How Does Somatic Experiencing Heal Trauma?

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

Somatic Experiencing Can Heal Trauma

How Does Somatic Experiencing Heal Trauma?

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

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

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

This unresolved survival energy can take the form of ongoing health and mental health problems including (but not limited to):

• chronic pain

• anxiety

• emotional numbing 

• muscle tension

• fatigue

• hypervigilance 

• problems with self regulation

Changes in SE are often subtle responses like feeling warmth, tingling or vibrations which indicate the release of trapped trauma-related energy.

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

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

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

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

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

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

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

What Are the Benefits of Somatic Experiencing?

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

Somatic Experiencing Can Heal Trauma

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

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

• EMDR

• AEDP

• Hypnotherapy

• Parts Work Therapy, like IFS and Ego States Therapy 

    See my article: Integrating EMDR and Somatic Experiencing

Getting Help in Therapy to Overcome Trauma

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

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

Getting Help in Therapy to Overcome Trauma

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

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

About Me

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

I work with individual adults and couples.

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

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

What is Trauma-Related Masking?

Masking is a trauma-related response where individuals hide their true personality, feelings or behavior and mimic others as a maladaptive coping strategy to present a false self.

Trauma-Related Masking

One of the problems with masking, which is also known as social camouflage, is that it creates a disconnect from an individual's true self or genuine self. 

Another problem is that it doesn't allow for genuine connections with others.

Why Causes Trauma Masking?

Childhood trauma can create deeply rooted feelings of:

• Fear
• Shame
  
• Guilt
• A sense of being unworthy or being unlovable

Masking these and other feelings temporarily helps individuals to deal with social situations where they feel too much stress and anxiety to be themselves. 

What Does Masking Look Like?

Masking can include some or all of the following:

• Suppressing feelings
• Hiding aspects of one's personality
• Trying to mimic other people to act in a way that they think is acceptable to others

Clinical Vignette

The following clinical vignette, which is a composite of many cases, illustrates how an individual with a traumatic history uses masking and how trauma therapy can help.

Jane

When Jane left her parents' home to go to college, she felt anxious about meeting new people in college.

Throughout elementary school, middle school and junior high school, Jane only had one or two friends who made an effort to befriend her. She never invited any of these friends home because her father was usually drunk and her mother was depressed so Jane felt too ashamed to allow anyone into her home.

When she met her roommates at college, Jane felt too self conscious to allow her guard down so she tried to imitate their way of speaking and behaving because she believed this is what she had to do to be accepted.

Trauma-Related Masking

Then, one day one of the roommates, Rita, told Jane she realized that Jane was uncomfortable. She told Jane she wanted to have a genuine friendship with her, but she felt Jane wasn't being herself and she encouraged her to be herself.

At first, Jane pretended she didn't know what Rita was talking about. But a couple of weeks later, Jane confided in Rita that she had been pretending and she felt disconnected from herself for so long that she wasn't even sure who she was anymore. 

Soon after that Jane decided to see one of the counselors in the student counseling unit and the counselor was able to help Jane to cope with her anxiety and shame.  She also helped Jane to get help from a trauma therapist off campus.

The trauma therapist got a detailed family history from Jane and asked her about her goals for therapy. Jane told her that she was tired of trying to hide who she was and she wanted to learn to feel comfortable with herself.

Her therapist explained the concept of masking and this explanation resonated with Jane.  She realized she had been pretending to be someone else her whole life because she was afraid people wouldn't like her. 

Her therapist worked with Jane by helping her to feel emotionally safe in therapy and they didn't start to process Jane's traumatic history until Jane felt prepared to do the work (see my article: Why Establishing Emotional Safety is Essential in Trauma Therapy).

When Jane was ready, she and her therapist used EMDR Therapy and Somatic Experiencing to help Jane to process her traumatic history.

The work wasn't quick or easy but, over time, Jane began to feel like herself. She no longer felt the need to pretend to be someone else. She gradually let her guard down and she realized that people liked her for who she really was and not who she was pretending to be. 

Even more important, Jane accepted herself for who she really was and she felt good about it.

How to Overcome Trauma-Related Masking

• Self Awareness: Self awareness is the first step to overcoming trauma-related masking (see my article: What is Self Reflective Awareness?).

Overcoming Trauma-Related Masking

• Self Compassion and Self Acceptance: Self compassion can be challenging due to shame, fear and guilt, but it's a necessary step on the way to healing trauma (see my article: Acceptance and Self Compassion).

• Trauma Therapy: Trauma-related masking is difficult to overcome on your own, so getting help in trauma therapy is an important part of healing.

Getting Help in Trauma Therapy

Hiding behind a mask can be emotionally exhausting and lonely.

As mentioned earlier, you're not just emotionally disconnected from others, you become emotionally disconnected from yourself.

Getting Help in Trauma Therapy

A skilled trauma therapist can help you to work through unresolved trauma so you no longer feel the need to mask your true self.

Rather than struggling on your own, seek help from a licensed mental health professional to free yourself from your traumatic history and live a meaningful life.

About Me

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

I have over 20 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.

How Do You Know If You're Ready to Seek Help in Trauma Therapy?

Many people procrastinate getting help in therapy to deal with unresolved trauma (see my article: What is a Trauma Therapist?).

One the one hand, it's understandable that people want to think carefully before beginning trauma therapy because it's a commitment. 

Getting Help in Trauma Therapy

On the other hand, it's possible to procrastinate and overthink it to the point where years go by and you're still dealing with the impact of unresolved trauma.

How Do You Know If You're Ready to Seek Help in Trauma Therapy?

Here are some characteristics that would be helpful:

• Some Awareness and Curiosity of the Impact of the Trauma: You have some awareness that traumatic circumstances in your life have had a negative impact on you. You might not understand the full impact, but you have a sense that your traumatic history is creating problems in your present life (see my article: Why is Past Trauma Affecting You Now?).

Getting Help in Trauma Therapy

• A Desire and Willingness to Change: In addition to being aware of the problem, you have a desire and willingness to change. This includes realizing that working through trauma isn't a quick fix process (see my article: Developing Internal Motivation to Change).

• Feeling Emotionally Ready to Start the Process: You are at a point in your life when you feel ready emotionally to begin the process. Your trauma therapist will help you develop the necessary tools and skills to prepare for processing the trauma. The length of time for the preparation phase of trauma therapy varies depending upon a client's particular circumstances.

• Having the Time to Commit to the Process: You understand that trauma therapy involves a commitment of time and you can commit to once-a-week trauma therapy to work through yout traumatic history.

• A Willingness to Confront the Problem: Although you know it will be challenging, you are willing to confront the problem with help and support from your therapist. 

• An Openness to Emotional Vulnerability: You understand working on the problem will involve opening up emotionally to traumatic events from the past, but that you're in charge of deciding when you're ready to start processing the trauma and your therapist will assess with you the timing of the processing.

Clinical Vignette

The following clinical vignette is a composite of many cases (to protect confidentiality) and illustrates one possible pathway for the decision-making process:

Anna

A few years after Anna graduated college, she was aware she was having problems connecting on an emotional and sexual level with men.  

She watched videos, listened to podcasts and read articles about psychological trauma, so she had some awareness that there was something in her history that was affecting her in her present life.

Initially, she was afraid to seek help in therapy because she was feared therapy would be too overwhelming, so she thought about it for a several years and kept putting it off. But when she heard about a close friend's experience with trauma therapy, she became curious for herself.

Getting Help in Trauma Therapy

Her friend, Carol, told Anna she was also scared to start trauma therapy at first, but she felt motivated to get help because her relationship with John was getting serious and she realized she was worrying she might create the same tumultuous relationship her parents and she really didn't want to that.

Carol told Anna that, after talking to another friend about trauma therapy, she got curious to find out what it was about. So, she had an hourlong consultation with a trauma therapist who described the process to her and she realized the therapist would go at Carol's pace. She also realized she felt comfortable with this therapist.

Carol also told Anna her therapist prepared her to process her traumatic family history using EMDR Therapy. Carol said the therapist also used Parts Work Therapy. 

Carol said she learned so much about herself and, even though she was still processing the trauma, she was beginning to feel like a weight was being lifted from her. 

She also began to realize she wouldn't repeat her parents' dysfunctional patterns and it was possible for her to have a healthy relationship with John.

Anna trusted Carol. She also knew she wanted to be more open emotionally and sexually so she could eventually get into a relationship. So she set up a consultation with another trauma therapist who was recommended to her.

During the consultation, the trauma therapist asked her what she wanted to work on in therapy. In addition, the therapist explained the different types of trauma therapy she did including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• AEDP (Accelerated Experiential Dynamic Processing)

• Parts Work Therapy

• Somatic Experiencing

• Hypnotherapy (also known as Clinical Hypnosis)

She also explained the preparation phase of trauma therapy and that it would be Anna's decision when she felt ready to go on to the next stage, processing the trauma.

After her initial consultation, her trauma therapist helped Anna to develop the skills and tools she needed to process her trauma. 

When both Anna and her therapist felt she was ready, they began working on processing her trauma keeping in mind Anna's goal of becoming more emotionally and sexually open.

Over time, Anna noticed small positive changes in herself where she began to feel more open and curious about opening up emotionally and sexually.

Her therapist told her that setbacks are a normal part of the therapy process on the road to healing, so Anna wasn't surprised when she had a minor setback.

Getting Help in Trauma Therapy

When Anna began dating Bill, she felt more comfortable with him than she had ever felt in the past with other men. He was willing to take things slowly until they dated for a while.  

Over time, as she continued to process her childhood history in trauma therapy, Anna was able to open up to be more vulnerable with Bill.

She also enjoyed her therapy sessions, even though she had to process difficult memories, because she was learning about herself and she was opening up to new possibilities in her life.

Getting Help in Trauma Therapy

If you have been on the fence for a while about getting help in therapy, you can start by contacting a therapist for a consultation.

Use the time in the consultation to ask about the therapy process, how the therapist works and any other questions you might have about trauma therapy.

Getting Help in Trauma Therapy

You might need to have more than one appointment to tell if you feel comfortable with the therapist or you might need to see a few therapists before you know which one to choose (see my article: How to Choose a Therapist).

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

About Me

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

I have over 20 years of experience as a trauma therapist helping individual adults and couples to overcome traumatic experiences.

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.

Overcoming Fear of Abandonment in Trauma Therapy

Fear of abandonment is an issue that is more common than most people realize.  

Fear of Abandonment

Prior Articles

In the past, I have written about abandonment issues in prior articles including:

Self Abandonment - Part 1 and Part 2

How to Overcome Fear of Abandonment

The Current Article

The current article will focus on:

• What is Fear of Abandonment?

• What Causes Fear of Abandonment?

• What Are Signs and Symptoms of Fear of Abandonment?

• How Can Trauma Therapy Help to Heal Fear of Abandonment?

What is Fear of Abandonment?

Some of the signs and symptoms of fear of abandonment might include some or all of the following:

• Fear of Rejection: People who have abandonment issues often have a fear of being rejected--even when there is no objective reason to have this fear.

• Difficulty Trusting Others: A fear of trusting others often involves a fear that someone will hurt or leave them.

Fear of Abandonment

• Dependency: A fear of abandonment can lead to someone becoming overly dependent on others to give them reassurance and validation.

• Relationship Problems: This includes getting involved in a relationship too quickly, making unhealthy relationship choices, sabotaging a relationship or staying in an unhealthy relationship to avoid being alone (see my article: Is Your Fear of Being Alone Keeping You in an Unhealthy Relationship?).

• Low Self Esteem: Low self esteem can create difficulties in all areas of life including developing connections with others (see my article: Overcoming Low Self Esteem).

What Causes Fear of Abandonment?

Fear of abandonment can develop in many different ways.

The most common reason for abandonment issues is childhood trauma including:

• Losing a Parent (see my article: Fatherless Daughters)

• Childhood Emotional Neglect (see my article: What is Childhood Emotional Neglect?)

• Inconsistent and/or Chaotic Caregiving (see my article: Dynamics of Adult Children From Dysfunctional Families)

• Physical and/or sexual abuse

Other possible causes:

• Unresolved Trauma: Physical or emotional abuse at any time in life can lead to fears of being abandoned (see my article: Unresolved Trauma Can Negatively Impact Your Ability to Be in Romantic Relationships).

• Relationship Instability: Unstable relationships can create a sense of insecurity.

What Are the Signs and Symptoms of Fear of Abandonment?

Common signs include:

• People pleasing (see my article: Trauma and the Fawn Response)

• Jealousy including:

• Jealousy of other friendships or family relationships

• Jealousy of prior relationships (see my article: Retroactive Jealousy)

Jealousy and Fear of Abandonment

• Problems trusting a significant other's intentions--even when there is no objective reason not to trust

• Difficulty being emotionally vulnerable and sexually intimate

• Needing to feel controlled by a partner

• Needing to control a partner

• Getting involved in a relationship too quickly before getting to know the other person

• Settling for an unhealthy relationship to avoid being alone

How Can Trauma Therapy Help With Fear of Abandonment?

Trauma therapy is a general term for different types of therapy developed specifically to help clients overcome trauma (see my article: How Does Trauma Therapy Work?)

Trauma therapy includes:

• EMDR Therapy

• Parts Work Therapy: Internal Family Systems (IFS) and Ego States Therapy

• AEDP (Accelerated Experiential Dynamic Therapy)

• Somatic Experiencing

• Hypnotherapy (Also known as Clinical Hypnosis)

Clinical Vignette

The following clinical vignette, which is a composite of many different cases, illustrates how trauma therapy can help to overcome abandonment issues.

Alice

When Alice was five years old, her father left the family suddenly and they never heard from him again.

After her father left, Alice had nightmares almost every night where she saw her father and she would ask him why he left, but the dream always ended before he responded.  When she woke up in the morning, her dream seemed so real that she felt like she had actually seen her father--until she became fully awake and she realized it was a dream.

After her father abandoned the family, Alice's mother had to work three jobs to support the family, As a result, Alice spent most of the time with her elderly maternal grandparents, who criticized Alice's father to her. In response, Alice wanted to tell her grandparents that she loved and missed her father, but she was too afraid to sound like she was contradicting them, so she kept her sadness to herself.

After her father deserted the family, Alice had a hard time making friends. She lacked confidence in herself and she believed the other children didn't like her.  She was also afraid that if she tried to make friends with anyone, she would be rejected.  So, Alice spent a lot time alone in her room.

When she got to high school, she was aware that many people in her school were dating, but her self esteem was so low that she didn't believe anyone would like her.

When she got to college, she met a friendly young woman, Tina, who took Alice under her wing and introduced her to some of the other young women at the college. Tina was so outgoing and friendly that Alice met a lot of people on campus through her, but she still didn't feel confident.

After she graduated from college, Alice moved into an apartment in New York City with Tina. She found a job as a software engineer and she mostly worked on her own. Other than the friends that Tina introduced her to, Alice had no other friends of her own.

She was aware her low self esteem was holding her back personally and professionally, so she sought help in therapy to try to understand why she was having these problems.  She wanted to go out on dates, but she was afraid that if she liked someone, he might reject her.

Fear of Abandonment and Trauma Therapy

Her therapist was a trauma therapist who had advanced skills in trauma therapy.  After her therapist did a thorough family history, she traced Alice's fear of abandonment to her father's disappearance (see my article: Why is Family History Important in Therapy?).

Her therapist used a combination of EMDR Therapy and Parts Work Therapy to help Alice to heal from her trauma.

As Alice began to develop a little more self confidence, she began dating a man she met at a discussion group. Tom was kind, intelligent and patient with Alice but, even though she knew she had no objective reason for not trusting him, she had a hard time letting her guard down when she was with him (see my article: What Does Fear of Abandonment and Fear of Engulfment Look Like in a Relationship?).

Healing from her childhood trauma was neither quick nor easy. But, over time, with the help of her therapist, Alice was able to separate her childhood trauma of being abandoned by her father from her experiences with Tom (see my article: Overcoming Trauma: Learning to Separate "Then" From "Now").

Fear of Abandonment and Trauma Therapy

As she opened up more, her relationship with Tom improved and she was able to make new friends more easily.

Although she felt more emotionally secure with herself, there were still times when she had setbacks but, overall, she felt her life was opening up to new and rewarding experiences.

Conclusion

Abandonment issues usually stem from childhood issues, but they can also develop or become exacerbated by an unhealthy adult relationships or experiences.

Fear of being abandoned rarely, if ever, gets resolved on its own.

Trauma therapy is specifically designed to help clients to overcome trauma.

Getting Help in Trauma Therapy

A skilled trauma therapist can help you to overcome traumatic experiences like fear of abandonment or other unresolved trauma.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has advanced training and skills in trauma therapy.

Overcoming trauma can help you to lead a more fulfilling life.

About Me

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

I have over 20 years of experience helping individual adults and couples to overcome trauma (see my article: What is a Trauma Therapist?)

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 Psychological Trauma By Integrating Split Off Parts of Yourself in Trauma Therapy

In my prior article, What is Hypervigilance and How Is It Related to Unresolved Trauma?, I focused on the unconscious trauma-related defense mechanism of hypervigilance.

Healing Trauma

In the current article I'm focusing on how trauma therapy can help you to integrate the various split off parts of yourself.

What Are Split Off Parts of Yourself?

When you're trying to cope as best you can with traumatic situations, a common unconscious temporary coping strategy is to "zone out" or dissociate from your thoughts, feelings or circumstances (see my article: Discovering Disowned Parts of Yourself).

Healing Trauma

This coping strategy is relevant at all ages, but it's especially relevant if you're a young child because young children haven't developed the necessary skills and strategies to deal with dysfunction happening around them--whether the dysfunction is a chaotic family, unpredictable parents, abusive or neglectful parents, substance abusing parents or other similar traumatic situations.

As a child, when you're not emotionally or psychologically equipped to deal with trauma, being able to dissociate (or "zone out") is an adaptive survival strategy when what is happening around you is overwhelming and traumatic. 

Dissociation is a way your mind protects you by compartmentalizing events or circumstances that would otherwise cause you overwhelming stress. The overwhelming stress of childhood trauma is especially difficult if there is no one to help you to manage it.

Dissociation creates a sense of detachment from overwhelming stress and it can allow you to function reasonably well in other areas of your life. 

For example, even though there might be highly traumatic dynamics in your home, if you compartmentalize these dynamics, you can excel academically or in sports and anyone who doesn't know your family dynamics might not be aware that you're being traumatized at home because you appear to be a "normal" child in every other way.

Why is Integrating Split Off Parts of Yourself Essential For Healing from Trauma?

Everything I have mentioned so far about dissociation sounds adaptive, so why is there a need to integrate the parts of yourself that have been dissociated?

As I mentioned previously, dissociation is a temporary unconscious solution during traumatic circumstances but, as an adult, you pay a price for the parts of yourself you have dissociated.

Healing Trauma

First, it's important to understand that, unlike dissociation, psychological integration is a strong indicator of positive mental health because it involves bringing together various parts of your personality, thoughts, feelings and behavior into a cohesive whole. 

Second, psychological integration leads to increased self awareness, self reflective capacity, emotional regulation and resilience.

However, when you have dissociated parts of yourself, you can experience a lack of self awareness and emotional dysregulation and a lack of psychological integration.

Dissociated parts can also create problems in your adult relationships because you might externalize your problems by blaming others and projecting dissociated negative feelings about yourself on your partner, which can be an obstacle to healthy relationships.

How Does Trauma Therapy Help to Integrate Split Off Parts of Yourself

Trauma therapy is an umbrella term for many different types of therapy including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Somatic Experiencing
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Parts Work Therapy (including Internal Family Systems, also known as IFS, and Ego States Therapy)

• Hypnotherapy (also known as Clinical Hypnosis)
  

Clinical Vignette

As mentioned above, there are different types of trauma therapy. 

The following clinical vignette, which is a composite of many cases, illustrates how Parts Work Therapy can help with integrating dissociated parts:

Bob

When he was a child, Bob grew up in a family where his father was a severe alcoholic and his mother had an eating disorder. 

Whenever Bob's father, Jim, drank at night, he would become enraged, scream at Bob's mother, Bob and his two older brothers. Sometimes Jim would get so angry that he would go on a drunken rampage throughout the house where he would break furniture.

Bob's mother, Anna, was so frightened that she would cower in the corner of the room with Bob and his brothers. She was afraid Jim might physically abuse them. Although he never got violent with them, there was always the fear that his drunken rage would end in physical violence.

After his drunken rampages, Jim would be physically exhausted. Then, he would beg Anna to help him to go up the stairs to bed. At that point, Anna was so relieved his rage was over that she would help him to walk up the stairs so he could collapse in his bed.

Afterwards, Anna would come downstairs in a state of anxiety and she would binge eat. Typically, she would eat a few boxes of donuts, cereal, cookies, a couple of bags of potato chips and leftovers from dinner until she felt sick and then she would go upstairs to sleep in a separate bedroom from Jim.

After their father went to sleep, Bob's brothers would disappear into their own bedrooms and lock their doors. As a result, Bob was left alone with no one to talk to about his father's drunken rampage and his mother's eating disorder.  So, he would climb the stairs to his own bedroom and stare at the ceiling for hours until he eventually fell asleep.

Healing Trauma in Trauma Therapy

As an adult, when Bob started trauma therapy, he didn't remember much of his childhood at first. He remembered doing well academically and in sports, but the rest of his childhood was a blur because he had dissociated it.

He sought help in therapy because he was having problems in his relationship with Nina, a woman he had been dating for a year. She asked him to get help because she was fed up with him blaming her for his problems.

Before processing the trauma, his therapist worked with Bob to help him to develop better coping skills. She taught him mindfulness meditation. She also encouraged him to journal to increase his self reflective capacity.

When his therapist assessed he was prepared to process his traumatic childhood, she introduced him to Parts Work Therapy (see my article: Getting to Know the Many Parts of Yourself in Parts Work Therapy).

They started slowly so Bob could get the sense of what it means to have different internal aspects of himself. Gradually, he became aware that, just like everyone else, he had many internal parts and shifting self states and this was normal (see my article: Understanding. Your Shifting Self States).

When his therapist assessed Bob was ready to work on his unresolved trauma, she asked him to bring in pictures of himself from childhood. Since his family didn't take a lot of pictures when he was a child, Bob could only find two pictures of himself.

He hadn't seen these pictures in a long time and when he looked at them in his therapy session, he was surprised to see himself as a young child sitting by himself with a blank stare. It was at that moment when Bob understood how dissociated he had been when he was a child. 

He also realized why he didn't have many memories from that time--his experiences had been dissociated and compartmentalized so that they were inaccessible to him at that point.

As Bob gazed at his pictures, he felt a deep sense of compassion for his childhood self and Parts Work Therapy helped him to reconnect to that part of himself (see my article: Self Compassion as an Essential Part of Trauma Recovery.

Over time, Bob sensed his younger self coming alive again. He was able to reconnect with his younger self and imagine he could give his younger self what he didn't get as a child.

Healing Trauma in Trauma Therapy

Gradually, as Bob became more psychologically integrated, he developed a greater sense of self awareness, self reflective capacity and a capacity for emotional regulation.  

His girlfriend noticed the difference which helped to improve their relationship.

After he overcame his anger towards his parents, Bob felt compassion for them too because he realized each of them had been traumatized when they were younger (see my article: What is Intergenerational Trauma?).

Conclusion

Dissociation is a unconscious survival strategy that temporarily helps to deal with overwhelming events or circumstances.

However, over time, even though dissociation is temporarily helpful, it creates problems in terms of a lack of psychological integration.

Traumatic dissociation, especially dissociation that occurs over time, is an obstacle to psychological integration and positive mental health.

Trauma therapy can help to integrate the dissociated parts of yourself so you can develop increased self awareness, emotional regulation and healthy relationships.

Getting Help in Trauma Therapy

If you think unresolved trauma is an obstacle to your well-being, you could benefit from working with a licensed mental health professional who is a trauma therapist.

Getting Help in Trauma Therapy

A skilled trauma therapist, who has advanced skills and training in trauma recovery, can help you to work through unresolved trauma.

Rather than struggling on your own, seek help in trauma therapy so you can lead a more fulfilling life.

About Me

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

I have over 20 years of experience helping individual adults and couples (see my article: What is a Trauma Therapist?).

I offer in person therapy in my Greenwich Village office or online sessions.

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.