🚨 Does This Sound Like You?

"I feel totally numb. I don't care anymore, and I hate that I don't care."

"Even when I sleep, I wake up tired."

"I used to be so empathetic. Now I just want everyone to leave me alone."

What you're experiencing isn't just burnout—it's dorsal vagal shutdown.

🪜 The Polyvagal Ladder: Your 3 Nervous System States

1. Ventral Vagal (Safe Zone) ✨ Calm, connected, creative, social - where we want to be

2. Sympathetic (Fight or Flight) ⚡ Heart racing, hyperalert, frantic productivity mode

3. Dorsal Vagal (Shutdown/Freeze) 🥶 Emotional flatness, complete disconnection, life behind glass Your body playing dead like a possum

🔥 The Burnout Cycle

Sympathetic overdrive (constant productivity) → Dorsal collapse (complete numbness)

You're cycling between: Fixing everything frantically → Can't even get out of your car at home

🧬 The Science

The Vagus Nerve has two branches:

• Ventral (newer): Social connection and safety


• Dorsal (older): Shutdown when overwhelmed

Dorsal shutdown creates:

• Slow heart rate, reduced oxygen


• Flattened affect


• Inability to think critically


• Moving through life underwater

💡 The Revolutionary Reframe

This isn't weakness. This is evolution.

Your nervous system developed this over millennia. When fight/flight fails, your body chooses shutdown to conserve energy and protect you.

🏥 Why Doctors Are Vulnerable

We live in near-constant sympathetic overdrive:

• Override hunger, fatigue, basic needs


• Constantly fixing, moving, answering calls


• Always "on" for everyone

Eventually, the system flips to shutdown.

🎯 What Shutdown Looks Like:

• Staring blankly at charts, unable to type


• Driving home in complete silence


• Can't connect with your kids even though you want to


• Loss of empathy for patients (and hating it)


• Collapsing on couch, holding remote, not moving

✨ The Game-Changer

Just having words for this changes everything.

"I'm experiencing dorsal vagal shutdown." "I'm in my dorsal vagal era." "This is a nervous system state—not who I am."

Naming it is a technique for getting out of it.

🎭 Your Dorsal Vagal Era

Taylor Swift has fascinating eras. You have your dorsal vagal era. Nearly every burned-out physician experiences this.

The empowering news: This isn't permanent. Nervous system states change. You can climb back up the ladder.

🔬 For the Scientists

When your partner says you're "being emotional":

"Actually, I'm experiencing dorsal vagal shutdown due to prolonged sympathetic overdrive."

Boom. Science.

📍 Coming Next Episode

How to climb out of shutdown with medical tools, therapy approaches, and daily practices.

💪 The First Step: Awareness

You're not broken. Your nervous system is doing exactly what it evolved to do.

Share your stories: podcast@thewholephysician.com

Your nervous system can heal. Let's climb together.

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