How Does Imagery and Imagination Enhance Psychotherapy?

I have been using imagery and imagination in therapy with my clients for many years (see my article: Using the Imagination as a Powerful Tool For Change).

Imagery and Imagination in Psychotherapy

The Imaginal Realm: Working With Visual Mental Imagery

I recently attended an advanced AEDP (Accelerated Experiential Dynamic Psychotherapy) seminar called "Imaginal Realm: Working With Visual Mental Imagery in AEDP" which was a deep dive into using imagery and imagination (see my article: What is AEDP?).

When I refer to "imagery", I'm not only referring to visual imagery. Aside from visual imagery, many people get non-visual imagery in sessions. 

For instance, some clients get mental representations through sound (hearing music in their mind), scents that can trigger old memories, kinesthetic experiences (feeling movement), tactile experiences, and an embodied or felt sense of conceptual/verbal imagery such as thinking of concepts or having an internal dialog.

During therapy sessions, I sometimes get visual images in my imagination or a song comes to mind. Over the years, I have learned to appreciate these experiences as messages from my unconscious mind because they often tell me what is going on for the client or what is going on between the client and me.

It's not unusual for me to have an image, song or a word in mind and then a few seconds later the client mentions the same image, song or word (see my articles: Synchronicities - Part 1 and Part 2).

Over time, I have learned that these experiences occur when I feel especially attuned to the client. Other therapists, especially therapists who are experiential therapists like me, have told me that they have similar experiences in therapy (see my article: The Psychotherapy Session: A Unique Intersubjective Experience).

The Use of Metaphors in Psychotherapy

Over the years, I have heard clients use many metaphors unprompted by me, including: 

• "It's like searching for the Holy Grail."
• "I'm no longer jumping into the vortex of other people's drama."
• "I feel like I'm trapped in a cage."
• "I'm no longer putting up walls."
• "I walked on eggshells with my ex."
• "I'm drowning in paperwork."
• "I keep hitting my head against a wall."
• "He swept me off my feet."
• "A weight has been lifted off my shoulders."

Metaphors are beneficial in therapy because they can:

• Enhance clients' communication by allowing them to express feelings they might otherwise have a hard time articulating

• Deepen insights that can lead to a reframing of a problem, a relationship or an idea

• Bypass rational defenses offering a way to talk about sensitive subjects and break rigid and unhealthy thought patterns

• Strengthen the therapeutic alliance between client and therapist

How Imagery and Imagination Enhance Psychotherapy

Imagery and imagination can enhance therapy by engaging the emotional brain. This allows clients to access and process unconscious emotions.

It also helps clients to make behavioral changes through mental rehearsal.

Imagery and Imagination in Psychotherapy

An example of how to use mental rehearsal is a client who wants to become more confident to give presentations at work. This client can vividly imagine their "Future Self", who can exist at any time in the future. They can imagine a self who has all the confidence, qualities and skills they would like to have (see my article: Experiencing Your Future Self).

Using imagination in this way can strengthen neural pathways and prepare the brain for success.

Clients can also see and feel themselves walking into the presentation room feeling prepared and confident, speaking with passion and receiving applause after the presentation. They might even imagine their boss coming over and praising the presentation. 

AEDP Portrayals

One of the main components in AEDP is doing "portrayals" in therapy sessions.

AEDP portrayals are active experiential and imaginative enactments in the therapy session.

To set up doing a portrayal an AEDP therapist prepares the client prior to doing the portrayal by:

• Establishing Safety and a Therapeutic Alliance: The therapist establishes an attuned connection with the client to ensure the client feels safe and to prevent them from feeling overwhelmed.

• Identifying the Core Material: In collaboration with the client, the therapist identifies a memory or a part of the client's self that still has an emotional charge.

• Inviting Immersion (The Setup): The therapist invites the client to slow down, close their eyes and visualize the scene using as many sensory details as possible (sight, sound, body sensations and so on).

• Role Playing (Doing the Portrayal): The therapist guides the client to talk to the imagined person or part of themself by expressing vulnerable or assertive feelings they couldn't express in the past. This might involve imagining talking to a frightened younger part of themself, talking to a parent in a memory from the past, confronting someone who abused them and so on.

There are different types of AEDP portrayals including:

• Reparative Portrayals: An example might be a client imagining a new outcome to a painful scene in their life. In this type of portrayal the client can offer themself what might have been needed and lacking in real life to repair emotional damage.

• Internal Parts Work (intra-relational portrayals): Having a dialog with different aspects of themself to resolve internal conflict (similar to Parts Work Therapy/IFS).

Imagery and Imagination: Internal Parts of Self

• Relational Attachment Portrayals: Reenacting relationships to process emotions to attachment figures (e.g., parents, siblings, a ex-lover, etc). 

• Feared Portrayals: Actively engaging with a threatening figure from real life or from a dream to process the emotional impact, reduce shame and anxiety, and to feel empowered.

• Longed-For Portrayals: The client imagines receiving the love, emotional support or validation they desired but never received from a significant person in their life.

• Moment-to-Moment Tracking: Moment-to-moment tracking is an essential part of AEDP whether the interaction involves a portrayal or a conversation between the client  and the therapist in session. This involves the therapist staying closely attuned to the client's facial expressions, movements, emotions and defenses. The therapist also monitors her own mental, emotional, imaginal and bodily sensations.

• Metaprocessing After a Portrayal: The client and therapist process the experience together afterward to help the client to integrate the experience by building a bridge between the client's right brain and left brain. Among other things, the therapist explores with the client what it was like to do the portrayal and, specifically, what it was like for the client to do the portrayal with the therapist. The focus is on what might have changed for the client or what was transformative about the experience. Processing helps the client to hold onto and integrate positive experiences (see my article: How Are Emotions Processed in AEDP?).

Using Imagery and Imagination on Your Own

Aside from the use of imagery and imagination in therapy, athletes  also use mental rehearsal, including visualization, to imagine a successful performance, including overcoming potential obstacles they might encounter. This can help them to build confidence, improve focus and enhance performance.

You can also use your imagination in creative ways on your own to have fun and, if you like, achieve goals.  There are endless ways to use your imagination on your own including:

• Using Creative Visualization For a Hoped-For Outcome: This can involve imagining a hoped-for outcome in your personal life, career or in any other part of your life.

Imagery and Imagination: Hoped-For Outcome

• Imagining "What If" Problem Solving: When you encounter an obstacle, including an internal obstacle, you can imagine "What if there were no limits?" and visualize different solutions, including solutions that might seem unattainable at first but might spark a new perspective.

• Using the "Lightstream" Technique: If you're dealing with stress, you can imagine a soothing, healing light flowing through your body to alleviate stress or physical discomfort.

Future Articles

Using imagery and imagination is one of my favorite topics, so I'll write more about it in future articles.

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:

The Mind-Body Connection as a Window Into the Unconscious Mind

Using the Mind-Body Connection to Create the World You Want 

Dreams and Embodied Imagination 

Working With Your Dreams to Develop Your Creative Imagination 

What Are Imaginal Interweaves?  

Books: Imagination and Medicine

What is Dual Awareness in Psychotherapy?

The concept of dual awareness is essential in psychotherapy, especially when working on unresolved trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma?).

Dual Awareness in Trauma Therapy

What is Dual Awareness in Trauma Therapy?

The ability to maintain dual awareness is especially important when processing traumatic memories in trauma therapy (see my article: Healing in Trauma Therapy).

Dual awareness is the ability to process traumatic memories while remaining grounded in the safety of the here-and-now.

Dual Awareness in Trauma Therapy

In other words, clients need to balance two realities: the here-and-now as well as the traumatic memory that is being worked in therapy. That means they are aware that, even though they are discussing a traumatic memory, they are safe with their therapist (see my article: Why Establishing Safety is So Important in Trauma Therapy).

Before doing any processing in trauma therapy, it's important for the trauma therapist to prepare clients for the work by ensuring clients have internal and external resources or coping skills, including the ability to remain present and embodied (see my article: Developing Coping Strategies in Trauma Therapy).

To remain embodied means maintaining a conscious connection to their emotions and bodily experiences while processing traumatic emotions (see my article: What is Somatic Awareness?).

Key Concepts of Dual Awareness:

Prior to processing traumatic memories, their therapist helps prepare clients to:

• Balance Two Realities: Clients acknowledge feeling certain emotions related to past traumatic memories at the same time that they know they are safe in the moment with their therapist. 

• Develop an Observing Self: Clients learn to develop an observing self who witnesses their internal experiences (thoughts, emotions, bodily sensations) while processing memories from the past. This observing self can go by many names including Core Self, Adult Self, Higher Self or whatever name is meaningful to clients. Because they have developed a part of themselves that can witness their experiences, they don't feel overwhelmed. This also helps to prevent retraumatization.

Therapeutic Techniques: Trauma therapists often use various techniques to help clients to balance processing past memories with remaining grounded in the present moment. 

Some of these techniques include:

• Pendulation which was developed in Somatic Experiencing Therapy, where the therapist helps clients to shift their awareness from a traumatic memory or experience to a calm or neutral experience or to their Core Self/Adult Self as a way to work on these memories in manageable segments so clients don't become overwhelmed.

• Imaginal Interweaves: Prior to choosing a traumatic memory to work on, clients choose people from their past or present life who would be emotionally supportive. While working on the memory, clients imagine these individuals are accompanying them on their healing journey to undo feelings of aloneness. These people might include a favorite relative, a best friend from the past or the present, a loving teacher and so on. If clients can't imagine anyone they know, they can also choose a person they don't know personally, like a character from a movie or a book, that they can imagine being with them in an emotionally supportive role. In some circumstances, clients might choose someone who they imagine could have intervened directly, like a protective or powerful person who would have protected them when they were younger.  In reality, clients know there might not have been anyone in the original traumatic memory that helped them, but dual awareness allows them to imagine and have a felt sense of being helped or protected.

Dual Awareness in Trauma Therapy

• Breathing Exercises: Being able to pause the work and take a cleansing breath can help the trauma work to remain manageable and tolerable. Clients can also use breathing exercises between sessions.

• Containment: Containment can include clients imagining they can put the traumatic memory away in a box of their choosing at the end of the session. Some clients like to imagine that their therapist keeps the box for them or that they keep the box themselves in a safe place until the next time they work on the memory.

• Learning How to Manage and Reduce Triggers : A trigger is a person, place or thing that causes an unexpected intense reaction related to an experience from the past (see my article: 8 Tips For Coping With Triggers).

What Are the Different Types of Trauma Therapy?

There are different types of trauma therapy including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Somatic Experiencing

• Parts Work Therapy (IFS and Ego States Therapy)

Getting Help in Trauma Therapy

Trauma therapy can help you to process traumatic memories so they no longer affect you in your current life.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist so you can live a more meaningful life free from your traumatic history.

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 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.

Also See My Articles:

What is a Trauma Therapist? 

Overcoming Trauma: You're Not Defined By What Happened to You 

What is Complex Trauma? 

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)

• Parts Work (IFS and Ego States Therapy)

• Somatic Experiencing

If you haven't read my more detailed articles about AEDP, I recommend that you read these articles first:

What is AEDP? - Part 1 and Part 2

How Does AEDP Work?

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

• Somatic Awareness: Focusing on bodily sensations or somatic awareness

• 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

• Accessing Core Emotions: Once defense mechanisms soften, the client can work through deep core emotions. like sadness, grief, fear, anger or shame, which allows the client to feel the full wave of emotions (see my article: Getting Out of Your Head With Experiential Therapy).

• Facilitating Transformational Affects: By fully experiencing emotions in a safe therapeutic environment, the client can move from feeling trapped or broken to a safe of relief, self compassion and emotional resilience (see my article: Riding the Waves of Transformation)

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?"

• Cementing the Change: Reflecting on the experience helps to solidify the healing, deepen self awareness and strengthen the client's capacity for emotional regulation.

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: 

Managing Emotions: What is the Life Cycle of Emotions?  

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

Coping With Alexithymia - Also Known as Emotional Blindness 

Emotional Regulation: How Do You Know What You Need When You're Distressed? 

What is Emotional Co-regulation? 

What's the Difference Between Emotional Co-regulation and Emotional Self Regulation? 

What is the Life Cycle of an Emotion?

How to Avoid Making the Same Mistakes From One Relationship to the Next

Years ago a friend said to me, "I just don't have any luck in relationships." 

How to Avoid Making the Same Mistakes in Relationships

At that point, I knew he wasn't ready to hear that "luck" had nothing to do with his ongoing relationship problems. 

Once he had taken the time to heal from his last breakup, he was able to see how he was unconsciously recreating the same problems from one relationship to the next with the same result--heartbreak (see my article: How to Stop Bringing Old Wounds Into a New Relationship).

What Are Relationship Patterns?

A relationship pattern is when you repeat the same behaviors repeatedly in old and new relationships so that you keep creating the same negative cycle.

How to Avoid Making the Same Mistakes in Relationships

No one wants to hear that they are unconsciously bringing the same problems into all their relationships. It takes a genuine sense of curiosity and an openness to become more self aware to hear how you might be creating problems for yourself (see my article: What is Self Reflective Awareness and Why Is It Important to You?).

What Are Some of These Unhealthy Patterns?

Some of the unhealthy patterns include (but are not limited to):

• Choosing partners with the same or similar problems (e.g., problems with alcohol/drugs, abusive behavior and so on)

• Being unwilling to communicate when challenging issues arise (see my article: Are You a Stonewaller?)

• Being unwilling to see how you contribute to the negative cycle in your relationship

• Being too dependent on your partner (see my article: What is the Difference Between Codependency and Interdependency?)

• Being unwilling to compromise or change your behavior which contributes to the negative cycle in your relationship

How to Avoid Making the Same Mistakes in Relationships

• Expecting to have all your needs fulfilled by your partner (see my article: Your Partner Can't Fulfill All Your Needs)

• Behaving like a parent to your partner (see my article: Behaving Like a Parent to Your Partner Could Be Ruining Your Relationship)

• Acting like a roommate to your partner (see my article: Have You and Your Partner Stopped Having Sex?)

• Controlling or passive aggressive behavior (see my article: Controlling Behavior)

• Keeping score (see my article: Stop Keeping Score in Your Relationship)

Why Do People Repeat the Same Negative Relationship Patterns?

Sigmund Freud developed the original concept of repetition compulsion which is a tendency to unconsciously reenact past unresolved trauma in an attempt to try to gain mastery over them.

Relationship repetition syndrome is the modern psychological application of Freud's repetition compulsion where individuals recreate painful and traumatic attachment patterns in adult relationships (see my article: What is Traumatic Reenactment?).

Key Factors of Relationship Repetition Syndrome

• Lack of Awareness and Self Reflection: If you get involved in a new relationship too quickly, you're not taking the time to understand what went wrong in the last relationship and your contribution to it.

• Ignoring Red Flags: Related to lack of awareness and self reflection, when you ignore or minimize red flags with new partners, you're more likely to repeat the same problems (see my article: Are You Ignoring Red Flags?).

• An Unconscious Drive to Repeat the Same Patterns: There is an unconscious compulsion to recreate familiar painful dynamics. 

• Being Drawn to What is Familiar: You're drawn to what is familiar, even if it's painful, because the brain interprets familiarity with being "normal".

• Unresolved Trauma: These patterns often stem from early childhood trauma or past traumatic relationships that haven't been fully processed or resolved (see my article: When Past Trauma Affects You in the Present).

• The Desire For Mastery: According to Freud, repetition compulsion is an unconscious attempt to change the end of past trauma, especially early childhood trauma. Similarly, when you might reenact conflicts each partner hoping to "fix" your partner to achieve a different outcome than the original childhood trauma.

Examples of Relationship Repetition Syndrome:

• Recreating Traumatic Childhood Dynamics: If you had emotionally unable parents, you might unconsciously choose emotionally unavailable partners (see my article: Recreating Past Trauma in the Present).

• Reenacting Abuse or Neglect: If you grew up with abuse or neglect as a child, you might unconsciously choose partners who will be abusive or emotionally neglectful (see my article: Healing Childhood Trauma: What is the Differnce Between Abuse and Neglect?).

• Self Sabotage: Unconsciously engaging in behaviors that destroy an otherwise functional relationship in an attempt to reenact a familiar and dysfunctional family history (see my article: Overcoming Self Sabotaging Behavior).

How To Stop Repeating the Same Mistakes From One Relationship to the Next

• Avoid Getting Involved in a New Relationship Too Quickly: Instead of jumping into a new relationship, take time to reflect on the patterns you bring to a potential new relationship. Analyze your patterns. Reflect on the recurring negative patterns from your family of origin or past relationships.

• Work on Changing Small Patterns: Instead of trying to change everything at once, focus on changing one behavior pattern at a time.

• Get Help in Trauma Therapy: If you keep recreating the traumatic past in your relationships, you could benefit from working with a trauma therapist to resolve your past trauma so you don't keep repeating it in your relationships. Trauma therapy includes therapy that was specifically developed to help clients to overcome trauma including EMDR, IFS, AEDP and Somatic Experiencing. Once you have freed yourself from your traumatic past, you will be free to have more fulfilling relationships (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

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 as a trauma therapist 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.

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

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

Childhood Abuse vs Neglect

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

What is the Difference Between Abuse and Neglect?

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

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

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

Clinical Vignettes

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

An Example of Abuse: Sara

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

An Example of Neglect: Tom

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

The Trauma of Childhood Abuse and Neglect

Both abuse and emotional neglect are traumatic.

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

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

Childhood Abuse vs Neglect

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

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

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

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

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

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

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

Conclusion

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

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

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

Getting Help in Trauma Therapy

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

Getting Help in Trauma Therapy

Trauma therapy includes:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Somatic Experiencing

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Parts Work (IFS and Ego States Therapy)

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

Working through unresolved trauma can help you to free yourself from your history so you can live a more fulfilling life.

About Me

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

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

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Trauma Therapy: You Can't Change Your History But You Can Change Your Relationship to Your History So You Can Heal

Many people who are hesitant to get help to overcome the impact of their traumatic history think getting help in trauma therapy won't make a difference for them because it won't change what happened to them.

Trauma Therapy

How Can You Change Your Relationship to Your History of Trauma?

While it's true that you can't go back in time to change your history, you can heal in trauma therapy to reduce or eliminate the impact of traumatic experiences.

Transforming Trauma Into Resilience: Current modalities of trauma therapy can help you to transform trauma into resilience by:

• Acknowledging Your Feelings: Acknowledging the pain instead of suppressing it. This means feeling the pain and completing the trauma healing cycle. It does not include toxic positivity, which is not a genuine response to trauma.

• Developing a Support System: Instead of remaining isolated, you can develop a support system with trusted loved ones or support groups.

• Finding Meaning and Purpose: When you discover activities that align with your values, participating in these activities can provide you with motivation and a direction for your life (see my article: Posttraumatic Growth: Developing a Greater Sense of Hope and Meaning in the Aftermath of Trauma).

• Developing Better Coping Skills: Trauma therapy includes helping clients to develop better coping skills to manage emotions before and after processing trauma.

What is Resilience?

Resilience is the capacity to recovery from stress and trauma rather than avoiding hardship (see my article: Developing Emotional Resilience).

Trauma Therapy

Genuine resilience also means finding new hope and growth after trauma rather than pretending to yourself and others that the trauma made you "stronger" when this isn't how you really feel.

What Are the Different Types of Trauma Therapy?

Safe and effective types of trauma therapy include:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

Trauma Therapy

• Somatic Experiencing
  

•  IFS (Internal Family Systems/Parts Work)

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

Get Help in Trauma Therapy

If you feel stuck due to your traumatic history, you're not alone.

Get Help in Trauma Therapy

A skilled trauma therapist can help you to process your traumatic history so you can live a more meaningful life.

About Me

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

I have over 25 years of experiencing working with individual adults and couples to overcome trauma.

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.