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? 

Emotional Numbing: The "Wall" That Once Protected You Now Imprisons You

 I've written about emotional numbing in prior articles (see my article: How Therapy Can Help You to Take Down the "Wall" You Built Around Yourself).

In the current article, I want to dive deeper into the subject of emotional numbing that started as a survival strategy and ended up imprisoning you with social isolation, an inability to feel emotions deeply, including joy, and creating stagnation in your life.

What is Emotional Numbing?

Emotional numbing is an unconscious psychological state where an individual feels detached or indifferent. They are often unable to experience, process or express emotions.

Overcoming Emotional Numbing

What Are Some of the Symptoms of Emotional Numbing?

Someone who is experiencing emotional numbing can have some or all of the following symptoms:

• Flat Affect: A lack of emotional response, often described as "robotic" or indifferent

• Reduced Emotional Range: An inability to feel high excitement or deep sadness

• Detachment: Feeling emotionally and psychologically disconnected from others and, possibly, from surroundings

• Indiscriminate Blocking: Emotional numbing blocks all emotions including sadness, joy, excitement and gratitude

• Loss of a Sense of Self: Chronic detachment can lead to loss of identity, which can make you feel like a passive observer in your life 

• Avoidance and Isolation: Withdrawing from people and social activities

• Energy Depletion: Maintaining internal "walls" takes a lot of psychological energy which can lead to chronic fatigue or burnout

What Causes Emotional Numbing?

Emotional numbing can be caused by unresolved psychological trauma, PTSD (posttraumatic stress disorder), severe stress, grief, burnout or a side effect of medication (see my article: What is the Difference Between Trauma and PTSD?).

Overcoming Emotional Numbing

Emotional numbing often starts during childhood as a survival strategy or defense mechanism which is adaptive at the time because the child is in a psychologically overwhelming environment at home.

In that sense, emotional numbing helps to mitigate overwhelming stress and trauma which would be detrimental to the child.

However, when the child becomes an adult, emotional numbing is no longer adaptive because it prevents the individual from being fully present in personal relationships, friendships, social activities and at work.

As an adult, chronic emotional numbness puts a strain on relationships and daily life.

Clinical Vignette

The following clinical vignette,which is a composite of many cases, illustrates how emotional numbing which once protected a young child in a dysfunctional family from being overwhelmed but created problems later on as an adult. The vignette also illustrates how trauma therapy can help.

Nick

When Nick was growing up, he learned to cope with his parents' constant arguments by going into his room and "spacing out" with video games.

After a while, he got so good at numbing himself that he felt like he was in his own world apart from everyone and everything else.

As an adult in his first relationship, Nick had problems connecting emotionally with his girlfriend. She complained that she experienced him as emotionally detached and indifferent about her and their relationship.

At the time, Nick had no awareness about how he was numbing himself because it had become so automatic for him. At the point when he thought his girlfriend might end their relationship, Nick sought help in therapy.

Nick's therapist helped Nick to realize that the "wall" he created around himself as a child protected him from the chaos between his parents, but that same "wall" now came with a cost because he had problems connecting emotionally with his girlfriend and others.

His therapist, who was a trauma therapist, helped Nick to gradually take down his protective "wall" by working on the unresolved trauma from his childhood.

Using a combination of EMDR therapy and Parts Work therapy, over time, Nick worked through his childhood trauma so that he no longer felt the need to numb himself emotionally (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma?).

The work in therapy was neither quick nor easy, but Nick was able to connect emotionally with his girlfriend as he worked through his unresolved trauma.

Conclusion

Like all defense mechanisms, emotional numbing occurs on an unconscious level and it's usually related to trauma.

Trauma therapy can help to work through the original trauma so there is no longer a need for emotional numbing.

Getting Help in Trauma Therapy

Working with a licensed mental health professional who is a trauma therapist can help you to work through unresolved trauma and emotional numbing (see my article: What is a Trauma Therapist?).

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a trauma therapist so you can live a more fulfilling life.

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.

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.

Also See My Articles:

Allowing Yourself to Feel Your Feelings So You Can Heal 

What Happens When You Numb Yourself to Your Traumatic Past 

How Are Emotions Processed in EMDR Therapy?

EMDR stands for Eye Movement Desensitization and Reprocessing (see my article: How EMDR Therapy Works: EMDR and the Brain).

How Are Emotions Processed in EMDR Therapy?

EMDR was developed by Dr. Francine Shapiro in the 1980s as an alternative to traditional talk therapy to heal psychological trauma. 

EMDR is one of several types experiential therapies, including AEDP (Accelerated Experiential Dynamic Psychotherapy) IFS (Internal Family Systems) Parts Work and Somatic Experiencing, that were developed by trauma therapists help clients to overcome trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma).

The cornerstone of EMDR is the Adaptive Information Processing (AIP) system which is a theory about how the brain stores memories and that the brain stores regular memories and traumatic memories in a different way.

While normal memories are stored by strengthening connections between neurons, traumatic memories aren't stored in a cohesive way. Instead, traumatic memories are stored with fragmented, sensory and emotional imprints due to the hyperactivation of the amygdala and inhibition in the hippocampus in the brain.

The unprocessed nature of traumatic memories can cause flashbacks and triggers.

Prolonged trauma can lead to structural changes in the brain with a reduction in neuroplasticity, but the reduction can be repaired by EMDR therapy and other trauma therapies.

How Are Emotions Processed in EMDR Therapy?

Emotions related to traumatic memories are processed in EMDR therapy using bilateral stimulation (BLS) which can be either eye movements, bilateral tones or tapping, to stimulate the brain while the client focuses on the traumatic memory (see my article: What is Bilateral Stimulation?).

EMDR Therapy Using Tappers For BLS

This technique is similar to REM (Rapid Eye Movement), which is a crucial stage of sleep associated with dreaming and increased brain activity.

Bilateral stimulation helps the brain to "metabolize" the unprocessed traumatic memories by  reducing their emotional charge and replacing negative self beliefs with positive, adaptive beliefs.

Prior to processing traumatic memories with EMDR, an EMDR therapist assesses whether EMDR is the appropriate therapy for a particular client. 

If so, she obtains a client's history, helps the client to develop the necessary internal resources and coping skills to do the trauma work and evaluates whether the client is ready to process the trauma. 

Some clients, who have a significant history of ongoing trauma might need an extended period of resource development before they can process traumatic memories (see my article: Developing Internal Resources and Coping Skills).

What Are the Key Aspects of EMDR Therapy?

Here is a breakdown of the eight phases of EMDR therapy.

If the therapist assesses that EMDR therapy is appropriate for a client, there are eight phases to EMDR which vary in length depending upon each client's needs:

• Phase 1: History Taking and Treatment Planning: The therapist obtains the client's history, as mentioned above. She identifies the traumatic memories and creates a treatment plan in collaboration with the client. During this stage, the therapist helps the client to identify the "touchstone" memory, which is the earliest memory related to the trigger the client is experiencing. For instance, if the client seeks EMDR therapy to deal with a difficult boss who humiliates the client in staff meetings, the touchstone memory might be memories of being humiliated by a critical father. The earlier memories would each have their own eight stages for processing. The therapist tries to find a touchstone memory which will have generalizable effects meaning that working with a one or a few of these memories is healing to the other similar memories. If these earlier touchstone memories aren't processed, the client is likely to get triggered again with another current situation that has similar elements to the touchstone memory. The mechanism for identifying the touchstone memory is the Float Back technique which is also known as the Affect Bridge in hypnotherapy (also known as clinical hypnosis).

An EMDR Therapist Writing Down the Client's History

• Phase 2: Preparation: The therapist explains the process, establishes safety for the client, and teaches the client coping skills (also known as internal resources) to manage emotional stress during trauma sessions and between sessions (see my article: Why is Establishing Safety So Important in Trauma Therapy?).

• Phase 3: Assessment: The therapist activates the traumatic memory that she and the client have chosen to work on by identifying specific images, the client's negative self beliefs, emotions and physical sensations related to the trauma. This is also known as setting up the EMDR protocol.

• Phase 4: Desensitization: Bilateral stimulation (eye movements, taps or tones) is used to reduce the distress associated with the memory. When clients have experienced ongoing trauma, such as developmental trauma during childhood, there can be many memories to process using the eight stages for each memory. For instance, if a client experienced extensive physical abuse as a child as well as bullying in elementary school and date rape in adolescence, each one of those experiences would need to be processed.

• Phase 5: Installation: A positive belief, which is identified by the client, is strengthened to replace the negative belief associated with a particular traumatic memory.

• Phase 6: Body Scan: The client checks for any remaining tension in the body linked to the traumatic memory. If there is tension in the body associated to the memory, the therapist uses bilateral stimulation until the tension dissipates.

• Phase 7: Closure: After each EMDR session, the therapist uses stabilization techniques, which might include debriefing/talking about the experience or a meditation, to ensure the client feels secure at the end of a session.

• Phase 8: Reevaluation: The therapist assesses the client's progress, determines the success of the treatment and plans the next step of the therapy in collaboration with the client.

What Are Emotional Blocks?

Emotional blocks are unconscious barriers to processing traumatic memories.

Overcoming Emotional Blocks in EMDR Therapy

An emotional block can occur at any phase of the EMDR processing.

I have been doing EMDR therapy regularly since 2006 and, unless a client comes with an uncomplicated one-time traumatic event, there will be emotional blocks during processing.

The emotional block can take many forms. One common example is the belief, "I don't deserve to feel better". 

When a therapist and client encounter an emotional block, to use a metaphor, it's like encountering a tree that has fallen across a train track. The train can't go any further until the tree, which is blocking the train track, is removed.

Similarly, EMDR processing won't go any further until the emotional block is removed. 

When a client and I encounter an emotional block in EMDR processing of a memory, I find it's useful and efficient to conceptualize the block as a part of a client. It might be a very young part (or inner child) or another part the client has internalized. 

Whatever the block might be, I have found that working with the part using Parts Work can help to soften or remove the block so that the part allows the processing to continue (see my article: Trauma Therapy: Combining EMDR Therapy and Parts Work to Overcome Emotional Blocks).

Another way to think about an emotional block is to think of it as a defense mechanism that was a survival strategy at one point (usually when the client was younger) but no longer is adaptive.

It's not unusual for there to be several emotional blocks along the way during EMDR processing and each one needs to be addressed before EMDR processing can continue.

Conclusion

EMDR therapy is one of several types of trauma therapies.

The trauma therapist assesses each client to determine which type of trauma therapy--whether it's EMDR, AEDP, Somatic Experiencing, Parts Work or a combination of these modalities is for a particular client. 

Getting Help in Trauma Therapy

If you feel stuck with unresolved trauma, you could benefit from working with a licensed mental health professional who is a trauma therapist.

Getting Help in Trauma Therapy

Freeing yourself from your trauma history can help you to live a more fulfilling life.

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.

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.

Also See My Articles:

Trauma Therapy: The Mind Has a Powerful Innate Ability to Heal Itself

What Does Processing Your Emotions Mean? 

How Are Emotions Processed in AEDP?

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.