Coping With Alexithymia - Also Known as Emotional Blindness

What is Alexithymia?

Alexithymia is a personality trait where a person has difficulty experiencing, identifying, understanding and expressing emotions.

Coping With Alexithymia

Alexithymia is also known as "emotional blindness".

Alexithymia is on a spectrum representing a personality trait with varying degrees of severity rather than a binary "yes" or "no" trait.

Individuals can range from low to high in alexithymic traits. 

These traits can include:

• Difficulties with emotional regulation

• Reduced imagination

• Externally oriented thinking

Alexithymia is a personality trait rather than a mental health diagnosis.  

Alexithymia is common among people who are neurodivergent (autism and ADHD).

What Causes Alexithymia?

Alexithymia can be influenced by several factors:

• Genetics

• Past experiences

• Certain psychiatric disorders and medical conditions including:
• Depression

• Anxiety

• Posttraumatic stress disorder (PTSD)

• Adverse childhood experiences (trauma)

• Autism

• ADHD

• Eating Disorders

• Parkinson's

• Stroke

• Dementia

• Multiple Sclerosis

• Inflammatory Bowel Syndrome (IBS)

• Diabetes 

• Asthma

• Hypertension and cardiovascular disorders

• Chronic pain

• Fibromyalgia 

• Hormonal abnormalities

• Substance abuse, which is linked to an inability to process emotions

About 10-13% of the population has this personality trait with more men experiencing it than women.

People with alexithymia have a hard time understanding and expressing their emotions. This affects the way they relate to others. As a result, relationships often suffer because their limited ability to express their emotions stifles communicate with others (see below:Understanding How Alexithymia Affects Relationships).

People with alexithymia also have difficulty sensing the physical sensations that accompany their emotions (see my article: Learning to Sense Emotions in Your Body).

Understanding the Genetic Component of Alexithymia

Studies indicate that there is a genetic component to alexithymia. One study found there is a higher degree of alexithymia among first-degree relatives.

Understanding the Environmental Component of Alexithymia

People who have experienced childhood abuse or neglect can develop alexithymia and have difficulty processing their emotions. Brain injuries can also contribute to alexithymia.

Understanding How Alexithymia Affects Relationships

It can be difficult to form and maintain emotional bonds for individuals who have alexithymia. 

People who have alexithymia tend to focus externally rather than on their internal state. 

Partners might feel ignored, abandoned or unloved due to their partner's low emotional responsiveness. This can make it difficult to communicate effectively and resolve conflicts. Partners can feel that they are with someone who is "robotic" which can lead to a superficial or distant relationship. 

In addition, since people with alexithymia also have problems reading other people's emotions, their partners might feel they are uncaring--even when the person with alexithymia cares deeply for them.

The partner can feel like they're alone because the person with alexithymia can have a hard time providing emotional support or emotional validation

With regard to sex, emotional detachment related to alexithymia often leads to a decline in sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

How to Address Alexithymia

Alexithymia can create a barrier to traditional psychotherapy because, as previously mentioned, individuals with alexithymia have difficulty experiencing, identifying, understanding and expressing their emotions.

Coping With Alexithymia

Emotional difficulties often present as physical complaints rather than emotional distress. 

Somatic oriented therapy, like Somatic Experiencing and other Experiential Therapies that focus on sensations in the body can help.  

Helping clients to develop somatic awareness can be helpful, 

Experiential therapists can ask clients, "What are you sensing in your body right now?" instead of "What are you feeling?"

A mindfulness practice can also help clients to develop somatic awareness related to emotions.

What Are the Therapeutic Goals For Alexithymia?

There is no "quick fix" for alexithymia since it's a personality trait and not a curable disease.

While there is no "cure" for alexithymia, it also doesn't have to be a lifelong problem.

Psychotherapy for alexithymia needs to have a bottom up approach (see my article: What is the Difference Between Top Down and Bottom Up Approaches to Therapy?).

The therapeutic goals include:

• Building the capacity to accurately perceive internal body sensations (also known as interoceptive awareness) and connect these sensations to emotions.

• Affective education which can help to connect physical sensations to emotions. For example, a tightness in the chest can be linked to anxiety (see my article: How to Use the Wheel of Emotion).

• Shifting from external-oriented thinking to recognizing inner emotional experiences.

• An experiential bottom up approach can be effective in improving emotional processing.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping 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.

How to Set Boundaries With Friends If They're Texting You Too Much

There are some people who enjoy texting back and forth with their friends all day long and it's mutually satisfying for all the texters involved.

Setting Boundaries With Friends About Texting

But if you're not one of those people who enjoys constant texting and you have a friend who likes to send you lots of texts, rather than letting resentment and emotional distance grow, you can tactfully set a limit with your friend (see my article: Do You Feel Entitled to Set Boundaries With the People in Your Life?).

In a world where people can reach others in a flash by texting, a lot of people find it gratifying to express their thoughts and feelings in texts and enjoy the dopamine hit when their friends text back.

People who have problems understanding boundaries can text all day long without considering whether the person they're texting has the time and emotional bandwidth to deal with a barrage of texts (see my article: Do You Feel Overwhelmed By Your Friend's Problems?).

If you haven't set a limit, you can give your friend the benefit of the doubt that they might not know you don't like a lot of texts and that you don't have the time or emotional bandwidth for it. Therefore, it's up to you to communicate this to them so you take care of your time and mental health.

Why Do Excessive Texts Create Stress and Anxiety?

Here are some of the most common reasons:

• Pressure to Respond (Expectation of Availability): You might feel pressure to respond immediately. This often leads to stress and anxiety when you can't or you don't want to respond immediately.

• Digital Burnout and Overstimulation: Constant notifications can break concentration. The ongoing distraction can lead to mental fatigue.

• Lack of Personal Space: Excessive non-urgent texts throughout the day can feel like an intrusion on your privacy and downtime.

• Anxiety Trigger: A high volume of text messages can induce anxiety and a feeling of being overwhelmed.

• Disruption to Workflow and Personal Tasks: Constant interruptions can make it difficult to focus on work or personal tasks.

How to Set Boundaries With a Friend Who Texts Too Much

Here are some suggestions that might be helpful:

• Shift the Focus from Their Behavior to Your Own Needs and Boundaries: First, recognize that you have the right to your feelings as well as the right to set boundaries. If you can't set boundaries with others, you're going to feel frustrated and you'll probably have ongoing interpersonal problems due to the lack of boundaries. Assuming you want to maintain this friendship, you can say, "Having to check texts many times per day makes me feel anxious. I'm trying to check these notifications less."

• Express Appreciation For Their Friendship: Assuming you want to maintain this friendship, express your appreciation for your friend and the things you like about them so that you're not just focusing on something that bothers you about their behavior. 

Setting Boundaries With Friends About Texting

• Shift Time Spent With Your Friend From Texts to In-Person Visits: Suggest to your friend that you would like to know what's going on in their life, but you would prefer to do it in person. Then, suggest a time when you're free to meet in person. 

• Let Them Know When You're Available: Let your friend know when you're reachable and manage their expectations about when you're free to respond to texts. You can say something like, "I don't have time to check texts throughout the day, so I only check them after work" or "I've been so busy lately that I haven't had time to check personal texts." Then, as previously mentioned, you can suggest meeting when you're both free.

Setting Boundaries With Friends About Texting

• Let them Know You're "Unplugging" to Manage Your Stress: Let your friend know that, as part of a new lifestyle change, you're taking time to "unplug" from your phone and computer. You can tell them that, as part of your digital detox, you're cutting back on the time you spend reading email and texts. You can also tell them that if they don't hear from you for a few days, this is the reason.  

• Evaluate the Friendship: If your friend doesn't understand that you don't have the time and emotional bandwidth for a lot of texts in a day, you can evaluate whether the aspects you like about this friend outweigh this problem. If you have communicated your boundaries and they don't respect them, there might be other areas where you'll find they will cross your boundaries. At some point, you'll need to decide whether you want this friend in your life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego State Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experiencing helping 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.

Do You Feel Entitled to Set Boundaries With the People in Your Life?

Setting boundaries with the people in your life is an act of self care (see my article: How to Set Boundaries Without Guilt).

Setting Boundaries

But if you're someone who doesn't feel entitled to set boundaries, you might feel that boundary setting is an act of aggression (see my article: What's the Difference Between Assertive and Aggressive Behavior?)

Self Abandonment and People Pleasing Tendencies

Not setting boundaries is often a survival strategy children learn in families where they weren't allowed to say "no". 

If you grew up in such a family, maybe you were even punished for expressing your feelings, especially if they were contrary to your parents' feelings. 

If you weren't allowed to say "no" as a child, you might have believed that you could only earn love if you were compliant with your parents' wishes. As a result, you learned self abandonment (see my article: What is Self Abandonment?).

Maybe you were also raised to believe you should feel guilty if you didn't comply with your parents' wishes. As a result, you might have developed people pleasing tendencies as a way to to avoid displeasing others. So, you might have learned to feel you're responsible for other people's comfort and happiness--even if it meant you neglected your own.

People who have an anxious attachment style are especially prone to fear that setting boundaries is an existential threat in terms of losing a relationship or a friendship.

Many women are socialized to believe they need to be nurturers who are "flexible" to the point where setting a boundary might be contrary to their role.

Confusion About What It Means to Set Boundaries

You might not feel entitled to set boundaries with others because you think setting boundaries means you're trying to control others. However, setting healthy boundaries is a fundamental part of self care.

Another possible problem is that you don't know what you feel so you only have a vague sense of what you're feeling at any given time so you don't know if you need to set a boundary or not.

Getting Help in Therapy

If you don't feel entitled to set boundaries with others, you could benefit from working with a licensed mental health professional who can help you to work through the underlying issues that are creating problems for you.

Getting Help in Therapy

Rather than struggling on your own, seek help from a skilled psychotherapist who helps clients to feel empowered enough to set boundaries (see my article: Taking Back Your Personal Power).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work (IFS and Ego States Therapy) and Certified Sex Therapist.

As a trauma therapist, I have over 25 years of experiencing helping individual adults and couples (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.

Also See My Articles:

How to Set Boundaries in an Enmeshed Family

How to Set Boundaries Without Guilt  

How to Set Boundaries in Your Relationship

Relationships: What's the Difference Between Trying to "Fix" Your Partner and Being Emotionally Supportive?

When your partner is distressed, anxious or depressed, it's natural for you to want to be emotionally supportive. But some people confuse being emotionally supportive with trying to "fix" their partner's problems, so it's important to understand the difference.

"Fixing" vs Being Emotionally Supportive

What's the Difference Between Trying to "Fix" Your Partner's Problems and Being Emotionally Supportive?

The main difference between trying to "fix" a problem and being emotionally supportive has to do with the intent and focus of what you do.

Trying to "Fix" the Problem:

Trying to "fix" your partner's problems involves:

• Your Approach: You treat your partner's problems like a puzzle to be solved.

• Your Goal: To eliminate the source of your partner's pain as quickly as possible. This might mean that you have a problem tolerating your partner's emotional distress, so you want it their distress to disappear as soon as possible. If this is the case, your own psychological work to do about this.

• Your Behavior: Giving your partner unsolicited advise, suggesting specific actions or taking on the problem yourself leads to your overfunctioning for your partner instead of allowing them to handle it with your emotional support (see my article: Are You Overfunctioning in Your Relationship?).

• Potential Problems: Your actions can signal to your partner that you think they are incapable of handling their problem. This can lead to your partner feeling belittled, frustrated, angry and resentful--even though you have good intentions. It can also set up a parent-child dynamic which usually has a detrimental impact on a relationship.

Being Emotionally Supportive:

• Your Approach: You prioritize "feeling with" your partner as opposed to "doing it for them".

• Your Goal: You create a safe space where your partner can feel seen, heard and understood (see my article: Creating a Safe Haven For Each Other).

• Your Behavior: Your behavior includes active listening, validating their feelings and offering comfort, like a hug if that's what your partner wants (see my article: Ask Your Partner If They Need to Be Helped, Heard or Hugged).

• Potential Benefits: Being emotionally supportive helps to create emotional intimacy between you and your partner. It can also build your partner's confidence that they have the capacity to solve their problems.

Clinical Vignettes

An Example of Trying to "Fix" the Problem

Emma and Bill:

Emma's husband, Bill, had a serious drinking problem. Although he promised he would stop drinking many times, he would stop for a day or two, but when he felt anxious, he would drink excessively again. Emma was very concerned about Bill's drinking and she wanted to help him, so she would throw out bottles of alcohol and make excuses to his boss when he was too hungover to go to work. 

Trying to "Fix" the Problem

After Bill was arrested twice for driving while intoxicated (DWI), he was court mandated to attend alcohol treatment. As part of the program, spouses attended groups to become educated about alcohol abuse and to learn how to be supportive without being codependent.  Through these groups, Emma learned that what she perceived as being helpful was actually detrimental to Bill's sobriety and she learned to focus on herself. Over time, Bill learned to lead a sober life one day at a time (see my article: What's the Difference Between Codependency and Interdependency?).

An Example of Being Emotionally Supportive

Jack and Dan:

Jack's husband, Dan, suffered with anxiety since he was a child. Whenever Jack sensed that Dan's anxiety was especially high, he would prioritize spending time with him to actively listen to and validate Dan's concerns. Dan felt safe talking to Jack because Jack was emotionally supportive and not critical or judgmental. Dan also knew that Jack wasn't trying to "fix" him. Instead, Jack was empathetic and he had a lot of patience with Dan. Eventually, he suggested that Dan seek help in therapy. 

Being Emotionally Supportive

At first, Dan didn't follow through, but Jack never tried to pressure Dan or get angry with Dan that he wasn't following through with seeking help. Then, one day Dan had a panic attack on the subway while he was going to work. At first, he didn't know what was happening to him, but once the panic attack subsided, he realized his anxiety was getting worse. Somewhat reluctantly, Dan sought help in therapy to deal with his anxiety. A few weeks into his therapy, Dan was relieved that he sought help because he was learning new tools and strategies to deal with his anxiety. And, eventually, his therapist helped Dan to deal with his unresolved trauma that contributed to his anxiety by using a combination of Parts Work and EMDR therapy (see my article: Trauma Therapy: Combining Parts Work and EMDR Therapy).

Conclusion

Although you might have the best intentions and your inclination might be to try to solve your partner's problems, in the long run, you could be doing more harm than good.

Being emotionally supportive by being attuned, empathetic and validating your partner's feelings will be more helpful to your partner and your emotional support can strengthen the bonds between you.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping 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.

Emotional Regulation: How Do You Know What You Need When You Feel Emotionally Dysregulated?

Many people who would like to be more emotionally regulated don't understand what they need when they feel upset (see my article: Developing Skills to Manage Your Emotions).

Emotional Regulation

This is understandable because when you are sufficiently upset, the part of your brain that allows you to reason (the prefrontal cortex) is often "off line". 

The more reactive part of your brain, the amygdala, gets into a fight or flight mode so that you  can't think your way into knowing what you need.

When you feel emotionally overwhelmed, here are some tips on what can be helpful:

• Pause and Slow Down: Whether you do this by using a breathing exercise, grounding exercise or a mindfulness meditation, pausing and slowing down helps you to calm down so you can think about what you need.

Emotional Regulation

• Try the 5-4-3-2-1 Technique: Name 5 things you see, 4 things you can touch, 3 things you can hear, 2 things you can smell and 1 thing you can taste. This helps you to stop spiraling so you can get back to feeling like yourself again.

• Pick a Color: If the 5-4-3-2-1 technique feels like too much in the moment, you can choose a color, like the color blue and look around the room and name all the things you see that are blue. This is an even simpler way to calm yourself. It also helps to orient you to your environment.

• Try the Butterfly Tapping Technique: Another way to calm yourself is to use Butterfly Tapping:
• Sit comfortably, cross your arms over your chest and rest your hands on your upper arms or shoulders. 

• Give yourself alternating gentle taps on your upper arms or shoulder (right then left) in a slow rhythmic motion for 1-3 minutes or until you feel calmer.  This helps to reduce stress (see my article: Self Soothing with the Butterfly Hug).

• Tune Into Your Body and Ask Yourself: "What do I need?"
• What emotions are you feeling and where do you feel it in your body?

Emotional Regulation

• Are you angry?  If so, what are you angry about? What do you need to feel safe?

• Are you afraid? If so, what are you afraid about? What do you need to feel safe?

• Are you lonely? If so, who can you contact to make a meaningful connection? This can also be a connection with a pet.

• Practice Slowing Down With Low Stakes Situations: When you're learning to regulate yourself, practice slowing down with low stakes situations before you try to tackle more high stakes triggers.

Get Help in Therapy

Sometimes self help tips aren't enough and you might need professional help to learn to regulate yourself emotionally.

Get Help in Therapy

A licensed mental health professional can help you to get to the root of your problems so you can overcome the underlying problems that are triggering you.

Rather than struggling on your own, seek help from a licensed psychotherapist so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist with over 25 years of experience, I have helped many individual adults and couples (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.

 

How to Develop Emotional Safety in Your Relationship

Emotional safety is an essential part of any relationship.

Emotional Safety in a Relationship

What is Emotional Safety?

Let's start by defining emotional safety.

Emotional safety is an embodied sense that you can be your true self without fear of judgment, rejection or retaliation. 

Emotional Safety in a Relationship

When you feel safe emotionally, your nervous system is calm. You're not in a state of fear. You feel open and comfortable with yourself and with your partner.

Emotional safety is the foundation of a healthy relationships and allows you to share your emotional needs.

Emotional safety also allows you to admit your mistakes because you feel respected and valued by your partner.

If you're in a relationship, you feel heard and validated for your feelings. Even when your partner might not feel the same way, they can understand why you feel like you do.

What Are the Key Elements of Emotional Safety?

• Vulnerability: As previously mentioned, you feel secure enough to talk about difficult topics, fears and insecurities without anticipating a negative reaction (see my article: Emotional Vulnerability as a Pathway to Greater Emotional Intimacy).

Emotional Safety in a Relationship

• Non-judgment: When expressed in a healthy way, your feelings are treated as being understandable as opposed to being "too much" or "wrong".

• Consistency: Being able to predict how your partner will respond helps your nervous system to relax rather than going into a fight, flight, freeze or fawn response.

• Healthy Boundaries: You're able to set healthy boundaries with your partner without your partner making you feel guilty or lashing out.

Why Does Emotional Safety Matter in a Relationship?

When you feel safe in your relationship, you can regulate your emotions and stay emotionally engaged with your partner. 

Emotional Safety in a Relationship

If you don't have emotional safety, you might feel hypervigilant, anxious or an urge to "walk on eggshells" to avoid conflict with your partner.

How Can You Build Emotional Safety in Your Relationship?

To build emotional safety, it's important to:

• Get Curious and Listen: Get curious and listen to your partner to understand rather than to defend or"fix" them (see my article: What is Active Listening?).

• Validate Each Other's Feelings: Acknowledge your partner's feelings--even if you don't agree or you don't feel the same way.

• Be Transparent: Make sure your actions match your words to build trust.

• Make Repairs: Own your mistakes in a timely manner and make an effort to reconnect with your partner.

Get Help in Couples Therapy

There are times when one or both partners have problems establishing and maintaining emotional safety due to prior traumatic experiences either as a child or in prior adult relationships (see my article: How Can Unresolved Trauma Affect Your Ability to Feel Safe?).

Get Help in Couples Therapy

If emotional safety is an issue in your relationship, you and your partner could benefit from working with a couples therapist experienced in Emotionally Focused Therapy for Couples.

Emotionally Focused Therapy (also known as EFT) can help you and your partner understand both of your unmet attachment needs and change negative dynamics in your relationship that keep you both stuck.

Rather than struggling on your own, seek help in EFT couples therapy so you can have a more fulfilling relationship (see my article: Tips on How to Get the Most Out of Couples Therapy).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience working 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.

Also See My Articles:

How to Build Trust and Connection in Your Relationship 

Recognizing When You Feel Unsafe in Interpersonal Relationships

What Are the 4 Cs of the Attachment Behavioral System?  

Healing From Childhood Trauma: What is the Difference Between Abuse and Emotional Neglect?

I've written about childhood trauma in prior articles, including articles about childhood abuse and neglect.

Childhood Abuse vs Neglect

A common question that clients ask when they are in trauma therapy involves understanding the difference between abuse and neglect, which is the subject of this article (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

What is the Difference Between Abuse and Neglect?

The main difference between childhood abuse and neglect is action versus inaction of the caregiver as well as the intent of their behavior. 

• Abuse: Abuse is often an active, intentional, effort to harm, threaten or injure a child. It is an act of commission. Examples include (but are not limited to) physical harm, emotional abuse and sexual abuse. Abuse usually involves intentional, reckless and premeditated behavior.

• Emotional Neglect: Emotional neglect is often passive. It is an act of omission. The caregiver does not provide the necessary basic care (food, shelter, medical care) and emotional nurturance which includes the emotional support, validation, empathy and secure emotional connection for healthy childhood development.

Clinical Vignettes

The following clinical vignettes illustrate the difference between childhood abuse and neglect.  All identifying information has been removed to protect confidentiality.

An Example of Abuse: Sara

When Sara was a young child, her father would often come home drunk and beat Sara and her siblings. He would also hit their mother who felt powerless to stop him from hitting her and the children. By the next day, when the father was sober, he didn't remember hitting his wife and children. But after Sara's maternal uncle moved into the home, he put a stop to the abuse by restraining the father and calling the police. After several incidents where the police were called, the father was court mandated to get into alcohol treatment and the family received mental health services from a local community mental health service.

An Example of Neglect: Tom

When Tom was a young boy, he was emotionally neglected by both of his parents. His mother focused on her design business so that she rarely went to any school activities that Tom participated in. She would frequently place Tom in front of the television while she entertained clients in the house. His father was usually away on business trips and, when he was at home, he spent most of his time in his den watching sports while Tom was alone in his room. When a young family moved next door, the mother would invite Tom to come over to play with her children. She was also kind and compassionate with Tom because she realized he was a lonely boy.

The Trauma of Childhood Abuse and Neglect

Both abuse and emotional neglect are traumatic.

There are times when emotional neglect can be more damaging than abuse because:

• Emotional Neglect is Often Invisible: Emotional neglect can be hard to identify because it's often invisible. Neglect is characterized by what didn't happen (lack of love, attention or validation) as opposed to certain forms of abuse that can be detected based on marks or scars on a child's body that are noticeable.

Childhood Abuse vs Neglect

• Children Internalize Neglect: Whereas children who are abused might blame the abuser, children  who are emotionally neglected often blame themselves. These children believe they are flawed in some way and, as a result, they were unlovable (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

• Brain Development: Many children who are severely and chronically neglected can experience cognitive and language deficits.

What Are the Long Term Effects of Childhood Abuse and Neglect?

Both abuse and neglect can have a long lasting potential psychological effects including:

• Mental Health: Anxiety, depression and post-traumatic stress disorder (PTSD)

• Relationship Problems: Problems with trust, fear of intimacy or self abandonment in relationships (see my article: What is Self Abandonment?)

• Problems with Emotions: Difficulty identifying, managing and expressing emotions 

Conclusion

Although both abuse and neglect can have long lasting effects, studies have shown that neglect is often particularly damaging especially when the neglect is unseen, ignored or overlooked.

Although I have discussed abuse and neglect separately to distinguish one from the other, there can also be a combination of abuse and neglect.

Many adults believe their experience wasn't bad enough to get help.  However, the trauma of abuse and neglect usually require the therapeutic interventions of trauma therapy.

Getting Help in Trauma Therapy

Trauma therapy includes a group of therapies that were specifically developed to help clients to overcome the traumatic effects of their history (see my article: Why is Experiential Therapy More Effective at Resolving Trauma Than Talk Therapy?).

Getting Help in Trauma Therapy

Trauma therapy includes:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Somatic Experiencing

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Parts Work (IFS and Ego States Therapy)

Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist.

Working through unresolved trauma can help you to free yourself 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 Certified Sex Therapist.

As a trauma therapist, I have over 25 years of experience helping 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.