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Online Polyvagal Therapy

Understanding Your Nervous System for Lasting Healing

Reconnecting with Safety and Resilience Through Virtual Nervous System Regulation

If you're a high-achieving professional who appears successful on the outside but feels overwhelmed, disconnected, or stuck in patterns of anxiety and stress, you're not alone. Many accomplished adults find themselves caught in cycles of burnout and emotional exhaustion, despite their best efforts to think their way through challenges. This is where understanding your nervous system through Polyvagal Therapy can create profound shifts in how you experience and navigate life.


As a PSYPACT-credentialed therapist offering online sessions exclusively, I provide Polyvagal-informed therapy to clients across Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois. Through secure video sessions, I integrate Polyvagal Theory into my practice to help you understand the wisdom of your body's responses and develop sustainable pathways to emotional regulation and authentic connection—all from the comfort and privacy of your own space.

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What Is Polyvagal Therapy?

Polyvagal Therapy is an evidence-based approach that emerged from Dr. Stephen Porges' groundbreaking research on the autonomic nervous system. This therapeutic framework helps us understand how our nervous system shapes our emotional experiences, relationships, and overall well-being.


At its core, Polyvagal Theory reveals that our nervous system is constantly scanning for safety and danger, influencing how we think, feel, and connect with others. This neurobiological understanding transforms how we approach healing, moving beyond traditional talk therapy to incorporate the body's innate wisdom.


In my virtual practice, I use Polyvagal-informed techniques to help you recognize your nervous system states, understand your automatic responses, and develop personalized strategies for returning to a regulated, connected state. This approach translates beautifully to online therapy, where you can explore these concepts in your own environment. Whether you're joining from your home office in Connecticut, your apartment in Washington DC, or anywhere across the nine states I serve, the power of this work remains equally transformative.

Understanding Your Three Nervous System States

Through the lens of Polyvagal Theory, we explore three primary nervous system states that shape your daily experiences:

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The Ventral Vagal State: Connection and Safety


When you're in this regulated state, you feel grounded, present, and capable of genuine connection. You can think clearly, problem-solve effectively, and engage authentically with others. This is your optimal state for healing, growth, and meaningful relationships. Through our online sessions, I'll help you recognize and cultivate this state, even amidst the demands of your busy life.

The Sympathetic State: Mobilization and Action


This is your body's fight-or-flight response. While essential for genuine threats, many high-functioning adults—from tech professionals in Colorado to finance executives in New Jersey—find themselves chronically stuck here, experiencing anxiety, restlessness, irritability, and the constant feeling of being "on." You might recognize this as the state where you're productive but exhausted, achieving but not fulfilled.

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The Dorsal Vagal State: Shutdown and Withdrawal


When overwhelmed, your nervous system may shift into this protective shutdown state. You might feel numb, disconnected, exhausted, or checked out. For many successful professionals across the metropolitan areas I serve—whether in Virginia's corporate corridors or Maryland's bustling suburbs—this manifests as going through the motions while feeling emotionally distant or empty inside.


Understanding these states isn't about labeling them as good or bad. Each serves a protective function. My role is to help you recognize these states in your daily life and develop personalized strategies for navigating between them with greater ease and intention.

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How Virtual Polyvagal Therapy Supports High-Functioning Adults

Many of my clients initially wonder how understanding their nervous system through online therapy can be as effective as in-person work. The truth is, virtual sessions offer unique advantages for nervous system regulation. You're in your own environment, which can actually enhance your ability to practice regulation techniques in real-time, exactly where you'll use them most.

Through our online work together, you'll discover how your nervous system has adapted to keep you safe and successful, even when those adaptations no longer serve you. I help you recognize the subtle signals your body sends and develop practical tools for regulation that fit into your demanding life—whether you're a healthcare professional in Rhode Island, a government employee in Washington DC, or an entrepreneur in Illinois.

 

This approach is especially valuable if you:

  • Feel exhausted despite achieving your goals

  • Experience anxiety that doesn't respond to logical reasoning

  • Notice patterns of disconnection in relationships

  • Struggle with perfectionism and never feeling "good enough"

  • Find yourself alternating between overdrive and shutdown

  • Have difficulty relaxing even in safe situations

  • Experience physical symptoms of chronic stress

  • Need flexible therapy that fits your schedule and location

My Integrated Approach to Online Polyvagal Therapy

In my virtual practice, I don't use Polyvagal Theory in isolation. Instead, I weave it seamlessly with other evidence-based modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Internal Family Systems (IFS), and somatic approaches. This integration allows me to tailor our online sessions to your unique nervous system and specific goals.


For neurodivergent clients, including those with ADHD or autism, I adapt Polyvagal techniques to honor your unique nervous system wiring. I understand that traditional regulation strategies may not work the same way for everyone, and I'm committed to finding approaches that resonate with how your brain and body naturally function. The online format often works particularly well for neurodivergent individuals who appreciate the control over their sensory environment.

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What to Expect in Our Virtual Polyvagal-Informed Sessions

During our initial free 15-minute online consultation, I'll listen to your experiences and help determine if my Polyvagal-informed approach aligns with your needs. This brief video call allows us to connect face-to-face and ensures we're a good therapeutic fit before you invest your time and energy.


If we decide to move forward, our comprehensive 90-minute virtual intake session allows me to understand your nervous system patterns, history, and goals in depth—all while you remain in the comfort of your chosen space.


In our ongoing online sessions, our work typically includes:

Nervous System Mapping


Through our video sessions, we'll explore your unique nervous system responses, identifying triggers, patterns, and the subtle cues that signal state changes. Even through a screen, I'm trained to notice the small shifts that indicate nervous system states, allowing me to provide attuned support.

Virtual Co-Regulation and Connection


Through our therapeutic relationship, you'll experience the power of co-regulation—how a calm, attuned presence can help your nervous system find safety and balance, even across a video connection. This isn't just talk; it's a felt experience that teaches your nervous system new possibilities.

Practical Regulation Tools for Your Environment


I'll share evidence-based techniques tailored to your lifestyle and preferences. These might include breathing practices you can do at your desk, movement strategies for your home office, or sensory tools using items in your environment—always presented in ways that make sense for your unique nervous system and daily demands.

Integration with Daily Life


Together, we'll identify opportunities to apply these insights in your work, relationships, and personal life. The advantage of online therapy is that you're already in your real environment, making it easier to implement strategies immediately. I may suggest practices to try between sessions, always respecting your capacity and current life demands.

The Transformative Power of Nervous System Awareness in Virtual Therapy

Clients often tell me that understanding their nervous system through Polyvagal Theory provides a compassionate framework for experiences they've struggled to understand. Rather than judging yourself for feeling anxious, overwhelmed, or disconnected, you begin to recognize these as protective nervous system responses that made sense at some point in your life.


This shift from self-criticism to curiosity creates space for genuine healing. You learn to work with your nervous system rather than against it, developing a more compassionate relationship with yourself and your responses to life's challenges—all through the convenience and privacy of online sessions.

Why Choose My Online Practice for Polyvagal Therapy

My ability to truly "see" clients and track both subtle nervous system shifts and broader therapeutic goals translates powerfully to the virtual space. Even through video, I notice the small changes in your voice, posture, or expression that signal nervous system state changes, and I adapt our work accordingly.


With extensive training across multiple therapeutic modalities, I integrate Polyvagal Theory with other approaches to create a truly personalized healing experience. I present complex neurobiological concepts in accessible, practical ways that you can immediately apply to your life.


As a PSYPACT-credentialed provider, I'm uniquely positioned to serve high-functioning professionals across multiple states. Whether you're in the fast-paced environment of Washington DC, the tech hubs of Colorado, the suburban communities of New Jersey, or anywhere across Arizona, Connecticut, Rhode Island, Maryland, Virginia, or Illinois, I provide consistent, high-quality care that moves with you.


Whether you're seeking focused, short-term support or deeper, long-term exploration, I tailor our online work to your goals and capacity. My secure video platform ensures confidentiality while offering the flexibility busy professionals need to prioritize their mental health without commuting or rearranging their entire schedule.

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Begin Your Journey to Nervous System Regulation Today

If you're ready to move beyond surface-level coping strategies and develop a deeper understanding of your nervous system, I invite you to reach out. Through online Polyvagal-informed therapy, you can transform your relationship with stress, develop authentic connections, and rediscover a sense of safety and vitality in your body and life—all from wherever you feel most comfortable.


Contact me today to schedule your free 15-minute virtual consultation. Together, we'll explore whether my online Polyvagal-informed approach aligns with your healing journey and discuss how we can work together to help you thrive—not just survive—in all areas of your life, regardless of which PSYPACT state you call home.

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults and couples under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

  • Arizona (Tucson, Phoenix, Scottsdale)

  • Connecticut (Greenwich, Stamford, New Haven, Hartford)

  • Washington, D.C.

  • Virginia (Arlington, Alexandria, Fairfax)

  • Maryland (Bethesda, Baltimore)

  • New Jersey (Princeton, Newark)

  • Rhode Island (Providence)

  • Colorado (Denver, Boulder)

  • Illinois (Chicago, Naperville)

  • Florida (Tampa, Miami, Boca Raton)

  • Instagram
  • TikTok
  • Spotify
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