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NYC Psychotherapist Blog

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Friday, September 5, 2025

Understanding Transactional Relationships

In an earlier article, I discussed transactional relationships (see my article: What Are Transactional Relationships?).

Understanding Transactional Relationships


Vignettes About Transactional Behavior
In the following vignettes, which are composites of many different cases, the underlying motivation is transactional:

Ron: A Transactional Coworker: 
Ron, who is a senior salesperson at his company, tends to perform seemingly kind and helpful favors for new female employees. Initially, the new female employees see Ron as a "nice guy" who goes out of his way to help them. 

A Transactional Coworker

However, within a relatively short period of time, these women realize Ron only appears to be kind and helpful. His real motivation is to try to ingratiate himself with these women with the motivation to eventually have sex with them. His usual pattern was to be "helpful" and, once these women trusted him, his real motivation surfaced when he would try to seduce them over drinks. Eventually, after several women complained to the human resources department, Ron was terminated.

Ann: A Transactional Friend: 
Ann felt little need for close friendships. She viewed most potential friends in terms of how she could benefit monetarily from the relationships. When she met Alice, who owned a consulting firm, Ann saw an opportunity to make money. She hoped that by becoming Ann's friend, she could promote her accounting business. Initially, Ann was seemingly kind to Alice. 

After Ann got to know Alice, she ingratiated herself by inviting Alice to dinner and buying her small gifts. Initially, Alice thought Ann was genuinely nice, but when Ann asked Alice to use her accounting firm and Alice told her she already had an accounting company she used in her business, Ann dropped the friendship and Alice never heard from her again. When Alice realized that Ann's friendship was conditional, she felt hurt and resentful.

Ed: A Transactional Date
During the first few weeks of dating Lena, Ed took her out to expensive restaurants and bought what appeared to be thoughtful gifts. When he drove Lena home from their third date, Ed told her that he thought it was time they spent the night together. In response, Lena told him she wasn't ready to be intimate with him and she wanted to get to know him better. 

A Transactional Date

At that point, Ed lost his temper and blurted out that he calculated he had spent more than $700 on her and he felt he deserved to have sex with her. Initially, Lena was in shock because she had never seen this angry transactional side to Ed's personality and she recoiled from him. Trying to recover his composure and "nice guy" image, Ed realized he had badly miscalculated the situation with Lena and he made excuses for his inappropriate behavior by saying he was under a lot of stress and he misspoke. But, by then, Lena realized Ed's "niceness" was calculated behavior and she wanted nothing to do with him.

What is Transactional Behavior?
Transactional behavior usually has the following characteristics:
  • It's a Means to an End: So-called kind behavior is a tactic to achieve a goal. The goal can be anything. It can involve other transactional behavior such as making a sale or hoping to gain some other benefit. 
  • It's Conditional Behavior: What appears to be kindness or agreeable behavior is conditional based on an anticipated return--even though it might not appear to be conditional at first. If the other person doesn't respond as the "nice guy" expects, he is often onto the next person who might give him what he wants. This often creates resentment. 
  • There is Unexpressed Scorekeeping: While a person who engages in genuine altruistic behavior doesn't keep score, a person who engages in transactional behavior usually keeps score about what they have given and what they hope to receive. 
  • There is a Shifting Focus: A person who is performatively "nice" is more focused on what they are getting than what they are giving. They often hope to get a lot more than they give.
Healthy vs Unhealthy Transactionalism

    Healthy Transactionalism:
In a professional setting where boundaries and expectations are clear, it's possible for there to be healthy transactionalism. For instance, in most professional settings employees understand they need to be polite and respectful to their boss who provides them raises. There is no manipulation or sneakiness in this setting.

    Unhealthy Transactionalism:
When conditional behavior becomes part of personal relationship, this can be indicative of unhealthy transactionalism. The partner who is being transactional has little emotional investment. Their motivation is self-serving. This can make the other partner feel used and perceive that their partner has little genuine interest in them other than what they can get.

How to Distinguish Genuine Reciprocity From Transactionalism
Genuine reciprocity is a part of all healthy relationships. 

In a healthy relationship there is a give-and-take, but in an unhealthy transactional relationship there are conditional exchanges with one or both people keeping score.

Healthy relationships involve:
A Healthy Relationship
  • Mutual generosity
  • Genuine trust
  • An investment of time and energy into the relationship with no other agenda
Getting Help in Couples Therapy
Some people are raised to view relationships in a transactional way, but many of them can learn to change.

If you and your partner would like to change the transactional nature of your relationship, you could benefit from seeking help in couples therapy.

Getting Help in Couples Therapy

A skilled couples therapist can help each of you to develop the necessary traits and skills to have a healthy relationship.

Rather than struggling on your own, seek help in couples therapy so you can have a more fulfilling relationship.

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

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 call me.




















Wednesday, September 3, 2025

Relationships: Overcoming a Pattern of Emotional Shutdown

There are couples who come to couples therapy where one or both people really believe they don't have emotions.  However, research indicates that all human beings have emotions including happiness, sadness, fear, disgust and surprise regardless of culture (see my article: Are You Able to Express Your Emotions to Your Partner?).

Emotional Shutdown in a Relationship

These emotions are biologically driven and linked to distinct facial expressions, so the capacity for emotions is a shared human experience (see my article: What Are the Benefits of Experiencing Your Emotions?).

What is Alexithymia?
It's estimated that anywhere from 5-15% of people have alexithymia, which is a condition where people have difficulty identifying, processing and expressing emotions.  The exact cause of alexithymia is unknown as of this writing. Psychotherapy with a therapist who is trained to treat alexithymia combined with medication is usually the recommended course of treatment.

What's Really Happening For the Other 85-95% of People in Relationships Who Believe They Don't Have Emotions?
What about the other 85-95% of people who don't have alexithymia who say they don't have emotions?

In most other cases, people who believe they don't experience emotions have one of the following problems:
  • Emotional Unavailability: People who have experienced traumatic conditions can experience difficulty connecting with and expressing emotions. They might believe they don't have emotions but, in reality, they don't realize their difficulty.
  • Emotional Repression: People who repress their emotions, either consciously or unconsciously, suppress their emotions, especially after traumatic incidents.
Emotional Shutdown in a Relationship
  • Trauma Response: People who experienced a traumatic event can shut down their emotions as a maladaptive coping mechanism or defense mechanism.
  • Learned Behavior: If individuals grew up in a family where they were discouraged from expressing emotions, they often don't learn to identify and express their emotions. This is especially true if a healthy expression of emotions wasn't modeled for them in their family. This learned behavior can be related to the three conditions mentioned above (emotional unavailability, emotional repression and trauma response).
What Are the Underlying Reasons When People Shut Down Their Emotions?
People who shut down their emotions often do so for one or more of the following reasons:
  • Fear getting overwhelmed
  • Fear of feeling helpless
  • Feeling ashamed
  • Fear of being rejected
What is the Impact on a Relationship When One or Both People Suppress Their Emotions?
Shutting down emotions, whether it's done consciously or unconsciously, becomes an obstacle in the relationship:
  • Loss of trust
Emotional Shutdown in a Relationship

Emotional Shutdown in a Relationship
  • negative cycle of withdrawal and feelings of neglect and loneliness for the non-withdrawing partner, which perpetuates the emotional disconnection between the partners. Over time, it becomes increasingly difficult to resolve conflicts.
Clinical Vignette: Overcoming the Negative Cycle of Ongoing Emotional Shutdown
The following clinical vignette, which is a composite of many different cases with all identifying information removed, illustrates how this negative cycle develops and how couples therapy can help:

Sandy and Eric
When Sandy and Eric sought help in couples therapy, they were almost ready to file for divorce.

Emotional Shutdown in a Relationship

At the time, they were together for seven years and married for five. Sandy was the one who suggested they try couples therapy before they split up. 

Sandy told the couples therapist she felt alone in her relationship because Eric wasn't able to express his emotions. As a result, she said, problems that came up weren't resolved because they weren't able to talk about them.

When it was clear to the couples therapist that Eric wasn't alexithymic and he was able to feel and express his emotions in other areas of his life, she asked Eric to become curious about his problems with expressing emotions.

Eric spoke about his family history and how his father often told him when he was growing up that boys who cried were "sissies". 

He told Eric that boys and men should control their emotions and shouldn't allow themselves to feel highs and lows. Instead, according to his father, Eric should focus on being logical and avoid displays of emotions (see my article: Why Family History is Important in Therapy).

Although as an adult, he understood that his father had his own problems with emotions and that he gave him bad advice, Eric didn't know how what he was feeling most of the time so it was hard to talk to Sandy, especially when they were having a disagreement. So, not knowing what else to do, he would withdraw emotionally and sometimes physically as well.

Hearing Eric talking about his difficult childhood, Sandy felt a deep sense of compassion for him and she reached out to hold his hand. When Eric felt the touch of Sandy's hand, his eyes welled up with tears, "I didn't realize until now that I've been so lonely and I've missed being touched by Sandy. I don't want to lose you, Sandy."

Their couples therapist worked with them to help Sandy to be patient and to help Eric to use the mind-body connection to identify and express his emotions. Over time, he learned that when he felt tightness in his throat, he felt sad and when he felt his stomach tighten, he felt fear. 

Gradually, Eric learned to use bodily awareness to identify and express emotions to Sandy and Sandy's empathy helped her to meet Eric halfway. 

As Eric allowed himself to be emotionally vulnerable with Sandy, they developed increased emotional intimacy with each other. As emotional intimacy developed, they gradually found their way back to sexual intimacy (see my article: Learning to Embrace Your Emotional Vulnerability).

EFT Couples Therapy Can Help

Their progress in couples therapy wasn't linear (see my article: Progress in Therapy Isn't Linear).

They still experienced problems with communication from time to time when Eric had difficulty being emotionally vulnerable, but they were able to discuss these difficulties and work out the problem.

Conclusion
There can be many reasons why people believe they don't experience emotions, as discussed above but, as mentioned earlier, most human beings are wired for experiencing and expressing emotions.

When emotional shutdown occurs in a relationship, it poses significant stress on the relationship and, over time, can lead to a breakup.

Couples who attend Emotionally Focused Couples Therapy (EFT) can develop the skills to overcome these difficulties if both people are motivated.

Getting Help in EFT Couples Therapy
Dealing with relationship problems in couples therapy is easier when couples seek help sooner rather than later because patterns aren't ingrained yet.

Getting Help in EFT Couples Therapy

If you and your partner are stuck in a negative cycle, rather than struggling on your own, you could benefit from working with an EFT couples therapist so you can have a more fulfilling relationship.

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

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.

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Tuesday, September 2, 2025

How Does Somatic Experiencing Heal Trauma?

As a psychotherapist who specializes in helping clients to overcome trauma, I have been using Somatic Experiencing (SE) regularly for 15 years and I have found it to be a highly effective therapy to heal trauma (see my article: What is a Trauma Therapist?).

Somatic Experiencing Can Heal Trauma

How Does Somatic Experiencing Heal Trauma?
Somatic Experiencing, which is an experiential therapy, helps to shift the body's autonomic physical responses by allowing clients to process and discharge "stuck" energy associated with trauma's fight, flight and freeze responses (see my article: Somatic Experiencing: A Mind-Body Oriented Therapy For Overcoming Trauma).

Examples of this include changes in heart rate, blood pressure, digestion, breathing, which are all part of the body's autonomic response system.

"Stuck" or "trapped" energy means the body's instinctive survival response (flight, flight, freeze) to a dangerous event doesn't complete, which leaves excess energy and heightened nervous system arousal stuck in the body. 

This unresolved survival energy can take the form of ongoing health and mental health problems including (but not limited to):
  • chronic pain
  • muscle tension
  • fatigue
  • problems with self regulation
Changes in SE are often subtle responses like feeling warmth, tingling or vibrations which indicate the release of trapped trauma-related energy.

A Somatic Experiencing therapist helps to guide clients to notice and track these felt sensations (see my article: What is the Felt Sense?).

Somatic Experiencing therapists also use pendulation to help clients shift their awareness from challenging emotions to a sense of calm so they can gradually process and integrate traumatic experiences (see my article: Coping With Emotional Distress By Using Pendulation in SE).

Understanding interoceptive and proprioceptive sensations is also part of the skill building clients learns in SE.

Interoceptive sensations are the sensations within your body, like the sensations mentioned above: heart beating, muscles tensing or feeling hungry or thirsty. As part of a traumatic experience, these sensations can become hyperactivated which leads to constant anxiety or discomfort.

Proprioceptive sensations is your body's sense of where its different parts are in space and how they are moving. Trauma can disrupt proprioceptive sensations which can make you feel disconnected from certain parts of your body.

SE can change these trauma-related disruptions to restore the natural rhythms of your nervous system that became dysregulated by the trauma.  

Along the way, you learn embodied awareness so you feel more connected to your body and bodily sensations instead of feeling overwhelmed by them. This can lead to the transformation of intense and distressing sensations to a greater sense of well-being and safety.

What Are the Benefits of Somatic Experiencing?
As an experiential therapyp, Somatic Experiencing integrates body awareness into the therapeutic process which makes it unique compared to other non-experiential therapies like regular talk therapy (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy to Overcome Trauma?).

Somatic Experiencing Can Heal Trauma

As mentioned above, Somatic Experiencing can help to release trauma which can bring the body back into a regulated state.

Somatic Experiencing can be used as a primary therapy or it can be integrated with other forms of experiential therapy including:

Getting Help in Therapy to Overcome Trauma
As a trauma therapist, Somatic Experiencing is one modality I use either alone or in combination with other types of experiential therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

I work in a collaborative way with clients to help them to decide which modality or combination of modalities would be best for their particular needs.

Getting Help in Therapy to Overcome Trauma

If you have been struggling with unresolved trauma, you could benefit from seeking help from a Somatic Experiencing therapist.

Freeing yourself from your traumatic history can help you to lead a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Certified 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.




















Monday, September 1, 2025

How to Quiet Your Overthinking Mind

The first step in quieting your overthinking mind is becoming aware of what you're worrying about and how it's affecting you.

How is Your Overthinking Mind Affecting You?
Worrying can take a toll on your physical and mental well-being.

How to Quiet Your Overthinking Mind

Take a step back and notice your thought patterns. When you have a moment to yourself, do you use it to relax or do something you enjoy or do you engage in repetitive thinking where you worry about whether you forgot to perform a task or if you overestimated how much someone likes you or something else you worry about?

If you tend to engage in worrying, notice how it affects your mood and how it affects your life. What's the primary emotion behind your overthinking? Are you feeling irritable, nervous or guilty? 

Being aware of the effect of overthinking also includes having bodily awareness. This means you notice your bodily responses, which might include tense shoulders, feeling tightness in your chest or clenching in your stomach--just to give a few possible examples.

How to Quiet Your Overthinking Mind

When you're aware of how you're thinking and the impact it's having on you, you have a better chance of changing it.

What Are Some Tips to Stop Overthinking?
  • Distract Yourself With An Activity You Enjoy: Go to your favorite workout class or take up a new hobby. Whatever you choose, make it something that will occupy your mind.
How to Quiet Your Overthinking Mind
  • Breathe: Learn square breathing to calm yourself. This can also take your mind off whatever you're ruminating about.  
  • Meditate: Mindfulness meditation can help you to quiet your mind and be in the present moment rather than worrying about other things.
  • Develop a Broader Perspective: To gain perspective on non-urgent matters, ask yourself if you will care about this non-urgent matter in five or ten years. By gaining a broader perspective, you can learn to prioritize other matters that are more important.
How to Quiet Your Overthinking Mind
  • Help Others: Rather than worrying, consider helping others. For instance, your friend who has a young child might appreciate a break if you watch her child. You can also volunteer to help those less fortunate than yourself.
  • Validate Yourself For Your Successes: Instead of focusing on things you feel you didn't get right or things you worry about not getting right in the future, acknowledge and validate your successes--no matter how small (see my article: What is Self Validation?).
How to Quiet Your Overthinking Mind
  • Take Action: Instead of worrying about the things you have done or haven't done, take action to do things you can take care of now. This can be empowering and give you a sense of accomplishment.
  • Embrace Your Fears: Learn to accept that some things will always be out of your control and, instead of trying to push your fears away, embrace them.
How to Quiet Your Overthinking Mind
  • Practice Self Compassion: Shift your thoughts and feelings from worrying to practicing self compassion.
Get Help in Therapy
If you have been unable to quiet your overthinking mind with self help tips, consider getting help in therapy. 

Get Help in Therapy

A skilled psychotherapist can help you to stop overthinking 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.

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.