The Chronically Resilient OT

The Chronically Resilient OT I'm a multiply neurodivergent Occupational Therapist/Kaiwhakaora Ngangahau with lived experience of chronic illnesses.

I support other health professionals to understand and support themselves, through supervision, mentoring, resources and trainings. I combine my OT knowledge and lived experience of chronic and mental illnesses to support others to find and explore things that bring meaning and joy to their lives. Living well with chronic and mental illnesses is entirely possible with strategies and supports (both internal and external).

A phone call may seem like a small thing to some but for many they can pose a barrier to access. Please provide an alter...
01/04/2026

A phone call may seem like a small thing to some but for many they can pose a barrier to access.

Please provide an alternative if you can!

I no longer have my phone number listed on my website as I realised it was only there because I thought it ‘should’ be as a health professional. But actually my preferred method of contact is email and I don’t want people to call me!

Why does accessing many services involve making a phone call? That makes so much inaccessible to me.

If something involves a phonecall or zoom, there's probably a 10% chance that I'll be able to do it.

Then I'm perceived as not needing the help or support because I didn't call or join the zoom, when I'm actually desperate for it.

I wish I could just easily do these things. Frustrating 😓

So excited to be part of this this year!
31/03/2026

So excited to be part of this this year!

A two day conference on June 5th & 6th with neurodivergent speakers. A deep dive into autistic and other neurodivergent burnout and recovery

I also do not use the puzzle piece symbol due to its history
28/03/2026

I also do not use the puzzle piece symbol due to its history

Important nuance between dorsal rest and dorsal freeze
28/03/2026

Important nuance between dorsal rest and dorsal freeze

DORSAL REST: The Most Important Polyvagal State for Coping with On-Going Trauma

In basic introductions to polyvagal theory, we learn about 3 nervous system states - safe and social, fight/flight, and freeze/shutdown. The safe and social state involves the Ventral Vagus nerve, the fight/flight state involves high activation of the sympathetic nervous system, and the freeze/shutdown state involves high activation of the Dorsal Vagus nerve.

From this simplistic explanation, it is easy to assume that engagement of the Dorsal Vagus nerve is something to be avoided. I have received emails asking “Is Dorsal the bad one?” and “What can I do to get out of Dorsal activation?”

I realize that some of the ways I have presented polyvagal info in the past contributed to this misunderstanding, and many of the sources I have referred people to have further solidified this false idea that Dorsal is bad.

In this post, I want to honor the Dorsal Vagus for its fantastic ability to multi-task, and I hope that by the end, perhaps your view of this nerve will have shifted.

DORSAL REST is a state of dorsal vagus activation that is supported by ventral vagus activation. The activation of the ventral vagus moderates the activity of the dorsal, so that the body system does not go into a freeze/shutdown state.

In this mixed state, we feel low energy or immobilization that is tolerable and not distressing. This state allows the body to rest and rebuild after injury, to properly digest food and absorb nutrition, to access meditative or spiritual states, and to sleep. With the help of the ventral vagus, the dorsal vagus offers us restoration, rejuvenation, and healing.

This is possibly the most important vagal state to know about for long-term trauma recovery, for long-haul covid recovery, and for coping with sysemic traumas that push us towards burnout. Our bodies require regular activation of the dorsal vagus to heal from normal wear and tear and more frequent activation of the dorsal vagus to heal from trauma.

When we run on high tone sympathetic energy for a long time (months to years), our adrenal resources become depleted. When we eventually crash, we flip from high energy anxiety and hypervigilence to exhaustion and loss of interest in high energy activities. If we cannot access safety at this point, we will become depressed, and the depression will last until we are able to access a sense of safety or refuge somewhere.

Sometimes the stories we tell ourselves or each other about being low energy are the biggest danger cues in our environment. Our society has labeled being low energy as lazy, incompetent, childish, and dysfunctional. When our self-talk is blaming or shaming us for being low energy, our bodies are less capable of using that low energy time for healing. Self-talk is of course not our only barrier to safety, but it is one of the few that is within our control.

Embracing Dorsal Rest has allowed me to better cope with PMDD, a cyclical type of depression that involves severe mood drops just before my period. Those 5-7 days each month still suck, but they suck a little less now that I understand low energy phases are a natural and normal part of my body’s self-healing process. I find that shifting my self-talk changes my experience of how distressing these low energy phases are for me. Thus I have been trying to reframe “sickness behaviors” as “healing behaviors.”

Here is my current list of 100% healthy “healing behaviors” which I find necessary when I am immobilized by my Dorsal Vagus…

Nesting & Naps
Comfort Food
Time and Space Alone
Low energy activities - listening to music, watching Netflix, reading, coloring, meditation, visualizations, breathwork, prayer, yin yoga, constructive rest, visiting with internalized others (inner mentor, inner child, etc)
Sensory Defences - shades drawn, headphones on, humidifier, soft blankets, temp set to a comfy range, etc etc
Doing “nothing” - day dreaming, spacing out, losing time

If I shame myself for any of these, I quickly find myself out of DORSAL REST and into DORSAL FREEZE.

I hope that this post gives you some permission to be slow and restful and know that this is exactly what your body needs.

Do you want to add something to this list? What other traditional “sickness behaviors” would you name as healthy and healing?
📆This text was first shared in 2021. PMDD is not part of my experience after HRT but I still use this list for other chronic illness flares.

📚 Free Infographics about Trauma, Nervous System, and Neurodiversity: linktr.ee/TraumaGeek
🧠 Blog: https://www.traumageek.com/blog
🌠 Want to learn more with me? 50 Vagus Exercises in a Year starts next month! This adventure includes short vagus exercises videos every month, a live zoom Q&A session each month, and several more ways to learn with me. Last year we had about 400 people participate!
Details here: traumageek.thinkific.com/courses/50-vagus-exercises-in-a-year-two

Useful resource for helping a gp understand about hypermobility
27/03/2026

Useful resource for helping a gp understand about hypermobility

Is your GP unsure how to support you to manage your hypermobility?

This happens a LOT. So much so that we created a one-page Quick Reference Guide for GPs who need a bit of help in that area. The document is freely available on our website, downloadable, printable and links to our Clinician's Guide, which gives even more detailed information about the kind of issues someone with symptomatic hypermobility might face.

More info and all the links here: https://www.hypermobility.org/post/a-quick-reference-guide-a-year-on

Need a new series to read? I highly recommend the Wolfsong series by TJ Klune. Werewolves, witches, magic and love in so...
26/03/2026

Need a new series to read? I highly recommend the Wolfsong series by TJ Klune. Werewolves, witches, magic and love in so many forms with great q***r representation.

Content warning for a few spicy scenes and violence (violence not related to the spicy scenes!).

I’m working my way through TJ Klune’s books and am impressed by everything so far.

Image description: picture of the 4 books of the Wolfsong series by TJ Klune. Each book has a solo or pair of wolves on the cover.

❤️
25/03/2026

❤️

Looking for an amazing coach?Wild of Brain - Anissa Ljanta, writer & ND coach is opening up spaces!
25/03/2026

Looking for an amazing coach?

Wild of Brain - Anissa Ljanta, writer & ND coach is opening up spaces!

My books are open for a few new coaching clients.
I work both online and in-person. Some of my clients are corporate high flyers, some have struggled to stay in paid work sustainably. Some lead central government agency mahi, others are in hospitality. One is gardener. Another is a super star in the marine industry. Some are in severe burnout and unable to work.
I've worked with midwives, engineers, warehouse workers, students, folks with their hands full raising kidlets, dancers and three tattoo artists. All are fabulous.

All leave our work together with a better understanding of their neurodivergent traits and strengths and take a host of customised tools, strategies and supports with them.
All leave with hope.

Message me or book a free 20-minute connection call to find out more. Link in the comments.

Sometimes we just need memes!Which ones do you relate to?
23/03/2026

Sometimes we just need memes!

Which ones do you relate to?

22/03/2026

This. So much this.

It’s hard because people want absolutes, especially in trainings. It’s why my answer to questions is so often ‘it depends’.

We all have different combinations of experiences. There are commonalities as well as differences and we need to acknowledge that.

There is no one right way to be neurodivergent.

Language matters
21/03/2026

Language matters

In this article Kieran Rose explains the concept of the Neurodiversity Paradigm and addresses common misconceptions.

Address

14 Junction Street
Takaka

Opening Hours

Monday 2pm - 6pm

Website

https://www.chronicresilienceot.com/events/, https://www.linkedin.com/in/rebecca-ra

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