The Nervous System Blog

Real clinical depth on anxiety, somatic therapy, and why your nervous system does what it does — written for people who are tired of wellness fluff and want to actually understand what's happening in their body. Posts for NC and LA clients, and anyone who finds their way here.

Katie Hargreaves, LCSW, LCAS Katie Hargreaves, LCSW, LCAS

High-Functioning Anxiety: What It Is, Why It Hides, and How to Resolve It

High-functioning anxiety doesn't look like anxiety from the outside. It looks like someone who gets everything done, shows up reliably, holds it together under pressure, and seems — by most observable measures — to be doing fine.

The inside tells a different story.

Inside, there is a near-constant undercurrent of worry. An internal critic that never fully goes quiet. A sense that the moment you stop pushing, something will go wrong. An inability to rest without guilt. A list that is always one item longer than the last time you checked it.

High-functioning anxiety is anxiety that has learned to be productive. And that disguise is exactly what makes it so hard to recognize — and so hard to treat.

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Katie Hargreaves, LCSW, LCAS Katie Hargreaves, LCSW, LCAS

Polyvagal Theory Explained: What It Is and Why It Matters for Anxiety

Polyvagal theory is one of those clinical frameworks that sounds more complicated than it is — and once you understand it, you start seeing your nervous system differently. In a way that's actually useful.

It was developed by Dr. Stephen Porges, a neuroscientist and psychiatrist who spent decades studying the autonomic nervous system. Published in 1994 and expanded significantly since, polyvagal theory has become one of the most clinically influential frameworks in trauma and anxiety treatment. It's the foundation of a lot of somatic therapy, and it's worth understanding on its own terms.

Here's what it actually says — and why it matters for how anxiety gets treated.

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Katie Hargreaves, LCSW, LCAS Katie Hargreaves, LCSW, LCAS

What Is Somatic Therapy? A Science-Based Explanation

If you've been looking into therapy for anxiety or trauma and keep seeing "somatic therapy" come up, you're probably wondering what it actually means. The word gets used a lot — sometimes accurately, sometimes as a vague wellness umbrella for anything body-adjacent.

Here's a clear answer: somatic therapy is a body-aware, nervous system-focused approach to treating anxiety, trauma, and chronic stress. It works directly with how stress and trauma are stored in the body — not just processed in the mind. And it has a substantial base of clinical research behind it.

This post covers what somatic therapy is, where it comes from, what the evidence says, and how it actually works in practice.

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Thank you for visiting my blog!

I created this resource because it can be so daunting to just reach out to a person on the internet and enter a therapist-client relationship. My hope is that with this blog you can learn a little more about me and about how I practice therapy.

Please reach out with any further question and to tell me if anything resonated. I’m always happy to hear via the contact page on any topics you would like to see articles on. If you are interested in pursuing therapy please reach out to me to schedule a free consultation.