The Method of Physiological Self-Regulation (PSR) represents an innovative approach to managing conditions such as anxiety, panic attacks, and somatoform disorders of the autonomic nervous system.
These conditions traditionally fall within the domain of psychologists and psychiatrists. Patients are often referred to them by cardiologists after experiencing physical symptoms like a rapid heartbeat, heart rhythm disturbances, chest discomfort, a feeling of pounding or strong heartbeats, and shortness of breath, among other manifestations.
While the gold standard for treating such patients is a combination of cognitive-behavioral therapy and psychopharmacology, many patients struggle to achieve sustained symptom relief and, just as importantly, a genuine understanding of the processes occurring in their bodies.
The Method of Physiological Self-Regulation (PSR) was developed based on cutting-edge research in evidence-based medicine and incorporates diverse approaches aimed at improving mental and physical well-being. The PSR is a set of behavioral recommendations that directly targets the mechanisms underlying the stress response.
The PSR is built upon three core components:
- Structured Physical Activity is essential for physiologically processing the complex reflexive reactions that develop in response to stress.
- Concentration and Relaxation Techniques are necessary to transition the nervous system from a state of activation and arousal to one of rest and recovery. The human nervous system is not capable of complete automatic relaxation; achieving this physiological state requires conscious effort from the patient.
- Breathing Exercises are used to engage the respiratory muscles, primarily the diaphragm, which become tense under stress. Moreover, these exercises can influence the nervous system's current state in a very short time, reducing stress activation and balancing its function. Such changes lead to symptom relief and a rapid, positive improvement in well-being. Regular practice helps to establish a long-term effect.
The program is supplemented with elements of neuro-gymnastics, which accelerate the therapeutic outcome by promoting neurocognitive processes that induce changes at the mental, cortical, and autonomic levels. This serves as a necessary positive reinforcement in any treatment process.
All elements of the program leverage the body's normal physiological processes.
It is critical to note that only the simultaneous application of the method's balanced components—physical activity, relaxation techniques, and breathing exercises—enables stable results. For many participants, the exercises become a lifelong practice. This establishes a self-sustaining cycle where physiological self-regulation becomes an individual tool for relieving unpleasant symptoms and stabilizing the body's function.
The primary goal of the PSR is to help patients independently manage the state of their autonomic nervous system and learn to consistently maintain this balance.
Based on the method, specialized programs have been developed to address specific issues, such as reducing anxiety and panic attacks, alleviating symptoms of autonomic nervous system dysfunction, relieving the discomfort of premature heartbeats (extrasystoles), or normalizing blood pressure. Each program includes a unique sequence of exercises with clear methodological guidelines designed for maximum safety and efficacy, as confirmed by specialized studies.
The results of practical application have demonstrated a significant improvement in the overall condition of all participants, enhanced sleep quality, a substantial reduction in the manifestations of autonomic dysfunction and anxiety levels, and a decrease in the frequency of panic attacks.
Furthermore, a stabilization of blood pressure and heart rate has been observed, along with the disappearance of chest discomfort and associated sensations ("a lump in the throat," "a weight on the chest," "pulling," "aching," etc.). All of this leads to a significant improvement in patients' quality of life and a reduced need for medication.
The program can also be considered a preventive measure against a range of conditions, including atherosclerosis, myocardial infarction, stroke, oncological diseases, osteoporosis, dementia, anxiety-depressive spectrum disorders, and cognitive decline.
Thus, the Method of Physiological Self-Regulation is a valuable and promising tool for clinical practice. It can be applied by a wide range of medical specialists—therapists, cardiologists, neurologists, endocrinologists, psychiatrists, and many others.
The method is highly adaptable and can be used to develop programs for correcting various diseases and conditions related to the state and function of the autonomic nervous system.
The potential for integrating the PSR into daily medical practice opens up new opportunities for a holistic approach to patient care and the creation of effective treatment strategies. The Method of Physiological Self-Regulation (PSR) represents a significant step forward in the therapy of anxiety disorders and can serve as an effective tool for both the clinician and the patient.
Author of the Method:Maria Chaykovskaya, Ph.D. in Medicine
Cardiologist with special expertise in Heart Rhythm Disorders, Physical rehabilitation specialist
Member of the Russian Cardiology Society, ESC, EAPC