How to Help Clients Tolerate Dysregulation and Come Back From Hypoarousal
![]() |
with Stephen Porges, PhD;
|
![]() |
with Stephen Porges, PhD; Bessel van der Kolk, MD; Pat Ogden, PhD; Ruth Lanius, MD, PhD; and Ruth Buczynski, PhD
Sign up for a Gold Subscription

This is a learning community for practitioners. We can’t wait to hear what you’re going to use with your clients
But please do NOT:
- seek advice for personal problems
- ask for referrals
- post links or advertise a product
- post about technical problems


Thank you for amazing session. For me the most fascinating thing was to realize how you can bring different parts of the brain to work together at the same time – as Pat Ogden mentioned while she was talking about accessing hyperarousal, feeling the sensation but also describing it, so you turn on also cortical part. That’s amazing!
Thank you for today. I have thought deeply about the need for not re-traumatizing clients but observing and being aware of the need to bring the thoughts and story to the experience from the client for the two experiences to be present for recovery. Also, I really enjoy the discussion between the therapists about stepping back from the theory/framework and returning to observation in clinical practice.
I have two clients who will greatly benefit from the information in today’s presentation. Both are hypoaroused to different degrees but will benefit from practicing interoception and reporting more consistently, movement and sound practices, and celebrating even the slightest sensations that are noticed and reported as the beginnings of greater awareness and expansion of the window of tolerance.
What stood out for me is,”TRAUMA ISNT A LIFE SCENTENCE.” That helps tremendously!! Thankyou!
I keep coming back to how grateful I am that I am taking this conference.
In particular today, I have been moved by how much my connection between cognitive and spiritual therapies are vital to maintaining one’s emotional health weather traumatized or not.
We self-regulate by taking ourselves out of the normal, stressful lives we lead by doing things that center us and give us the strength to move forward.
There are a myriad of these that we choose from, whether it’s walking in nature, practicing an art form, taking yoga, Chi Gong classes or practicing meditation. The list is virtually endless.
The point is, if we do it for ourselves, we can certainly be present enough to work with our traumatized clients to help them find what will work for them.
Thank you for another presentation that helped me see that I’ve been lucky enough to have been taught so many valuable things by Professors, mentors and extremely talented professionals like yourselves.
Leah Diamond