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Showing posts with label Dr. Dan Siegel. Show all posts
Showing posts with label Dr. Dan Siegel. Show all posts

Tuesday, February 27, 2018

When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure

There are many people, who have a history of traumatic experiences and who could benefit from psychotherapy, but they never come to therapy.  Instead, they do whatever they can to try to suppress and avoid feeling their feelings, but what they usually don't realize is that when they shut down their emotional pain, they're also shutting down the potential for feeling pleasure (see my article: What Happens When You Numb Yourself Emotionally).


When You Shut Down Emotional Pain, You Also Shutdown Potential Pleasure

In addition, what many of people don't know is that a skilled trauma-informed psychotherapist knows how to help clients to develop the ability to expand their "window of tolerance" so they can work through their traumatic experiences in an emotionally-safe therapeutic environment (see my article: Expanding Your Window of Tolerance in Psychotherapy).

What is the Window of Tolerance?
In my prior article, I explained that, according to Dr. Dan Siegel, the window of tolerance is a term that refers to the optimal level of arousal or the optimal zone.

When clients are in their optimal level of tolerance, they are neither hyper-aroused nor hypo-aroused.  They are able to deal with problems as they come up because they're at their optimal level of arousal.

During times of extreme stress, if clients are experiencing hyperarousal, they're in the flight/flight mode, which includes hypervigilance, anxiety, racing thoughts and possibly panic. If they're experiencing hypoarousal, they're in the freeze mode, which includes emotional numbness, feelings of emptiness or emotional paralysis.

Fictional Clinical Vignette: When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure
The following fictional vignette illustrates how suppressing emotional pain also suppresses pleasure:

Rena
After Rena's mother died in a car accident, Rena would wake up each morning feeling that she had nothing to look forward to and she lacked purpose and meaning in her life.

She told her new psychotherapist that everything felt "blah" and no sooner did she wake up in the morning than she felt like hiding under the covers (see my article: Coping With the Loss of a Loved One: Complicated Grief).

When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure
She explained to her therapist that she didn't always feel this way.  For most of her life, she looked forward to the joy that each day would bring and she was able to take emotional challenges in stride.  But she was very close to her mother and after her mother died in a car accident, her grief was unbearable.

Rena realized that she had never experienced such raw sadness and anger before.  Her new psychotherapist explained to Rena how emotional numbing numbed joy as well as pain.  She recommended that they use EMDR therapy to help Rena overcome her trauma (see my article: How EMDR Therapy Works: EMDR and the Brain).

Over the next several months, as Rena worked with her therapist on the unresolved grief, her therapist titrated the work so that it was manageable for Rena.

Rena's psychotherapist worked in a way that was within Rena's window of tolerance so that, although Rena still felt very sad when she processed her grief, she didn't feel overwhelmed.

Gradually, Rena was able to expand her window of tolerance so that she could tolerate dealing with deeper levels of emotion without feeling overwhelmed.

Psychotherapy Can Help You to Overcome Traumatic Experiences 

Over time, Rena felt as if she was coming back to life again.  Although she continued to feel sad, she also had moments of happiness.  She felt like she was coming out of a period of time when everything felt gray.  Now, she was beginning to notice colors, nature, music--all the things she enjoyed in her life before her mother died.

She memorialized her mother by writing short stories about her from the time her mother was a young girl up until the time she died so unexpectedly.  This felt healing to Rena (see my article: Writing About Your Mother After Her Death).

Conclusion
Shutting down often occurs when people feel overwhelmed by emotion.  It starts as a protective defense mechanism.  Over time, it can develop into an emotional and physical numbing that shuts out pleasure as well as pain.

When this occurs, some people feel their life has no meaning.  The more they try to avoid feeling, the more exhausting it becomes to try to suppress their feelings.

There is no quick fix for overcoming an overwhelming traumatic event, but trauma therapy can help.

Getting Help in Therapy
While it's understandable that people who have experienced trauma want to protect themselves from feeling the emotional pain, avoiding feeling emotions only makes it worse.

A skilled trauma therapist knows how to work with trauma in a relatively manageable way.

This doesn't mean that there is no emotional pain involved, but an experienced trauma therapist can work in a way to minimize a client getting overwhelmed by working within the client's window of tolerance and helping the client to expand that window of tolerance (see my article: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

If you're feeling stuck with unresolved trauma, you could benefit from seeking help from a licensed mental health professional who has an expertise in helping clients to overcome trauma.

Working through psychological trauma allows you to work through the emotional pain so that you can feel like yourself again and you can lead a more meaningful life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I am a trauma-informed psychotherapist who works with individual adults and couples.

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


Friday, November 24, 2017

Expanding Your "Window of Tolerance" in Therapy to Overcome Emotional Problems

Many clients start therapy overwhelmed by their problems.  A traumatic or stressful event often leaves people feeling psychologically and physically dysregulated, so psychotherapists, who specialize in trauma and who understand the concept of the "window of tolerance," can help clients to get regulated again.  But first, let's define what we mean by "window of tolerance" (see my articles:  Reacting to the Present Based on Your Traumatic PastCoping With Trauma: Becoming Aware of Your Triggers, and Managing Your Stress and Overcoming Trauma).

Expanding Your "Window of Tolerance" in Therapy to Overcome Emotional Problems

What is the Window of Tolerance?
According to Dr. Dan Siegel, the window of tolerance is a term that refers to the optimal level of arousal or optimal zone.

When clients are in their optimal level of tolerance, they are neither hyper-aroused nor hypo-aroused.  They are able to deal with problems as they come up because they're at their optimal level of arousal.

Expanding Your "Window of Tolerance" to Overcome Emotional Problems

During times of extreme stress, if clients are experiencing hyper-arousal, they're in the flight/flight mode, which includes hypervigilance, anxiety, racing thoughts and possibly panic.

If they're experiencing hypo-arousal, they're in the freeze mode, which includes emotional numbness, feelings of emptiness or emotional paralysis.

Everyone's Window of Tolerance is Different
Some people have a very narrow window of tolerance and they're easily overwhelmed.

Others have a wide window of tolerance and they're able to take negative events in stride.

Generally speaking, people with a wider window of tolerance can function better after a negative or traumatic event.

How Negative or Traumatic Events Can Change Your Window of Tolerance
There are some traumatic events that can change your window of tolerance even if you usually operate in the optimal zone.

The stress related to the negative event can overwhelm even people who are normally high functioning if it's overwhelming enough.

For instance, someone, who normally feels comfortable walking down the street, can become hyper vigilant after he is mugged.  Whereas before the mugging he felt that the world was generally a safe place, now he feels the world is unsafe and he's constantly looking around him for possible danger.

Psychological Issues That Can Develop When You're Outside Your Window of Tolerance
If you have a narrow window of tolerance, you can develop psychological issues like anxiety or depression, especially if you've experienced a series of trauma issues and you haven't resolved these issues in therapy

You might also develop posttraumatic stress disorder (PTSD) symptoms, including flashbacks, feelings of derealization (the world around you feels unreal), nightmares and other possible PTSD symptoms.

Get Help in Therapy to Expand Your Window of Tolerance and Overcome Trauma
A skilled trauma therapist can help you to develop internal resources and coping strategies to expand your window of tolerance and overcome the trauma (see my article Developing Coping Strategies in Therapy).

Get Help in Therapy to Expand Your Window of Tolerance and Overcome Trauma

These internal resources and coping strategies could include mindfulness, meditation, being able to separate "then" from "now" (when the traumatic event occurred), and so on (see my articles: Staying Emotionally Grounded During Stressful Times and Psychotherapy and the Mindful Self: The Benefits of Mindfulness).

A trauma therapist can help you to overcome trauma by using trauma therapies, such as  EMDR Therapy or Somatic Experiencing.

If you're aware that you're overwhelmed by traumatic events in your life, don't suffer alone.

You could benefit from seeing a trauma therapist who can help you to achieve your optimal level of functioning, overcome trauma and lead a more rewarding life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I am a trauma therapist who has helped many clients to overcome traumatic events so they could lead a more fulfilling life.

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.















Thursday, January 24, 2013

Psychotherapy Daily News - 1/24/13

Psychotherapy Daily News features articles about mental health, science, health, education plus more from various sources, including New York Time, Yoga Journal, the Harvard Business Review, GoodTherapy.com, Psychiatric Times as well as some of my own psychotherapy-related articles.

Here are a list of some of the articles in today's Psychotherapy Daily News:
  • Interpersonal Neurobiology in the Consulting Room With Dan Siegel
  • Psychiatrists With Ethics Training Less Likely to Push Brand-Name Drugs
  • Managing Suicide Risk of Clients With Borderline Personality Disorder
  • Emotional Demands:  The Exhaustive Effect on Technology Workers
  • Sugar Addiction and Mental Health:  America Needs Rehab
  • Does Religion Help You Quit Smoking?
  • Find Your Authentic Self and You Just Might Find Your Next Career
  • Starting Therapy--and Ending It Too
  • Reasons for Substance Use Predicts Treatment Outcome in Adolescents
  • EMDR Self Help Book:  Getting Past Your Past
  • Feeling Lonely in a Relationship
  • Can You Read the Face of Victory?
  • Th 28-Day Meditation Challenge Returns on February 1
  • Why You Should Emphasize Your Potential Rather Than Your Achievements on Your CV
  • It's Time to Cut Back on Social Media
  • What Capitalism Can't Fix
  • May I Be Happy?
  • Long Term Effects of Life Expectancy From Smoking
  • Addiction in the Home:  Healing Lives, Families and Communities
  • It's My Job and I'll Tweet If I Want To
  • Tips For Managing and Preventing Stress
  • Science News From Around the Web
  • Krishna Das Nominated For Grammy Award
  • Stop Underage Drinking - Gateway to Federal Resources
  • Study Links Cognitive Deficits and Hearing Loss
  • Positive Psychology News Daily
You can subscribe for free by clicking on this link:Psychotherapy Daily News and clicking on the word "subscribe" so you don't miss an issue.

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.

I work with individual adults and couples.

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

To set up a consultation, call me at (212) 726-1006.

Visit Psychotherapy Daily News for the latest information about mental health issues.