Why the Polyvagal Theory is Not a Cure-All, and Deeper Work Is Needed

Polyvagal Theory, proposed by Stephen Porges, has gained significant attention in the mental health community, especially for its insights into how the autonomic nervous system influences emotional regulation. While this theory provides valuable tools for understanding trauma, it is not a one-size-fits-all solution. Research has pointed out that while Polyvagal Theory offers insights into the physiological basis of trauma responses, therapy should also focus on the relational aspects of healing (Durrant et al., 2018).

At Brooklyn Integrative, we believe in combining Polyvagal Theory with the importance of the therapist-client relationship. The therapeutic alliance is one of the most important factors in determining the success of therapy. Research consistently shows that the quality of the relationship between therapist and client is more important than any single therapeutic model (Horvath & Bedi, 2002). Our therapists integrate Polyvagal Theory into their work, but we also understand that the most profound healing occurs when clients feel safe and heard in the therapeutic space. At Brooklyn Integrative, we emphasize a collaborative approach, where both physiological and relational factors are addressed to help you heal more fully and effectively.

In fact, a study published in Psychotherapy Research found that a strong therapeutic relationship, characterized by empathy, trust, and collaboration, is a stronger predictor of positive therapy outcomes than any particular therapeutic technique (Norcross, 2011). While Polyvagal Theory provides valuable insights, the relational dynamics within therapy remain a cornerstone of healing. At Brooklyn Integrative, we prioritize this relationship to ensure that clients experience deep, lasting change.