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Thursday, July 3, 2025

How is Fear of Abandonment Related to Insecure Attachment Styles

I have discussed fear of abandonment in prior articles:
The Connection Between Fear of Abandonment and Attachment Styles
In the current article, I'm discussing the connection between fear of abandonment and insecure attachment styles (see my article: What is Your Attachment Style?).


Fear of Abandonment

Abandonment Issues and An Anxious Attachment Style
Someone with abandonment issues and an anxious attachment style can have some or all of the following characteristics:
  • A need for constant communication. A text, email or a call which is not answered quickly can trigger anxiety and fear of abandonment
  • A need for physical contact whenever possible
  • A discomfort with being alone
Fear of Abandonment and Anxious Attachment Style

  • A tendency to be clingy in relationships
  • A need for constant reassurance and validation due to fear of rejection
  • Jealousy of a partner's friends and/or family members due to fear the partner will choose to prioritize them
  • Retroactive jealousy for a partner's past partners--even though those prior partners are no longer around.
Abandonment Issues and An Avoidant Attachment Style
Someone with abandonment issues and an avoidant attachment style can have some or all of the following characteristics:
  • Difficulty asking for help due to fears of being rejected or disappointed by others
Fear of Abandonment and Avoidant Attachment Style
  • Difficulty feeling or expressing emotions
  • Using distraction or deflection when difficult emotions come up instead of communicating about these emotions directly
  • A deep-seated mistrust of others due to not having reliable caregivers
  • A sudden change in mood when feelings of being ignored, rejected or invalidated come up
Abandonment Issues and a Disorganized Attachment Style
Someone with abandonment issues and an disorganized attachment style can have some or all of the following characteristics:
  • Alternating between an intense desire for connection and not wanting connection out of fear of being left or not trusting
Fear of Abandonment and Disorganized Attachment Style
  • Keeping loved ones and others at arms length with self sabotaging behavior 
  • Sudden changes in mood due to feelings of being rejected, ignored or abandoned
Self Care for Abandonment Issues
The following self care suggestions might be helpful:
  • Communicate your emotional needs to your partner. Don't expect your partner to know what your needs are without telling them.
Fear of Abandonment and Self Care: Communicate Your Needs
  • Learn emotional negulation so you can calm yourself when you're feeling rejected, ignored, invalidated or abandoned.
  • Learn to challenge your distorted beliefs about yourself and others
Get Help in Trauma Therapy
Regardless of your attachment style, abandonment issues can be challenging.

Get Help in Trauma Therapy

A skilled trauma therapist can help you to work through your past trauma so you can approach close relationships without your history of trauma having a negative impact on these relationships.

Rather than struggling on your own, seek help from a licensed mental health professional who has advanced skills and experience in trauma therapy so you can lead a more meaningful life.

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

I have over 20 years of experiencing 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.














Wednesday, July 2, 2025

Overcoming Fear of Abandonment in Trauma Therapy

Fear of abandonment is an issue that is more common than most people realize.  

Fear of Abandonment

Prior Articles
In the past, I have written about abandonment issues in prior articles including:



The Current Article
The current article will focus on:
  • What is Fear of Abandonment?
  • What Causes Fear of Abandonment?
  • What Are Signs and Symptoms of Fear of Abandonment?
What is Fear of Abandonment?
Some of the signs and symptoms of fear of abandonment might include some or all of the following:
  • Fear of Rejection: People who have abandonment issues often have a fear of being rejected--even when there is no objective reason to have this fear.
  • Difficulty Trusting Others: A fear of trusting others often involves a fear that someone will hurt or leave them.
Fear of Abandonment
  • Dependency: A fear of abandonment can lead to someone becoming overly dependent on others to give them reassurance and validation.
  • Low Self Esteem: Low self esteem can create difficulties in all areas of life including developing connections with others (see my article: Overcoming Low Self Esteem).
What Causes Fear of Abandonment?
Fear of abandonment can develop in many different ways.

The most common reason for abandonment issues is childhood trauma including:
Other possible causes:
  • Relationship Instability: Unstable relationships can create a sense of insecurity.
What Are the Signs and Symptoms of Fear of Abandonment?
Common signs include:
  • Jealousy including:
    • Jealousy of other friendships or family relationships
Jealousy and Fear of Abandonment
    • Problems trusting a significant other's intentions--even when there is no objective reason not to trust
  • Needing to feel controlled by a partner
  • Needing to control a partner
  • Getting involved in a relationship too quickly before getting to know the other person
  • Settling for an unhealthy relationship to avoid being alone
How Can Trauma Therapy Help With Fear of Abandonment?
Trauma therapy is a general term for different types of therapy developed specifically to help clients overcome trauma (see my article: How Does Trauma Therapy Work?)

Trauma therapy includes:
  • AEDP (Accelerated Experiential Dynamic Therapy)
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates how trauma therapy can help to overcome abandonment issues.

Alice
When Alice was five years old, her father left the family suddenly and they never heard from him again.

After her father left, Alice had nightmares almost every night where she saw her father and she would ask him why he left, but the dream always ended before he responded.  When she woke up in the morning, her dream seemed so real that she felt like she had actually seen her father--until she became fully awake and she realized it was a dream.

After her father abandoned the family, Alice's mother had to work three jobs to support the family, As a result, Alice spent most of the time with her elderly maternal grandparents, who criticized Alice's father to her. In response, Alice wanted to tell her grandparents that she loved and missed her father, but she was too afraid to sound like she was contradicting them, so she kept her sadness to herself.

After her father deserted the family, Alice had a hard time making friends. She lacked confidence in herself and she believed the other children didn't like her.  She was also afraid that if she tried to make friends with anyone, she would be rejected.  So, Alice spent a lot time alone in her room.

When she got to high school, she was aware that many people in her school were dating, but her self esteem was so low that she didn't believe anyone would like her.

When she got to college, she met a friendly young woman, Tina, who took Alice under her wing and introduced her to some of the other young women at the college. Tina was so outgoing and friendly that Alice met a lot of people on campus through her, but she still didn't feel confident.

After she graduated from college, Alice moved into an apartment in New York City with Tina. She found a job as a software engineer and she mostly worked on her own. Other than the friends that Tina introduced her to, Alice had no other friends of her own.

She was aware her low self esteem was holding her back personally and professionally, so she sought help in therapy to try to understand why she was having these problems.  She wanted to go out on dates, but she was afraid that if she liked someone, he might reject her.

Fear of Abandonment and Trauma Therapy

Her therapist was a trauma therapist who had advanced skills in trauma therapy.  After her therapist did a thorough family history, she traced Alice's fear of abandonment to her father's disappearance (see my article: Why is Family History Important in Therapy?).

Her therapist used a combination of EMDR Therapy and Parts Work Therapy to help Alice to heal from her trauma.

As Alice began to develop a little more self confidence, she began dating a man she met at a discussion group. Tom was kind, intelligent and patient with Alice but, even though she knew she had no objective reason for not trusting him, she had a hard time letting her guard down when she was with him (see my article: What Does Fear of Abandonment and Fear of Engulfment Look Like in a Relationship?).

Healing from her childhood trauma was neither quick nor easy. But, over time, with the help of her therapist, Alice was able to separate her childhood trauma of being abandoned by her father from her experiences with Tom (see my article: Overcoming Trauma: Learning to Separate "Then" From "Now").

Fear of Abandonment and Trauma Therapy

As she opened up more, her relationship with Tom improved and she was able to make new friends more easily.

Although she felt more emotionally secure with herself, there were still times when she had setbacks but, overall, she felt her life was opening up to new and rewarding experiences.

Conclusion
Abandonment issues usually stem from childhood issues, but they can also develop or become exacerbated by an unhealthy adult relationships or experiences.

Fear of being abandoned rarely, if ever, gets resolved on its own.

Trauma therapy is specifically designed to help clients to overcome trauma.

Getting Help in Trauma Therapy
A skilled trauma therapist can help you to overcome traumatic experiences like fear of abandonment or other unresolved trauma.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has advanced training and skills in trauma therapy.

Overcoming trauma can help you to lead 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 have over 20 years of experience helping individual adults and couples to overcome 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, July 1, 2025

      Healing Psychological Trauma By Integrating Split Off Parts of Yourself in Trauma Therapy

      In my prior article, What is Hypervigilance and How Is It Related to Unresolved Trauma?, I focused on the unconscious trauma-related defense mechanism of hypervigilance.


      Healing Trauma

      In the current article I'm focusing on how trauma therapy can help you to integrate the various split off parts of yourself.

      What Are Split Off Parts of Yourself?
      When you're trying to cope as best you can with traumatic situations, a common unconscious temporary coping strategy is to "zone out" or dissociate from your thoughts, feelings or circumstances (see my article: Discovering Disowned Parts of Yourself).

      Healing Trauma

      This coping strategy is relevant at all ages, but it's especially relevant if you're a young child because young children haven't developed the necessary skills and strategies to deal with dysfunction happening around them--whether the dysfunction is a chaotic family, unpredictable parents, abusive or neglectful parents, substance abusing parents or other similar traumatic situations.

      As a child, when you're not emotionally or psychologically equipped to deal with trauma, being able to dissociate (or "zone out") is an adaptive survival strategy when what is happening around you is overwhelming and traumatic. 

      Dissociation is a way your mind protects you by compartmentalizing events or circumstances that would otherwise cause you overwhelming stress. The overwhelming stress of childhood trauma is especially difficult if there is no one to help you to manage it.

      Dissociation creates a sense of detachment from overwhelming stress and it can allow you to function reasonably well in other areas of your life. 

      For example, even though there might be highly traumatic dynamics in your home, if you compartmentalize these dynamics, you can excel academically or in sports and anyone who doesn't know your family dynamics might not be aware that you're being traumatized at home because you appear to be a "normal" child in every other way.

      Why is Integrating Split Off Parts of Yourself Essential For Healing from Trauma?
      Everything I have mentioned so far about dissociation sounds adaptive, so why is there a need to integrate the parts of yourself that have been dissociated?

      As I mentioned previously, dissociation is a temporary unconscious solution during traumatic circumstances but, as an adult, you pay a price for the parts of yourself you have dissociated.

      Healing Trauma

      First, it's important to understand that, unlike dissociation, psychological integration is a strong indicator of positive mental health because it involves bringing together various parts of your personality, thoughts, feelings and behavior into a cohesive whole. 

      Second, psychological integration leads to increased self awareness, self reflective capacityemotional regulation and resilience.

      However, when you have dissociated parts of yourself, you can experience a lack of self awareness and emotional dysregulation and a lack of psychological integration.

      Dissociated parts can also create problems in your adult relationships because you might externalize your problems by blaming others and projecting dissociated negative feelings about yourself on your partner, which can be an obstacle to healthy relationships.

      How Does Trauma Therapy Help to Integrate Split Off Parts of Yourself
      Trauma therapy is an umbrella term for many different types of therapy including:
      • EMDR Therapy (Eye Movement Desensitization and Reprocessing)
      • AEDP (Accelerated Experiential Dynamic Psychotherapy)
      • Parts Work Therapy (including Internal Family Systems, also known as IFS, and Ego States Therapy)
      Clinical Vignette
      As mentioned above, there are different types of trauma therapy. 

      The following clinical vignette, which is a composite of many cases, illustrates how Parts Work Therapy can help with integrating dissociated parts:

      Bob
      When he was a child, Bob grew up in a family where his father was a severe alcoholic and his mother had an eating disorder. 

      Whenever Bob's father, Jim, drank at night, he would become enraged, scream at Bob's mother, Bob and his two older brothers. Sometimes Jim would get so angry that he would go on a drunken rampage throughout the house where he would break furniture.

      Bob's mother, Anna, was so frightened that she would cower in the corner of the room with Bob and his brothers. She was afraid Jim might physically abuse them. Although he never got violent with them, there was always the fear that his drunken rage would end in physical violence.

      After his drunken rampages, Jim would be physically exhausted. Then, he would beg Anna to help him to go up the stairs to bed. At that point, Anna was so relieved his rage was over that she would help him to walk up the stairs so he could collapse in his bed.

      Afterwards, Anna would come downstairs in a state of anxiety and she would binge eat. Typically, she would eat a few boxes of donuts, cereal, cookies, a couple of bags of potato chips and leftovers from dinner until she felt sick and then she would go upstairs to sleep in a separate bedroom from Jim.

      After their father went to sleep, Bob's brothers would disappear into their own bedrooms and lock their doors. As a result, Bob was left alone with no one to talk to about his father's drunken rampage and his mother's eating disorder.  So, he would climb the stairs to his own bedroom and stare at the ceiling for hours until he eventually fell asleep.

      Healing Trauma in Trauma Therapy

      As an adult, when Bob started trauma therapy, he didn't remember much of his childhood at first. He remembered doing well academically and in sports, but the rest of his childhood was a blur because he had dissociated it.

      He sought help in therapy because he was having problems in his relationship with Nina, a woman he had been dating for a year. She asked him to get help because she was fed up with him blaming her for his problems.

      Before processing the trauma, his therapist worked with Bob to help him to develop better coping skills. She taught him mindfulness meditation. She also encouraged him to journal to increase his self reflective capacity.

      When his therapist assessed he was prepared to process his traumatic childhood, she introduced him to Parts Work Therapy (see my article: Getting to Know the Many Parts of Yourself in Parts Work Therapy).

      They started slowly so Bob could get the sense of what it means to have different internal aspects of himself. Gradually, he became aware that, just like everyone else, he had many internal parts and shifting self states and this was normal (see my article: Understanding. Your Shifting Self States).

      When his therapist assessed Bob was ready to work on his unresolved trauma, she asked him to bring in pictures of himself from childhood. Since his family didn't take a lot of pictures when he was a child, Bob could only find two pictures of himself.

      He hadn't seen these pictures in a long time and when he looked at them in his therapy session, he was surprised to see himself as a young child sitting by himself with a blank stare. It was at that moment when Bob understood how dissociated he had been when he was a child. 

      He also realized why he didn't have many memories from that time--his experiences had been dissociated and compartmentalized so that they were inaccessible to him at that point.

      As Bob gazed at his pictures, he felt a deep sense of compassion for his childhood self and Parts Work Therapy helped him to reconnect to that part of himself (see my article: Self Compassion as an Essential Part of Trauma Recovery.

      Over time, Bob sensed his younger self coming alive again. He was able to reconnect with his younger self and imagine he could give his younger self what he didn't get as a child.

      Healing Trauma in Trauma Therapy

      Gradually, as Bob became more psychologically integrated, he developed a greater sense of self awareness, self reflective capacity and a capacity for emotional regulation.  

      His girlfriend noticed the difference which helped to improve their relationship.

      After he overcame his anger towards his parents, Bob felt compassion for them too because he realized each of them had been traumatized when they were younger (see my article: What is Intergenerational Trauma?).

      Conclusion
      Dissociation is a unconscious survival strategy that temporarily helps to deal with overwhelming events or circumstances.

      However, over time, even though dissociation is temporarily helpful, it creates problems in terms of a lack of psychological integration.

      Traumatic dissociation, especially dissociation that occurs over time, is an obstacle to psychological integration and positive mental health.

      Trauma therapy can help to integrate the dissociated parts of yourself so you can develop increased self awareness, emotional regulation and healthy relationships.

      Getting Help in Trauma Therapy
      If you think unresolved trauma is an obstacle to your well-being, you could benefit from working with a licensed mental health professional who is a trauma therapist.

      Getting Help in Trauma Therapy

      A skilled trauma therapist, who has advanced skills and training in trauma recovery, can help you to work through unresolved trauma.

      Rather than struggling on your own, seek help in trauma therapy so you can lead 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 have over 20 years of experience helping individual adults and couples (see my article: What is a Trauma Therapist?).

      I offer in person therapy in my Greenwich Village office or online sessions.

      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, June 30, 2025

      What is Hypervigilance and How is it Related to Unresolved Psychological Trauma?

      Hypervigilance is a heightened state of awareness that allows humans to sense threats in their environment.

      Hypervigilance and Psychological Trauma

      People who are in a perpetual state of hypervigilance feel like they are constantly under a threat.  The part of the human brain that manages emotions, the amygdala, is in overdrive.

      What Causes Hypervigilance?
      This article focuses on psychological trauma. However, there are other potential mental and physical causes of hypervigilance including:
      • Dementia
      • Adrenal Disorders
      • Fibromyalgia 
      Hypervigilance and Unresolved Childhood Trauma
      Children who grow up in a dysfunctional family where parents might be unpredictable, violent, abusing substances, physically abusive or neglectful learn to be hypervigilant as an unconscious survival strategy. They learn to sense their parents' shifting moods so they can be ready at all times to protect their safety.

      Hypervigilance and Unresolved Childhood Trauma

      Without help in therapy, these traumatized children usually grow up to be traumatized adults and they continue to be hypervigilant in their surroundings.

      Examples of Hypervigilance in Adults
      • Hypervigilance to Their Surroundings: People who grew up in an abusive family or who experienced abusive relationships as an adult might have a strong startle response reflex where they are startled by the slightest sound or movement.
      • Hypervigilance to Other People's Thoughts, Feelings and Behavior: People who experience hypervigilance might be very observant of other people's thoughts, feelings, behavior and body language for any signs of change or potential danger.
      • Hypervigilance of Their Own Body: People who experience serious medical problems or who have someone close to them who have experienced serious medical problems are often hypervigilant of their own body. A minor experience of pain might be perceived as a catastrophic disease.
      Hypervigilance and Catastrophizinglo
      • Hypervigilance and Catastrophizing: People who are hypervigilant tend to create negative narratives in their mind which can spin out of control. Small things, like a friend not responding to a text immediately, can develop into a catastrophic story where the friend has died. Even when things are going well, people who are hypervigilant might find it difficult to enjoy happy times because they are always waiting for the other shoe to drop (see my article: Are You Catastrophizing?).
      • Hypervigilance and Insecurities: Since hypervigilance is mostly about preventing or avoiding potential threats, people who are hypervigilant might attempt to ward off threats by people pleasing or fawning. They might struggle with regulating their emotions or trusting others. They might have problems letting their guard down so they can relax or they might be fearful they will say or do the "wrong thing" (see my article: Trauma and the Fawn Response
      • Hypervigilance and Avoidant Behavior: People who struggle with hypervigilance can be avoidant in ways that are detrimental to themselves and others. They might avoid people, places and things they fear. This can cause problems in their personal life as well as their career. For instance, if they experience minor turbulence on a plane trip, they might avoid ever getting on a plane again--even if it means they won't see close friends or family members or they might lose a job that involves travel. Another example is if someone is in a minor car accident where no one was hurt, they might avoid driving again--even if it means they can't visit people close to them or go to work.  A third example: If someone goes through a bad breakup, they might avoid dating or getting into another relationship. In other words, many other people, who don't experience hypervigilance, might be hesitant after having a bad relationship experience, but they learn to cope and they don't avoid.  In contrast, the person who is hypervigilant takes it to an extreme because it's their way of protecting themselves. However, in the process, they don't learn to cope or overcome their fears. They remain stuck (see my article: What is Avoidant Behavior?).
      What is the Potential Physical and Psychological Impact of Hypervigilance?
      People who experience hypervigilance might experience some or all of the following characteristics:
      • Chronic Stress: A constant flood of cortisol and adrenaline is exhausting and can cause medical, emotional and psychological problems.
      Hypervigilance and Relationship Problems
      • Relationship Problems: While people who experience hypervigilance might be more aware of potential red flags in a relationship, they might also have problems getting close or trusting even in a healthy situation. They might be overly sensitive or emotionally overreactive to a partner's comments. Some people might avoid getting involved in relationships at all because o they fear getting hurt (see my article: How Trauma Can Affect Your Ability to Be Emotionally Vulnerable in a Romantic Relationship).
      Hypervigilance, Loneliness and Isolaton
      • Loneliness and Isolation: A fear of making friends or seeking romantic relationships due to fear of getting hurt, can lead to isolation and loneliness (see my article: Loneliness and Social Isolation).
      How to Cope With Hypervigilance
      Here are some interventions that might be helpful to you:
      Coping with Hypervigilance By Meditating
      • Limiting or Eliminating Coffee, Alcohol or Other Substances: If you notice you feel worse after drinking coffee or alcohol, consider either limiting your intake or eliminating these substances.
      • Seeking Help in Trauma Therapy: If you work with a trauma therapist, you can learn to: 
        • Learn to overcome your triggers
        • Work through the psychological trauma underlying your hypervigilance so you are free from your traumatic history
      Getting Help in Trauma Therapy
      Trauma therapy includes various types of therapy that were developed specifically to help people to overcome trauma. 

      These include:
      • EMDR Therapy (Eye Movement Desensitization and Reprocessing Therapy)
      • AEDP (Accelerated Experiential Dynamic Psychotherapy)
      When you work with a skilled trauma therapist, you can overcome hypervigilance and unresolved psychological trauma.

      Getting Help in Trauma Therapy

      Rather than struggling nn your own, seek help from a licensed mental health professional who is a trauma therapist so you can lead a more fulfilling life.

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

      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.

      Also See My Articles: