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CBT Tips to Regulate the Nervous System

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Are you tired of feeling overwhelmed by stress and anxiety? Do you long for a balanced and well-regulated nervous system? If so, Cognitive Behavioral Therapy (CBT) might be the answer you’ve been searching for. CBT is a powerful and proven therapeutic approach that can help you regulate your nervous system, manage stress, and improve your overall well-being.

In this blog post, you’ll discover the function of the nervous system, the empowering principles of CBT, and practical CBT tips to regulate the nervous system for practicing CBT techniques at home to optimize your mental and emotional health.

Understanding the Nervous System

Digital illustration of a human head profile with a highlighted, detailed brain in red, designed to symbolize how to regulate your nervous system, against a dark blue background.

The human nervous system, including the brain and spinal cord, is an intricate and amazing network that plays a crucial role in regulating our responses to stress, including our fight, flight, freeze, and dorsal vagal shutdown responses. When stressors arise, the central nervous system (CNS) orchestrates a symphony of physiological reactions to help us cope effectively and protect ourselves from potential harm. Understanding the complexities of human nervous systems and how to regulate the nervous system can provide valuable insights into our overall well-being and stress management.

However, when our nervous system becomes dysregulated due to chronic stress or trauma, it can contribute to a wide range of mental and physical health issues. In order to regulate our nervous system more effectively, we should examine its components more deeply, particularly the autonomic nervous system (ANS), which manages the equilibrium between the sympathetic and parasympathetic branches. These branches work together to manage involuntary bodily functions, such as heart rate and respiration, and ultimately keep us healthy and relaxed.

The Autonomic Nervous System

The autonomic nervous system (ANS), a part of the peripheral nervous system, is a remarkable system that plays a vital role in our overall mental and physical health. It is composed of two branches: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). The SNS is responsible for initiating the body’s fight-or-flight response, preparing us for action in the face of perceived threats. On the other hand, the PNS promotes the body’s rest-and-digest response, helping us to relax and recuperate after stressful events.

These branches work together to maintain balance within our internal body and in response to our external environment. For example, when we experience stress, the SNS directs blood flow to the heart and muscles, while the PNS encourages bowel motility and glandular secretion, preventing nervous system dysregulation.

A thorough comprehension of the ANS’s operations will allow us to utilize it to manage stress and uphold a healthy nervous system.

Fight, flight, or freeze

The fight, flight, or freeze response is a powerful survival mechanism that helps us respond to perceived threats. When we encounter a stressor, the sympathetic nervous system triggers a surge of stress hormones that heighten our awareness, increase our heart rate, and provide extra blood to the muscles. Our breathing accelerates, supplying the brain with ample oxygen, and a rush of glucose is released into the bloodstream for an energy boost. This coordinated response prepares us to either confront the danger (fight), escape it (flight), or remain motionless to avoid detection (freeze).

While this response is adaptive and essential for our survival, it can become problematic when it’s activated too frequently or intensely due to chronic stress or trauma. In such situations, our dysregulated nervous system might lead to various mental health symptoms and physical health issues, such as:

  • high blood pressure

  • headaches

  • digestive problems

  • weakened immune system

  • sleep disturbances

It is important to find healthy ways to manage and reduce stress in order to maintain overall well-being.

Recognizing and managing our stressors will prevent chronic activation of the fight, flight, or freeze response, contributing to our overall well-being.

dorsal vagal shutdown

The dorsal vagal shutdown response is a more extreme stress response that can potentially lead to increased awareness of one’s emotions and a reconnection with oneself, promoting overall nervous system health. This response is initiated when our fight, flight, or freeze mechanisms are overwhelmed and we experience feelings of helplessness and disconnection.

To counteract the effects of dorsal vagal shutdown, we can engage in various techniques that stimulate the vagus nerve, such as:

  • Deep breathing exercises

  • Singing

  • Cold exposure therapy

  • Physical touch

These activities can help to reduce anxiety and promote a sense of calm, allowing us to reconnect with our emotions and regain control over our nervous system.

Understanding CBT

A person sitting in a comfortable chair, practicing deep breathing to regulate their nervous system

With a firm grasp of the nervous system and its role in modulating our stress responses, we can now delve into how Cognitive Behavioral Therapy (CBT) can enable us to use this knowledge for stress management and mental health improvement.

CBT is an empowering type of psychotherapy that emphasizes the powerful connection between:

  • thoughts

  • feelings

  • sensations

  • urges

  • behaviors

It is based on the concept that our thoughts, feelings, and behaviors are all interrelated and can positively influence each other.

CBT focuses on:

  • Identifying and addressing limiting schemas, which are deeply ingrained beliefs or patterns of thinking that can contribute to emotional distress and dysregulation

  • Challenging these limiting schemas and cultivating more empowering beliefs

  • Improving emotional regulation

  • Reducing stress

  • Enhancing nervous system functioning

Basics of Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) has gained widespread recognition and popularity as a highly effective therapeutic approach for individuals seeking to recognize and modify unhelpful thought patterns and behaviors. It is a collaborative process between the therapist and the client, focusing on the interconnection of thoughts, feelings, sensations, urges, and behaviors. The goal of CBT is to empower individuals to identify and challenge limiting schemas, replacing them with more adaptive and empowering beliefs.

CBT employs a variety of techniques, such as cognitive restructuring, mindfulness and relaxation techniques, and exposure therapy, to help individuals confront and overcome their challenges and improve their emotional well-being. Learning and applying these techniques can lead to enduring enhancements in mental health and overall quality of life.

The interconnection of thoughts, feelings, sensations, urges, and behaviors

An image showing a person practicing deep breathing exercises, one of the CBT tips to regulate the nervous system, as part of the interconnection of thoughts, feelings, sensations, urges, and behaviors.

One of the core concepts of CBT is the interconnectedness of thoughts, feelings, sensations, urges, and behaviors, and how they can influence one another. For example, when we experience a negative thought, it can trigger a corresponding feeling, which in turn can produce a physical sensation in our body. This sensation can then evoke an urge or craving, ultimately affecting our behavior.

By understanding this interconnection, we can take control of our thoughts and feelings, and in turn, influence our behaviors and overall well-being.

This insight into the interconnection of thoughts, feelings, sensations, urges, and behaviors is a cornerstone of CBT and provides us with a powerful tool to regulate our nervous system and foster our overall well-being. Increasing our awareness of these interconnected elements and learning to modify them can enhance our emotional regulation, reduce stress, and ultimately improve our nervous system functioning.

Limiting Schemas

Limiting schemas are deeply ingrained beliefs about oneself, others, and the world that can contribute to emotional distress and dysregulation. These beliefs are often rooted in past experiences or learned from others and can negatively impact our thoughts, feelings, and behaviors. By identifying and challenging these limiting schemas, we can replace them with more empowering beliefs, leading to improved emotional regulation and reduced stress. Schema therapy, a branch of CBT that focuses specifically on identifying and reshaping these ingrained patterns of thinking and behavior, can be particularly effective in this process.

Some examples of limiting schemas include beliefs such as “I am not good enough,” “I am unlovable,” or “I am a failure.” By recognizing and challenging these limiting schemas through techniques such as cognitive restructuring, mindfulness, and relaxation techniques, individuals can reframe their thoughts and beliefs, leading to lasting improvements in their emotional well-being and nervous system functioning.

CBT Techniques for Nervous System Regulation

A person practicing mindfulness meditation to regulate their nervous system

Having gained a greater understanding of CBT principles and its focus on the interconnection of thoughts, feelings, sensations, urges, and behaviors, we can now examine specific CBT techniques that aid in regulating our nervous system. These techniques include identifying and challenging limiting schemas, practicing mindfulness and relaxation techniques, and using exposure therapy to confront and overcome fears. Additionally, understanding the role of cognitive defusion and non-attachment can further enhance our ability to manage thoughts and emotions effectively.

Incorporating these techniques into our daily lives can foster a more balanced, well-regulated nervous system, improving mental health and overall well-being. Among these practices, vagus nerve stimulation exercises have shown promise in directly influencing nervous system regulation, offering a physiological approach to complement cognitive strategies. Similarly, integrating self-compassion meditations into our routine can support emotional regulation and contribute to a healthier nervous system by fostering an attitude of kindness and understanding towards oneself.

It’s important to note that while these techniques can be practiced independently, they are most effective when used in conjunction with one another and under the guidance of a trained CBT therapist. With the proper support and guidance, these techniques can help individuals make lasting changes in their thought patterns and behaviors, ultimately improving their emotional regulation and nervous system functioning.

Identifying and Challenging Limiting Schemas

One of the most powerful techniques in CBT for nervous system regulation is identifying and challenging limiting schemas. These deeply ingrained beliefs can contribute to emotional distress and dysregulation, making it difficult for individuals to effectively manage stress and maintain a healthy nervous system.

By recognizing these limiting schemas and challenging them through cognitive restructuring, individuals can reframe their thoughts and beliefs, leading to improved emotional regulation and reduced stress.

Cognitive restructuring is a technique that involves examining the evidence for and against a limiting schema, exploring alternative explanations, and reinterpreting the belief in a more empowering way. For example, if someone believes they are unlovable, they can examine the evidence supporting this belief, consider alternative explanations for why they feel this way, and ultimately reframe the belief to “I am lovable and worthy of love”.

Through this process, individuals can supplant limiting schemas with more empowering beliefs, resulting in enduring enhancements in emotional well-being and nervous system functioning.

Practice Cognitive Defusion and Non-Attachment

Cognitive defusion and non-attachment are powerful techniques in the CBT toolkit. Cognitive defusion involves creating distance between ourselves and our thoughts. Instead of getting entangled in our thoughts and letting them dictate our emotions, we learn to observe them as separate from ourselves. This technique helps in managing stress and emotions by allowing us to detach from harmful thought patterns. Various exercises, such as visualizing thoughts as leaves flowing down a stream or clouds passing by in the sky, facilitate this process.

Non-attachment is about accepting the transitory nature of thoughts and emotions. Rather than clinging to certain thoughts or feelings, we allow them to come and go without judgment. This practice enhances emotional regulation by letting thoughts and emotions pass without getting caught up in them. By practicing non-attachment, we can reduce the intensity of negative emotions and increase our resilience to stress. Remember, thoughts and emotions are temporary and do not define us. By mastering cognitive defusion and non-attachment, you can further regulate your nervous system and enhance your emotional well-being.

Mindfulness and Relaxation Techniques

A person practicing diaphragmatic breathing to reduce stress and promote relaxation

A powerful technique from Mindfulness-Based Cognitive Behavioral Therapy for nervous system regulation is the practice of mindfulness and relaxation techniques. These include deep breathing, progressive muscle relaxation, and vagus nerve stimulation exercises. These techniques can help activate the parasympathetic nervous system, promoting a sense of calm and relaxation. Vagus nerve stimulation exercises, for instance, involve simple practices like cold water face immersion or deep and slow breathing, which can directly enhance relaxation and emotional regulation by stimulating the vagus nerve, a crucial part of the body’s relaxation response.

By practicing these techniques regularly, individuals can learn to better manage stress and improve their nervous system functioning. This includes engaging in self-compassion meditations, a form of mindfulness practice that focuses on developing kindness and understanding towards oneself, which can significantly enhance emotional regulation and well-being.

For example, deep breathing exercises, such as diaphragmatic breathing or box breathing, can help slow down the breath and promote relaxation. Similarly, progressive muscle relaxation involves tensing and releasing different muscle groups in the body, helping to reduce muscle tension and promote a sense of calm.

Incorporating these mindfulness and relaxation techniques, including self-compassion meditations and vagus nerve stimulation exercises, into daily routines can help individuals foster a more balanced and well-regulated nervous system, improving mental health and overall well-being.

Exposure Therapy

Exposure therapy is a highly effective CBT technique that involves gradually and safely facing feared situations or stimuli in order to reduce anxiety and improve nervous system regulation. Emotion exposure is using exposure with difficult emotions and is similar to somatic experiencing. By confronting their fears in a controlled and supportive environment, individuals can learn to better manage their anxiety and stress responses, ultimately leading to improved emotional regulation and nervous system functioning.

The process of exposure therapy typically involves:

  1. Creating a hierarchy of feared situations or stimuli, starting with the least anxiety-provoking and gradually increasing in difficulty.

  2. Practicing facing fears in a safe and controlled manner, with the support of a therapist or other helpful person.

  3. Learning to better manage anxiety and stress responses.

By consistently practicing exposure therapy, individuals can experience lasting improvements in their emotional well-being and nervous system functioning.

Practice Vagus Nerve Stimulation Exercises

The Vagus nerve is the longest cranial nerve in our body, playing a vital role in regulating our autonomic functions such as heart rate, digestion, and respiratory rate. It serves as a communication superhighway between our brain and the rest of our body, helping to control our stress response and promote relaxation.

Crucially, stimulating the Vagus nerve can help dampen our stress response and induce a state of calm, making it a powerful tool for regulating our nervous system. Various vagus nerve stimulation exercises can help us achieve this stimulation, offering a natural and effective way to enhance our well-being. Here are some of the most effective ones:

  • Deep and Slow Breathing: As simple as it sounds, deep, slow, and mindful breathing can stimulate the Vagus nerve. Aim to breathe deeply into your belly, allowing it to rise and fall with each breath. Try to make your exhale slightly longer than your inhale to enhance the calming effects. This practice not only helps in regulating the heart rate but also in reducing anxiety.

  • Humming and Singing: Both humming and singing can activate the Vagus nerve due to the physical connection to the vocal cords and diaphragm. These activities can increase heart rate variability and encourage relaxation by engaging the parasympathetic nervous system.

  • Yoga and Meditation: Activities like yoga and meditation can have a significant impact on the Vagus nerve. Certain yoga poses, such as the child’s pose or cat-cow pose, stimulate the Vagus nerve, while the focus on deep breathing and mindfulness in meditation can stimulate this nerve as well. These practices not only enhance mental clarity but also support emotional balance.

  • Shaking: Engaging in gentle shaking or vibrating movements can also stimulate the Vagus nerve and promote relaxation. This exercise mimics the natural response of animals to stress and can help release tension in the body.

Self-Compassion Meditations

Self-compassion is a key component of emotional regulation. We tend to be our harshest critics, which can further fuel negative emotions and stress. By practicing self-compassion meditations, we can learn to treat ourselves with the same kindness and understanding that we extend to others.

There are many guided self-compassion meditations available online, but here’s a simple exercise you can try on your own:

  1. Find a comfortable and quiet place to sit.

  2. Close your eyes and focus on your breath for a few moments.

  3. Think of someone in your life who has shown you love, kindness, and compassion. It could be a friend, family member, or even a pet.

  4. Imagine that person sitting in front of you, looking at you with warmth and understanding.

  5. Now, imagine yourself sitting in their place, looking at yourself with the same love and compassion.

  6. Repeat to yourself: “May I be happy, may I be healthy, may I be safe, may I live with ease.”

  7. Take a few deep breaths before opening your eyes.

Compassion-Focused Therapy offers powerful tools for improving emotional well-being. Research has shown that practicing self-compassion can reduce symptoms of anxiety, depression, and stress. It also promotes resilience and helps individuals cope with difficult emotions in a healthy way.

Self-compassion meditations specifically help individuals cultivate kindness and understanding towards themselves. This practice can improve self-esteem, decrease negative self-talk, and increase feelings of self-acceptance. Additionally, it can help individuals develop a more realistic and compassionate perspective on their experiences and emotions, making it an essential practice for mental and emotional health.

Tips for Practicing CBT at Home

A person practicing grounding techniques to regulate their nervous system

Incorporating CBT techniques into your daily life can be incredibly beneficial for regulating your nervous system and improving your mental health. To help you get started, we’ve compiled some tips for practicing CBT at home:

  1. Establish a routine

  2. Use technology to support your practice

  3. Track your progress

  4. Celebrate your successes

Following these tips and consistently practicing CBT techniques will allow you to manage your thoughts, feelings, sensations, urges, and behaviors, resulting in a more balanced and well-regulated nervous system. With dedication and perseverance, you can experience lasting improvements in your emotional regulation, stress management, and overall well-being.

Establishing a Routine

Establishing a routine for practicing CBT techniques is essential for building consistency and making lasting changes in your thought patterns and behaviors. To create a successful routine, start by setting a regular time for practice, such as first thing in the morning or right before bed. This will help you build a habit and ensure that you are dedicating time each day to your mental health and nervous system regulation.

In addition to setting a specific time for practice, it’s important to include activities that help you relax and feel energized, such as deep breathing, stretching, or yoga. By incorporating these relaxation techniques into your routine, you can create a balanced and comprehensive CBT practice that addresses both your mental and physical well-being.

Remember to be patient with yourself and adjust your routine as needed to ensure that it remains manageable and rewarding.

Using Technology to Support CBT Practice

Technology can be an incredibly valuable tool for supporting your CBT practice at home. There are plenty of apps and websites available that can help you track your progress, set reminders, and access helpful resources like videos and articles. By utilizing these tools, you can more easily stay accountable and motivated in your CBT practice.

In addition to using technology for tracking and reminders, you can also access online therapy and counseling sessions, which can be a convenient way to receive professional help and guidance in your CBT practice. Tele- or video conferencing sessions with a trained CBT therapist can provide you with personalized support and feedback, helping you overcome challenges and make lasting improvements in your emotional regulation and nervous system functioning.

Tracking Progress and Celebrating Success

Tracking your progress and celebrating your successes is an important aspect of practicing CBT at home. By keeping a journal or using a tracking app, you can:

  • Monitor your thoughts, feelings, and behaviors over time

  • Identify patterns

  • Recognize the positive changes you’re making in your emotional regulation and nervous system functioning.

Beyond tracking your progress, celebrating your successes and rewarding yourself for your hard work is vital. This can help you stay motivated and committed to your CBT practice, as well as reinforce the positive changes you’re making in your life. Whether it’s treating yourself to a special treat, taking a day of rest, or sharing your accomplishments with someone who is supportive, remember to recognize and celebrate your achievements as you continue on your journey towards a more balanced and well-regulated nervous system.


In this blog post, we explored the fascinating world of the nervous system and its role in regulating stress responses. We delved into the empowering principles of Cognitive Behavioral Therapy (CBT) and discussed specific techniques for nervous system regulation, including identifying and challenging limiting schemas, practicing mindfulness and relaxation techniques, and using exposure therapy to confront and overcome fears. We also provided practical tips for practicing CBT at home, including establishing a routine, using technology to support your practice, and tracking progress and celebrating success.

With dedication, perseverance, and the right tools and support, you can harness the power of CBT to regulate your nervous system, manage stress, and improve your overall well-being. So, why not start today? Take that first step towards a calmer, more balanced, and happier you.

Frequently Asked Questions

Evidence-based therapy involves interventions that are scientifically proven to be effective for particular issues. In this approach, a strong partnership based on trust and collaboration is formed between you and your therapist. Within this supportive and unbiased environment, you can freely express yourself without fear of judgment. Over a series of sessions, you and your therapist will work together to address obstacles and set goals aimed at personal growth and fulfillment. This method ensures that the techniques and strategies used are not only supportive but also empirically validated to help you achieve your therapeutic goals.

The Bay Area CBT Center provides therapy services for everyone, from children to adults, and welcomes individuals, couples, and groups. We help with various concerns like anxiety, depression, trauma, relationship issues, and behavior challenges. We value diversity and cultural differences, offering personalized and culturally sensitive care to each client.

Studies show that the bond between you and your therapist, known as the therapeutic alliance, is a key factor in treatment success. This alliance is characterized by the strength of your relationship and how well you both agree on treatment goals. Research indicates that individuals with a solid therapeutic alliance experience better treatment outcomes including greater productivity at work, more satisfying relationships, improved stress management, and decreased engagement in risky behaviors.

You can expect a 15-30 minute phone call with our care coordinator, who is extensively trained in ensuring the perfect match for you. During this conversation, our matching expert will collaborate with you to understand your therapy needs, preferences, and scheduling availability. This discussion builds upon the information you provided during sign-up and offers an opportunity for you to address any personal questions or concerns you may have about therapy or our services at The Bay Area CBT Center. Following your conversation, we’ll pair you with the therapist who best aligns with your needs, goals, and preferences.

At your matching appointment, we will match you with a therapist specifically chosen for you and schedule your first session. Depending on your availability, you can expect to meet your therapist anywhere from one day to a week after this appointment.

Our approach to therapy includes a flexible hybrid model, blending both online and face-to-face sessions. This option is perfect for clients situated close to our clinics in the Bay Area who prefer the flexibility of choosing between virtual consultations or meeting their therapist in person. Our aim with hybrid care is to ensure every client is matched with the ideal therapist and therapy environment, be it from the convenience of your own home or in one of our clinics.

At the Bay Area CBT Center, we accept PPO insurance plans that allow you to use out-of-network providers. This means if your insurance plan is a PPO and it includes mental health benefits, you could get back some or all of the money you pay for our services, depending on what your insurance company allows. When you see one of our therapists, they’ll give you a superbill. You can send this superbill to your insurance company to ask for reimbursement. If you’re not sure if your insurance covers services from providers not in their network, it’s a good idea to give them a call and check.

You may be eligible to have 60-80% of your costs covered by out-of-network benefits.

Also, if you have an FSA (Flexible Spending Account), you can usually use it to pay for individual counseling sessions. It’s wise to double-check with your FSA provider or talk to your accountant to make sure that counseling sessions are considered an allowed expense.

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