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NYC Psychotherapist Blog

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Friday, February 27, 2026

How Are Emotions Processed in Accelerated Experiential Dynamic Psychotherapy (AEDP)?

I have been writing about emotions lately (see links to the prior articles at the end of this article).

As I have written in prior articles, Accelerated Experiential Dynamic Psychotherapy (AEDP) was developed by Diana Fosha, an American psychologist based in New York City.

How Emotions Are Processed in AEDP

AEDP is one of several types of therapy that fall under the umbrella of Experiential Therapy (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Heal Trauma?).

The other therapy modalities that fall under this category of Experiential Therapy include:
  • EMDR (Eye Movement Desensitization and Reprocessing)
If you haven't read my more detailed articles about AEDP, I recommend that you read these articles first:



How Are Emotions Processed in AEDP?
In AEDP emotions are processed by:
  • Here-and-Now Focus: Focusing on the here-and-now of the therapeutic relationship
How Emotions Are Processed in AEDP
  • Developing Secure Attachment: Working through painful emotions actively in a secure and supportive environment with a deeply attuned therapist
An AEDP therapist helps clients to move from a state of defensiveness or emotional numbness to an experience of transformation.

Creating a "Safe Container" For the Client to Process Emotions: 
The foundation of AEDP is helping the client to experience a secure attachment in the therapeutic relationship:
  • The Therapeutic Relationship: Developing a trusting and validating therapeutic relationship
  • Undoing Aloneness: Helping the client to undo the feeling of aloneness
A Here-and-Now Experiential Focus 
The AEDP therapist has a here-and-now experiential focus including:
  • Therapeutic Attunement: Attunement that tracks the client's moment-to-moment experience
  • Slowing Down: An AEDP therapist will often ask a client to "slow down" to catch the subtle shifts in emotion that might otherwise be overlooked.
Processing Core Emotions
The AEDP therapist helps the client to process emotions by:
  • Getting Past Defenses: The therapist asks the client to identify and soften defense mechanisms (e.g., anxiety, intellectualizing, rationalizing, denial, numbing) to reach the underlying core emotions.
How Emotions Are Processed in AEDP
Metaprocessing (Reflecting on the Experience)
The AEDP therapist facilitates metaprocessing by:
  • Discussing the Therapy Process: A key component of AEDP is metaprocessing where the client and therapist talk about what it's like to share these emotions in the room:
    • "What was it like to share that with me?"
A Corrective Emotional Experience
AEDP helps to bring about a corrective emotional experience by:
  • Reorganizing the Brain: By having a new positive experience of being seen, heard and understood while being in emotional pain, the brains neural pathways are reorganized which promotes neuroplasticity.
AEDP and Neuroplasticity
  • Shifting From Avoidance to Connection: The process transforms shame into self compassion and changes habitual avoidance of feelings into a capacity for emotional awareness.
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.

Also See My Articles: 























Thursday, February 26, 2026

What Does Processing Your Emotions Mean?

If you have ever been in therapy, you have probably heard the term "processing your emotions".  It's a term that psychotherapists use often in therapy, but many people either don't understand what that term means or they have only a vague sense of it.


Processing Emotions in Therapy

What Does It Mean to Process Your Emotions?
Processing your emotions means consciously acknowledging, experiencing and integrating your feelings instead of suppressing or ignoring them (see my article: What's the Difference Between Emotional Regulation and Controlling Your Emotions?).

Key Aspects of Processing Your Emotions
  • Sense Your Emotions: Emotions are embodied experiences. If you want to process your emotions, you need to have a somatic awareness of them, e.g., a tightness in your chest, a clinching in your stomach, and so on (see my article: The Mind-Body Connection: What is Somatic Awareness?).
Sensing Emotions
  • Name Your Emotions: Labeling your emotions is essential to processing them ("I feel angry" or "I feel sad" and so on).
  • Allow Yourself to Experience Your Emotions: Instead of resisting or pushing down your emotions, you allow yourself to experience them. You are also aware that, unless you prolong the experience by ruminating about them too much or telling yourself a negative story about your emotions, emotions tend to rise, peak and subside in about 90 seconds (see my article: Managing Your Emotions: What is the Life Cycle of an Emotion?).
Allowing Yourself to Feel Your Emotions
  • Identify Your Triggers: Understanding what triggered an emotion and the root cause of the trigger.
  • Integrate Your Emotions: Make sense of your experience within the context of your life history, including your family history.
  • Take Action: Take action, if needed, to resolve a situation rather than just worrying about it.
How to Process Emotions
Psychotherapy is one of the best ways to process emotions with the help of a mental health professional, but it's not the only way.

You can also process your emotions on your own by:
  • Journaling: Writing down your thoughts and emotions to get clarity (see my article: Journaling).
Processing Emotions By Journaling
Observing Emotions in Mindfulness Meditation
  • Physical Movement: Yoga, exercising at a pace that's right for you and other types of physical movement can help you to release physical tension
  • Breathing: Breathing exercises, like Square Breathing, can help to calm your nervous system
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.


















Wednesday, February 25, 2026

What's the Difference Between Emotional Regulation and Controlling Your Emotions?

I've written about emotional regulation in prior articles (see the links listed at the end of this article).

What's the Difference Between Emotional Regulation and Controlling Your Emotions?
Many clients have asked me this question, especially clients who are learning how to identify and express their emotions (see my article: Alexithymia - Also Known as Emotional Blindness).


Emotional Regulation vs Controlling Your Emotions

Emotional regulation is the healthy process of identifying, feeling and expressing your emotions without being overwhelmed or overwhelming others.

Controlling your emotions involves forcefully suppressing or hiding emotions which often stems from shame. Controlling your emotions usually leads to long term stress which, in turn, can turn into medical problems including headaches, irritable bowel syndrome, hypertension and other stress-related physical problems.

Whereas when you regulate your emotions, you are doing it with self awareness, controlling your emotions is a restrictive, temporary fix.

Core Differences Between Emotional Regulation and Controlling Your Emotions:
  • Approach: Emotional regulation acknowledges and accepts your emotions. This allows you to experience them so you can choose a balanced reaction. Conversely, control involves denying, suppressing or forcefully pushing away emotions. 
  • Goal: The goal of emotional regulation is to process, learn from and move through emotions in a. healthy way. The goal of control is to minimize or eliminate the outward expression emotions to avoid vulnerability and appear to be "strong". As part of emotional regulation, you also recognize that emotions have a natural life cycle that last about 90 seconds if you don't feed them by ruminating, overanalyzing and continuing to tell yourself negative stories about them (see my article: Managing Your Emotions: What is the Life Cycle of an Emotion?).
Emotional Regulation vs Controlling Your Emotions
  • Impact on Self: Whereas emotional regulation builds self compassion and mental health, control often leads to increased anxiety, including panic attacks, shame and physical stress.
  • Flexibility vs Rigidity: Emotional regulation is adaptive and flexible, which allows emotional expression that is appropriate to the situation. Control is rigid, which often leads to a limited range of expressed emotions. 
Clinical Vignette
The following clinical vignette illustrate the difference between emotional regulation and controlling emotions:

Tom
When he was a boy, Tom would get punished by his parents if he cried. They told Tom that "boys don't cry" and punished him whenever he showed any signs of sadness--even when he was a young child.

Neither of Tom's parents showed any signs of sadness or grief. The only emotion they expressed was anger.

When the family dog died, they remained stoic and discouraged Tom from expressing sadness or grief--even though the dog was Tom's constant companion from the time he was a toddler.

As an adult, when Tom got into a serious relationship, his girlfriend, Ann, asked him why he hardly ever showed any emotions except anger. She told him she often felt alone with her feelings because Tom was so aloof.  She also pointed out that Tom's body seemed so rigid and she was concerned for his physical health.

Tom didn't respond immediately to what Ann said, but he began to reflect on her words. He decided to talk to a mental health professional about it.

Tom's therapist talked to him about the difference between emotional regulation and controlling his emotions. After she asked him about his family history, she helped Tom to make the connection between how his parents suppressed their emotions, how they discouraged his expression of emotions and how he also learned to suppress emotions.

The work was challenging for Tom because his usual way of handling uncomfortable emotions was to suppress them, but in therapy he gradually learned how to identify and express his emotions in a healthy way.

Initially, he felt like he was doing something wrong, especially when he allowed himself to feel sadness. He could hear his parents voices in his head saying "Boys don't cry". But he realized that uncomfortable emotions are like waves--they ascend, peak and subside eventually. He also realized that he felt much better when he allowed his emotions to release.

Over time, Ann noticed the difference in Tom and she felt much closer to him.  Tom also felt closer to Ann and more relaxed with himself.

Conclusion
Managing your emotions is part of developing emotional intelligence which is essential for your own well-being as well as maintaining healthy relationships.

Emotional Regulation vs Controlling Your Emotions

If you're having problems with emotional regulation, you could benefit from working with a licensed mental health professional who can help you to develop emotional regulation skills.

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:


















Monday, February 23, 2026

The Silent Treatment and Gaslighting As Emotional and Psychological Abuse

The combination of the silent treatment and gaslighting is a powerful form of emotional and psychological abuse (see my article: What is Psychological Manipulation?).

Let's look at each one separately and then we'll look at them together.

What is the Silent Treatment?
It's important to distinguish the silent treatment from someone who communicates they need a break from an argument.  

The Silent Treatment

When someone communicates they need a break, they usually do it because they are feeling overwhelmed or they feel a conflict is getting out of control and both people need a break. The understanding is that this is a temporary break and both sides will come together again in a calmer state to continue talking.

The silent treatment a deliberate and prolonged withdrawal of communication. It's usually used to control and inflict punishment.  

What is Gaslighting?
Gaslighting involves manipulating someone into questioning their own thoughts, perceptions and memories (see my article: What Are the 7 Stages of Gaslighting in a Relationship?).

Gaslighting

Gaslighting is a control tactic to get someone to doubt their reality so they often become dependent upon the abuser.

    Common tactics or phrases include:
  • Denial of Facts: "That never happened" or "I never said that" even when they are confronted with proof
  • Trivializing Feelings: "You're overreacting" or "You're too sensitive"
  • Diverting/Blocking: "You're just imagining things" or accusing someone of being "crazy"
  • Twisting Information: Manipulating events to make the other person feel guilty or at fault
    Signs of Gaslighting:
  • Second-Guessing Yourself: You constantly second guess your memories or decisions.
  • Confusion, Anxiety, Disorientation: You feel confused, anxious or disoriented.
  • Self Doubt: You feel like you can't do anything right.
How Does the Combination of the Silent Treatment and Gaslighting Function as Abuse?
  • Gaslighted By Silence: When someone uses the silent treatment, they are withholding emotion and connection. If they deny they were cold or indicate that they were "just taking space", despite engaging in a cruel and prolonged shutdown, they are using silence as a form of gaslighting.
Gaslighting By Silence
  • Creating "Crazy-Making" Doubt: They might ignore the other person after a disagreement and then act as if nothing happened or accuse the other person of overreacting when they try to address their prolonged coldness. This can cause the other person to question their perceptions.
  • The Cycle of Punishment and Reward: They use silence to punish the other person as a way to manipulate them into "working" for the resumption of the conversation (e.g., apologizing for something they didn't do).
  • Narcissistic Tendencies: People who use the silent treatment and gaslighting tend to have narcissistic tendencies. They often engage in this behavior to avoid taking responsibility.
What is the Psychological Impact of the Silent Treatment and Gaslighting?
  • Internalized Blame and Feelings of Inadequacy: The person who is experiencing the silent treatment and gaslighting can feel shame, guilt and a decrease in their sense of self worth.
Self Blame and Doubt
  • "Walking on Eggshells": They can develop high anxiety and hypervigilance while monitoring the other person's mood to avoid another episode of the silent treatment.
  • Trauma Bonding: The unpredictable cycle of severe disconnection followed by sudden reconnection can create trauma bonds making them increasingly dependent on the other person (see my article: What isTrauma Bonding in a Relationship?.).
  • Physical and Neurological Pain: Research indicates that being deliberately ignored activates the same area in the brain, the anterior cingulate cortex, that processes physical pain.
  • Long Term Effects: Prolonged exposure to a combination of the silent treatment and gaslighting can lead to symptoms similar to posttraumatic stress disorder (PTSD) including chronic stress, anxiety, depression and confusion.
What Can You Do If You're Experiencing the Silent Treatment and Gaslighting?
  • Be Aware This is Abuse: By recognizing this behavior as abuse that is meant to control you can help you to reduce self blame.
Setting Boundaries
  • Document Incidents: Keep a record of these incidents to counteract the effects to gaslighting.
Getting Help in Therapy
  • Seek Support: Reach out to trusted friends, family members and a licensed mental health professional to break the cycle of isolation.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), AEDP, 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.









Friday, February 20, 2026

How Does Shame Impact Relationships?

Shame can lead to destructive behavior in relationships (see my article: Self Acceptance as the Antidote to Shame).

How Shame Impacts Relationships

Shame often causes partners to present a false self in their relationship (see my article: Becoming Your True Self).

How Does Shame Impact Relationships?
Shame often shows up as unconscious self protective behavior driven by fear of being seen as flawed or unlovable.

Here are some of the ways shame impacts relationships:
  • Emotional Withdrawal and Distancing: A partner might shut down emotionally or physically, go silent, pull away to hide feelings of inadequacy which creates barriers to intimacy.
How Shame Impacts Couples
  • Perfectionism and People Pleasing: A partner might try to earn love by trying to be "perfect", which causes them to abandon their own emotional needs in order to please their partner and avoid rejection (see my articles: People Pleasing and What is Self Abandonment?).
  • Self Sabotage: Shame can make a partner believe they are unworthy of love which can cause them to create conflict or push their partner away (see my article: Overcoming Self Sabotaging Behavior).
  • Defensiveness: Shame can make a partner defensive, blame their partner or refuse to take responsibility for their actions (see my article: How to Change Defensive Behavior).
  • Physical Signs: Shame can be expressed through body language such as tension, hunched posture, blushing or refusing to make eye contact.
  • Controlling Behavior: A partner can behave in a domineering way to hide their feelings of inadequacy (see my article: Controlling Behavior).
How to Overcome a Negative Cycle of Shame in a Relationship
Here are some of the essential strategies for overcoming shame in a relationship:
Overcoming the Negative Cycle
  • Identify Triggers: Identifying each partner's triggers will help each person to be aware and try to avoid triggering and retriggering each other. Being aware of triggers can also help partners to identify and prevent the negative cycle in their relationship.
  • Practice Compassion: Compassion, including self compassion, can help you to feel empathy for yourself and your partner.
  • Own Your Mistakes: When you own your mistakes, instead of becoming defensive, you and your partner are more likely to be able to repair ruptures without creating long lasting resentment (see my article: Having the Courage to Admit to Your Mistakes).
Create Emotional Safety in Your Relationship
  • Replace Shame With Connection: Share your vulnerable feelings with your partner. Instead of being judgmental with your partner, become curious. Create a relationship where you both feel seen, heard and valued. Aside from communicating verbally, rebuild closeness through shared activities like physical touch, hobbies or going for a walk.
Seek Help in EFT Couples Therapy
  • Seek Professional Help: If you and your partner feel stuck, seek help from a licensed mental health professional who is an Emotionally Focused couples therapist (EFT). An EFT therapist can help you to overcome the negative cycle in your relationship that keeps you from having a fulfilling relationship (see my article: What is Emotionally Focused Therapy For Couples?).
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS/Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience working with individual adults and couples.

To learn 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, February 17, 2026

Getting Your Emotional Needs Met in Your Relationship

In Julie Mennano's book, Secure Love, she discusses how couples attempt to get their attachment needs met based on their attachment styles.

Getting Your Attachment Needs Met

How Are Attachment Styles Formed?
Attachment styles are formed primarily during infancy and early childhood. 

Attachment styles develop based on the responsiveness, consistency and emotional availability of the child's caretakers.

These early interactions form an internal working model or "blueprint" for how individuals perceive, expect and act in relationships, including adult romantic relationships (see my article: How Early Attachment Bonds Affect Adult Relationships).

What Are Attachment Needs?
Attachment needs are basic human needs for safety, security and connection.

As adults, these attachment needs are primarily met in romantic relationships--although they can also be met through other relationships like close friendships.

Core attachment needs include:
  • Safety and security: A predictable, reliable environment
  • Soothing (regulation): Comfort and support
  • Validation and attunement: Feeling seen, heard, understood and worthy to their partner
  • Connection and belonging: A need for closeness and acceptance which reduces loneliness
  • Structure and boundaries: Clear rules and limits that provide a structure for safety
Within the attachment styles, there are three insecure attachment styles and one secure attachment styles.

About 50% of people have a secure attachment style and 50% have an insecure attachment style.

The insecure attachment styles include:
  • Anxious attachment
  • Avoidant attachment
  • Disorganized attachment
Although couples can be any combination, most couples with insecure attachment are usually made up of one person with an anxious attachment style and one person with an avoidant attachment style.

Anxious Attachment Style
People with an anxious attachment style try to get their attachment needs met through protest behavior and other similar behaviors which are driven by a deep fear of abandonment.

Anxious Attachment Style

Although their desire is to get their partner's attention and re-establish connection, their efforts often have the opposite effect on their partner.

Common behaviors include:
  • Protest behavior: Engaging in actions which are meant to get their partner's attention and try to re-establish connection including threatening to leave, sending many texts, leaving many phone messages, trying to make their partner jealous.
  • Hypervigilance: Monitoring their partner's behavior in a state of hypervigilance for lack of attention or signs of emotional withdrawal which they interpret as threats to the relationship.
  • Overcompensation and clinging: Becoming clingy as a way to ensure their partner stays. This often results in their neglecting their own needs in the process (see my article:What is Self Abandonment?).
  • Emotional volatility and conflict: Using intense emotional outbursts, lashing out and or criticism to force engagement.
  • Guilt-tripping: Using passive aggressive tactics to get affection from their partner.
Avoidant Attachment Style
People with an avoidant attachment style try to get their attachment needs met by creating physical and emotional distance to avoid feeling overwhelmed. 

Avoidant Attachment Style

Their challenge is they often find it difficult to articulate their need for space without seeming distant or rejecting of their partner.  

Common behaviors include:
  • Preferring "parallel" connection: They might feel more comfortable being in the same room with their partner while they watch TV silently or doing separate activities rather than engaging in direct emotional connection.
  • Enforcing boundaries: They require significant personal space to regulate themselves emotionally, pulling away when they feel smothered or during conflict as a way to regain a sense of safety.
Disorganized Attachment Style
People with disorganized attachment style try to get their attachment needs met through a  tumultuous "push-pull" dynamic where they shift from demands for closeness to sudden fearful withdrawal.

Their challenge is they desire closeness but they also fear it, which leads to chaotic and unpredictable behavior in their partner's eyes. At times, they might preemptively reject their partner to avoid feeling abandoned (see my article: An Emotional Dilemma: Wanting and Dreading Love).

Common behaviors include:
  • Push/anxious behavior: When they fear they will be abandoned, they can become clingy, demanding or highly dependent as a way to get reassurance from their partner.
  • Pull/avoidant behavior: When they feel emotionally vulnerable, they can become abruptly cold, distant or erratic to regain their sense of safety and independence.
  • Conflicting communication: They might give mixed messages, wanting affection but acting cold and rejecting.
  • Self-sabotage: When they believe they might get hurt by their partner, they might unconsciously create conflict or break up with a partner to feel like they are in control of the rejection (see my article: Overcoming Self Sabotaging Behavior).
  • Problems regulating emotions: They can struggle to express their needs. They often react to past unresolved trauma rather than what is happening in the present which makes it difficult for them to communicate their needs and for their partner to understand their needs (see my article: Emotional Regulation).
Problems For Couples With Anxious and Avoidant Attachment
Couples with insecure attachment often struggle with intense emotional instability, poor communication and trust issues.

Anxious and Insecure Attachment

Common problems for couples with an anxious and an avoidant attachment can be intense codependency as opposed to interdependency (see my article: What is the Difference Between Codependency and Interdependency?).

The anxious partner's demands for closeness can trigger the avoidant partner's need to withdraw which, in turn, reinforces the anxious partner's anxiety so they get caught in a negative cycle (see my article: Breaking the Negative Cycle in Your Relationship).

What is Emotionally Focused Therapy For Couples?
Emotionally Focused Therapy (EFT) helps each individual to understand their own attachment style and how they create a negative cycle together (see my article: What is Emotionally Focused Therapy for Couples?).

EFT also helps couples to learn that neither of them is the "enemy". Instead, the "enemy" is the negative cycle which they must learn to break together as a team.

Getting Help in Emotionally Focused Couples Therapy
If you and your partner are stuck in a negative cycle, you could benefit from working with a licensed mental health professional who is an EFT couples therapist.

Getting Help in EFT Couples Therapy

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

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 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.