
“I’m so dysregulated. What can I do?” (Part Two)
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Here’s to healing relational trauma and creating thriving lives on solid foundations.
Warmly,
Annie
Here’s the both/and that I want you to hold as you build your self-regulation toolkit: your dysregulation makes complete sense. It is not a character flaw, a weakness, or evidence that you’re somehow more broken than other people. It is the predictable, neurobiologically coherent response of a nervous system that learned to survive difficult circumstances by staying on high alert, or by shutting down when the overwhelm became too great. Your dysregulated states are not symptoms of a broken system. They are a well-calibrated system responding to what it learned.
AND. You also have more capacity than your current baseline suggests. The nervous system is plastic — it changes in response to repeated experience. Every time you use a self-regulation tool and it works, you’re building new neural pathways. Every time you notice you’re dysregulated without judging yourself for it, you’re strengthening your prefrontal cortex’s capacity to observe rather than just react. The toolkit you’re building isn’t just for acute moments of overwhelm. It’s literally rewiring your nervous system over time.
Dani, a corporate attorney I worked with, came to me convinced she was “just an anxious person” — that her daily spiraling thoughts and sleep disruption were simply who she was. Over months of work with somatic tools, breath work, and EMDR, her baseline shifted measurably. “I still get dysregulated,” she said, “but I come back faster. And the intensity is lower. It’s like my baseline moved.” That’s what nervous system healing actually looks like — not the absence of dysregulation, but a wider window and a faster return.
Building a personal self-regulation toolkit is essential work. AND it’s incomplete if we don’t also name what the tools can and can’t do when the source of dysregulation is systemic rather than purely individual.
Driven women in demanding professional environments are often dysregulated not primarily because of unresolved childhood trauma, but because they’re operating in systems that are genuinely dysregulating. A workplace culture of chronic urgency, emotional unavailability from leadership, hypervigilance requirements in high-stakes decision-making, insufficient rest, impossible expectations around performance — these aren’t things a breathing exercise can fix. The deep breathing helps you get through the day. It doesn’t change the conditions creating the dysregulation.
For women of color navigating predominantly white institutions, the dysregulation load includes the chronic physiological cost of code-switching, of managing others’ biases, of being “the only one” in rooms. Research by Cheryl Woods-Giscombé, PhD, professor at UNC Chapel Hill School of Nursing, documents the specific ways the Superwoman Schema — the expectation that Black women be strong, suppressive of emotions, and resistant to help — creates chronic physiological dysregulation with measurable health consequences.
This doesn’t mean you shouldn’t build the toolkit. You absolutely should — it will help you, measurably and meaningfully. But building the toolkit inside a conversation that never addresses the structural sources of your dysregulation is incomplete. As you develop your self-regulation capacity, I also encourage you to look at which environments are chronically dysregulating you and ask whether they are ones worth remaining in, and on what terms. The executive coaching work I do often includes both: building internal regulation capacity AND helping driven women assess and navigate their external environments more strategically.
The multisensory toolbox we’ve been building is essential work — it gives you immediate resources for the moments of acute dysregulation. But I also want to speak to the longer game: building actual nervous system regulation capacity over time, so that dysregulation becomes less frequent, less intense, and quicker to resolve.
The research on nervous system healing is clear: capacity builds through repeated experience of completing stress cycles, through attuned relational connection, through regular somatic practice, and through the gradual processing of stored traumatic material. This is the work of trauma-informed therapy — not just developing coping strategies, but actually changing the nervous system’s baseline. Peter Levine, PhD, psychologist and developer of Somatic Experiencing therapy, has spent decades documenting how the body can complete unfinished stress responses and build genuine resilience, not just management of dysregulation.
Here’s the truth I want you to hold: the goal is not to never be dysregulated. The goal is a wider window of tolerance — more capacity to stay present under stress, and a faster return to baseline when you do get knocked outside your window. And both of those are genuinely achievable, even for nervous systems that have spent years operating in states of chronic activation or shutdown. The toolkit helps you today. The deeper work changes what tomorrow looks like. You deserve both.
If you haven’t yet explored what professional support for nervous system regulation looks like, reach out here to explore working with Annie, or explore Fixing the Foundations for structured self-paced work.
There’s something important I want to name about the self-regulation toolkit we’ve been building: while all of these tools are genuinely helpful, self-regulation in isolation is only part of the picture. Human beings are fundamentally co-regulating creatures — our nervous systems evolved to help each other regulate, not to operate as sealed, independent units.
Co-regulation is what happens when one person’s regulated nervous system helps another person’s nervous system settle. It’s why a hug from a trusted person can do what twenty minutes of breathing exercises can’t always accomplish. It’s why the therapeutic relationship itself is healing, not just the techniques that happen within it. Tina Payne Bryson, PhD, psychotherapist and author of The Whole-Brain Child, writes about how humans never fully outgrow our need for co-regulation — we just need it in different forms as adults.
For driven women who have learned to manage their dysregulation entirely alone — who were never able to rely on caregivers to help them settle, and who as adults have continued that pattern of solo management — this is worth sitting with. The toolkit matters. AND building the relational capacity to let another regulated nervous system help you settle is itself part of the healing. That’s what therapy, genuine friendship, and intimate partnership all offer, when they’re working. You don’t have to regulate alone.
One question clients frequently ask is: how do I know when to use which tool from my toolkit? The answer depends on which state you’re in — hyperarousal or hypoarousal — and that requires you to first pause and check in with your body before reaching for a tool.
If you’re in hyperarousal — heart racing, thoughts spiraling, muscles tight, feeling overwhelmed or like you want to run or fight — you need tools that activate the parasympathetic brake: slow, extended exhale breathing (the out-breath is longer than the in-breath), cold water on the face or wrists, vigorous movement that allows the fight/flight energy to discharge, gentle but firm pressure on the body (heavy blanket, tight hug, pressing hands together). The goal is to bring activation down.
If you’re in hypoarousal — feeling flat, numb, disconnected, shut down, heavy, like you can’t think or move — you need gentle activation: slow rhythmic movement, mild cold stimulus, small controllable actions that create a sense of agency, making contact with your five senses to orient to the present environment. The goal is to bring activation up to a manageable level.
This distinction matters because using the wrong tool for the wrong state can actually make things worse. Vigorous movement when you’re already hyperactivated can escalate rather than calm. Stillness when you’re dissociated can deepen the shutdown. Learning to read your own state — which is a genuine skill that takes time to develop — is as important as the toolkit itself. A trauma-informed therapist can help you build this self-awareness more quickly than working alone.
If what you’ve read here resonates, I want you to know that individual therapy and executive coaching are available for driven women ready to do this work. You can also explore my self-paced recovery courses or schedule a complimentary consultation to find the right fit.
Why do I feel so overwhelmed and out of control sometimes?
Feeling overwhelmed and dysregulated often happens when your nervous system is triggered by stress or past trauma. It’s your body’s way of signaling that it needs a break or support to return to balance.
How can I calm myself down quickly when I’m feeling dysregulated?
Try grounding techniques like deep, slow breathing, naming five things you see or hear, or gently tapping your body to bring your focus back to the present moment. These simple actions help soothe your nervous system and reduce intense emotions.
Is it normal to feel dysregulated even when I try to stay positive?
Yes, it’s completely normal. Dysregulation isn’t about your mindset alone; it’s tied to how your brain and body respond to stress, which can happen regardless of your positive intentions or efforts.
What long-term things can I do to manage my emotional dysregulation better?
Building consistent self-care habits like regular therapy, mindful movement, journaling, and establishing safe routines can strengthen your emotional resilience over time. These practices help retrain your nervous system to respond more calmly to stress.
When should I consider seeking professional help for my dysregulation?
If dysregulation is interfering with your daily life, relationships, or work, or if you experience intense emotions that feel unmanageable, it’s a good idea to reach out to a trauma-informed therapist. Professional support can provide tailored tools and healing strategies.
Explore Annie’s clinical writing on relational trauma recovery.
LMFT #95719 · Relational Trauma Specialist · W.W. Norton Author
Helping ambitious women finally feel as good as their résumé looks.
As a licensed psychotherapist (LMFT #95719), trauma-informed executive coach, and relational trauma specialist with over 15,000 clinical hours, she guides ambitious women — including Silicon Valley leaders, physicians, and entrepreneurs — in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.
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