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Nervous system dysregulation has two distinct presentations: sympathetic dysregulation (running hot—can't slow down, racing thoughts, emotional reactivity, muscle tension, disrupted sleep) and dorsal dysregulation (running flat—low energy, scattered attention, emotional numbness, difficulty initiating, not-quite-present). Most dysregulation content lists all symptoms together and recommends the same toolkit. That's the problem: the direction of intervention differs. Sympathetic dysregulation requires downregulation (parasympathetic activation via extended exhale, cold water, olfactory compounds that act on the HPA axis). Dorsal dysregulation requires re-engagement (orienting response, sensory anchoring, distinctive cues that establish present-moment contact).