Your Nervous System Is Not Working Against You
- Dr. Loi Medvin

- Jun 8
- 6 min read
Learning to Listen Through Somatic Practice: Three Gentle Ways to Begin
In more than two decades of clinical work, and the last decade as a somatic psychologist, one truth has anchored everything I do: the body is not a passive container for our experiences. It is an active, intelligent system - constantly adapting, communicating, and carrying patterns of protection that often exist beyond conscious awareness.
And most of us were never taught how to listen to it.
If you've ever found yourself lying awake replaying a conversation, feeling anxious despite knowing you're safe, or shutting down emotionally when there seems to be no obvious reason, you've already experienced the gap between what the mind understands and what the nervous system is carrying.
This blog is an introduction to somatic practice: what it is, what's happening neurobiologically when we engage with it, and three gentle ways to connect with and listen to your nervous system today.
While we often think of stress as a psychological experience, it is also profoundly physiological.
When we experience stress, overwhelm, or trauma, our autonomic nervous system responds before our conscious mind has time to fully process what's happening. Neural networks involved in survival - including the amygdala, brainstem structures, and autonomic pathways activate rapidly, preparing the body to fight, flee, freeze, or seek safety through connection.
Ideally, once the threat has passed, the nervous system gradually returns to a state of balance. But when stress is chronic, trauma is overwhelming, or circumstances don't allow us to fully process and recover from what has happened, those protective responses can persist, and the baseline shifts. What began as an adaptive survival response can become a familiar way of being in the world.
This can show up in surprisingly ordinary ways: difficulty relaxing at the end of the day, feeling constantly "on," overreacting to small stressors, struggling to set boundaries, or feeling disconnected from yourself or others, even when life appears to be going well.
This is why you can understand something perfectly on a cognitive level and still feel anxious, tense, disconnected, numb, or stuck. There is nothing wrong with you. You may just be encountering the difference between intellectual understanding and the deeper physiological patterns designed to keep you safe.
Two brain regions are particularly relevant here. The insula, located deep within the cortex, helps us sense and interpret signals arising from within the body. This capacity is known as interoception - the ability to notice sensations such as tension, warmth, breathing, hunger, or a racing heart. It is how you know your stomach is tight before a difficult conversation or notice your shoulders have been tense all day.
Alongside it, the anterior cingulate cortex plays an important role in attention, emotional processing, and integrating bodily sensations with our subjective experience. Under conditions of chronic stress, these systems can become biased toward detecting potential threat, making it more difficult to recognize cues of safety, rest, and connection.
The result can be a nervous system that responds to present experiences as though they carry the same urgency as past danger, even when part of us knows we are safe.
Somatic practice works directly with these processes - not primarily through analysis or cognition, but through awareness of the body's own signals. It is often described as a "bottom-up" approach, helping us develop greater regulation, resilience, and flexibility through the nervous system itself.
A Note Before We Begin
One of the most common misconceptions about somatic practice is that it requires revisiting painful experiences. In reality, much of the work begins by helping the nervous system recognize moments of safety, stability, and support.
We don't start with the wound. We start with capacity.
Because somatic work speaks directly to the body's survival systems, I want to offer a few orienting principles before any practice:
You are always in charge of the pace. If anything feels like too much, open your eyes, look around the room, and feel your feet on the floor. Come back to the present moment.
If you feel nothing, that is valid information - not failure. Some nervous systems learned that turning inward was unsafe. We meet that with curiosity, not pressure.
Start small. Five minutes of genuine somatic attention is often more meaningful than an hour of forcing an experience.
Practice One: Orienting
This is one of the simplest and most effective grounding practices available. It works by helping the nervous system update to the present moment. As we intentionally notice our surroundings, we may recruit neural networks associated with orientation, curiosity, and social engagement - processes often linked to feelings of safety and regulation.
Sit comfortably and allow your gaze to soften.
Slowly, much more slowly than feels natural, let your eyes move around the room.
Notice the color of the wall. The texture of a surface. The quality of the light. Feeling your feet on the floor.
As you look around, allow your neck to move gently with your gaze.
Notice whether there is somewhere your eyes naturally want to rest. Let them settle there for a moment.
Then take one slow breath, allowing the exhale to be slightly longer than the inhale.
That's it.
Thirty seconds to two minutes is enough. If it feels right, you can say: "I am here. The environment is knowable. In this moment, I am safe enough to look around."
With repetition, this can become a powerful resource during moments of activation.
Practice Two: Finding Your Resource
A resource is simply something that feels even slightly more supportive than your current baseline.
This isn't looking for bliss, joy or even the perfect calm. Just a place inside where you feel a little more settled.
This is one of the foundations of somatic work - before exploring anything difficult, we establish a place to return to; a home base.
Sit or lie comfortably. If it feels safe, close your eyes. If not, keep a soft downward gaze.
Take a breath and notice the support beneath you - the chair, the floor, the bed, or the couch.
Now gently scan your body.
You're not looking for problems - you're simply noticing.
Is there anywhere that feels even slightly more comfortable than the rest?
Perhaps your hands feel warm. Perhaps your feet feel steady.
Perhaps there is a small sense of openness in your chest or softness in your belly.
When you find it, rest your attention there.
You don't need to change it. You don't need to make it stronger.
Just notice. Stay for thirty seconds to a minute.
This is your resource spot.
You can return to it during somatic practice, during a difficult conversation, or whenever you notice your system moving toward overwhelm.
Practice Three: The Physiological Sigh
Research suggests that the physiological sigh is one of the fastest ways to reduce physiological arousal in the moment. It involves a double inhale followed by a long, slow exhale.
The mechanism appears to involve both lung physiology and autonomic nervous system regulation.
In practical terms, here's how it works:
Take a normal inhale through your nose. Before exhaling, take a second short inhale through the nose to gently top off the lungs.
Then exhale slowly through the mouth.
Allow the exhale to be long, unforced, and complete.
Repeat once or twice. Then pause.
Notice what shifts.
Perhaps your shoulders soften. Perhaps your jaw relaxes. Perhaps nothing obvious happens at all.
Any response is information.
Sometimes the change is obvious. Sometimes it's subtle. The practice isn't about creating a dramatic effect, it's about giving your nervous system another option.
This isn't a replacement for deeper therapeutic work, but it is a simple and accessible tool that can be used almost anywhere - before a difficult conversation, during a stressful meeting, or in the moments before speaking an important truth.
Why This Matters
Somatic practice is not about achieving a state of permanent calm (that is neither realistic nor biologically desirable). Being activated is not the problem, it's only when we become stuck there that problems arise. The nervous system is designed to move between states.
What we're building is flexibility.The capacity to move through activation and return to regulation.
The ability to notice what is happening in the body before it automatically drives behavior.
The possibility of responding from grounded choice rather than reflexive reaction.
Over time, these small practices can create meaningful shifts as we gradually build enough safety, awareness and capacity for new patterns to emerge, not because we force the nervous system into compliance.
Somatic practice is not about becoming calm all the time. It is about becoming more connected to yourself and learning to notice the first signs of overwhelm before they become a tidal wave. It is discovering that anxiety, numbness, tension, and even shutdown are not personal failures but intelligent adaptations that once served a purpose.
This is slow work. It unfolds breath by breath, moment by moment, often in ways that are subtle before they are dramatic. Yet these small moments of noticing, orienting, and returning to yourself accumulate.
Meaningful change can occur over time. We aren't looking for perfection (remember being stuck in any state isn't healthy) - the goal is a nervous system that trusts its ability to move through life with greater flexibility, resilience, and choice.
If you'd like to explore this work more deeply, I'd be honored to support you.




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