I got an email from Rachel, who's asking about performance anxiety and how
Speaker:that relates to the polyvagal theory.
Speaker:Before I get into it.
Speaker:Hi, I am Justin Sunseri.
Speaker:I'm a licensed marriage and family therapist, a coach and the creator of
Speaker:the Polyvagal Trauma Relief System.
Speaker:Welcome to Stuck Not Broken, where I teach you how to live with more
Speaker:calm, confidence, and connection without psychobabble or woo woo.
Speaker:If you have no idea what the polyvagal theory is, that's okay.
Speaker:I have a very deep dive for you.
Speaker:It's a nine episode, basically like course on the Polyvagal Theory, all
Speaker:the essentials in simple language.
Speaker:That's in the description.
Speaker:Just click that and you'll be able to start those nine episodes for free.
Speaker:No email address, nothing.
Speaker:Just have at it, learn, hope you enjoy it, but let's get to Rachel's email here.
Speaker:She says a topic I really think would be of interest to me.
Speaker:Oh, and by the way, so she responded to an email I had sent out saying,
Speaker:Hey, what do you want to know about?
Speaker:And this is what she wrote back with.
Speaker:A topic I really think would be of interest to me, if you haven't already
Speaker:covered it, is performance anxiety.
Speaker:For example, the other day I played a piano jazz piece on
Speaker:Zoom before 40 other students, including our jazz piano teacher.
Speaker:My hands shook so much from stage fright that it made it quite difficult to play.
Speaker:What's a good approach to use polyvagal theory for this?
Speaker:A couple things here that I need to address.
Speaker:The first one is, she's asking, what's a good approach to use
Speaker:polyvagal theory for this?
Speaker:Polyvagal theory, and I don't know if she meant this or not, but
Speaker:polyvagal theory is not a modality.
Speaker:It's not a prescription.
Speaker:It doesn't say what you, it doesn't exactly say what you should do,
Speaker:how you should handle things, what your behaviors should be.
Speaker:I think it says what, you know, it helps us understand how to optimize ourselves on
Speaker:a biological level, nervous system level.
Speaker:It can help us to feel more safety, more connection.
Speaker:I think there's principles that we can pull from maybe, but in no way is it
Speaker:telling us how to do things or in no way is it saying like, here's a prescription
Speaker:for, you know, how you should behave.
Speaker:People like me.
Speaker:So I've taken my understanding of the science of the Polyvagal
Speaker:theory and then pulled from it.
Speaker:I applied it to my own understandings of mental health and trauma recovery as a,
Speaker:as a therapist and then created my system.
Speaker:But the Polyvagal Theory is just science.
Speaker:Like, it's just explaining, what's happening within us on a biological level
Speaker:when we do things like hug each other.
Speaker:But also when we do things like have stage fright while playing
Speaker:piano and on a, on a Zoom call.
Speaker:Polyvagal theory is, doesn't say what to do, it says, hey, here's what's happening.
Speaker:I can explain this.
Speaker:The science is saying, I can explain this.
Speaker:So on that note, what I want to focus on next is what's happening
Speaker:and I can't speak for Rachel.
Speaker:I don't, I don't know what's happening within her, but I can, you know,
Speaker:speak on a more general level.
Speaker:It's actually happened.
Speaker:My daughter, she's, she plays piano and this happened to her at her last recital.
Speaker:And she got up there and same thing happened to her, her, it wasn't on zoom.
Speaker:It was in front of 50 people or so.
Speaker:She was up there and her hands started shaking and I was up there kind of
Speaker:close to where I was filming on my camera and you could see her tense
Speaker:up and her hands started shaking and she got through it, but you could
Speaker:tell she was really struggling.
Speaker:So what's happening on a nervous system level, on the polyvagal level, what's
Speaker:happening is that likely the body, the person, the individual, the organism
Speaker:is losing access to their safety state.
Speaker:When we lose access to the safety state, then our defensive
Speaker:states kind of become dominant.
Speaker:We become dysregulated.
Speaker:So without the safety state active.
Speaker:flight, fight, shut down, freeze, those become more dominant.
Speaker:They start to flavor the system.
Speaker:They flavor our thoughts, our behaviors, or at least the potential
Speaker:of what the range of our thoughts and behaviors and emotions, our ability
Speaker:to connect with others, our ability to perform in front of others on piano.
Speaker:Restricted When we're in flight fight, we want to run away or be aggressive
Speaker:when we are in shutdown we collapse and have this pull toward immobility and
Speaker:isolation and lower lower stimulation.
Speaker:When we're in freeze we freeze we tense up.
Speaker:So what I think happens and I can kind of relate to this on some level actually I
Speaker:could relate to this on Pretty big level.
Speaker:I don't like heights very much, especially when I'm in my car.
Speaker:The car and heights, bridges not being able to see the ground and just seeing
Speaker:like blue sky on a steep bridge or a drop off a, you know, when driving
Speaker:on a cliff, you see that, that drop, that puts me into little freeze.
Speaker:Yeah, cars, heights not a good combination for me.
Speaker:So.
Speaker:What I see, saw in my daughter, and I think in general, when we see these
Speaker:kinds of things, what's likely happening is the individual's losing access
Speaker:to their safety state, and they're probably entering kind of a freeze.
Speaker:The shaking, the hand shaking is potentially the freeze itself, or the
Speaker:body's attempt to come out of freeze and trying to like shake it off.
Speaker:I'm not quite sure which it is for that.
Speaker:Individual but it could kind of like be either of those.
Speaker:But in general, what's probably happening with that muscle tension and
Speaker:the shaking is likely a freeze state.
Speaker:Shutdown would be passing out at the extreme shutdown would be dissociation.
Speaker:Now part of freeze is shutdown- freeze is a combination of
Speaker:flight fight plus shutdown.
Speaker:What's happening is the body is mobilized to run away or fight,
Speaker:but also immobilizing in shutdown.
Speaker:And that's what equals freeze.
Speaker:Freeze is a mixed state.
Speaker:It's a combination of flight fight plus shutdown.
Speaker:So freeze is immobile.
Speaker:But, with Flight Fight in the system, it's like hitting the accelerator and
Speaker:the brake at the same time in your car.
Speaker:You know, the engine's revving, but it's not going anywhere.
Speaker:The wheels are just kind of spinning.
Speaker:So that might be that, you know, that handshaking, the tension, not being able
Speaker:to focus, possible, possibly a little bit of, or a lot of dissociation happening.
Speaker:That's likely a freeze reaction.
Speaker:So, why does this happen?
Speaker:It could be a number of things.
Speaker:The first one, it could be just the moment itself is a big moment.
Speaker:It's you know, you're performing in front of a bunch of people.
Speaker:You might have a lot of pressure on you.
Speaker:You might have familial expectations.
Speaker:You might have cultural expectations.
Speaker:You might have a teacher who's been driving you up until this moment.
Speaker:Now it's all on you and the pressure might be too much.
Speaker:So maybe it's just the moment.
Speaker:The moment's too big.
Speaker:That could be one aspect of it.
Speaker:Another aspect could be that if you're, you're playing in front of other people
Speaker:who are kind of staring blankly or lost interest, all those cues of like crowd
Speaker:chatter not looking at you, not having smiles on their face, all of those cues
Speaker:actually send danger cues, basically, to the person up there who's probably
Speaker:already tense and feeling pressured.
Speaker:And then they see these faces in the crowd that are, first off, strangers, but second
Speaker:off, not friendly, not warm, not inviting.
Speaker:All of those give, or maybe disinterested, flat out disinterested, probably not
Speaker:angry and aggressive, but disinterested, or, you know, chit chattering with
Speaker:their own kids and they want to leave.
Speaker:All of those cues, those interpersonal cues, actually bring
Speaker:a, they give, Some danger cues.
Speaker:We, we receive those interpersonal cues, kind of like danger.
Speaker:It's not really danger, but our body perceives it or detects it as dangerous
Speaker:through something called neuroception.
Speaker:Again, listen to my nine episode series to learn more about that.
Speaker:Okay, so part of this could be the moment.
Speaker:Part of it could be the danger cues that you're getting from the individual or from
Speaker:the crowd, the lack of interpersonal cues.
Speaker:Now, on top of that, if you're doing something like a performance
Speaker:or maybe a presentation and you're doing it through Zoom or through
Speaker:virtual means, you're alone.
Speaker:You're just talking to a screen.
Speaker:Yeah, there's faces there and it kind of helps as long as they're engaged,
Speaker:but a lot of them might just be black screens with the name on it, maybe.
Speaker:But it's, it's, you're alone.
Speaker:And you're talking into the void, kind of like I'm doing right now.
Speaker:Like, you're hearing it, but I'm just talking to myself.
Speaker:It's, it's not exactly a mindful safety practice, you know what I mean?
Speaker:Like, it's, it's weird.
Speaker:So, if you're doing this, even though there are live people
Speaker:watching, they're not there with you.
Speaker:They're not, you can't maybe hear their, their their voice
Speaker:giving you encouragement.
Speaker:You can't, I don't know, reach out and, Hug someone that
Speaker:might otherwise comfort you.
Speaker:There's the pressure of the moments, there's the audience not giving their
Speaker:interpersonal cues, but then there's also just being alone with a screen.
Speaker:Even though there's people on the other end of it, in a way, there's
Speaker:also like, you're alone with a screen.
Speaker:So all these could, not, maybe not one of these could trigger the freeze, but all
Speaker:these combined could trigger the freeze.
Speaker:On top of this whatever you have around you could trigger as well.
Speaker:So we've talked about the moment itself, the expectations, personal,
Speaker:and, maybe on a bigger level, we've also talked about the interpersonal
Speaker:cues or lack of cues, but there's also environmental stuff going on around you.
Speaker:Again, like if you're on a zoom call, are you in a space that you actually feel
Speaker:good in, are you, are you in a space, you actually feel some level of safety,
Speaker:connection and groundedness When in, or are you performing in front of a bunch of
Speaker:people in a church or a community center where it's not your space, you don't own
Speaker:it, you don't feel comfortable there, you don't set the lighting, you don't set
Speaker:the temperature, you don't have control over your, over the space like that.
Speaker:So that in itself can be dysregulating as well.
Speaker:Maybe there's something there that you didn't plan on, and it just,
Speaker:you know, it causes some anxiety that contributes to the freeze.
Speaker:I know for my daughter, she, the first time she did it, she was, she
Speaker:has a piano, she practices on piano.
Speaker:But they gave her this keyboard slash piano hybrid thing, and it threw her off.
Speaker:That was the first time, and she got through it, she was fine.
Speaker:But the second time, she knew that was going to happen, and she had
Speaker:practiced on a keyboard, and that might have, like, added the pressure to it.
Speaker:So, again, not having control of the environment, not being able to choose
Speaker:your, I don't know, method of delivery, or all the pieces of the environment,
Speaker:may, again, might not be enough to trigger you into dysregulation,
Speaker:but it might contribute to it.
Speaker:So what do you do about this?
Speaker:The first thing is, I think it's in general, we'll talk in general, in
Speaker:general to address freeze what's, or for any level of dysregulation, flight,
Speaker:fight, shutdown, freeze- it's helpful to develop the strength of your safety state.
Speaker:That means you prioritize feelings of connection, being grounded in
Speaker:the present moment, mindfulness, experience of mindfulness, interpersonal
Speaker:connections, connections with yourself, connections with your environment.
Speaker:If you prioritize feeling safe, then that can help you to
Speaker:strengthen your safety state.
Speaker:That doesn't mean that everybody does what you want.
Speaker:That's not what that means.
Speaker:What that means is you look inward.
Speaker:And you notice, what do I feel a pull towards?
Speaker:What feels generally like feelings of positivity?
Speaker:What feels like connection?
Speaker:What feels like freedom or, or being grounded in the present moment?
Speaker:You know what I mean?
Speaker:That's, that's what we're aiming for.
Speaker:When you feel connected to your pet, that's a lot different than
Speaker:feeling protected by hiding in your room in the dark by yourself.
Speaker:That's not safety.
Speaker:Connection with your pet, that's more of what I'm talking about.
Speaker:Connection with yourself, using your senses that's more what I'm talking about.
Speaker:Connection with a loved one, if you have it.
Speaker:Connection with a professional, like a therapist, that's
Speaker:more what I'm talking about.
Speaker:That, those are those safety experiences that we want to first off identify,
Speaker:practice, mindfully experience it, and build the strength of your safety state.
Speaker:And then, as you do that, then allow some level of dysregulation,
Speaker:or not dysregulation, but some level of defensive activation.
Speaker:So if you know you're stuck in a defensive state, a flight fight state, if you
Speaker:know you're stuck in freeze or shutdown, anchor in safety, and then allow yourself
Speaker:to feel a little bit, a tolerable amount of those defensive states.
Speaker:As you do that, it actually helps to strengthen your safety state.
Speaker:It softens the intensity of the defensive state and over time it can
Speaker:significantly reduce to the point where it's not debilitating and you actually
Speaker:may just flat out recover from it.
Speaker:The other thing that can help more specifically for something like
Speaker:this is to know what you're walking into- to know what the environment
Speaker:is going to be like to know what tools you'll have at your disposal.
Speaker:So knowing what kind of Keyboard or piano it is ahead of time that might help.
Speaker:Knowing who's going to be there knowing how many people are going
Speaker:to have their cameras on or off.
Speaker:When I do my trauma presentations, a lot of times they've been through
Speaker:virtual, through through Zoom.
Speaker:I like to know, I prefer to see people's faces.
Speaker:I ask people to leave their cameras on.
Speaker:So what, what, what are you walking into?
Speaker:What kind of piano is there?
Speaker:How many seats are there?
Speaker:What's the lighting like?
Speaker:Can you, can you ask people to turn their cameras on or off?
Speaker:Can you set up your environment?
Speaker:Let's say you are doing a zoom thing.
Speaker:Could you set up your literal home environment with cues of safety?
Speaker:Like right now I'm recording this.
Speaker:I am mostly surrounded by things that bring me calm cues of safety connection.
Speaker:Like I have stuff back here like Lego and 49er stuff and Polyvagal theory books.
Speaker:There's stuff that I like.
Speaker:It just kind of helps me feel good.
Speaker:You know, the light back here, it feels soft and warm.
Speaker:I like that kind of lighting.
Speaker:There is kind of a mess that you can't see, which I don't
Speaker:like, but just generally.
Speaker:When you do these things, what's your environment like?
Speaker:What can you control?
Speaker:What can you change?
Speaker:And if you can't, can you introduce your system to that ahead of
Speaker:time so that it's not a surprise when you get there the day of?
Speaker:There might also be some top down stuff you can do to help yourself out.
Speaker:Like if you know you're going to go into freeze, maybe you can tell
Speaker:yourself ahead of time, Hey, I'm safe.
Speaker:I've rehearsed this.
Speaker:I can do this.
Speaker:I'm competent.
Speaker:People are here because I'm interesting or people are here because they are
Speaker:excited about my talents or my knowledge, my speaking ability, whatever it is.
Speaker:Can you tell yourself something top down that can help you to regulate?
Speaker:A slow exhale on the way out.
Speaker:That can be helpful.
Speaker:I don't like prescribed breathing too much, but when it comes to
Speaker:freeze, it seems like the slow exhale on the way out is helpful.
Speaker:A lot of times of why my therapy clients, when they get in that kind
Speaker:of a tense, anxious flight fight, or even like freeze energy, I'll
Speaker:ask them, Hey, can you breathe?
Speaker:And that prompts them and they'll, they'll be like, Oh yeah.
Speaker:And then they'll, they'll look inward.
Speaker:They'll take that breath in and out and having that bigger breath than not is
Speaker:I think helpful, especially if you can exhale a little bit slower on the way out
Speaker:that helps to activate the safety state.
Speaker:And then also like, of course, just practice, practice, practice,
Speaker:make sure you have whatever that thing is, have it down, have it
Speaker:down as much as you possibly can.
Speaker:When I first started doing my trauma presentations and my polyvagal
Speaker:theory presentations, I made sure that I rehearsed it a number
Speaker:of times to ensure that it fit within the allotted time window.
Speaker:I allowed breaks for, well, breaks, but also breaks in my speaking for Q and A.
Speaker:So rehearse the heck out of it and make sure you have it, especially
Speaker:maybe with like sports or piano stuff.
Speaker:Like that muscle memory can go a long way.
Speaker:So just make sure you got that down.
Speaker:If you can combine that with the other things that I've recommended,
Speaker:the potential for going into a dysregulated freeze state are
Speaker:probably lower, overall, I would say.
Speaker:But I don't know you, so you'll have to figure out ultimately for yourself.
Speaker:What helps you feel safe?
Speaker:What helps you feel more grounded?
Speaker:What helps you feel more confident?
Speaker:Those are just my ideas.
Speaker:I would love to hear what you think.
Speaker:Put them in the comments if you don't mind.
Speaker:That's it for this one.
Speaker:Thank you, Rachel, for being on my email list and for this question, if you're
Speaker:interested in working with me, not Rachel, not you, but just in general, if you're
Speaker:interested in working with me as your coach, I do have availability right now.
Speaker:I opened up a whole bunch of new slots because my Private practice is growing
Speaker:and so I've created more time for it.
Speaker:So if you're interested in coaching with me or therapy, let me know and we
Speaker:can discuss what that might look like.
Speaker:My email is JustinLMFT@gmail.com..
Speaker:Again, JustinLMFT@gmail.com.
Speaker:Bye.
Speaker:This podcast is not therapy, not intended to be therapy or
Speaker:be a replacement for therapy.
Speaker:Nothing in this creates or indicates a therapeutic relationship.
Speaker:Please consult with your therapist or seek for one in your area if you are
Speaker:experiencing mental health symptoms.
Speaker:Nothing in this podcast should be construed to be specific life advice.
Speaker:It is for educational and entertainment purposes only.
Speaker:More resources are available in the description of this episode
Speaker:and in the footer of justinlmft.
Speaker:com.