<p>Adolescent-parent relationships have been impacted by rising mental health challenges that strain healthy relational dynamics. Distress, loneliness, anxiety and depression are commonly addressed by clinicians with therapeutic interventions that center symptom reduction and problem resolution. The aim of this paper is to explore how Polyvagal theory can be integrated into clinical work with adolescent-parent dyads to emphasize the relational constructs of attunement, conflict/avoidance, and disconnection between parents and their adolescent children. This paper presents an explanation of the neurological dynamics of Polyvagal Theory to offer a framework for understanding how adolescent-parent attunement can be achieved through shared somatic experiences. This theoretical grounding is valuable to therapists to help facilitate relational healing using Polyvagal-informed co-regulation techniques, so vital for achieving a state of safety for the child, and well-being for both. Composite case examples illustrate the integration of somatic theories into practical applications with adolescent-parent dyads.</p>