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Polyvagal Exercises for Safety and Connection: 50 Client-Centered Practices

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Deb Dana is the foremost translator of polyvagal theory into clinical practice. Here, in her third book on this groundbreaking theory, she provides therapists with a grab- bag of polyvagal- informed exercises for their clients, to use both within and between sessions.

These exercises offer readily understandable explanations of the ways the autonomic nervous system directs daily living. They use the principles of polyvagal theory to guide clients to safely connect to their autonomic responses and navigate daily experiences in new ways. The exercises are designed to be introduced over time in a variety of clinical sessions with accompanying exercises appropriate for use by clients between sessions to enhance the therapeutic change process.

Essential reading for any therapist who wants to take their polyvagal knowledge to the next level and is looking for easy ways to deliver polyvagal solutions with their clients.

360 pages, Paperback

First published April 1, 2020

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About the author

Deb Dana

51 books246 followers
Deb Dana is a clinician and consultant specializing in working with complex trauma and Coordinator of the Traumatic Stress Research Consortium at the Kinsey Institute, Indiana University. She developed the Rhythm of Regulation clinical training series and lectures internationally on ways in which polyvagal theory informs work with trauma survivors.

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5 stars
315 (48%)
4 stars
231 (35%)
3 stars
78 (12%)
2 stars
19 (2%)
1 star
4 (<1%)
Displaying 1 - 30 of 36 reviews
Profile Image for Megan.
524 reviews1,232 followers
July 10, 2022
2.5 stars. I really like the polyvagal theory, but this book was a little disappointing. I was expecting somatic-based therapeutic interventions, but, instead, this book was full of mainly cognitive behavioral (CBT) exercises. CBT is fine, but research is continuing to show that CBT is a top-down approach to therapy, which means we are not addressing the underlying cause of the trigger by using only CBT. This book definitely felt a little counterintuitive when thinking about healing the nervous system from trauma.
Profile Image for Pyroclastic Ash .
156 reviews39 followers
Want to Read
November 25, 2024
Soft DNF

Absolutely nothing wrong with this. I was listening to Audio and I feel like this needs to be one I read in hand, so I'll continue when I get the paperback.
Profile Image for Joz.
2 reviews2 followers
August 13, 2020
Of valuable service to any person pursuing a career where human connection is at the heart of the profession. Or to anyone on a healing journey.

While I read “Polyvagal Exercises for Safety and Connection” to its conclusion, it is not the end of Deb Dana’s text. It is my belief that this was intentional, if at least reflects the way I have, and will continue to, work(ed) through the book. Dana includes the exercises she mentions in her book (50 throughout chapters 4-8) word for word at the end of the book- prior to pages of references. As it is mentioned in the introduction, if you plan on implementing these exercises, you should have your own experiences to pull from. Thus, I have read all Deb Dana has to say in this book and will now begin a journey through these exercises. I aspire to be a benevolent being who can provide co-regulation for a better tomorrow.

If you have not heard of the polyvagal theory, this may be an overwhelming amount of information. Take your time, if you have to set it down for a few days- do it and come back when you’re ready.
Profile Image for Katie.
744 reviews16 followers
July 10, 2023
If I were to give polyvagal theory a rating it would be five stars ⭐️. Polyvagal theory is providing a paradigm shift for me in the way I view mental health, emotional resilience, and really all health in general. This particular book spends less time time talking about the theory itself and how it manifests in our bodies and minds, and spends more time describing mental exercises that engage the parasympathetic nervous system. Valuable for therapy, but I might need a bigger primer before this book is more valuable for me.
2,369 reviews60 followers
October 28, 2021
I think this is a great book comparatively speaking but the exercises seem like obvious CBT exercises that one could think of on their own. I wish physical things like chanting and breathing techniques we're given more attention
Profile Image for Jenni.
Author 5 books7 followers
September 1, 2024
For a book on polyvagal theory, this was oddly mental/cerebral. Most of the interventions were more CBT-style. I was hoping for something more somatic.
Profile Image for Linda Daniels.
243 reviews7 followers
February 12, 2025
Opleiding Polyvagaaltheorie Theorie in Praktijk bij Deb Dana gevolgd. Fundament en deel onderbouwing van haptonomische begeleiding en interventies en dus goede gedegen therapeutische aanvulling voor met name de begeleiding van mensen met trauma.

Oefeningen helpen cliënten op een eenvoudige wijze inzicht te krijgen in hoe hun eigen autonome zenuwstelsel hun dagelijkse leven stuurt en vormgeeft. Samen tijdens een sessie onderzoeken en ook tussen sessies door kunnen cliënten hun lichaamsbewustzijn vergroten. Zodat ze beter de signalen van hun lichaam gaan opmerken en weer kunnen luisteren naar hun gevoel.
Profile Image for Sammie g.
120 reviews
June 13, 2024
“How often clients are met with attunement or misattunement, how they are seen, heard and helped, the ways they are offered the safety of coregulation — all combine to organize a personal autonomic profile.” Polgyvagel is chefs kiss
Profile Image for Emily Baker.
10 reviews
July 28, 2026
Transformational approach to stress management.
I read the whole book, practised the exercises and bought another copy. Highly recommend for anyone who needs to feel safety and connection
Profile Image for Mary.
1,046 reviews7 followers
February 23, 2024
This is an excellent book for clinicians. Not only does Dana make the basics of polyvagal theory accessible and explainable (this allows for easy transfer of information to the client), but goes through exercises that are doable and simple. The last 90 pages of the book are an appendix of what is actually already written, so that was strange, but definitely a book worth integrating into therapy practice. I do agree with other reviews that there are many CBT-esque exercises, so one needs to be mindful of their client or adapt them to be more somatic depending on their client's needs.
267 reviews1 follower
March 4, 2022
Exciting title, I know. Really handy and fairly accessible book for understanding polyvagal theory, and the exercises within are pretty interesting. I’m not sure how many of them I’ll be using going forward, but only because they don’t quite fit my style and I think I can adapt existing elements.
39 reviews3 followers
April 30, 2021
A beautiful complement to the previous book by Deb Dana. Practical applications and explorations of using polyvagal theory in the real world.
Profile Image for Amy Morgan.
260 reviews35 followers
January 10, 2023
I finally understand polyvagal theory. It is just an expanded fight/flight/freeze response—it organizes these and adds the state of being that I shorthand call connection. The theoretical overview at the beginning was really helpful and expanded my framework for working with traumatized clients. I’ve already put the concepts to use and look forward to using some of the practical exercises to help clients deepen awareness of flooded/frozen states and increase their ability to move back to connection.
Profile Image for Gabbie Gardner.
142 reviews
April 9, 2026
Honestly disappointed with the end result of this book. Like many other readers I was looking for more somatic exercises but was left unfulfilled. Many of the exercises felt unworthy of being considered their own exercise or needing multiple pages of explanation. Then you also had statements or activities that felt like they were included or rephrased from earlier solely to make the word count.

Will I use some of these activities with clients? Absolutely. Am I still bummed this was lackluster? Absolutely.
Profile Image for Geri Degruy.
292 reviews4 followers
August 10, 2023
Excellent book. Basic, understandable education about the autonomic nervous system, how it can drive us, how we can regulate it effectively. Very useful. In this crazy world, this is essential reading for all who wish to stay at least semi-sane.
Profile Image for Letecia.
289 reviews6 followers
November 10, 2020
Listened to the audiobook. It has practical exercises. Getting a printed version for my personal library and quick reference.
Profile Image for Catia.
24 reviews
August 23, 2021
Probably way better as a physical workbook as opposed to audio but good ideas are here.
Profile Image for Alex.
192 reviews27 followers
October 28, 2021
There are some very useful ideas here. It could be helpful for someone suffering from PTSD or narcissistic abuse.
Profile Image for Sofie.
75 reviews
February 3, 2022
Helpful and gentle guidance through practices to promote self-regulation.
10 reviews2 followers
February 21, 2022
Loved all the takeaways that I could use immediately with clients.
Displaying 1 - 30 of 36 reviews