Follow

Translate

NYC Psychotherapist Blog

power by WikipediaMindmap

Friday, January 17, 2025

Emotional Regulation: What is the Difference Between Being Calm and Being Emotionally Numb?

Over the years, working with clients who have unresolved trauma, I have discovered that many people don't understand the difference between being calm and being emotionally numb (see my article: What is Emotional Regulation?).

Emotional Regulation: Calmness vs Emotional Numbing

Even clients who meditate on a regular basis often think they're calm when, in reality, they're emotional numb. 

So, I think it's worthwhile to provide information about the difference between being calm and being numb in the current article (see my article: How to Manage Emotions Without Suppressing Them).

What is the Difference Between Being Calm and Being Emotionally Numb?
There is a big difference between the state of being calm and the state of being emotionally numb:

Calmness:
  • A conscious effort to relax, center and ground yourself
Calmness
  • A state of peace and serenity
  • An ability to be aware, acknowledge and manage emotions in an healthy way
Emotional Numbness:
  • A unconscious coping mechanism to avoid overwhelming emotions
  • A feeling of being emotionally detached, shut down, empty
  • An inability to feel positive or negative emotions 
Emotional Numbness
  • An experience of physical and/or emotional flatness
  • The potential to lose interest in people and activities that were enjoyable before
  • An impaired ability to fully participate in life
  • A usual preference for being alone rather than being with others
Note: You don't have to experience all of these symptoms to be emotionally numb.

What Causes Emotional Numbness?
Emotional numbness is usually an unconscious strategy or defense mechanism for coping with overwhelming emotion.

Emotional numbing can develop at any time in life. 

It often develops at an early age when children are in situations that are emotionally overwhelming (e.g., chaotic home life, emotional and/or physical abuse and so on).

Emotional Numbness

Although this unconscious strategy can help a child to survive in an emotionally unhealthy environment because they don't get too overwhelmed, it becomes a hindrance when these children become adults.

As adults, these individuals often have difficulty knowing what they feel about themselves and others. They might also experience difficulty connecting emotionally with others so that even if part of them wants to connect with others, another part of them is afraid.  

These internal parts tend to create conflict between their desire and their dread for connection (see my article: An Emotional Dilemma: Wanting and Dreading Love).

As mentioned earlier, unresolved trauma often plays of significant role for people who are emotionally numb.

Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how emotional numbness creates problems in a relationship and how trauma therapy can help:

Alexa
During the early stage of Alexa's relationship with Jim, she enjoyed getting to know him and spending time with him.

Problems developed after the honeymoon stage of their relationship.

Alexa and Jim

Prior to that, Alexa was aware of her emotions. She also enjoyed sex with Jim.  

However, after the initial stage of their relationship, as they became more emotionally intimate, Alexa felt emotionally and physically flat. She also felt disconnected from Jim.

After she sought help in trauma therapy, Alexa became aware of how her early history of emotional neglect and sexual abuse affected her ability to be emotionally and sexually available with Jim.

Her family history included growing up with parents who were emotionally distant from her. 

In addition, from the age of 10-13, she was sexually abused by her father's brother who took care of Alexa when her parents went out in the evenings.

Whenever her uncle came into her bedroom at night and fondled her, Alexa would freeze and dissociate (i.e., zone out).

In other words, she would become emotionally numb as an unconscious way to protect herself from the abuse.

Even when Alexa told her parents about the uncle's sexual abuse, they didn't know how to deal with it because they were intimidated by the father's brother because he was the  oldest brother and he tended to dominate Alexa's father.

As a result, although her parents stopped asking the uncle to take care of Alexa, they never confronted him, so he faced no consequences for the abuse. 

It wasn't until the uncle abused his neighbors' young daughter that he faced legal consequences after his neighbors reported him to the police and he was arrested. 

During her trauma therapy, Alexa processed her unresolved trauma with a combination of EMDR TherapySomatic Experiencing and Parts Work Therapy.

The work involved the abuse by the uncle as well as her parents' neglect.

The work was neither quick nor easy but, over time, Alexa processed the trauma and she was able to be more emotionally self aware and present with Jim.  

Alexa and Jim also sought help in sex therapy to help them both to overcome their sexual problems so they could enjoy sex again.

Conclusion
There is a big difference between being calm and being emotionally numb.

Emotional numbness is often a survival strategy to ward off overwhelming emotions related to unresolved trauma.

Trauma therapy can help clients to work through unresolved trauma. 

Everyone is different in terms of how they process trauma. 

How long trauma therapy takes often depends on many factors, including the depth and complexity of the trauma as well as a client's internal resources and ability to process the trauma.

When there is a history of sexual abuse which affects a relationship, sex therapy is often helpful to assist clients to connect emotionally and sexually in a way that feels safe and pleasurable for both of them (see my article: What is Sex Therapy?).

Getting Help in Therapy
If you're struggling with unresolved trauma, rather than struggling on your own, seek help from a licensed mental health professional who has the training and expertise to help you.

Working through trauma helps to free you from your history so you can live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

With over 20 years of experience, I have helped many clients to overcome trauma, including sexually related trauma (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.













Wednesday, January 15, 2025

Communication: Are You Uncomfortable Talking to Your Partner About Certain Topics?

As a couples therapist and certified sex therapist in New York City, I meet with many individuals and couples where one partner feels threatened by the other partner's thoughts and fantasies about other people.

Talking About Fantasies

Usually the partner who feels uncomfortable believes their partner shouldn't need to think about someone else.  This often results in arguments and power struggles with the first partner feeling threatened and the other partner feeling intruded upon.

Psychoeducation About Sexual Thoughts and Fantasies
When I work with clients who are struggling with this problem, after I assess that there is no active infidelity, I provide psychoeducation about thoughts and fantasies:
  • Thoughts and fantasies aren't reality.
  • Thoughts and fantasies don't necessarily indicate intentions and real life experiences.  Thoughts are just thoughts--they're not facts.
  • Thoughts and fantasies about other people have nothing to do with you. These thoughts don't mean your partner doesn't care about you or they aren't turned on by you.

Talking About Fantasies
  • Romantic and sexual thoughts and fantasies often come unbidden and they usually have little or nothing to do with the actual person your partner is fantasizing about.
  • Respect each other's personal boundaries and privacy: If hearing about your partner's fantasies about other people makes you feel uncomfortable, let your partner know. And if you're the one who wants to share fantasies about someone else and you know your partner is uncomfortable with it, don't talk about it (see my article: Setting Healthy Boundaries in Relationships).
  • If your insecurity about your partner's fantasies are rooted in earlier problems (e.g., unresolved childhood trauma or prior infidelity), get help from a licensed mental health professional who has expertise in this area.
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how a couple can work through this issue in couples/sex therapy. (Note: Even though the vignette below discusses a heterosexual couple with heteronormative dynamics, this is also a common problem in LGBTQ+ relationships too).

Nan and Bill
Nan and Bill were married and in a monogamous relationship for 10 years. They were both happy with their sex life, but Nan didn't like when Bill shared his sexual fantasies about other women.  

Whenever Nan heard Bill talk about random women he fantasized about, she felt insecure and wondered if he felt she wasn't enough for him.

Her insecurity was exacerbated by her family history where her father often compared her  unfavorably to her older sister (see my article: Reacting to Your Present Circumstances Based on Your Traumatic Past).

Her father would praise her older sister's grades, her athletic ability and her ease with making friends. He would often say, "Why can't you be more like your sister?"

When she was a child, Nan struggled to get good grades, so every time her father criticized her and praised her sister, Nan felt diminished and insecure.

Bill thought sharing his sexual fantasies with Nan would spice up their sex life. He said he had no intention of actually having sex with any of the women he fantasized about and he had never cheated before.

After Bill realized that Nan was uncomfortable with his fantasies, he stopped sharing them.  But, by that time, Nan couldn't stop wondering about his fantasies about other women. 

Even though she knew she would feel uncomfortable, she would frequently ask him if he was still fantasizing about others. It was as if she couldn't stop herself from asking.

Bill didn't want to hurt Nan, so he would reassure her that he loved her very much and, whatever thoughts he might have about other women, had nothing to do with her or their relationship.  

But no amount of reassurance from Bill helped Nan to feel secure.  She trusted Bill and she knew he wouldn't cheat on her, but she couldn't stop asking him about his thoughts.

After a few months of arguing, Bill and Nan sought help from a couples therapist who was also a sex therapist. 

After getting a thorough family and relationship history for Bill and Nan, the therapist realized that Nan's problem with Bill's fantasies were rooted in her history.

The therapist helped Nan to become aware of her insecurity and separate her unresolved childhood trauma from her relationship with Bill. Nan also sought help in trauma therapy to work through the unresolved childhood trauma.

Nan and Bill Talking About Fantasies

After a while, Nan realized she also had fantasies about other men and some women.  Before attending sex therapy, she never allowed these fantasies to go far in her mind because she felt guilty about them. 

But, once Nan realized that Bill got sexually aroused by her fantasies, she shared them with him. At that point, she wanted to hear Bill's fantasies because, after she got over her insecurities, she also got turned on by them and these fantasies enlivened their sex life.

Conclusion
Everyone is different when it comes to sharing and hearing about fantasies.  

For a variety of reasons, some people feel uncomfortable and other people get turned on. 

Talking to Your Partner About Fantasies

Both reactions are equally valid. So, it's important to know yourself and your partner enough to know what works for you as a couple.

If knowing that your partner's fantasizes about other people makes you feel insecure, you would  benefit from knowing whether this insecurity is rooted in earlier experiences--like Nan in the composite vignette above.  If so, seeking help in therapy for the issues that are getting triggered will help you.  

Similarly, if you feel guilty about having sexual thoughts and fantasies about someone--even though you know you would never act on these thoughts--you could be feeling guilty because you mistakenly believe these thoughts mean you're cheating.  This kind of guilt is often rooted in earlier issues.

Above all, know yourself, know your partner and respect each other's boundaries. If you don't feel comfortable sharing sexual fantasies about others, you have a right to keep your private thoughts private. And if you're okay with your partner having sexual fantasies but you don't want to hear about them, you have a right to set a limit with your partner.

Getting Help in Couples/Sex Therapy
Power struggles about sexual thoughts and fantasies are common in many relationships, but if this issue is creating a problem in your relationship, seek help from a licensed mental health professional who has training and expertise in this area.

Rather than struggling with a problem that could erode your relationship over time, seek help sooner rather than later.

Once you and your partner have worked through these problems, you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and certified Sex Therapist.

With over 20 years of experience, I have helped many individual adults and couples to work  through their problems, including unresolved trauma (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

















 

Tuesday, January 14, 2025

How Can Unresolved Trauma Affect Your Ability to Feel Self Compassion?:

For many people showing compassion towards others is a lot easier than feeling self  compassion (see my article: Developing Self Compassion as an Essential Part of Trauma Recovery).

The Impact of Trauma on Self Compassion

If self compassion is a problem for you, you might wonder what makes it so difficult for you.

This is the topic of the current article.

Why is Self Compassion Difficult For So Many People?
There's no one answer, but after more than 20 years of experience working with clients who have difficulty with self compassion, I have seen certain common themes that come up over and over again:
  • Past Unresolved Traumatic Experiences: People who struggle with self compassion often didn't get much needed compassion when they were growing up. Many of them were emotionally neglected and abused and these children were powerless over their circumstances. As children, they learned to see themselves through eyes of abusive and neglectful family members so, over time, they came to believe they were unworthy. And  these feelings carried over into adulthood. Although, intellectually, they might understand they deserve self compassion, they don't feel it emotionally.
  • A Tough Inner Critic: The aftermath of traumatic experiences often brings a tough inner critic who tells traumatized individuals that they're not worthy of love, self compassion or much of anything that is positive. This inner critic, which is often a part that gets internalized from abusive parents, gives a constant stream of negative messages to them  (see my article: Overcoming Your Inner Critic).
  • An Inability to Identify and Feel Their Own Suffering: Many people who were abused or neglected as children aren't able to identify their own suffering. Many of those same people have difficulty even identifying their emotions--positive or negative. When they were growing up, their coping strategy was to use emotional numbing to blunt the pain that would have been too overwhelming. Although emotional numbing was probably an adaptive strategy at the time, it doesn't disappear when these people become adults. Many of these individuals continue to be cut off from their feelings, including feelings of self compassion (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).
How to Overcome Problems With Self Compassion
Unfortunately, traumatized individuals aren't able to overcome problems with self compassion on their own.  Their inner critic is often too strong for them to overcome it on their own.

Overcoming Problems With Self Compassion


They need help from licensed mental health professionals who have the training and experience to help them. But not all therapists are trained to help clients to overcome trauma, so it's important to ask any therapist you're considering about their training and experience with regard to trauma.

Getting Help in Trauma Therapy
If you're struggling with unresolved trauma, you owe it to yourself to seek help from a trauma therapist (see my article: What is a Trauma Therapist?).

There are specific therapy modalities that have been developed to help clients to overcome trauma. 

These modalities include:
  • EMDR (Eye Movement Desensitization and Reprocessing) Therapy
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
These trauma therapy modalities, which all come under the broad term of Experiential Therapy, are among the most effective types of therapy to overcome trauma (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

So, rather than struggling on your own, seek help from a licensed mental health professional who is a trauma therapist so you can free yourself from your traumatic history.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work and Sex Therapist.

I am a trauma therapist with over 20 years of experience helping individual adults and couples to overcome trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.






Tuesday, December 24, 2024

Coping With Stress During the Holidays

Often, along with the joy of the holiday season also comes stress.

Coping With Stress During the Holidays

It's not surprising, given all the demands of holiday time, that people often feel emotionally overwhelmed at this time of year.

Shopping, entertaining, and attending holiday parties can take an emotional toll. But with some foresight and planning, you can learn to manage the stress of the holidays and actually enjoy this time of year.

Taking Care of Yourself During the Holidays
Knowing that the holiday season can be a stressful and emotional time and taking some preventive steps can help you from getting overwhelmed.

If you've had losses, like a death of a loved one, a breakup or loved ones are far away, it's normal to feel sad. Throughout the holiday season we're given explicit and implicit messages that we "should" be happy.

Coping With Stress During the Holidays
So, if we're having a difficult time, we can feel out of step with the rest of the world at this time. It might seem that everyone else is enjoying the holidays and we're stuck in a funk. But it's okay to feel your feelings, whatever they are, whether this means crying or expressing your feelings to a friend or loved one.

Coping With Stress During the Holidays: Taking Care of Yourself 

A Time for Gratitude
If you're alone during the holiday season, you can have a sense of community at a religious or community gathering.

If you're not religious or spiritual, you can volunteer your time at a soup kitchen, hospital or nursing home. Often, when we volunteer to help those less fortunate than ourselves, we not only help others--we also feel a sense of gratitude for what we do have in our lives, even if we're having a difficult time.

If you're fortunate enough to have good friends and family around, remember that the holidays don't have to be perfect.

When we have good memories of the holidays from childhood, sometimes our current experiences can feel flat as compared to those earlier times.

But we must acknowledge that things change. Rather than holding onto unrealistic expectations for the holidays, appreciate the people who are in your life now. Let go of unreasonable expectations of yourself and others. This will go a long way to helping prevent disappointments or misunderstandings.

When it comes to spending for the holidays, many people are scaling back what they would normally spend. If you budget ahead of time and stick to your budget, you'll avoid the stress of big credit card bills after the holidays.

Time well spent with loved ones or a homemade gift is so much more meaningful than exceeding your budget with an expensive gift.

Planning your time well can also help alleviate stress during the holidays. Once again, be realistic about what you can do. It's okay to tactfully say "no" to others when you know you'll be overextending yourself beyond what you can do.

Know Your Limits
It's also important to take breathers during the holiday season. Rather than pushing yourself beyond your physical or emotional limits, take breaks during the day.

A few minutes of mindfulness meditation or just closing your eyes and breathing can make the difference between your getting through the holidays feeling emotionally and physically in tact and feeling overwhelmed and stressed out.

About Me
I am a licensed New York City psychotherapist. 

I provide psychotherapy, EMDR, clinical hypnosis, and Somatic Experiencing therapy services in my private practice in Manhattan. I work with individuals and adults.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.


Monday, December 16, 2024

How to Develop Your Relationship Beyond the Honeymoon Phase

The honeymoon phase of a relationship is also known as the limerence phase.  I'll use both terms, honeymoon phase and limerence phase, interchangeably throughout this article.


Developing Your Relationships Beyond the Honeymoon Phase

I've discussed this early stage of a relationship in prior articles:




Transitioning From the Honeymoon to the Post-Honeymoon Phase in a Relationship
Many couples have difficulty maintaining a relationship beyond the honeymoon phase. 

In the current article, I'm addressing how to develop a relationship that lasts beyond this early phase and what to do if you're struggling.

As I've mentioned in earlier articles, the honeymoon phase is a time when you and your partner idealize each other. 

Developing Your Relationship Beyond the Honeymoon Phase

The honeymoon phase is a state of mind where you're infatuated or obsessed with someone. It's usually an involuntary state in terms of how you feel.

Depending upon the individuals and the circumstances involved, the honeymoon phase can be a time of euphoria or a time of despair. 

You might feel euphoric if you and the person you're infatuated with both feel the same way and you're focused on the areas where you're compatible. Or, you might feel despair if the person you're infatuated with is unavailable to you.

Generally, the honeymoon phase lasts anywhere from a few months to a couple of years and, as I discussed in a prior article, there are three subphases:
  • Infatuation Phase: The most idealized phase at the very beginning of the relationship.
  • Crystallization Phase: The idealization phase begins to fade and a more realistic perspective develops.
  • Deterioration of the Honeymoon Phase: Idealization fades, signs of differences begin to emerge and the couple needs to decide whether they want to work on the challenges that come up during this phase or if they want to end the relationship.
How Can a Couple Navigate Past the End of the Honeymoon Phase?
Inevitably, you and your partner are going to discover that you're not compatible in every single area.  

Developing Your Relationship Beyond the Honeymoon Phase

You both might be reluctant to acknowledge this especially if the honeymoon phase was so gratifying. But if you want to remain in the relationship and the incompatibilities aren't dealbreakers, you can find a way to transition to the post honeymoon phase.

Here are the most common issues after the end of the honeymoon phase:
  • You and your partner might discover over time that the incompatibilities between you make you feel frustrated, annoyed and disappointed. You each might feel you didn't see this coming and it's not what you signed up for at the beginning of the relationship.
  • Once you discover these incompatibilities, you might feel resentful that you should even have to deal with them.
  • If the incompatibilities aren't dealbreakers for either of you and you both want to remain in the relationship despite your differences, you can develop relationship skills, including negotiating skills, to deal with these differences and continue to enjoy the areas where you're compatible.
Both you and your partner have to be willing to work out these incompatibilities while you're transitioning from the honeymoon to the post honeymoon phase. 

This transition can be anxiety provoking because you might not know the fate of your relationship while you're in the middle of transitioning.  So, it takes a real commitment to try to work through these issues because there's uncertainty as to whether they can be worked out.

What Other Factors Might Impact Your Relationship?
In addition to discovering your incompatibilities, you might experience other factors that have an impact on your relationship:
  • Work stress
  • Family stress
  • Financial stress
  • Boredom
  • Other demands on your time and attention that can erode your bond
Tips For Transitioning from the Honeymoon to the Post Honeymoon Phase
Here are some tips that can help you through this transition:
  • Recognize and Accept that the Honeymoon Phase is Temporary: Even though the honeymoon phase can be an exhilarating time, be aware that it's temporary. If you don't accept that it's temporary, you might think there's something wrong with your relationship. If you think the post honeymoon phase indicates something is wrong, you might find yourself continually looking for new relationships each time your current relationship enters into the post honeymoon phase.

Developing Your Relationship Beyond the Honeymoon Phase

  • Prioritize Each Other and Have New Experiences: Even though you have transitioned from casual dating to a committed relationship, you and your partner can continue to enjoy your relationship by:
    • Making each other the priority
    • Having new experiences
    • Keeping an open mind
    • Taking risks
  • Be Open to Getting to Know New Things About Each Other: There are still a lot of things you probably don't know about each other. So, being open to exploring things you haven't discovered yet helps to keep the relationship alive and interesting.
  • Share New Experiences: Maintain an open line of communication by communicating with each other about new experiences, new discoveries, new ideas and your feelings about what's important to you.
Developing Your Relationship Beyond the Honeymoon Phase

  • Be Willing to Talk About Tough Topics: Instead of avoiding tough topics, talk about them openly. These topics might include:
    • Cultural issues like religion, family traditions and so on
    • Finances
    • Whether or not to have children
    • Where you want to live
    • Other topics that are important to one or both of you
  • Communicate in a Healthy Way: Communicate your differences in a healthy way. In other words, arguments are normal, but you need to be able to disagree while still respecting your partner's right to have different opinions. Instead of fighting against one another, learn to come together to tackle the problems between you.
            See my articles: 
When to Seek Help in Couples Therapy
Even though a couple might want to form a lasting bond, one or both partners might not have the necessary relationship skills to do it.

Seeking Help in Couples Therapy

This might mean that you didn't grow up in a family environment where you saw a healthy relationship between your parents. 

It could also mean that you never remained in a relationship beyond the honeymoon phase, so you're unfamiliar with the post honeymoon phase and you continually seek the excitement of that early phase.

For a variety of reasons, you and your partner might have difficulty developing a lasting bond that goes beyond the early stage of the romance, so you might need help.

A skilled couples therapist can help you to develop the necessary skills to successfully navigate the challenges in the post honeymoon phase. 

Rather than struggling on your own, seek help from a skilled couples therapist so you can have a more fulfilling relationship (see my article: What is Emotionally Focused Therapy For Couples: EFT?)

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples and I have helped many couples to overcome emotional, relational and sexual challenges in their relationship.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.







Tuesday, December 10, 2024

Relationships: Do You and Your Partner Understand Each Other's Needs?

Whether you and your partner have been together for many years or you're early in your dating relationship, you both might have different needs, so being able to communicate is important (see my article: How Well Do You Know Your Partner?).

What is Your Definition of Intimacy?
It's a common mistake for individuals in relationships to assume that they and their partner have the same understanding of intimacy, but this often isn't true.

Understanding Each Other's Needs in a Relationship

How you and your partner define intimacy and each of your needs might be different, which can lead to misunderstandings if you don't know this.

When one partner makes a gesture for emotional connection, but in that moment the other partner needs personal time apart, this difference can lead to feelings of rejection for the person who wants connection and feelings of being pressured for the one who needs personal time apart.

If these differences aren't discussed, both people can feel too vulnerable to approach their partner. The one who wants more closeness can fear being judged as "needy" and the one who needs their own personal time can fear being labeled as "emotionally cold" or avoidant.

How to Develop Effective Communication to Understand Each Other's Needs
Unfortunately, when couples experience differences in terms of what they each need, they often avoid the topic or, if they want to talk about it, they don't know how to do it.

Understanding Each Other's Needs in a Relationship

Admittedly, it can be difficult to initiate a conversation about individual differences with regard to intimacy, but not talking about it often increases emotional distance between each partner.

To reconnect with each other, a couple needs to be able to express their needs and be open to what their partner needs.

What Are the Different Types of Intimacy?
Intimacy includes:
    • Emotional Intimacy
    • Physical Intimacy
    • Mental Intimacy
  • Emotional Intimacy: Creating a safe haven for each person to express their emotional needs is essential. If one or both people think they will be criticized about their needs, they won't be able to communicate openly. So, even though you and your partner might be different with regard to the type and amount of emotional intimacy you each need, it's important to start with the mindset that you're both going to listen to each other with openness and respect.
Understanding Each Other's Needs in a Relationship
  • Physical Intimacy: Some people need to feel emotionally intimate first before they can become sexually intimate. Others need to feel connected sexually before they can feel emotionally intimate. Neither way is right or wrong, it's just different. It's also common for individuals in a relationship to experience sexual desire differently, so it's important to understand yourself and your partner, especially if you have differences.
    • See my articles: 
  • Mental Intimacy: Feeling mentally stimulated by your partner is just as important as feeling emotionally and physically stimulated. If you and your partner find that you have little to talk about beyond your children and your jobs, you could benefit from talking about your hobbies or interests. You each might be different when it comes to talking about what is most interesting and fulfilling to you. It's not unusual for two people to have different interests and it's also possible to get curious about your partner's interests and for your partner to get curious about yours. 
Clinical Vignette
The following clinical vignette, which is a composite of many different cases to maintain confidentiality, illustrates how a cisgender heterosexual couple can become closer by working on these issues in therapy:

Jean and Bill
When Jean and Bill were dating, they both felt emotionally, physically and mentally drawn to each other.

Ten years into their marriage, Jean suggested they seek help in couples therapy due to an increasing sense of estrangement and boredom between them.  

Bill was somewhat reluctant because he wasn't accustomed to talking about his feelings to a mental health professional, but he agreed to attend couples therapy because he realized they were drifting apart.

After meeting with each of them individually to get their individual histories with regard to their family, prior relationships and sexual history, they had their first couples session together. 

The couples therapist, who was also a sex therapist, asked them what each of them wanted to get out of couples therapy.

After a moment of awkwardness and silence, they turned to each other and Jean was the first to speak, "We've been drifting apart for the last several years and I'm afraid that if we don't do something to change this, we're going to live together as roommates or our relationship might not last."

Bill responded, "I feel like Jean doesn't understand that I need my alone time, especially after I come home from work. It's like she can't wait to tell me about her day and, don't get me wrong, I want to hear about it, but I feel bombarded when I first walk through the door. I don't want us to continue to drift apart, but we need to work out our differences when it comes to time together and time apart (see my article: Time Together Vs. Time Apart).

Over time, Bill and Jean spoke about this issue as well as other obstacles to emotional, physical and mental intimacy. This was their first experience with talking about these topics and, although they were each hesitant to talk about their needs at first, they learned to approach these talks with openness and curiosity.

They both expressed feeling more genuinely connected to each other--even when they were talking about their differences. 

Since they had become increasingly estranged over the last several years, their work in couples therapy was neither quick nor easy. But they both felt they were being more authentic with each other which brought them closer together.

They each learned to be open and curious about their individual interests. They also learned they were different in terms of their emotional needs. 

Bill felt most connected to Jean when they were sexual and Jean felt more sexually turned on when they were emotionally connected. So they learned to talk about this and make adjustments in how they interacted. 

Jean realized she wasn't usually spontaneously interested in sex, but once she and Bill began kissing, she got turned on. 

She learned that if she was willing to start being sexually intimate, she usually got turned on (see my article: For People With Responsive Desire, a Willingness to Get Started is Often Enough to Get Aroused).

Bill experienced sexual desire spontaneously. All he had to do was think about sex and he was turned on, but he learned to appreciate Jean's responsive desire, so he slowed down to align with her experience, which made their sex life more pleasurable for both of them.

As obstacles came up in their couples therapy work, their couples therapist helped them to work through them so that, over time, they had a more fulfilling relationship.

Getting Help in Couples Therapy
If you and your partner haven't been able to resolve your problems on your own, you could benefit from seeking help in couples therapy.

Rather than struggling on your own, seek help from a skilled couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.