Understanding Trauma, Anxiety and Burnout in your Nervous System – Break the Anxiety Cycle 20/30

21 July 2025


Understanding Trauma, Anxiety and Burnout in your Nervous System – Break the Anxiety Cycle 20/30



Understand how trauma, anxiety, and burnout affect your nervous system—learn strategies to restore balance, reduce stress, and promote emotional well-being.
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Anxiety is essentially a state of your nervous system. In this video we’ll explore anxiety, trauma and burnout in your nervous system.

There’s two ways that your nervous system plays a direct role in anxiety and depression- your alerting activating system can get stuck on or stuck off. And most of the people who get stuck in these states don’t realize it, they are trapped in these cycles and just feel chronically anxious or chronically exhausted. But the good news is that when you learn to identify what is happening, you can change it.

According to polyvagal theory, there are 3 states of the nervous system.
Safety (aka Ventral vagal, or parasympathetic)
Activation (aka sympathetic, or FFF response) which looks like anxiety, PTSD, or an initial trauma response.
Overwhelm/Shutdown (aka dorsal vagal (which, confusingly, is also parasympathetic, but it’s a more primitive state)) This often looks like burnout or depression in the nervous system.
When you come to understand how hypoarousal looks like burnout or depression, you can come to better understand the essential skills to overcoming burnout.

00:00 Intro
00:58 So, What Does a Healthy Nervous System Look Like?
03:16 What Does an Anxious Nervous System Look Like?
06:28 Third State of Anxiety in the Nervous System
13:25 Becoming Aware

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Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.
And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.
Copyright Therapy in a Nutshell, LLC

There are two ways that your nervous system plays 
a direct role in anxiety and depression. Your alerting, activating system, your autonomic 
nervous system, can get stuck on or stuck off. And most of the people who get stuck in 
these states, they don't realize it. They're trapped in these cycles, and they just feel 
chronically anxious or chronically exhausted. But the good news is that when you learn to 
identify what's happening, you can change it. [Music] According to polyvagal theory, there are three 
states of the nervous system. There's safety, also known as ventral vagal or the 
parasympathetic response. There's activation, which is also known as the sympathetic response 
or the fight/flight/freeze response. And there's the overwhelm or shutdown response, the 
immobilization response, which is also known as dorsal vagal which, confusingly, is also 
a parasympathetic response in your nervous system, but it's a more primitive state. So what does a 
healthy nervous system look like? You might think that if you're healthy you're calm all the time, 
but that's not the case. A healthy nervous system is adaptive and accurate. A person with a healthy 
nervous system probably spends much of their time feeling relaxed or safe, but when there's a real 
or immediate danger they can respond very quickly with a fight/flight/freeze response or even an 
immobilization response. They can take action and then restore their sense of safety quickly. 
So a healthy nervous system has a broad range of emotions. You can feel calm, love, activation, 
excitement, stress, right? But also joy and fun. You can get quite activated, even stressed, and 
take action – meaning that after a stressful event it could return to calm pretty quickly. With 
a healthy nervous system you're able to relax, sleep well. You're able to eat when you're hungry 
and stop when you're full. Your body can heal and repair and restore. If you're listening to 
this and you're feeling a sense of hopelessness, like this is an impossible goal, I just want 
to remind you your nervous system is like a muscle. When you learn to use it in the right 
way, when you exercise it in the right way, it can become healthy and strong. Your your 
nervous system is modifiable. It can learn, develop, change, and adapt. So if you're stuck in 
chronic stress, it's because your nervous system learned that. And if if it learned that, it can 
learn the other way too. Okay. So let's talk about how to do that. Our body has a really interesting 
feedback loop. Our brain, probably through a part of our brain called the insula, is constantly 
scanning your body to see how it's functioning, and it uses sensations to determine if the body's 
running all hunky dory or if there's a problem. So when your body's in pain or if something's 
not working right, it sends a message up to your brain that it's it's in danger. But when 
your body is calm or soft or relaxed, it sends a message from your body to your brain to chill 
out. And this is called a bottom-up approach to nervous system regulation. When we calm our body, 
we calm our mind. So what does an anxious nervous system look like? So one form of an unhealthy 
nervous system is called sympathetically dominant, or nervous system hyperarousal. It's when your 
fight/flight/freeze response is highly active. It's stuck on all the time. And the unfortunate 
thing is that anxiety makes us more sensitive to threats, so when we're anxious we actually get 
more anxious. So if you're stuck in the on mode you might feel like you're on high alert all 
the time. Uh you'll have a stronger reaction to threats, and that reaction might happen more 
quickly and to a higher level of stress. So this means that you're less accurate. You're more 
likely to interpret things as more dangerous than they are. You're you're more likely to take 
offense when none is intended or you're more likely to feel scared or stressed or overwhelmed 
even when you're safe, and you might feel more uh agitated or irritable. So when you're in the 
stuck on state you might feel jumpy, jittery, an upset stomach, or you might crave carbs. Um 
your heart and breathing's faster. You might feel the need to keep moving or stay busy or to 
overthink things, and you might also have a hard time concentrating, uh focusing, or remembering 
things. So this is, you know, it's like your nervous system is stuck in the on position all 
the time. You might have a hard time sleeping, relaxing, settling down, or playing, and you 
just might feel like you're on edge all the time, uh like you're always alert or always vigilant. So 
usually when people are sympathetically dominant, their alerting muscle is strong. Usually in this 
mode you're able to get stressed out and get get stuff done, but you might have a hard time having 
fun, or you feel anxious when you try to relax. So your nervous system isn't flexible. It's rigidly 
stuck in the on position. And this can be a result of trauma or chronic stress, but it can also 
just be a habit that we fall into. Um it could be caused by worrying too much or just simply not 
knowing how to self-regulate. And again, this is like a muscle, right? This part of your nervous 
system that gets activated has become like very strong. But the part of your nervous system, the 
parasympathetic response, that relaxes is weaker, so it has a harder time kind of overriding that 
fight/flight/freeze response. But like a muscle, what you exercise you strengthen. So you can 
rewire this um through a constant process of nervous system regulation. Uh you you can 
check in with your body multiple times a day, multiple times an hour. Remind yourself that 
you are safe, and then choose to consciously engage the parasympathetic response in 
your body. You are choosing to regulate your nervous system. And it might be through 
something like a slow breath or softening your gaze or whatever your favorite grounding skill 
is. Now, we're going to talk more about that, more about nervous system regulation in another 
video. But the main idea is when we're stuck in an on state we have a hard time turning on 
that parasympathetic response. Okay. The third state of anxiety in the nervous system 
is called nervous system hypoarousal. And this is when your body um turns on like this 
shut-down-and-conserve mode. It's it's when you're overwhelmed. So when you've experienced a 
threat that was too big or too much or too fast or too long or you've done it without support or 
resources, um when you're isolated and ashamed, your body might go into this protective 
mode called shutdown mode. And um again, this isn't your body body out to get you. You 
aren't broken. This state is actually a survival response. It's an attempt to conserve energy, 
um to avoid antagonizing an enemy, or to stay hidden. And this can be really functional in the 
short term. But when you get stuck in this mode, it's essentially a trauma response. Now, just to 
be clear, um getting stuck on, the hyperarousal mode is, also could be a trauma response. But 
um when we're stuck off, this can happen if you experience a huge tragedy or even simply if you're 
just worn down by chronic stress. In a huge event, shutting down is that last survival response. 
And with chronic stress you just get depleted. Like stress uses up energy, resources, nutrients. 
You spend a lot of time running and not enough time repairing and healing and resting, so your 
body gets worn down. So whether it's a short, intense event or a chronic stress, nervous system 
hypoarousal can look like burnout or depression. You may feel sluggish, tired, frozen, numb. Um 
you might have a slow metabolism, slow heartrate, breathing, low energy, low motivation. I mean, 
why try if everything's impossible and awful, right? You might have a hard time feeling pleasure 
or excitement. There's cognitive symptoms too. Uh so hypoarousal impairs creativity. People describe 
like a brain fog. Um it slows thinking. It seems to impair memory and concentration, and it's shown 
to uh contribute to poorer problem solving and uh difficulty initiating and completing tasks and 
also contributes to procrastination. This state of nervous system hypoarousal, does that sound 
like burnout to you? Does it sound like depression to you? Like it's crazy to me that no one is 
talking about the nervous system aspect of these condition. Chronic stress or severe stress or 
trauma can lead to these physical symptoms of high hypoarousal. If you're in this stuck off state, 
you might also experience like social withdrawal, uh decreased sexual desire, a lack of interest in 
hobbies or activities that you used to enjoy. Now, sometimes this does look like these quick bursts 
of energy or exertion, like you sprint and get something done and – like panicky action – and 
then you collapse into exhaustion. Just because you may be experiencing this uh nervous system 
hypoarousal, it doesn't mean that it's permanent. You can retrain your nervous system. Um treatment 
for this state I think requires maybe three steps. And the first one is self-care to restore physical 
resources or getting safe in the first place, right? But to restore these physical resources 
– sleep, nutrition, rest, uh taking care of your body with like medical treatment and support 
or exercise. And then the next step to get to, get back to that state of safety is um activation. 
So you have have to actually get moving. You have to move through the polyvagal ladder through 
activation to return to calm. And then lastly, you know, you got to create a sustainable 
approach to solving problems, so finding a way to face and solve problems so that they 
don't become overwhelming all the time for you. So whether that's, you know, getting your 
financial ducks in a row, sticking to a budget, or setting boundaries with people, or learning to 
actively accept what you can't change, you you've got to learn to restore and return to a sense of 
safety. Okay. So I've mentioned trauma a couple of times in this video and throughout this course. 
What does trauma have to do with this? So trauma, or at least my understanding of trauma, is your 
brain and body's deep learning system. When you experience an extremely painful or dangerous or 
threatening event or a chronic stressor for years, anything that overwhelms your ability to respond, 
trauma is your nervous system's subconscious way to record those circumstances and create quick 
reactions. So if you're a soldier at war um and you're, on a clear day you're driving a 
Humvee and you can smell the exhaust and you see a backpack on the side of the road 
and it turns out the backpack was a bomb and and you have this dangerous experience, your 
nervous system is going to pair clear skies, smell of exhaust, and backpack with threat to 
my survival. Okay. And so that's like a deep learning system. So suddenly when you're at 
home, um without realizing it you might smell some exhaust or you might have a bright, clear 
sky or you see a backpack laying on the ground, and your nervous system kicks on that threat 
response system without you even realizing it. And your nervous system may go into the sympathetic 
response, like this fight/flight/freeze response or anger or agitation, or it might kick all 
the way into the shutdown response for no apparent reason. And so suddenly you're 
feeling panicky or angry or depressed, and you don't know why. And that's because that 
trauma response is essentially a stored response, a learned like memory that it recorded of those 
stimuli to trigger that that reaction in your nervous system. Let me give you another example. 
Um if you're a child in an abusive home uh and you know that when your mom comes home cranky from 
work that it's time to like keep your head down, to lie low, to hide, or withdraw. And if this 
happens enough over and over as a child, if that hide-and-shutdown response gets really ingrained, 
you may develop a response at work to avoid every form of confrontation, but you don't even realize 
you're doing it. Like it's this deep subconscious learning. So so this is one way to understand 
trauma, is to see it as deep and a subconscious form of learning that your nervous system does 
to keep you safe from threats. But unfortunately, these defense mechanisms don't really serve us 
that well in the long run. And when we get rigidly stuck in these patterns of hyper or hypoarousal, 
it interferes with our health and our mental health and our ability to enjoy life. So what can 
we do about this? We can't just treat anxiety or trauma or depression or burnout in our head or in 
our thoughts. We have to treat it in our body, in our nervous system. So the first step is becoming 
aware. So I'm going to make a wild guess right now that you don't actually know what anxiety is like 
in your nervous system and that you're constantly trying to distract yourself from uncomfortable 
sensations, or you're constantly intellectualizing about it, or maybe you've just never been taught 
to notice what's going on in your body. So the first step is becoming more aware of the state 
of your nervous system. And one word for this is interception. It's our ability to kind of scan 
our body and see what's going on. So in the next section I want you to use the workbook to explore 
what anxiety feels like in your nervous system, what the activated hyperarousal response feels 
like, and what the shutdown response feels like. And then in this whole section of the course 
we are going to take a deeper look at how to regulate your nervous system, how to turn on 
that parasympathetic response, and what to do with anxious sensations. So – and and just to 
back up a little bit, if you'd like to learn more of the basics of how your nervous system 
works, how to understand the fight/flight/freeze response and the parasympathetic response and 
some really essential grounding techniques, um you can learn those in my free course, 
uh Grounding Skills for Stress, Anxiety, and Trauma. So I'll link that below. So you really 
can learn to identify these states of anxiety and trauma in your nervous system, and you can learn 
how to regulate your nervous system so that you can become healthier. You can overcome anxiety 
and trauma, and you can become more flexible, able to relax and feel more joy, be more playful, 
and allow your body to heal. So this video is day 20 from my online course Break the Anxiety Cycle 
in 30 Days. And if you want to take the full course you can also check out that link in the 
description. Thanks for being here. Take care. [Music]

#Understanding #Trauma #Anxiety #Burnout #Nervous #System #Break #Anxiety #Cycle

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25 Comments
  1. Life is so boring… and I'm stuck, hopeless and depressed… there is no help … its feels like deal with pain.

  2. If you're reading this right now, I just want to say; I'm rooting for you. We’re strangers, but that doesn’t mean I don’t care. I know what it’s like to feel like you're pushing a boulder uphill. I felt that way until I picked up Manifest and Receive by Eva Hartley. I can’t explain it perfectly, but it changed my whole perspective. Since then, things have been flowing—money, peace, confidence. Maybe this is your moment too. Stay open. Wishing you more than you ever imagined. 💫💰

  3. i'm BEGGING anyone who's even slightly lost in life to read Manifest and Receive by Eva Hartley. i'm not kidding when i say it cracked me open in the best way. i'm crying and healing and evolving all at once ❤

  4. 3 months ago I was broke, anxious, and completely lost. My friend sent me Manifest and Receive by Eva Hartley and I read it in one sitting. Not even kidding, my whole energy shifted. I stopped chasing and started receiving. New clients, better sleep, confidence back. people don’t sleep on this. 😭✨

  5. Honestly, it breaks my heart how Manifest and Receive by Eva Hartley isn’t getting the attention it deserves. This book changed me. People need to wake up to this.

  6. If you're reading this right now, I just want to say; I'm rooting for you. We’re strangers, but that doesn’t mean I don’t care. I know what it’s like to feel like you're pushing a boulder uphill. I felt that way until I picked up Manifest and Receive by Eva Hartley. I can’t explain it perfectly, but it changed my whole perspective. Since then, things have been flowing—money, peace, confidence. Maybe this is your moment too. Stay open. Wishing you more than you ever imagined. 💫💰

  7. My nerves are shot. Recently diagnosed with PTSD and I can't relax. I can't even go outside. This is such a terrible feeling. I've lost myself.

  8. Thank you for sharing this – I had a nervous system breakdown and was sent to A&E although vitals were fine – I was sure I was dying. Figured it was "just anxiety" but I had a full system shut down. This was 9-days ago, and I'm no longer feeling hopelessness anymore. A lifetime of childhood trauma, army tours, and bad relationships just caught up to me – I've since stopped taking caffeine and sugar as part of my recovery. Anyone going through similar, you're not alone.

  9. I find your videos tremendously calming, ❤

  10. 😢 I'm feeling stressed out and I shut down with everything

  11. I wish someone had explained this to me 2 years ago to save me intellectualising my burnout and instead understand what’s going on and how to heal. ❤

  12. I lost my kids to an abusive ex and I still have to put up with him. I am not getting out of the Fighter freeze. My body keeps going into Fawn mode. I’ve lost memory. I have anhedoonia I cannot get this anxiety under control. I was also abruptly stopped off of the benzodiazepine I was on to put up with the abuse. I just can’t seem to get better. It’s keeping me stuck in a state of SI. I tried to get help from doctors the pills gave me akathisia

  13. I lost my kids to an abusive ex and I still have to put up with him. I am not getting out of the Fighter freeze. My body keeps going into Fawn mode. I’ve lost memory. I have anhedoonia I cannot get this anxiety under control. I was also abruptly stopped off of the benzodiazepine I was on to put up with the abuse. I just can’t seem to get better. It’s keeping me stuck in a state of SI. I tried to get help from doctors the pills gave me akathisia

  14. You are describing me!!!! Continual homeless since 2013,age 60 now,EXHAUSTED!!!😥😮‍💨🙏🏼🙏🏼🙏🏼🙏🏼

  15. Thank you, youìve been of help 😃

  16. Plz reply anyone! I've been feeling severe burning in my nervous system in my upper back and in chest for the last four years. It all started in one night when I showed extreme anger and cried at someone. Also feeling nervous system is blocked without feeling any anxiety or depression, no any medicine works. Feeling confused whether it's anxiety or any other nervous problem. Do you feel the same?

  17. I'm currently going thru a hypoarousal state… it's been exhausting and I thought I was going crazy. But this makes a lot of sense. Plz send me good thoughts and prayers. I know God will make a way for me🙌🏽

  18. I was physically and sexually assaulted at age 21 it was the most scariest and painful thing I’ve ever felt, now I’m almost 30 but I’ve found prayer is healing and listening to mediation music helps me out

  19. I have been dealing with this on and off for 7 yrs. Mines started around COVID when I got sick. I fell into a deep depression and isolated myself. The lost of my father from COVID and then losing my brother unexpectedly in 2022. Then I later found out I was exposed to toxins in my house which led me to be suicidal. I now suffer with anxiety stress ptsd because of the trauma. It’s also very hard to sleep it’s becoming exhausting messing with my mental health.😢

  20. Nutshell !
    That’s exactly how I feel
    The shell of a nut is housing the nut
    Or in other words
    The skull is housing the nutty brain !
    lol 😂

  21. This is me constant stuck!

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