If depression is the emotional expression of the immobilization response, then the solution is to move out of that state of defense. Porges believes it is not enough to simply remove the threat. Rather, the nervous system has to detect robust signals of safety to bring the social state back online. The best way to do that? Social connection.
For people who don’t prefer social connection, I’ve seen that exercise works well
Edit: just want to highlight that polyvagal theory, the main point behind this article, is unsubstantiated thus far
Seems to be an ambitious rethinking of depression. As someone diagnosed bi-polar, I’ll watch the development of this idea with interest.
But if the threat continues indefinitely and there is no way to fight or flee, the immobilization response continues. And since the response also changes brain activity, it impacts how people’s emotions and their ability to solve problems. People feel like they can’t get moving physically or mentally, they feel hopeless and helpless. That’s depression
[…]
Immobilization has an important role. It dulls pain and makes us feel disconnected. Think of a rabbit hanging limply in the fox’s mouth: that rabbit is shutting down so it won’t suffer too badly when the fox eats it. And the immobilization response also has a metabolic effect, slowing the metabolism and switching the body to ketosis. Some doctors speculate that this metabolic state could help to heal severe illness.
I could see this being the case. If I hate my job and have no other prospects on the horizon, my getting angry at stupid decisions by mgmt threaten my ability to preserve my position. But sarcastically resenting them keep me in stasis. I don’t think that’s a great analogy for what is being described here, but that’s what I’ve got off the cuff.
I feel exactly like that rabbit right now. Getting squeezed from every angle
I dropped 20 lb this summer, down to an unhealthy weight now…
Been trying for years, working with a psychiatrist and therapist. They can’t solve the situational causes though
Depression has many causes:
- For once, people work too much. It exhausts the body and we feel tired.
- For two, there’s the meaninglessness of life. It’s difficult to stay motivated when nothing makes sense/there is no future.
- Thirdly, positive sexual experiences strongly cure depression. Since the dating market is largely fucked (no pun intended), well that option doesn’t exist to large parts of the population.
- Fourtly we’re socialized to hide depression. As everybody knows, the first step to solve a problem is to recognize it exists. Stigmatization of depression has held back effective treatment for way too long.
Fourtly we’re socialized to hide depression. As everybody knows, the first step to solve a problem is to recognize it exists. Stigmatization of depression has held back effective treatment for way too long.
“Hey, how’s it going?”
“Good, you?”
Honesty about our emotional state (with people who aren’t trusted friends / partners) is programmed out of us by social norms.
I have to somewhat agree with the author. My experience and understanding of depression is that it is more of a (sometimes very persistent) symptom than an underlying cause. Ideally, we would all have the guidance to deal with depressing scenarios, but similar to dissociation during trauma, our mind defaults back to disconnection to limit the pain.
I’m not saying this is every case, but I do think as a society we could view depression more as a coping strategy, and try to replace it with healthier practices. After time, it takes more time and effort and support to replace those coping strategies, but that is essentially what psychotherapy does.
I think too often in the modern world people tend to just shrug and say “this is who I am,” instead of trying to improve their coping skills and quality of life. Like another commentor mentions, this becomes a feedback loop of depression feeding depression and takes immense support and effort to curve and should absolutely not be shamed.
Overworked is my depression.
I once was a recluse I didn’t go out for months at a time. Most mentally lucid and healthy I’ve felt.
Porges believes
This is an interesting article and yet you’ve chosen to quote the most speculative unscientific part of it from the final paragraph.
“Have you tried going outside” is not a scientific cure for depression.
That’s not what it’s saying at all, it’s talking about immobilization as a survival strategy as induced by the body’s neurophysiology, think of it as another option after flight vs fight responses.
Here’s the report mentioned in the article https://explore.bps.org.uk/content/report-guideline/bpsrep.2020.rep133
Edit looking closely, the report itself doesn’t mention anything about the immobilization defense.
Edit2 so on further review, I agree that this article is low quality. Apologies, was just browsing while half asleep and thought it was interesting
Polyvagal theory itself does not seem promising so far. Oh well, editing this post to highlight that…
