Polyvagal Theory in Therapy Worksheet

Download Free Worksheet

On this page, we will provide you with a Polyvagal Theory in Therapy Worksheet which will help you in noticing and identifying your autonomic state.

What is a Polyvagal Theory in Therapy Worksheet?

According to the polyvagal theory, we constantly move up and down the autonomic hierarchy. In little and large-scale shifts, we move up and down the ladder. The goal is to learn to adapt to those alterations. This worksheet will help you in noticing and identifying your autonomic state.

How will Polyvagal Theory in Therapy Worksheet help?

It will assist you in understanding your personal experiences with each state and answering the question, “Where do I fit into this hierarchy?”. Self-awareness of where you are will give you a sense of organization and reduce your feeling of impulsivity.

Instructions on how to use a Polyvagal Theory in Therapy Worksheet

Look carefully at the hierarchy, then identify and write your autonomic state in the worksheet.

You can download this worksheet here.

Conclusion

On this page, we provided you with a Polyvagal Theory in Therapy Worksheet which hopefully helped you in noticing and identifying your autonomic state.

If you have any questions or comments, please let us know.

Was this helpful?

Thanks for your feedback!

References