Protection
Threat-response regulatory configuration with sympathetic or dorsal vagal activation.
Pattern B represents the nervous system's configuration when neuroception registers threat—activating the survival responses that evolved to protect organisms from danger. This is not pathology. Pattern B is intelligent biological design. The fight-flight-freeze-fawn responses exist because they solved survival problems across millions of years of evolution.
Key distinction: Pattern B is appropriate when actual threat is present. The clinical question is not "how do we eliminate Pattern B?" but "is current activation proportionate to actual present danger—or is the system responding to learned patterns from the past?" When the nervous system becomes stuck in Pattern B—unable to return to Pattern A when threat resolves—what was adaptive becomes constraining.
The Four F Responses
Pattern B manifests through four primary response types based on autonomic state and perceived threat options.
Neurophysiological Configuration
Multi-Dimensional Pattern Profile
Capacities and Constraints
What Becomes Available
What Becomes Constrained
State-Dependent Emotional Function
In Pattern B, emotions function as survival signals—organizing rapid response to perceived threat rather than providing nuanced information.
When Pattern B Is Appropriate
Pattern B is not inherently problematic. It is the appropriate response to genuine threat.
Clinical principle: The goal is not elimination of Pattern B but restoration of flexibility—the capacity to activate when needed and return when safe.
When Pattern B Becomes Chronic
Problems emerge when Pattern B becomes the default—when the nervous system remains in threat response despite the absence of current danger.
Clinical implication: These presentations are often treated as character or disorder. Understanding them as chronic Pattern B—stuck survival response—changes intervention from "fix the person" to "provide what the nervous system needs to release."
Working with Pattern B
Pattern B intervention prioritizes safety provision over insight. The nervous system must experience safety before it can release defensive posture.
What Facilitates Release
- Co-regulation
- Predictability
- Titrated exposure
- Completion of defensive responses
- Time and choice
What Impedes Release
- Insight before safety
- Exposure without titration
- Rushing
- Inconsistency
- Shaming the defense
Pattern B is not a problem to be solved.
It is the nervous system's intelligent response to threat—a response that has protected organisms for millions of years.
The clinical task is not to eliminate Pattern B but to restore choice—the capacity to enter when needed and return when safe.