parts of your body. For example, wiggle your fingers, stretch your arms, or tap your feet. This reconnects you with your physical self.


The 3-3-3 rule is easy to remember and can be done anywhere. It’s a quick way to interrupt anxiety and bring your nervous system back toward calm.


Simple Polyvagal Exercises You Can Try Today


Here are some gentle exercises that activate your vagus nerve and help soothe anxiety. You can do these at home, at work, or anywhere you feel comfortable.


1. Slow, Deep Breathing


Breathing deeply and slowly signals your body to relax. Try this:


  • Sit or lie down comfortably.

  • Inhale slowly through your nose for a count of 4.

  • Hold your breath gently for a count of 4.

  • Exhale slowly through your mouth for a count of 6.

  • Repeat for 5 minutes.


Focus on the rise and fall of your belly as you breathe. This helps engage the vagus nerve and calm your nervous system.


2. Humming or Chanting


Humming activates the vocal cords and stimulates the vagus nerve. You can hum your favorite tune or chant a simple sound like “om.”


  • Take a deep breath.

  • Hum gently on the exhale for as long as feels comfortable.

  • Repeat several times.


This exercise can be especially soothing if you feel tense or overwhelmed.


3. Gentle Neck and Shoulder Rolls


Tension often builds in the neck and shoulders during anxiety. Moving these areas slowly can release stress and improve vagal tone.


  • Sit or stand with your back straight.

  • Slowly roll your shoulders forward 5 times.

  • Then roll them backward 5 times.

  • Gently tilt your head side to side, holding each stretch for a few seconds.


Move mindfully and notice how your body feels.


Eye-level view of a person sitting on a park bench doing gentle neck stretches
Eye-level view of a person sitting on a park bench doing gentle neck stretches

4. Safe Place Visualization


Imagining a safe, peaceful place can help your nervous system relax.


  • Close your eyes and take a few deep breaths.

  • Picture a place where you feel completely safe and calm.

  • Imagine the sights, sounds, smells, and sensations of this place.

  • Stay here for a few minutes, breathing slowly.


This visualization helps your brain connect with feelings of safety and comfort.


How to Make Polyvagal Exercises Part of Your Daily Routine


Consistency is key when it comes to calming your nervous system. Here are some tips to help you integrate these exercises into your day:


  • Set a daily reminder. Choose a time that works for you, like morning or before bed.

  • Start small. Even 5 minutes a day can make a difference.

  • Create a calming space. Find a quiet spot where you feel comfortable practicing.

  • Combine exercises. Try pairing deep breathing with humming or visualization.

  • Be patient. Your nervous system may take time to adjust, but keep practicing gently.


Over time, these small moments of calm can add up to greater emotional resilience and ease.


Embracing a Holistic Approach to Anxiety


Polyvagal exercises are a valuable tool, but they work best as part of a broader approach to managing anxiety. This might include:


  • Regular physical activity

  • Balanced nutrition

  • Adequate sleep

  • Mindfulness or meditation

  • Support from a mental health professional


Listening to your body and honoring your needs is essential. Remember, you are not alone on this journey. Taking small steps toward self-care can help you feel more connected and empowered.


If you ever feel stuck or overwhelmed, reaching out for support is a sign of strength. Together, you can explore strategies that fit your unique experience and help you thrive.



I hope these insights and exercises offer you gentle guidance and comfort. Remember, calming your nervous system is a practice, not a quick fix. With kindness and patience, you can find your way back to peace.


Wishing you moments of calm and connection on your path.

 
 
 

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