What is the Step-By-Step IFS Therapy Process?

In my last article, Healing Perfectionism With IFS Therapy, I began a discussion about perfectionism and IFS therapy.

In the current article, I'm discussing the step-by-step process of IFS healing perfectionism.

Although I'm focusing on perfectionism, the IFS process for healing is the same for other problems including anxiety, depression and trauma as well as other mental health issues.

Healing Perfectionism With IFS Therapy

Instead of trying to force you to eliminate parts of yourself, IFS helps you to understand, communicate with and untangle these parts. 

This allows your Core Self, which is also known as your true self, to lead a life with compassion and balance (see my article: How Does IFS Therapy Help You to Discover Your True Self?).

How Does IFS Therapy Help With Perfectionism?

As I have mentioned in my prior article, IFS is an gentle, evidence-based therapy that is effective for overcoming most mental health issues.

IFS Therapy and Perfectionism

From the IFS therapy perspective, perfectionism is driven by certain parts of the personality that include three different categories:

• Proactive Protectors ("Managers"): These protectors include the perfectionist and inner critic parts. The perfectionist part sets unreasonably high standards and the inner critic micromanages your behavior. Their goal is to ensure that you behave flawlessly so you never have to experience failure or judgment. The overall goal of proactive parts is to protect you from your wounded inner child (see below).

• Reactive Protectors ("Firefighters"): When the proactive protectors inevitably fail to live up to the "perfect" standards and the wounded parts of yourself get triggered, the firefighters, who are reactive protectors, step in to numb the pain. This might include sudden procrastination, drinking or drugging excessively, constant scrolling on your phone and so on--anything that numbs the pain. The reactive part's goal is also to protect the wounded inner child (see below).

• The Vulnerable Wounded Inner Child ("Exile"): This is the hidden part of your personality that carries the emotional wounds from the past. This part carries feelings of inadequacy, shame or the belief that you are only lovable when you succeed. The proactive and reactive parts work relentless to keep this wounded part buried so you don't feel the emotional pain. 

How Do These Parts Develop?

These parts don't just develop out of nowhere.

Childhood Wounded Parts 

They develop as survival strategies in response to your childhood, environment or cultural conditioning.

According to Dr. Richard Schwartz, who developed IFS therapy, parts are naturally healthy before they take on the burden of survival strategies. 

As I will explain below, the goal of IFS therapy is to help these parts to let go of their rigid, exhausting roles so they can take on new healthy roles.

What is the Step-By-Step Healing Process in IFS For Perfectionism?

IFS therapy has a step-by-step healing process:

• Stepping Back From Your Perfectionist and Inner Critic Parts: This is called "unblending" in IFS. From an IFS perspective, when you are "blended" or enmeshed with these parts, you believe that they are your entire identity instead of just a part of you. An IFS trained therapist can help you to create space between your Core Self, also known as your true identity, and your protective parts. This space allows you to observe these parts rather than being consumed by them.

• Discovering the Positive Intent of the Perfectionist and Inner Critic Parts: IFS therapy operates from the premise that there are "no bad parts", which means that every part has a positive intention. So, instead of fighting with the perfectionist and inner critic parts, you can approach them with curiosity and compassion. With the help of your IFS therapist, you learn to have an internal dialogue with these parts and ask them what they think would happen if they stopped pushing you. The perfectionist and inner critic parts frequently respond that they are afraid if they didn't push you, you would get hurt again by being abandoned or rejected as you were in the past. In other words, the parts are trying to protect you in the only way they know how--by demanding perfection and criticizing you when, inevitably, you don't achieve perfection--because there's no such thing as perfection.

• Accessing the Calm and Compassionate Core Self: By experiencing a separation from these parts, you can gain access to your calm and compassionate Core Self. When you treat the parts with calm and compassion, instead of frustration and anger. Then, their protective grip usually begins to soften--if not immediately, then over time.

• Healing the Underlying Emotional Wound ("The Unburdening Process"): Once the perfectionist and inner critic parts trust that your Core Self can handle things, they allow you and your IFS therapist to safely access the wounded part of yourself. At that point, your Core Self can comfort the inner young wounded child part, witness its past pain, and help it to release ("unburden") the deeply held belief that its worth depends on being perfect. 

• Assigning New Roles to the Perfectionist and Inner Critic Parts: In IFS therapy, healing these parts doesn't mean losing your drive or ambition. It means that once the underlying fear is resolved, the perfectionist and critical parts are freed from their exhausting "guard duty" (also known as defenses). At that point, they can transition into healthy new roles, such as being a detail-oriented ally, an organizer or a source of joyful creativity without ruling your sense of self worth.

Get Help in IFS Therapy

As previously mentioned, IFS therapy is a gentle, evidence based therapy.

Get Help in IFS Therapy

If you have been unable to resolve your problems on your own, you could benefit from working with an IFS therapist to have a more fulfilling life.

About Me

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

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute phone call before setting up an appointment.

You can reach me at (917) 742-2624 during business hours or  email me.

Also See My Articles:

How Are Emotions Processed in IFS Therapy? 

Understanding Your Protector Parts From an IFS Therapy Perspective

What is the Connection Between IFS Therapy and Neural Networks?

Healing Perfectionism With IFS Therapy

In my prior article, Journal Prompts to Cope With Perfectionism, I began a discussion about perfectionism.

In the current article, I'm discussing perfectionism from an IFS therapy perspective (see my article: IFS is a Gentle, Evidence Based Therapy).

Healing Perfectionism With IFS Therapy

In the next article, I'll discuss how IFS Therapy can help with overcoming perfectionism.

How Do Defensive Parts Develop?

From an IFS therapy perspective, defensive parts usually develop at an early age.

In IFS these parts are known as proactive and reactive parts.

When you're faced with trauma or adversity, some of the internal parts of yourself are forced to take on extreme, rigid roles to protect you from pain. This usually occurs when you have had experiences as a child of rejection, failure, loneliness, conditional love, abuse or childhood emotional neglect.

The Core Self: 

From an IFS perspective, the Core Self is not a part. 

Everyone is born with a Core Self and a natural ability to heal. However, when there is childhood trauma, the Core Self can get blended with your defensive parts (both proactive and reactive parts). That can make it difficult to access the Core Self. 

Your IFS therapist can help you to discover your Core Self which helps with the healing process (see below for explanations about the proactive and reactive/defensive parts).

The Core Self and the 8 Cs

The Core Self is composed of the 8 Cs:

• Curiosity: Wanting to learn about your thoughts and feelings without judgment
• Compassion: Feeling kind towards your inner struggles
• Calm: Feeling steady and peaceful inside--even during rough times
• Clarity: Seeing your situation clearly without emotional fog
• Courage: Feeling able to face hard truths and uncomfortable emotions
• Confidence: Trusting that you can handle what comes your way
• Creativity: Opening up to new ideas and flexible ways of thinking
• Connectedness: Feeling a deep sense of belonging within yourself and with others

The Wounded and Defensive Parts:

This is the usual sequence of how wounded and defensive parts develop and how IFS healing process:

• 1. The Wounded Child Develops First During Childhood Trauma: Before the proactive or reactive parts develop, a vulnerable child part is wounded. The vulnerable child part is not a proactive or reactive part. It's the part that holds the trauma. As an example, a child might be rejected, yelled at or abused by a parent when she gets a bad grade at school. The child internalizes the parent's attitude towards her and believes "I'm unlovable" or "I'm powerless". In order to survive, the child's system buries the memory and painful emotion deep inside, which creates the exiled wounded child part.

• 2. The Perfectionist Part Steps Up to Prevent Pain (Proactive Part): Once the wounded part is buried, the internal system realizes it can never allow the wounded part to be triggered or exposed again. The proactive part emerges to police your life and prevent future pain before it can happen again. This part's strategy is, "If I can be perfect and never make mistakes, no one can ever reject or hurt me again."  This part takes over your consciousness and establishes impossibly high standards. This might work reasonably well for you as a child and you get praise from relatives and teachers, which reinforces this survival strategy. 

• 3. The Inner Critic Develops a Preemptive Shield: As life becomes more complex, maintaining 100% perfection becomes impossible. To protect you from the crushing blow of external judgment, a harsher manager called the inner critic, develops after the perfectionist develops. The inner critic believes that beating you up first (before you get external criticism) provides a safe shield. The inner critic's logic is, "If I criticize you for being lazy or messy before anyone else notices, I'll force you to fix it before others are able to hurt you." The inner critic often adopts the same words, attitude and tone of the critical authority figures from your past (parents, teachers and critical others). The inner critic learned that those voices are what define "safety" and "correctness".

• 4. The Parts Freeze in Time: The primary reason why these parts continue to be problems is that they are frozen in the past. Your perfectionist and critical parts often don't know that you are no longer child. They still believe you are that fragile child that couldn't survive without them.  

• 5. The Parts Take on Healthy Roles: As part of IFS therapy, you learn to have a dialogue and a relationship with these parts of yourself to help them to understand that you now have adult resilience.  As you develop a trusting relationship with these parts, they usually realize for the first time that you are no longer a fragile child that needs protection and they can relax instead of staying in exhausting roles. This allows them to take on healthy functions. For instance, instead of obsessively criticizing and striving for perfection, they might encourage you with a sense of healthy motivation.

Conclusion

For the sake of simplicity, I have described an inner world that has one wounded part, one proactive defensive part and one reactive defensive part. 

In reality, there are usually many wounded, proactive and reactive parts to heal.

Although I have focused on perfectionism, the IFS step-by-step process is the same for any other problem.

In my next article, I'll discuss how IFS therapy works to heal perfectionism.

Get Help in IFS Therapy

If you have been trying without success to work through your problems, you could benefit from working with an IFS therapist.

Get Help in IFS Therapy

IFS therapy can help you to heal your problems so you can be live a more fulfilling life free from your traumatic history.

About Me

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

Over the years I have helped many individual adults and couples.

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

I provide a 10-15 minute free phone call before setting up an appointment.

You can reach me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:

What is Somatic IFS? 

How Does IFS Therapy Help You to Understand Yourself? 

How Can IFS Therapy Help With Anxiety? 

What is the Approach-Avoidance Conflict in Psychotherapy and How Can IFS Therapy Help?

In my prior article, Why Are So Many of Us Fearful of Change While Others Embrace It?, I mentioned the approach-avoidance conflict as it relates to making changes.

The Approach-Avoidance Conflict

In the current article, I'm focusing on the approach-avoidance conflict as it relates to many clients in therapy.

What is the Approach-Avoidance Conflict in Therapy?

As I mentioned in the prior article, although many people want to make positive changes in their life, they often experience ambivalence about the change--even when it's something they really want.

As a New York psychotherapist in private practice, I see this all the time.

Since it's a common experience, if you learn to expect it, you can learn to accept and deal with that part of yourself that might want to avoid positive change.

So, let's explore this dynamic further.

In psychotherapy, the approach-avoidance conflict is a psychological state of tension that occurs when a client is simultaneously drawn towards and repelled by the exact same goal, action or dynamic.

The approach-avoidance conflict was originally introduced by Kurt Lewin, a psychologist, who described this dynamic as a "tug of war". 

This dynamic is key to understanding why at a certain stage of therapy many clients experience anxiety and stagnation about the changes they want to make.  

What is the Typical Pattern For the Approach-Avoidance Conflict in Therapy?

This conflict often operates on a predictable pattern based on how close clients are to their goal:

• The Approach to a Goal: When clients are far away from a goal, they can see the positive benefits of their goal ("the approach"). This motivates them to move forward.

• The Avoidance of a Goal: As clients move emotionally or physically closer to the goal, many of them begin to perceive negative consequences or fears ("the avoidance") which grows sharply the closer they get to their goal.

• The Point of Stagnation: Eventually, the force of the avoidance equals the force of the approach. At that point, these clients can get stuck as they experience anxiety, indecision or behavioral paralysis.

What Are the Clinical Scenarios Where the Approach-Avoidance Conflict Shows Up in Therapy?

Here are some typical examples:

Intimacy and Relationships:

• The Approach (Pull or Desire): Craving deep emotional connection and a loving relationship.

The Approach-Avoidance Conflict in Therapy

• The Avoidance (Fear): Fear of vulnerability, rejection or losing independence.

• Resulting Behavior: Sabotaging relationships just as they become serious.

Trauma Processing:

• The Approach (Pull or Desire): Wanting to heal, gain closure and reduce traumatic symptoms.

The Approach-Avoidance Conflict in Trauma Therapy

• The Avoidance (Fear): Fear of exploring traumatic memories and emotions.

• Resulting Behavior: Missing sessions or leaving therapy prematurely as the trauma work begins.

Career Change:

• The Approach (Pull or Desire): Desiring a fulfilling, high-paying and prestigious position.

• The Avoidance (Fear): Fear of failure, longer work hours or more responsibilities.

• Resulting Behavior: Procrastination in submitting a job application or applying for a promotion.

Behavioral Change

• The Approach (Pull or Desire): Wanting a healthier body and stable life.

The Approach-Avoidance Conflict and Behavioral Change

• The Avoidance (Fear): Fear of facing reality the necessary changes involved.

• Resulting Behavior: Reverting back to unhealthy behavior, missing sessions or dropping out of therapy prematurely.

How Does IFS Therapy Deal With the Approach-Avoidance Conflict?

IFS (Internal Family Systems) Therapy is uniquely suited for this dynamic (see my article: IFS Therapy is a Gentle Evidence-Based Therapy).

IFS Therapy and the Approach-Avoidance Conflict

The IFS therapist deals with the approach-avoidance conflict by recognizing that clients who experience this dynamic have a clash between two or more parts of themselves.

Instead of trying to push through the conflict, the IFS therapist helps clients to overcome this dilemma by identifying clients' internal parts and identifying the positive intentions of each of the conflicting parts. She also helps clients to negotiate between these conflicting parts.

What is the IFS Therapy Framework For the Approach-Avoidance Conflict?

In IFS, the "approach" and "avoidance" aspects of clients are seen as separate parts of the client who have good intentions. There is a recognition that these conflicting parts have served the client in the past by protecting old emotional wounds:

• The Approach Part: This is usually an internal proactive protective part. This part wants to move forward, achieve goals or seek connection because doing so will bring safety, fulfillment or a sense of increased self worth.

IFS Therapy and the Approach-Avoidance Conflict

• The Avoidance Part: This is usually a reactive protective part. It stops progress because it senses danger. It fears that moving forward will trigger an old emotional wound, shame or trauma from the past.

What is the IFS Therapy Step-By-Step Process For Resolving Internal Conflict?

The IFS therapist will guide the client through the following process to overcome the client's behavioral conflict:

Differentiating the Internal Parts: Instead of saying, "I want to change, but I can't", the therapist helps the client to reframe it: "A part of me wants very much to move forward, and another part of me is terrified to do it." In addition, the therapist helps the client to discover and embody Core Self, which is the compassionate and curious part of the client. This enables the client to look at both of these internal parts without taking sides.

• Honoring The Avoidant Part (The Protector): Traditional psychotherapy often wants to override the client's avoidance. IFS does the opposite: It focuses on the avoidant part first. The IFS therapist asks the client to get curious about the avoidant part by asking: "How is this part protecting you?" and "How did it protect you in the past?". Also, "What is this part afraid will happen if you take this step?" By validating that the avoidant part has a positive intention (e.g., protecting the client from rejection, failure or an old emotional wound), the protecting part usually loosens its grip. This usually doesn't happen immediately because the avoidant part must first learn to trust the Core Self of the client as well as the intention of the therapist.

IFS Therapy and the Approach-Avoidance Conflict

• Facilitating Internal Negotiation: Once each of the conflicting parts feels heard and seen by the client's Core Self and the therapist, the therapist helps the client to invite these parts to talk to each other. The Core Self might ask the avoidant part, "If I promise to go very slowly and protect you, would you be willing to allow the approach part to take a small step?" Since this protective/avoidant part is no longer being resisted or ignored, it usually agrees to soften or step aside temporarily.

• Working With the Wounded Part: Ultimately, the avoidant part is hypervigilant because it's protecting the wounded part of the client. Once this protector feels safe enough to step aside, the IFS therapist guides the Core Self to witness, work through the original trauma and heal. When the underlying emotional pain and trauma have been resolved, the avoidant/protector part usually drops the avoidant behavior because the underlying danger no longer exists.

Clinical Vignette

The following clinical vignette illustrates how the approach-avoidance conflict is overcome in IFS therapy:

John

When John met Donna, he felt a strong attraction to her and he asked her to go out on a date.

As they got to know each other, they both enjoyed each other's company and the new relationship energy that comes with being in a new relationship.

A few months later, as the relationship became more serious, Donna wanted a commitment from John but, even though he knew he loved Donna, he felt himself pulling away from her and he didn't understand what was happening to him.

At that point, Donna's friends told her she should end the relationship because they thought John was a "commitment-phobe".  But Donna felt John was struggling with some kind of internal conflict and she wanted to give him a chance to overcome the conflict, so she suggested that he get help in therapy.

IFS Therapy and the Approach-Avoidance Conflict

Since John also wanted to understand why he felt so conflicted about making a commitment with Donna, he started therapy with an IFS therapist.

John had never heard of IFS therapy, but he was curious as to how it might help him to overcome his internal conflict.

Over time, as they explored John's family history, they discovered that John had an unresolved trauma related to his mother's anxiety and depression. When he was a child, John felt he was unlovable because his mother was emotionally distant and his father was often away on business.

With the help of his therapist, John realized that this old emotional wound was making him feel emotionally vulnerable with Donna in a way where a part of him wanted to escape the relationship, but another part of him wanted to remain, which reflected his ambivalence.

The work in therapy was neither quick nor easy, but John was motivated to work through his internal conflict about making a commitment to Donna. With the help of his therapist, he was able to see the good intention of the avoidant part of him and how it protected him in the past when he was a child.

His therapist guided John into feeling curious and compassionate towards this avoidant/protector part so that, eventually, it softened enough so he and his therapist could work on his traumatized wounded child part.

Over time, John was gradually able to let go of his fear because he had an embodied sense that, unlike when he was a child, he was now safe and more capable of being in a committed relationship with Donna.

Once he was freed from his traumatic history, John made a commitment to Donna and they moved in together with the eventual goal of getting married.

Conclusion

Although many people want to make positive changes in their life, they often experience an ambivalence about the change as the change becomes more of a reality--even when it's something they really want.

In psychotherapy, the approach-avoidance conflict is a common psychological state of tension that occurs when a client is simultaneously drawn towards and repelled by the exact same goal, action or dynamic.

This is a common experience in therapy. 

In traditional psychotherapy, therapists often try to push through the ambivalence, which can make a client feel even more ambivalent, so this usually doesn't work.

An IFS therapist recognizes that we all have many different internal parts and some of these parts are polarized so they are in opposition to each other. They also recognize that this is often outside a client's awareness, so they reach for the ambivalence so it can be worked on.

IFS therapy is ideally suited for dealing with the approach-avoidance conflict.

Get Help in IFS Therapy

If you are stuck in an approach-avoidance dilemma, rather than struggling on your own, you could benefit from working with an IFS therapist.

Get Help in IFS Therapy

Being able to work through the conflict provides you with an opportunity to live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS Parts Work Therapist, EFT Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute telephone call before setting up an appointment.

You can contact me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:

Fear of Change 

Overcoming Recurring Patterns of Self Sabotaging Behavior 

Strategies For Making Major Changes in Your Life 

What is Somatic IFS?

Why Are So Many of Us Fearful of Change While Others Embrace It?

According to the latest research, while some people embrace change wholeheartedly, the vast majority of us don't like change--especially change we haven't chosen because it gets us out of our comfort zone.

Making Changes

As a New York City psychotherapist in private practice, I get to see how people respond to making changes--even changes they want--with a mixture of anxious anticipation, fear and ambivalence. 

On the surface, this might not seem to make sense. After all, you might say, if people are coming to therapy voluntarily because they want to make changes, why wouldn't they respond to change with open arms?

As we explore further, although it might not make sense objectively, it does make psychological sense.

Why Is Change so Hard For Most of Us?

When we look beyond the surface, we see that what most people really dislike is the lack of control and the uncertainty involved. 

Looking even further, we discover that, while we might like certain changes that we have chosen--like traveling on a much-anticipated vacation, falling in love or getting a raise at work, we tend to feel resistance to involuntary changes that are imposed on us.

Involuntary change might include:

• An unexpected life event like the death of a loved one, a new health concern or the end of a relationship where there is grief and loss

• A workplace restructuring that might involve reporting to someone new

• A financial loss

• Other similar unexpected changes

Under these involuntary circumstances, the pain and loss can feel confusing and threatening.

Why Do We Have Mixed Feelings About Change We Seek in Therapy?

The individual adults and couples I see in my private practice are all voluntary clients. None of them are mandated to come to therapy.

Making Changes in Therapy

They usually come to therapy, spending their time and hard-earned money in the effort, because some part of them wants to make changes. 

But, for most us, as we begin the change process, we also begin to have mixed feelings about it--even for changes that we really want.

Why is this?

Part of the answer is that the human brain naturally prioritizes predictability and comfort over the discomfort of growth. Even when a change is highly desired and voluntarily chosen, the status quo represents a survival strategy or behavioral pattern that has kept us safe, comfortable or, at least, it was familiar. 

With regard to safe and familiar, as the saying goes, "Better the devil you know than the devil you don't."

In psychotherapy this ambivalence is called the "approach-avoidance conflict" which means that we are simultaneously drawn to the benefits of change and a better life while also being repelled by the fear and effort to change.

In addition, maladaptive behaviors always serve a purpose--even if we don't know what that purpose might be. 

Making Changes in IFS Therapy

For instance, according to IFS Therapy (Internal Family Systems Therapy), we all have many different aspects of ourselves, including protector parts, also known as defense mechanisms in psychodynamic psychotherapy. 

It's common to have protector parts that resist change because these parts assumed these roles in order to "protect" a wounded traumatized part of us.

These protector parts have "good intentions" in terms of their protective roles. Most likely, they were useful at an earlier time in our life as a survival mechanism, but their impact becomes maladaptive as we become adults and these survival mechanisms hold us back. 

For instance, if we learned to become emotionally numb in a dysfunctional family when our parents were fighting, the emotional numbness might have protected us from feeling the overwhelming pain of being abused or neglected.

But, as an adult, becoming emotionally numb while our spouse is telling us how annoyed they are about something we did isn't adaptive anymore. As adults, we need to be attuned and attentive to what our partner is saying if we want our relationship to survive.

We might really want to be a good partner, but if we have a tendency to numb ourselves (also known as "zoning out") when our partner is complaining to us, being present would mean taking the emotional risk that we are now safe enough with our partner to let go of a long-standing defense mechanism, which isn't easy to do.

Another example: If we are working on unresolved trauma, we know logically that our life would be better once we no longer carry the burden of the psychological trauma, but dealing with painful unprocessed emotions might make us want to abandon the effort.

How Can the Change Process Be Easier to Manage?

As a trauma therapist, I can't eliminate the emotional pain with making changes, especially if the change involves processing unresolved trauma, but I can and do help clients to process trauma in manageable ways when possible (see my article: Coping With Emotional Distress in Experiential Therapy Using the Somatic Experiencing Technique of Pendulation).

Although change might not be easy, there are ways to make it more manageable with the help of an experienced therapist:

• Shift Out of An All-or-Nothing Mindset: All-or-nothing thinking sets us up for disappointment when we don't make difficult changes immediately. 

Get Curious About the Change Process

• Adopt Non-Judgemental Curiosity: Instead of viewing fear and ambivalence as a personal failure, get curious about your change process (see my article: How to Develop a Curious Mindset).

• Acknowledge Protective Habits: Recognize that old habits that are no longer adaptive once kept you feeling safe.

• Separate Fear From Action: Learn to carry the physical sensation of fear in therapy while you take steps to make changes.

Progress Isn't Linear

• Expect Non-Linear Progress: Expect that growth involves inevitable ups and downs. Progress isn't a straight line (see my article: Progress in Therapy Isn't Linear).

• Identify What is Controllable: Instead of focusing on what isn't controllable, focus on what you can control right now.

• Remember Prior Resilience: Write down the times when you were able to successfully make changes due to unexpected events and recognize that you probably still have the resilience to make changes now--especially if you approach change in a manageable way rather than all at once.

Challenge Catastrophic Thinking

• Challenge Catastrophic Thinking: Evaluate whether your fears are realistic or if your mind is focusing only on worst-case scenarios (see my article: Are You Catastrophizing?).

• Process Long-Term Regret: Forgive yourself for waiting until now to make changes so that guilt doesn't become an obstacle to making changes.

Conclusion

Change can be difficult.

Even when you seek help in therapy to make much-needed changes, you can experience an approach-avoidance conflict about the process.

Get Help in Therapy

There are steps you can take in the change process, with the help of a therapist, that can make the change more manageable.

In addition, choosing a therapist that allows you to feel safe enough to make changes is important--not only for making changes--but also to have a new experience of safety if you weren't safe when you were growing up (see my article: How to Choose a Psychotherapist).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS/Parts Work Therapist, EFT Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

As an experienced therapist, I have helped many individual adults and couples to make positive change over the years.

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

I provide a free 10-15 minute phone call before setting up a first appointment.

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

Also See My Articles:

Overcoming Your Fear of Making Changes

What is a Growth Mindset vs a Fixed Mindset?

Coping With the In-Between State of Change

Why It's Important For Therapists to Provide Clients With Information About How Therapy Works

What is Somatic IFS Therapy?

I've written prior articles about IFS (Internal Family Systems) therapy, a gentle evidence based trauma therapy, in the past (see links for articles at this end of this article).

What is Somatic IFS Therapy?

Somatic IFS therapy is an integrative approach that combines the "parts work" of traditional IFS with body-centered somatic therapy.

Somatic IFS Therapy

Somatic IFS was developed by IFS trainer, Susan McConnell, who also wrote the book, Somatic Internal Family Systems.

This modality is based on the premise that psychological wounds, trauma and subpersonalities (parts) don't just live in the mind--they are physically stored in the nervous system, tissues and postures.

Somatic IFS Therapy as Mind-Body Parts Work

Traditional IFS sees the human psyche as a system of distinct subpersonalities (e.g., inner children, managers and protectors) led by a compassionate Core Self. 

Although traditional IFS does use the mind-body connection, it relies mostly on cognitive dialog to interact with these parts. Somatic IFS really emphasizes the body in this dialog.

The basic assumptions of Somatic IFS include:

• Parts Are Embodied: An anxious protector might manifest as a tight jaw or restricted breathing. Similarly, a deeply wounded exile (wounded part of oneself) might show up as chronic fatigue or a collapsed posture.

• The Core Self is Embodied: Genuine healing comes from an embodied Core Self where a person doesn't just think from a place of curiosity and compassion--they feel physically grounded and safe within their own skin.

What Are the 5 Core Practices of Somatic IFS Therapy?

Somatic IFS uses five distinct structured practices to bridge the gap between mind and body:

• Somatic Awareness: The foundational step in Somatic IFS is from having a body to being a body--noticing physical sensations, interoceptive cues and internal stories (see my article: The Mind-Body Connection: What is Somatic Awareness?)

Somatic IFS Therapy

• Conscious Breathing: Somatic IFS uses specific breathwork techniques to regulate the nervous system, soothe hyperactive parts and safely access buried emotional pain (these parts are called "exiles" in IFS).

• Radical Resonance: Somatic IFS develops awareness of the energetic relational space between the client and the therapist. This allows the IFS therapist's regulated nervous system to help co-regulate the client. 

• Mindful Movement: Somatic IFS invites micro-movements, which are changes in posture or expressive stretching to let a nonverbal part of the client express itself physically its needs, incomplete survival defenses or release physically burdens held by the parts.

• Attuned Touch: Somatic IFS therapy encourages the client to comfort wounded parts through touch/grounding hand placement. This also allows the client to use their hand to facilitate a felt sense of safety.

Somatic IFS Therapy and the Nervous System

Somatic IFS is effective for conditions rooted in the nervous system because it goes beyond intellectual analysis and intellectual insight. 

Somatic IFS is used for posttraumatic stress disorder (PTSD), chronic trauma, anxiety, complex trauma, preveral trauma and other nervou system related mind-body oriented problems.

About Me

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

I have helped many individual adults and couples over the years.

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:

IFS Therapy is a Gentle Evidence-Based Trauma Therapy 

What is the Connection Between IFS Therapy and Neural Networks? 

How IFS Therapy Can Help With Anxiety