Understanding the Connection Between Unresolved Psychological Trauma and the Need For Control

When considering psychological trauma, it's important to know there are different types of trauma, including developmental trauma and shock trauma. 

Psychological Trauma and the Need For Control

In this article I'm focusing on unresolved developmental trauma, which is trauma that occurred over time in childhood, and the need for control as an adult.

What is Psychological Trauma?

Since I'm focusing on developmental trauma (trauma that occurs over time in childhood), the definition of psychological trauma in this context is a person's unique experience of feeling emotional distress in response to ongoing events that overwhelmed their capacity to cope.

Psychological Trauma and the Need For Control

It's important to emphasize that a traumatic response is unique to the individual. So, it's not the events per se that's traumatic--it's a how the individual experiences the events. 

Children who are identical twins might experience the same events in their family where one of them is traumatized and the other is not.  So, each person has their own unique psychological makeup and their own particular response to what happened.

Another factor is whether or not the person who experienced overwhelming events as a child had emotional support at the time or whether they felt alone (see my article: Undoing Aloneness: What is AEDP (Accelerated Experiential Dynamic Psychotherapy)?).

A child who had emotional support from a loving relative will usually have a better psychological outcome than a child who went through distressing event feeling alone.

Feeling Powerless as Part of Chronic Developmental Trauma

Feeling of powerlessness is an important part of developmental trauma.

A feeling of powerlessness is especially prevalent during chronic developmental trauma where there is ongoing exposure to emotionally overwhelming events.  These individuals feel they have no power to stop, change or control these events.

Psychological Trauma and the Need For Control

For instance, a young child who has repeated experiences of hearing their parents' arguments escalate into physical violence will most likely feel terrified and powerless to do anything about their parents' fights.

Even if this same child, who is terrified, is able to muster the courage to knock on their parents' bedroom to try to get them to stop the fighting, the parents might respond in ways that make the incident even more terrifying. 

One or both parents might invalidate the child's fear by saying, "Nothing is wrong. Go back to your room" which can be very confusing for the child. 

Alternatively, the parents might respond in other ways that make the event even scarier.  For example, one of the parents might threaten the child by saying something like, "Get back to your room or you'll get a spanking!" or "Stop crying or I'll give you something to cry about!"

This leaves the child in an untenable situation where not only can they not control what's happening but they also fear they will get physically punished.

An hour or two later these same parents, who might be highly volatile with each other at times, might emerge from their bedroom and act as if nothing happened in front of the child. 

Not only does this invalidate the child's fear and make the child feel alone, it can also makes the child wonder if there's something wrong with him or her to fear a situation where the parents are now acting normal.

Understanding the Connection Between Unresolved Trauma and the Need For Control

In the example given above, if there are ongoing events like this where the child feels powerless and alone, this child will mostly likely grow up with a strong need to feel in control of their own life, their loved ones' lives and the circumstances around them.

One of the consequences of a history of unresolved trauma and feelings of powerlessness is that individuals often become emotionally triggered when they find themselves in situations where they feel they can't exert control.

Psychological Trauma and the Need For Control

The need for exerting control will vary from one individual to another depending upon the person and the particular situation. But most individuals who experienced chronic trauma growing up don't want to re-experience the sense of powerlessness they experienced as children. This creates in them the need to exert control.

The need to feel in control is a self protective mechanism whereby the individual tries to create a safe space so they don't feel the same terrifying feelings they experienced as a child.

For individuals who grew up in unpredictable circumstances where it felt like anything could happen at any time, the need for predictability is paramount.

What Are Some of the Signs of a Need For Control Based on Unresolved Trauma?

The following are some of the signs people might experience when they have a need to be in control based on unresolved trauma:

• Fear of Ambiguous Situations: They can be very uncomfortable (maybe even panicked) when a situation is unclear. Ambiguous situations can be highly triggering for them which will, in turn, trigger their need to exert control over the situation.

• Setting Rigid Boundaries: They might set rigid boundaries so relationships and situations feel predictable with no second guessing about what might or might not happen.

• Fear of Vulnerability: They might have a hard time opening up to other people. As a result, they might not feel comfortable sharing personal information about themselves because they fear the other person might use this information against them (see my article: Vulnerability as a Pathway to Intimacy in a Relationship).

Psychological Trauma and the Need For Control

• Fear of Talking About the Past: They might not like talking about their past because they fear getting triggered again and also fear trusting someone else with this information.

• Fear of Allowing Others to Get to Know Them: They might be hard to get to know because they are protecting themselves from getting hurt again.

• Fear of Intimate Relationships: They might avoid getting into intimate relationships because of their fear of vulnerability.

• You're Either For Them or Against Them: They might feel you're either for them or against them. There might not feel anything in between (no gray area).

• Fear of Trusting Others: If they feel disappointed or letdown by someone, they might not trust that person again.

• A Need for Predictability: Due to their need for predictability, they might have unrealistic or perfectionistic expectations of others (see my article: Perfection vs Good Enough).

• Fear of Risks: They might be risk averse. They might avoid anything that is risky or feels dangerous to them in any way.  This can include the possibility of getting hurt in a relationship, making financial decisions that might involve a degree of risk, making a career change and so on.

• Fear of Abandonment: They might have a strong fear of abandonment. Since their childhood experiences might have included feeling emotionally abandoned by their parents, who were supposed to take care of them, they might fear abandonment in any close relationship.

What's the First Step in Healing Psychological Trauma?

Since developmental trauma occurs in the context of a relationship, healing also needs to occur in the context of a relationship (this is one of the reasons why self help books are often only minimally, if at all, helpful in terms of healing trauma).

Healing Psychological Trauma and Awareness

Unfortunately, people who experienced developmental trauma as children often don't trust relationships. They might have a strong need to feel loved, but they also dread feeling loved because of their early experiences of feeling unsafe (see my article: Wanting and Dreading Love).

Many people who have unresolved developmental trauma continue to use the same protective strategies they used as children. While these strategies might have helped them at the time, they no longer work for them. 

One of those strategies often included avoiding close relationships.

Developing an awareness about the impact of unresolved trauma is an important first step. 

Without an acknowledgement of the impact, there's often a lack of motivation and fear of getting help.

Getting Help in Trauma Therapy

Many people seek help in trauma therapy when the pain of doing nothing becomes greater than their fear of getting help.

Getting Help in Trauma Therapy

A skilled trauma therapist can help you to work through the issues that keep you stuck with the impact of unresolved trauma.

If you're feeling stuck due to unresolved trauma, seek help in trauma therapy 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 as a trauma therapist, I believe people have an innate ability to heal from traumatic experiences with the help in trauma therapy (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.

What is Psychological Manipulation?

Psychological manipulation or gaslighting involves someone else controlling your thoughts, emotions or behavior (see my article: What Are 7 Signs You're Being Gaslighted?).

What is Psychological Manipulation?

The primary goal of psychological manipulation is control.

The manipulation can be subtle or it can be more overt. 

In addition, the person doing the manipulation might or might not be aware they're manipulating.

Manipulation can start out relatively small and build up over time, which makes it difficult for you to realize you're being manipulated.

Sometimes people who are outside of this dynamic can detect the manipulation more easily than you can. 

You might not want to believe that someone close to you is trying to manipulate you so you might second guess yourself about what's going on.

Why is Psychological Manipulation So Damaging?

As mentioned above, you might not recognize you're being manipulated which can cause you to be in denial about it.

What is Psychological Manipulation?

In addition, over time, you might lose trust in your own thoughts, feelings and behavior and, instead, you rely solely on the person who is manipulating you. This means you're giving up your power to the person manipulating you.

    

See my articles: 

Are You Giving Up Your Power to Someone Who Doesn't Treat You Well? 

Taking Back Your Power

What Are the Signs You're Being Manipulated in a Relationship?

The following list includes some of the most common signs that you're being manipulated.

Your partner might exhibit some of these signs and not others:

• They Blame You for Their Actions: They don't take responsibility for the things they do. Instead, they blame you. If they lose their temper, go out and binge drink or engage in other destructive behavior, they blame you. From their  perspective, you made them do it.

• They Try to Convince You That You're Wrong: They make excuses for their behavior. They might try to twist what happened to get you to appear as if you're the one who is wrong and they're right. They also tend to be relentless in getting you to take the blame for whatever happened and they don't stop until you say you were wrong.

• They Put Words in Your Mouth and Distort What You Say: People who are highly skilled at manipulation know how to turn your words against you until you're convinced of what they're saying. However, what they're doing is distorting your words through trickery so they can have the upper hand in the situation. And, if you don't realize this, you might allow your partner to do this and then you doubt yourself.

• They Blame You If You Don't Trust Them: If you don't go along with their manipulation, they tend to portray themselves as being trustworthy (when they're not) and blame you for not trusting them--even if, objectively, they have shown themselves to be untrustworthy many times.

What is Psychological Manipulation?

• They Keep Secrets: Whether their secrets are big or small, they tend to keep secrets from you. The secrets might involve where they are, who they're with or what they're doing. Even when you find out about their secrets and it makes no sense to you why they're keeping this secret, the problem isn't necessarily about the particular secret--it's about the fact that they're withholding information from you as a way to have the upper hand. In addition, if they find out you didn't tell them something that you weren't necessarily keeping a secret (e.g., going to the mall with a friend), they can get upset that there's something you're doing--no matter how innocent--that they don't know about because it means they're not in control of this aspect of your life. So, there's a double standard here about what they feel is okay for them and what they feel is okay for you.

• They Don't Like You to Have Privacy: This is similar to keeping secrets. Even if you've given them no reason to mistrust you, they want to know everything that's going on with you--who you saw, who you spoke to, where you went, when you went and so on. They might also want to check your phone, email and texts so you don't have any privacy because when you have privacy, they can't control that part of your life which makes them feel uncomfortable. But when it comes to their privacy, they insist on it. Once again, this is about control and it's another double standard (see my article: What's the Difference Between Privacy and Secrecy?).

• They Try to Make You Feel Guilty: They can try to make you feel guilty in a number of different ways. For instance, if you made a mistake, they might keep bringing it up as a way to make you feel guilty and bad about yourself. They might keep bringing up your mistakes long after they occurred. This is another way they try to control you.

• They Use Passive Aggressive Tactics: When they're angry with you, instead of talking about it directly, they act out in ways they know would annoy you to get back at you. Then, they might deny they were behaving in a passive aggressive way out of spite.

• They Use Your Trust Against You: They might offer to help you in your time of need. Then, when you trust them and accept their help, they put you down for needing and accepting their help. They try to make you feel like you're "weak" for needing their help--even if they offered to help.

• They Don't Like You to See Friends and Family: People who are highly manipulative know that if you have loved ones in your life, generally speaking, you're less likely to allow yourself to be manipulated because you'll be getting feedback from others about your partner's behavior, which your partner won't like. They want to be the only ones who influence and control you so your loved ones are threatening to your partner.

• They Start Arguments About Little Things: Even if you want to be easygoing and agreeable, a partner who wants to manipulate you might start a small fight with you as a way to get you to give in to them. Their strategy is to control you.

• They Blame You For Other People's Actions: In addition to blaming you about their actions, they might blame you for other people's actions. For instance, if someone at a party flirts with you and, objectively, you didn't encourage this behavior, instead of blaming the other person for flirting, your partner finds a way to blame you. They might say you encouraged the flirting by what you wore to the party or how you spoke or anything else. This type of behavior often gets confused with jealousy, but it's really about manipulation.

• They Talk Down to You and Belittle You: They speak to you in a condescending way. This is a form of emotional abuse. They want you to feel inferior to them or that you wouldn't be able to survive without them (see my article: Belittling Behavior in Relationships).

• They Behave in a Self Centered Way: They make the relationship center around them. If you need their emotional support, they invalidate your feelings. They might point out that either they have it much harder than you do and tell you that you have no right to your feelings. This is a form of narcissism and emotional abuse (see my article: Narcissism: An Emotional Seesaw Between Grandiosity and Shame).

There are many other ways that a partner can manipulate, but the ones mentioned above are some of the most common ones. And, as previously mentioned, your partner doesn't have to exhibit all of these signs in order to be manipulative.

This article focused on psychological manipulation between two partners in a relationship, but this form of manipulation can occur between any two or more people.

Get Help in Therapy

Psychological manipulation is damaging to your self esteem and your sense of self. 

Get Help in Therapy

Over time, you might feel so disempowered that, even when you realize you're being manipulated, you continue to give away your power to your partner because you have become increasingly emotionally dependent upon them.

Rather than struggling on your own, seek help from a licensed mental health professional who has experience helping clients to overcome this problem.

About Me

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

With over 20 years of experience, I work with 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.

Balancing Empathy and Healthy Boundaries

In my prior article, Understanding Healthy Boundaries: Rigid, Porous and Healthy Boundaries, I focused on the difference between healthy and unhealthy boundaries.

Balancing Empathy and Healthy Boundaries

In the current article, I'm focusing on balancing empathy with maintaining healthy boundaries  (see my article: How to Set Boundaries Without Guilt).

What is the Role of Empathy in Boundary Setting?

Empathy is an important part of maintaining healthy relationships because empathy:

• Helps you to understand the thoughts, feelings and experiences of others

• Helps you to be an active listener

• Allows you to validate others' emotions

• Helps you with conflict resolution so you and others can work out conflicts together

• Helps you to develop an emotional bond between you and others

• Helps you and others to have a greater sense of shared humanity

Why is It Challenging to Balance Empathy and Healthy Boundaries?

Empathy motivates you to connect with others' emotions and experiences.

Maintaining healthy boundaries, which is essential to your well-being, helps you to take care of yourself.

Balancing Empathy and Healthy Boundaries

Trying to balance empathy and healthy boundaries can make you feel like you're not being helpful to others and can put you in conflict with yourself about whether to take care of others or to take care of yourself.

Balancing empathy and healthy boundaries becomes a balancing act where you're supportive of others but you're also taking care of yourself so you don't get emotionally depleted or overwhelmed.

Here are some reasons why this balancing act can be challenging:

• Empathetic people want to be emotionally supportive so this can make setting boundaries difficult. It can make them feel selfish. They might even doubt their own need to take care of themselves.

• Empathetic people might not understand their own emotional needs so they don't know when to set healthy boundaries with others. They might even have porous boundaries which makes boundary setting even more difficult. They might also vacillate between having porous boundaries and having boundaries that are too rigid.

• People who are naturally supportive are concerned that setting boundaries will make them appear lacking in compassion. 

• Highly empathic people often absorb the emotions of people that are around them, which can lead to fatigue and burnout.

• Social or cultural expectations might make empathetic people feel pressured into putting others' needs before their own or lead to inner conflict.

Examples of Challenges With Balancing Empathy and Healthy Boundaries

The following scenarios are fictional examples of situations that often come up when people are trying to set healthy boundaries in personal and work-related relationships:

Setting Boundaries in a Personal Friendship

Mary and Nina were close friends since childhood.  

When they were teenagers, Mary understood that Nina came from a family with a lot of challenges, so she always made herself available whenever Nina was having a problem at home.  There were even times when Mary's parents allowed Nina to stay over when Nina's parents were fighting.

As an adult, Nina had ongoing problems in her personal and work-related relationships.  

Mary often told Nina that therapy helped her to overcome personal challenges and she suggested that Nina seek help in therapy.  But Nina told Mary that she "didn't believe in therapy" and she refused to get help.  Instead, she continued to lean on Mary emotionally whenever she had problems.

Mary wanted to be emotionally supportive, but she often felt Nina's problems were overwhelming her (see my article: Do You Feel Overwhelmed By Your Friend's Problems?).

When Mary brought this up in her therapy, her therapist spoke to Mary about setting healthy boundaries with Nina in a kind and tactful way.  

Mary thought about this for a while before she felt comfortable enough to speak with Nina. But when she finally spoke to Nina, Mary's message was not well received. 

Old feelings got triggered in Nina of being emotionally invalidated. She felt like hurt and she rejected. She also felt she was "too much" for Mary to bear, which brought up a lot of shame for her.

All of this put a strain on their friendship and they didn't speak for several months.

Out of desperation, Nina decided to give therapy a try.  

Once Nina became more self aware, she was able to come back to Mary with greater understanding so they could resume their friendship in a healthier way.

Mary also learned a lot about setting boundaries from this situation. She realized she tended to get overly involved in Nina's problems for reasons that involved her own personal history. She continued to work on this in her therapy to improve her ability to set healthy boundaries.

Setting Healthy Boundaries in a Professional Relationship

Joan was Bill's personal coach.  Most of the time they focused on helping him to develop his motivation to complete his dissertation. But there were times when Bill wanted additional time in their sessions to talk about challenges in his relationship with his wife.

Joan was naturally an empathetic person who wanted to help others. She empathized with Bill's personal problems and sometimes she allowed him to talk their beyond their scheduled time without getting compensated for it.  But afterwards, she felt emotionally overwhelmed and frustrated because she didn't know how to help Bill with his personal problems. 

Joan sought help from a mentor who had a lot of personal coaching experience, and he advised her to set boundaries with Bill.  He also advised her that, since she wasn't a mental health professional, she was working outside the scope of her expertise when Bill talked about his personal problems.

In addition, he encouraged her to value her time and not allow Bill to regularly go over the allotted time of their session.  

He gave her the name of a licensed psychotherapist in Bill's area and recommended that she explain to Bill why they needed to limit their sessions to the original parameters they had agreed upon--helping him to get motivated to complete his dissertation. And she explained why they couldn't delve into personal topics that were beyond her expertise as a personal coach.

But when Joan gave Bill the contact information for the psychotherapist, he expressed feeling hurt and rejected by Joan. 

He told Joan he didn't understand why she couldn't listen to his marital problems. In response, Joan reviewed the original agreement they had worked out and explained, once again, why he needed to get help from a mental health professional.

Even though Bill had paid for 10 coaching sessions in advance, he decided to forego the remaining five sessions because he felt hurt and rejected and he no longer wanted to work with Joan.

However, he knew he needed help, so he followed up with Joan's referral to a psychotherapist. After he developed greater self awareness in therapy, he called Joan to apologize for his inappropriate boundaries and thanked her for encouraging him to seek help from a therapist.

This situation was also a learning experience for Joan in terms of setting boundaries with future clients. 

How to Balance Empathy and Healthy Boundaries

The following suggestions can help you to balance empathy and healthy boundaries:

• Understand Your Needs: Start by developing an understanding of your own personal needs. It might feel uncomfortable to focus on yourself first, but this is where the process needs to start.

Balancing Empathy and Healthy Boundaries: Understand Your Needs

• Express Your Needs: When you're in the process of setting boundaries, focus on explaining your needs without blaming or shaming the other person. This can be challenging because it's often the case that people who tend to lean on others a lot don't have good personal boundaries themselves. As a result, they might not understand where you're coming from. In addition, based on their own personal history, your boundary setting might trigger old unresolved trauma related to shame. While this is unfortunate, as long as you're tactful and caring, you're not responsible for other people's unresolved trauma. It's their responsibility to get the professional help they need from a licensed mental health professional.

• Seek Help in Therapy: If healthy boundary setting is new or challenging for you, seek help in therapy to work on this issue as well as the underlying issues involved for you. For instance, if you were your parents' confidante when you were a young child, you might feel it's naturally your role to take on other people's problems. However, whether you're aware of it or not, being your parents' confidante as a young child was traumatic and overwhelming. If you're continuing to put yourself in that role with others, you're repeating an unhealthy pattern.

Get Help in Therapy

Balancing empathy and healthy boundaries might be challenging for you at first, especially if you were a parentified child where, due to a role reversal, you "parented" your parents by being their primary emotional support system as a young child (see my article: How Unresolved Childhood Trauma Can Affect Adult Relationships).

Get Help in Therapy

A skilled mental health professional can help you to define your personal needs and learn to set healthy boundaries with empathy and care.

Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in helping clients to set healthy boundaries. 

If your therapist specializes in trauma, she can also help you to work through the unresolved trauma that might be at the root of your problem.

About Me

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

I work with individual adults and couples.

As a trauma therapist with over 25 years of experience, I have helped many clients to work through trauma so they can develop healthy boundaries (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.

Understanding Personal Boundaries: Rigid, Porous and Healthy Boundaries

Understanding the difference between rigid, porous and healthy boundaries can make a difference for your personal well-being as well as in your relationships.

Setting Healthy Boundaries

I'm discussing three types of personal boundaries in this article:

• Healthy boundaries
• Porous boundaries
• Rigid boundaries

What Are Healthy Personal Boundaries?

Healthy personal boundaries are the limits you set for yourself in relationships.  

If you have healthy personal boundaries, you're able to say "no" to others when you want to and, at the same time, you're able to be vulnerable with others in a healthy way.

Healthy boundaries include:

• Valuing your own opinions
• Not compromising your opinions, values or well-being for others
• Sharing personal information in an appropriate way (neither over or under sharing)
• Knowing your personal wants and needs
• Having the ability to share your personal wants and needs
• Being able to accept when others say "no" to you for their own well-being

What Are Rigid Personal Boundaries?

If you have rigid personal boundaries, you keep others at a distance either physically, emotionally or both.  

Rigid boundaries include:

• Avoiding intimacy and close relationships
• Having difficulty asking for help
• Having few, if any, close relationships
• Being overly protective of personal information
• Coming across as detached--even in close relationships
• Keeping others at a distance to avoid the possibility of being hurt or rejected

What Are Porous Personal Boundaries?

If you have porous personal boundaries, you tend to get overly involved with people too quickly before you know them well enough.

Porous boundaries include:

• Oversharing personal information
• Having difficulty saying "no" to others
• Getting over-involved with other people's problems
• Being overly dependent on other people's opinions
• Being overly dependent on getting validation from others
• Accepting abuse and disrespect
• Fearing rejection if you don't comply with others' wishes

Personal Boundaries Are Often Mixed

Most people have a combination of personal boundaries in different situations.

For instance, you might have healthy boundaries at work where you're able to set limits with managers and coworkers, but you might have porous or rigid boundaries with friends, family or in romantic relationships or vice versa.

Setting Healthy Boundaries

Personal Boundaries in Different Settings

Personal boundaries often depend upon the setting you're in. 

If you're out with close friends, you might be able to speak and act in ways that you would consider inappropriate to do with colleagues or certain family members.

Similarly, you might have healthy boundaries with friends, but you might have porous or rigid boundaries in romantic situations because of your personal history, how you're feeling about yourself or your need to be in a relationship.

Personal Boundaries in Different Cultures

Culture can also makes a difference. 

For example, in some cultures, it's inappropriate to express emotions in public whereas in others it would be inappropriate not to express emotions publicly.  

In addition, in some cultures it would be considered inappropriate to set certain limits with family members--even if you would be compromising your well-being.

Your cultural values might indicate that the group or family is more important than the individual.

Cultural issues can make it especially challenging if you grew up in a traditional culture as a child but you're living in a non-traditional setting as an adult. Under those circumstances, you might feel you have one foot in each world and you might feel conflicted about your personal boundaries.

Getting Help in Therapy

If you're struggling to have healthy personal boundaries, you could benefit from working with a licensed mental health professional.

Getting Help in Therapy

Working with a skilled psychotherapist can help you to make positive changes in your life.

Instead of struggling on your own, seek help from a psychotherapist who can help you to 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.

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.

See my prior articles:

Setting Healthy Boundaries in Relationships

Are You Setting Boundaries That Are Too Rigid?

Overcoming Codependency in a Relationship

Relationships: Are You Having an Emotional Affair?

Family Estrangements: Understanding the Barriers to Reconciliation

Overcoming Shame in an Enmeshed Family

 

Relationships: What Do Couples Talk About in Couples Therapy?

Are you and your partner considering couples therapy?

What Do Couples Talk About in Couples Therapy?

If you've never been in couples therapy, you might be wondering whether or not you need to talk to a couples therapist.  

You might also wonder what couples talk about in their sessions.

I've written this article as a way to normalize couples therapy in general and some of the most common topics that couples discuss.

What Do Couples Talk About in Couples Therapy?

Here are some of the most common topics couples discuss in couples therapy:

Life Transitions and Stressors: Major life changes can add enormous stress to a couple's life. These transitions often include:

• Moving in together
• Marriage
• Starting a family
• Infertility stressors
• Parenting
• Purchasing a home
• Career changes
  
• Job loss
• Relocation to a different part of the city or country
• Financial infidelity
  
• Aging
• Medical issues
• Retirement
• Empty nest syndrome
  
• Taking care of elderly parents
• Separation and divorce and Co-parenting After Separation and Divorce
• And more

Communication

Identifying and working on unhealthy communication patterns and recognizing the particular negative cycle a couple goes through can save a relationship including:

• Identifying and working on triggers that lead to arguments and other misunderstandings

• Identifying ineffective strategies the couple has attempted to use

• Learning effective strategies to improve communication and create positive cycles

Trust

Trust is a major topic for many couples.

Establishing trust in the relationship is essential to a healthy relationship. 

What Couples Talk About in Couples Therapy: Trust

This includes:

• Creating an emotionally safe environment to explore emotional vulnerability

• Understanding the root cause of infidelity or other breaches of trust

• Rebuilding trust after infidelity

• Coping with doubt and suspicion

• Coping with jealousy

• Problems related to differences in level of commitment to the relationship

• Distinguishing current problems vs. problems related to past relationships or family of origin issues

• Setting clear boundaries both partners can agree on

Sexual Compatibility

No two people in a relationship think and feel exactly the same way, so it's not surprising that desire discrepancy (also known as mismatched libido) is the #1 topic that brings couples into sex therapy which is a particular type of individual or couples therapy.

    See my article: What is Sexual Desire Discrepancy?).

What Couples Talk About in Couples Therapy: Sex

Aside from desire discrepancy, the other most common issues discussed in sex therapy include:

• Differences in sexual responsiveness between spontaneous and responsive desire

• Sexless relationships where couples have sex only a few times a year or not at all

• Loss of sexual desire in one or both partners and loss of trust after infidelity

• Erectile unpredictability which includes loss of erection, premature ejaculation and delayed ejaculation

• Sexual anxiety including performance anxiety, body image anxiety for both women and men, a history sexual abuse and other related issues

• Lack of sexual experience

    See my article: What Are the Most Common Issues Discussed in Sex Therapy?

Roles and Responsibilities

A frequent topic in couples therapy that I hear from clients is how roles and responsibilities are shared (or not shared) by the couple. 

These include imbalances in various areas:

• Household responsibilities
• Financial responsibilities
• Childrearing tasks
• Decision-making tasks
• Planning

A couples therapist can provide a safe environment for the couple to negotiate these issues without hostility (see my article: Sharing the Mental Load).

Family Dynamics

Family and culture often have a significant impact on a relationship, especially when the people in the relationship come from different familial and cultural perspectives. 

Talking about family and cultural dynamics in couples therapy allows the couple to discuss these issues in an environment where each partner feels safe so they can negotiate differences.

    

    See my articles: 

Dealing With Difficult In-Laws

Learn to Stop Interfering in Your Adult Child's Relationship

Quality Time

A common problem for many couples is how much time they spend together including one partner wanting to spend more time than the other (see my article: Learning to Compromise About How Much Time You and Your Partner Spend Together).

A couple can explore their mutual interests and hobbies as well as areas each of them might want to explore on their own without their partner.

Future Plans and Goals

Creating relationship goals is an important aspect of being in a relationship (see my article: 10 Relationship Goals to Create a Stronger Relationship).

What Couples Talk About in Couples Therapy: Future Plans and Goals

Couples therapy is an ideal place for couples to identify and negotiate individual and relationship goals.

These plans and goals can include:

• Identifying individual goals
• Identifying shared relationship goals
• Negotiating individual and shared goals that might be different
• Making a plan together to achieve these goals

Getting Help in Couples Therapy

If you and your partner have been unable to work out your problems on your own, seek help from a licensed mental health professional who is a couples therapist.

A skilled couples therapist can help you to work through your problems so you can have a more fulfilling relationship.

About Me

I am a New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), 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.