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Vagus Nerve and Anxiety: How They're Connected and What You Can Do

Why this nerve plays a key role in calming the mind and body


For people living with anxiety, it often feels like the body has a mind of its own: a racing heartbeat, tight chest, short breath, and a constant sense of being “on edge."


One of the missing links in understanding anxiety is the vagus nerve. This wandering nerve helps regulate the nervous system’s stress and recovery states. When it is underactive or out of balance, anxiety symptoms can intensify. And when you don't understand what's happening or what you can do about it, you often feel even more overwhelmed.


That's why we wrote this article: to explain the connection between the vagus nerve and anxiety, and what you can do to start restoring calm.


woman standing in doorway

The Science: How the Vagus Nerve Influences Anxiety

The vagus nerve is the main pathway of the parasympathetic nervous system, which helps you calm down after stress. Low vagal tone means your body struggles to switch out of fight-or-flight, leaving you stuck in a state of chronic stress.


Brain regions connected to vagus input (amygdala, prefrontal cortex, insula) directly influence fear responses, mood regulation, and emotional resilience. Studies show that people with low vagal tone often have higher anxiety symptoms and lower heart rate variability (HRV).


So what does all of that mean? It's not necessarily that your vagus itself is what causes or prevents anxiety or any other vagus symptoms. Rather, it's the communication highway between your brain and your body, including your heart and gut. That's why your mental state can show up as a racing heart or a queasy stomach. (see the list of symptoms below)


But because it's the connection between the brain and body, we can indirectly influence both the brain and body by influencing the vagus nerve. The bidirectionality of its signal is what allows us to treat both the symptoms and the root cause of anxiety.


Common Anxiety Symptoms Linked to the Vagus Nerve

  • Racing heartbeat or palpitations

  • Digestive distress during anxious episodes

  • Shallow, rapid breathing

  • Difficulty calming down after stress

  • Heightened startle response

  • Feeling “stuck” in tension even without obvious triggers


What You Can Do to Support the Vagus Nerve

At-Home Practices

  • Slow breathing with extended exhales

  • Humming, singing, or chanting

  • Cold face splash or shower finish

  • Gentle yoga or neck stretches

In-Clinic Therapies

  • RPSS: Direct vagus nerve pathway activation that retrains the system.

  • Alpha-Stim: Calms brainwave patterns, producing similar regulatory effects.

  • These therapies work when at-home methods alone do not bring lasting relief.


If anxiety has been holding you back, download our free Vagus Nerve Regulation Guide. It will give you simple daily practices to start calming your nervous system and regaining control.



When you’re ready, we can help you explore whether non-invasive therapies like RPSS or Alpha-Stim are the right next step for lasting balance and recovery. To discuss treatment options or schedule a consultation, contact us today.


Key Take-away:

The vagus nerve is a critical piece of the anxiety puzzle. When it is not functioning well, the nervous system can remain stuck in fight-or-flight. By learning how to support and stimulate this nerve, both at home and with targeted therapies, you can help your body reset, regulate, and recover.

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