Polyvagal Theory, developed by Stephen Porges, provides a neuroscience framework that explains many aspects of dsm in terms of the nervous system's safety-detection mechanisms.
The Three States of Polyvagal Theory and DSM
Ventral vagal (safe and social): Optimal state for connection, learning, and dsm management
Sympathetic mobilization (fight or flight): Anxiety-type dsm responses
Dorsal vagal shutdown (freeze/collapse): Depression and dissociation-type dsm
Neuroception and DSM
Neuroception — the body's unconscious safety-detection — can be dysregulated in dsm, causing false alarms (sensing danger when safe) that drive dsm responses.
Polyvagal-Informed DSM Treatment
Therapy that acknowledges the body's state — helping clients move into ventral vagal 'safe and social' — transforms dsm management.
Safe relationships, co-regulation, and body-based practices are particularly emphasized.