Field Guide to Nervous System States

Clinical Reference

Field Guide to
Nervous System States

Match your work with the state in front of you

State 01

๐Ÿ›ก๏ธ

Make it safer & smaller

Protection

  • Invest more in trust
  • Normalize the protective response; add pain science
  • Anchor attention in another area of the body
  • Use a slower, predictable pace
  • Offer soothing touch
  • Smaller movement, less effort
  • Use motor imagery

State 02

๐ŸŒŠ

Make it more simple & clear

Overwhelm

  • Simplify language when questioning and directing
  • Guide attention to a smaller focus
  • Ground to one sensation
  • Slow breath, especially the exhale
  • Simple repetitive movements
  • More frequent pauses, slower pace

State 03

๐ŸŒ‘

Make it more engaging

Shutdown

  • Invest in relational attunement
  • Reinforce vertical support โ€” more time off the table
  • Add more curiosity and exploration
  • Engage verbally more often
  • Movement and touch that is gradually more enlivening
  • Encourage self-efficacy

State 04

โœฆ

Make it more interesting

Regulated

  • Enthusiastically explore variations and novelty
  • Introduce nuances and complexity
  • Model even more curiosity
  • Celebrate what they are already doing well
  • Reinforce success
We continuously match our work with the nervous system state  ยท  Eileen Dickinson