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NYC Psychotherapist Blog

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Showing posts with label New York City. Show all posts
Showing posts with label New York City. Show all posts

Friday, December 19, 2025

Relationships: What Are the 4 Cs of the Attachment Behavioral System (ABS)?

If you're looking for an excellent book to understand your relationship, check out Secure Love: Creating a Relationship That Lasts a Lifetime by Julie Menanno.

Relationships and the 4 Cs of ABS

I really like this book and recommend it to couples I work with because it has excellent information about couples dynamics, it's written in an accessible way and Ms. Menanno's theoretical orientation for couples therapy is the same as mine--Emotion Focused Therapy (EFT).

In fact, she and I were taught by the same two senior trainers, Sue Johnson, who developed EFT, and George Faller, a long-time EFT trainer and couples therapist.

Understanding Your Relationship Through the Lens of the Attachment Behavioral System
Ms. Menanno provides valuable information about attachment theory as well as practical information about how to understand attachment styles (see my articles about attachment styles below).

Relationships and the 4 Cs of ABS

What Are the 4 Cs of the Attachment Behavioral System (ABS)?
According to Ms. Menanno most couples' problems can be sorted out into four categories and knowing which areas you and your partner are struggling with can help you to know where to focus your attention:
  • Comfort
  • Connection
  • Cooperation 
  • Conflict
Let's take a look at each of these components of the ABS:
  • Comfort: This category focuses on how well you and your partner provide each other with comfort when one of you seeks comfort or emotional support. She distinguishes comfort from advice giving or trying to "fix" the problem. It also focuses on how well you can manage your emotions while you're comforting your partner.
    • Example: Your partner comes home from a visit to her mother's house and she tells you she feels down because her mother criticized her throughout the visit. This has been an ongoing pattern since your partner was a young child. Your partner tells you she needs your emotional support. Do you 1) attune to your partner's feelings and engage in active listening while empathizing with your partner's experience or 2) do you give your partner advice about how to handle the criticism the next time she visits her mother? If your partner has clearly stated she needs your emotional support. the correct answer is 1).
  • Connection: Connection refers to the emotional and physical/sexual connection you and your partner experience with each other. Connection involves emotional vulnerability. Emotional connection also involves having fun together
    • Example: When you talk to your partner about your day, do you 1) talk about the details of your day without expressing how you feel about what happened or 2) do you express your emotional vulnerability by discussing how you were emotionally impacted by what happened? For you and your partner to feel connected with each other, you need to express your emotional vulnerability or you will just be providing the mundane details of your day and you won't be connecting with your partner in a meaningful way. So, 2) is the better way to go.

Relationships and the 4 Cs of ABS
    • Example: You and your partner divide up the housework and sharing in managing finances. You also divide up the mental load by sharing in remembering and buying gifts for family members' birthdays and anniversaries. Even though you're better at managing interpersonal relationships, you and your partner have made a decision that he will manage the relationship with your mother-in-law because she responds better to him than she does to you.
  • Conflict: How well do you and your partner handle disagreements when you're not doing well with the other categories (comfort, connection and cooperation)? Are you both able to manage your emotions or do you get stuck in the "Blame Game" where you're hurling accusations at each other? Are you able to maintain respect for each other during an argument or do you get stuck in the same negative cycle over and over again?
    • Example: You and your partner tend to argue about money. You're a saver and he tends to be a spender. Even though you both maintain your own bank accounts with a third account for shared expenses, you keep telling your partner you could both be saving more for retirement if he would curb his spending. When you tell him that, he feels like you're trying to control him. You argue until you're both exhausted. Then, you each retreat and, after a few hours, you're speaking to each other again. Nothing gets repaired. Instead, resentment builds as these unresovled arguments continue to pile up without resolutions. 
Conclusion
Looking through the relational lense of the 4 Cs (comfort, connection, cooperation and conflict) is one way to look at your relationship to understand the positive aspects of your relationship as well as the areas that need attention.

Relationships and the 4 Cs of ABS

When you look at the 4 Cs in your relationship, you and your partner can appreciate the positive aspects and work on repairing the aspects that need improvement.

Getting Help in EFT Couples Therapy
If you recognize problem areas that you and your partner have been unable to resolve on your own, you could benefit from working with a couples therapist who uses Emotion Focused Therapy (EFT) to help couples (see my article: How EFT Couples Therapy Can Help You to Improve Your Relationship).

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek help from a EFT licensed mental health professional who can help you and your partner to work through the relationship issues so you can have a more fulfilling relationship.

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

I have over 25 years of experience helping individual adults and couples to lead more fulfilling lives.

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

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


Thursday, December 18, 2025

Healing From Regret

Living with regret can be one of the most challenging experiences of your life, but there are ways to heal.

Living With and Healing From Regret

What is Regret?
Regret is a feeling of sadness, repentance or disappointment over something that has happened or has been done.

Examples of Regret
Here are some of the most common types of regret:
  • Not being true to yourself
  • Not expressing love or appreciation to a loved one
  • Neglecting important relationships
  • Hurting a loved one
  • Not acknowledging your part in an interpersonal problem
  • Losing touch with friends
  • Working too hard and missing out on important events
  • Bad health habits
  • Failed relationships (either not valuing a good relationship or staying in a bad relationship)
  • Poor judgment
  • Wasting time worrying instead of enjoying the present
  • Saying "yes" too much and not knowing how to say "no"
  • Saying "no" too much and not knowing how to say "yes"
  • Not pursuing passions
  • Not taking any risks
  • Living a small and unfulfilling life
How to Heal From Regret
Living with regret can be a painful experience, especially if you haven't forgiven yourself.

Most people are inclined to want to run from their feelings of regret rather than allowing themselves to feel it as the first step in healing.

Here are some suggestions you might find helpful:
  • Don't Run From Your Emotions, Feel Them: Although it's tempting to push aside feelings of regret, you can take the first step in healing by feeling them rather than running from your emotions (see my article: What Are the Benefits of Experiencing Your Emotions?).
  • Accept the Past: You can't change the past, so you need to accept whatever you did or didn't do that causes you to feel regret. Depending upon the circumstances, you might have behaved in a certain way due to whatever information or capabilities you had at the time. Acceptance doesn't mean you like what you did. It means you accept the fact that you did it and you will do better in the future.
Living With and Healing From Regret
  • Have a Dialog With the Internal Critic Within You: If you have been hard on yourself, you can do a writing exercise where you have a dialog with your inner critic. Acknowledge what your inner critic has to say, ask this part of yourself what it would like you to learn from the experience, make a commitment to do better and ask it to let go of its harshness so you can heal. When I do Parts Work Therapy with clients, I ask them to practice having a dialog in our therapy sessions with the parts of themselves that keep them from forgiving themselves or keep creating obstacles to their well-being. Often these parts want to be acknowledged first before they can let go (see my article: Making Friends With Your Inner Critic).
  • Practice Self Compassion: What would you say to a close friend or loved one who had problems forgiving themself? If you can feel compassion for them, can you extend compassion to yourself? Recognize that making mistakes is part of being human (see my article: Acceptance and Self Compassion).
  • If Possible, Make Amends: If it's possible without crossing a boundary with others, apologize or make things right.  If it's not possible to make amends because to do so would be violating another's boundary or it would be unsafe for yourself, act in their honor or help others. Examples of this might include:
    • Engaging in Acts of Service: This includes volunteering or helping in your community.
    • Creating Unsent Letters: If you can't have direct closure, you can write letters that you will not send because to do so would be crossing a boundary. The act of writing an unsent letter can be healing.
    • Focus on the Present: Since you can't change the past, focus on the present. Create new goals for yourself that align with your values.
    • Get Help From a Mental Health Professional to Change Your Behavior and to Heal: If you're having problems understanding why you acted in a way that you now regret, you can gain insight, make changes and forgive yourself with the help of a licensed mental health professional who helps clients with overcoming regret.
Also See My Articles: 


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

I have over 25 years of experience helping individual adults and couples.

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

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

















 

Tuesday, December 16, 2025

How is Accelerated Experiential Dynamic Psychotherapy (AEDP) a Psychodynamic Therapy?

In my prior article,  How is Contemporary Psychodynamic Therapy Different From Traditional Psychoanalysis?, I discussed the difference between contemporary (modern) psychodynamic therapy and traditional (Freudian) psychoanalysis.

AEDP as a Psychodynamic Therapy

In the current article, I'm discussing how Accelerated Experiential Dynamic Psychotherapy (AEDP) is a type of psychodynamic psychotherapy.

What is AEDP?
AEDP was developed by clinician and researcher, Dr. Diana Fosha.

See my two prior articles:


How is AEDP a Psychodynamic Therapy?
AEDP is a psychodynamic therapy because it stems from psychodynamic principles.

The psychodynamic roots of AEDP include concepts such as:
AEDP as a Psychodynamic Therapy
  • Exploration of Defenses: AEDP delves into how we use defense mechanisms (ways to avoid emotional and psychological pain) which were developed as a strategy to cope with overwhelming pain. This is a core concept of psychodynamic therapy.
  • Relational Focus: AEDP emphasizes the relationship between the client and the therapist as crucial to the client's healing. This is an essential part of psychodynamic psychotherapy.
How is AEDP Different From Psychodynamic Therapy?
  • Experiential and Focused on Emotion: Instead of only analyzing the past, AEDP focuses on the here-and-now to fully focus on emotions as they arise in the therapy using these moments as a catalyst for change (see my article: Riding the Waves of Transformation).
AEDP as a Psychodynamic Therapy
  • Accelerated Healing: The "Accelerated" part of AEDP refers to harnessing the client's powerful emotional experiences, including emotions like joy and grief, to facilitate accelerated healing (as compared to most psychodynamic therapies) rather than a slow exploration of the client's dynamics (see my article: How Does AEDP Work?).
  • The Client's Innate Resilience: AEDP assumes that people are hardwired for resilience. AEDP focuses on and amplifies what is already working for the client. This helps to build the client's existing strengths which promotes the client's flourishing. This is a significant difference from many forms of psychodynamic therapy which focus on the pathology (pathology in this context refers to mental and behavioral patterns that are dysfunctional).
Conclusion
AEDP uses psychodynamic principles, but it deepens and tends to speed up the process by getting clients to feel and transform emotions experientially within a secure, attachment-based therapeutic relationship. This helps clients to unlock their innate capacity for healing (see my article: Why is Experiential Therapy More Effective Than Traditional Therapy to Resolve Trauma).

Get Help in AEDP Therapy
If you have been struggling on your own to cope with unresolved trauma, you could benefit from working with an AEDP therapist.

To find an AEDP therapist near you, you can search on the AEDP directory.

Rather than struggling on your own, seek help from a licensed mental health professional who is trained in AEDP.

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

As a trauma therapist with more than 25 years of experience, I have helped many individual adults and couples to heal from trauma (see my article: How Trauma Therapy Can Help You Overcome Unresolved 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.



 

Monday, December 15, 2025

How is Contemporary Psychodynamic Psychotherapy Different From Traditional Psychoanalysis?

Contemporary psychodynamic psychotherapy, a modern therapy, originates from traditional (Freudian) psychoanalysis and there are some similarities between them and many differences.

Psychodynamic Psychotherapy vs Traditional Psychoanalysis

In fact, all therapy originates with Freud, but contemporary psychodynamic therapy has evolved beyond Freudian psychoanalysis in many ways.

Both traditional psychoanalysis and psychodynamic psychotherapy are depth-oriented therapies that strive to get to the root of the client's problems, but there are significant differences between them.
 
How is Contemporary Psychodynamic Psychotherapy Different From Traditional Psychoanalysis?
  • Frequency and Setting: Whereas clients attend traditional psychoanalysis anywhere from 3-5 times a week, clients in contemporary psychodynamic therapy tend to meet once a week either in person or online.
Psychodynamic Psychotherapy vs Traditional Psychoanalysis 
  • Focus: In traditional psychoanalysis there tends to be a deep, extensive exploration of unconscious conflict, early childhood and dream analysis. In contemporary psychodynamic psychotherapy, although the unconscious is important, the focus tends to be on current life problems, current interpersonal relationships, emotional expression and recurring patterns which often originate from earlier relationships.
  • Therapist's Role: The therapist's role is a "blank slate" in traditional Freudian psychoanalysis. The neutrality of the traditional psychoanalyst is seen as important to encourage the client's transference which the therapist interprets. However, in contemporary psychodynamic psychotherapy the therapist's role is more interactive and dynamic. Instead of just focusing only on the client's transference, psychodynamic therapy focuses on the relationship between the client and therapist--in other words, it focuses on both transference/countertransference of the client and therapist. 
Psychodynamic Psychotherapy vs Traditional Psychoanalysis
  • Duration: Whereas traditional psychoanalysis tends to last for years, contemporary psychodynamic psychotherapy tends to be shorter and more focused.
  • Goal: The goal of traditional psychoanalysis is usually to gain insight into repressed conflicts to resolve them. Depending upon the goals of the client, in contemporary psychodynamic psychotherapy the goal tends to be improved functioning and self understanding for the client's current challenges.
Psychodynamic Psychotherapy vs Psychoanalysis
  • Accessibility: Compared to traditional psychoanalysis, contemporary psychodynamic psychotherapy tends to be more accessible for common problems like depression and anxiety
  • Technique: Whereas traditional psychoanalysis tends to be Freudian, contemporary psychodynamic psychotherapy incorporate elements from various other modern theories, including objection relations and attachment theories, among others, not just Freudian psychoanalysis.
My Next Article
In my next article, I'll discuss Accelerated Experiential Dynamic Psychotherapy (AEDP), a cutting edge trauma therapy which is a psychodynamic psychotherapy.

About Me
I am a licensed New York psychotherapist who is a psychodynamic psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), 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.






Wednesday, December 10, 2025

Relationships: Why is It So Hard to Validate Your Partner's Vulnerability?

As a psychotherapist in New York City who works with individual adults and couples, I see many relationships who have problems with emotional validation.

Problems With Validating Your Partner's Vulnerability

In a prior article, Validation as a Pathway to Greater Emotional and Sexual Intimacy, I discussed the importance of vulnerability in developing emotional and sexual intimacy in your relationship.

In the current article I'm focusing on why it can be difficult to validate a partner's emotional vulnerability.

Why Is Validating a Partner's Vulnerability Difficult?
People often struggle to validate their partner's vulnerability for many reasons including:
  • Misunderstanding validation: Believing it means agreeing or admitting fault--rather than acknowledging their partner's emotional reality.
  • Fear and defensiveness: Vulnerability can trigger personal fears (fear of rejection or fear of inadequacy), making a partner defensive and punishing their partner for being vulnerable.
Problems With Validating Your Partner's Vulnerability
  • Lack of Skills: Not knowing how to validate, struggling with emotional intelligence or an inability to handle intense emotions.
  • Past Experiences of Being Hurt: Prior experiences of being hurt when vulnerability was met with rejection or criticism can create barriers.
  • Societal Norms: Pressure to be stoic, especially for men, can hinder emotional sharing.
  • Differing Perspectives: Difficulty accepting a partner's perspective due to a differing perspective.
  • Emotional Disconnection: Being disconnected from their own own painful feelings. This can drive invalidating behavior towards their partner.
What Does Invalidating Behavior Look Like in Relationships?
The following are some examples of invalidating behavior:
  • Dismissing a partner's feelings as "irrational" or "ridiculous".
  • Turning away from a partner.
Problems With Validating Your Partner's Vulnerability
  • Changing the subject
  • Focusing only on their own feelings about the topic
Conclusion
Validation isn't agreement.

Validation is about creating a safe haven for your partner's emotional experience.

Validating your partner requires a conscious effort, but the good news is that validation is a skill that can be learned (see my article: How to Validate Your Partner's Emotional Vulnerability).

Getting Help in Couples Therapy
If you and your partner have been struggling with problems in your relationship, you could benefit from working with a licensed mental health professional who specializes in working with couples.

Getting Help in Couples Therapy

A skilled couples therapist can help you to develop the skills and tools you need to have a more fulfilling relationship.

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 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.









Monday, December 8, 2025

How Visualization Can Transform Your Life

In my psychotherapy private practice in New York City I help clients to use their imagination and visualizations to achieve transformation in their life (see my article: Using Your Imagination).

Visualization and Transformation

What is Visualization?
Visualization is the process of creating vivid mental images or representations. 

Visualization can be used to understand complex information. It can also be used to mentally rehearse desired outcomes for personal growth, therapy or performance (see my article: Using the Mind-Body Connection to Create a Vision of What You Want).

Visualization uses the imagination to form pictures in your mind. This often involves using all your senses to simulate experiences and goals. This can improve focus, motivation and the development of new skills.

How is Visualization Used in Psychotherapy and Personal Development?
Here are some examples of how visualization can be used in psychotherapy and personal development:
  • Mental Rehearsal: Imagining yourself performing a task. This builds neural pathways which makes it easier to do in real life.
  • Goal Setting: Creating a clear mental picture of a desired future outcome to direct your unconscious mind and increase your motivation (see my article: Making the Unconscious Conscious).
  • Sensory Engagement: Using sight, sound, touch and smell to enhance the power of your imagery and make it more realistic.
What Are the Key Aspects of Visualization?
  • Mental Imagery: Visualization involves seeing in your mind's eye without actual visual input.
Visualization and Transformation
  • Brain Activation: Visualization activates similar brain areas as actual seeing and doing, which makes it a powerful training tool.
  • Technique: Visualization can involve the process (the steps it takes to achieve your goal) or the outcome you desire (the end result).
How I Learned to Use Visualization
When I first tried using visualization as part of a women's personal development group more than 25 years go, I had a hard time accessing visual images.  The other women around me were getting vivid imagery when they closed their eyes to visualize and I was getting nothing.

Then I discovered the book, Creative Visualization, by Shakti Gawain, and I began to practice regularly on my own in addition to group practice. And, with a lot of practice, I began to visualize simple things and, over time, my visualizations became more complex and vivid.

At the time, I had an administrative job near the East River in Manhattan and I would walk over to the river on my lunch hour and practice projecting images with my eyes open onto the flowing river.  This took time to develop, but it was fun and very satisfying to be able to imagine and see these images in the water.

Sometimes when my women's group got together, we would practice visualizations together as a way to develop intuition. Each women would take turns imaging an image and, over time, many of us could sense what the visualizer was imagining.  This made us realize that intuition, like visualization, can be developed with practice.

What Are Some Helpful Visualization Tools?
When I was learning to visualize, I didn't have access to the wonderful tools that exist now to help with visualizations.

Here are some tools you might find helpful:
  • Vision Boards (also called Visualization Boards): Vision boards are visual representations of your goals, intentions and desires. Vision boards are usually poster size boards. They are often made up of collage images that serve to motivate and inspire you towards your goals and desires. You can make your vision board as simple or elaborate as you want.
Visualization and Transformation
  • Visualization Music: Visualization music is designed to facilitate visualization and meditative processes.  The purpose of this music is to help you focus on your visualizations. You can find visualization music online.
  • Guided Imagery: You can practice your visualizations using guided imagery recordings or books.  A book I found helpful many years ago, which is still in print, is Mother Wit by Diane Mariechild.
Conclusion
There are many ways to use visualizations to achieve your desires.

Visualization and Transformation

As I mentioned earlier, initially, I had a problem seeing anything at all when I closed my eyes more than 25 years ago, but with practice and persistence, I learned to create vivid images.

Using visualizations for transformation can be a fun and powerful way to transform your 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.

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.








Sunday, December 7, 2025

What is the Connection Between Secrets and Shame?

Secrets and shame are connected in many ways:
  • Shame often drives keeping secrets.
  • Keeping secrets creates more shame.
The Connection Between Secrets and Shame
  • Shame and secret keeping often create an ongoing cycle of:
    • Isolation
    • Rumination
    • Anxiety
    • Guilt
    • Negative self judgment
    • Feelings of worthlessness
    • Depression
How is Keeping Secrets Different From Maintaining Privacy?
While secrecy is often about concealing information due to shame or fear, maintaining privacy is about setting boundaries and choosing what information to share. 

Privacy usually doesn't involve shame or fear (see my article: Privacy vs Secrecy in a Relationship).

The Connection Between Secrets and Shame

A person who maintains privacy limits access to their life in terms of what they want to share, to whom and how much they want to share or not share.

The motivation for maintaining privacy is autonomy and personal space. An example of this is if a young child asks a parent how much money they earn and the parent knows the child can't handle this information in a responsible way, the parent might keep this information private until the child is mature enough to be responsible with it.

A person who maintains secrets is actively hiding something they feel ashamed about. Their motivation is to conceal something, avoid judgment or other negative consequences. An example of this is a husband who keeps a secret from his wife about gambling away his paycheck.

How Do Secrets Affect Relationships?
As previously mentioned, keeping secrets creates shame and shame can create secrets (see my article: Why Do People in Relationships Keep Secrets?).
  • Fear of Being Judged as Having Flaws: People who keep secrets from loved ones often experience fear and shame that their loved ones will see them as flawed if they knew certain things about them. This might include their mental health status, financial struggles, addiction or similar issues.
The Connection Between Secrets and Shame
  • Inauthentic and Emotionally Distant Relationships: Keeping secrets involves presenting an inauthentic self to loved ones. People who hide certain aspects of their life have to pick and choose what to tell their loved ones and keep track of what they have already told them. These secrets create emotional distance. Over time, as an individual continues to keep secrets, even if the other partner doesn't know what the secrets are, the emotional distance widens to the point where it can damage the relationship beyond repair.
  • Betrayal and Mistrust: If the secret is discovered, the partner who discovers the secret feels betrayed and mistrusts for their partner. In many cases, depending upon the secret and the couple involved, a secret can ruin a relationship (see my article: Common Relationship Problems After Infidelity).
Clinical Vignette
The following clinical case is a composite of many cases with all personal information changed to protect confidentiality:

Jim
A big part of Jim's job was frequent travel around the country. He often had secret affairs while he was away and he never told his wife, Linda, about them because he considered them harmless. At the time, his attitude was: What she doesn't know won't hurt her.

Jim also liked the way he felt when he was able to attract women and have sex with them (see my article: The Connection Between Infidelity and the Need to Feel Desirable).

During a one week business trip to California, Jim met Tina at a hotel bar and they spent a few nights together. He told Tina he was married and he had no intention of leaving his wife. He said they could have fun together while he was in California, but their time together would never amount to more than that.

The Connection Between Secrecy and Shame

A month later Jim heard from Tina that she was pregnant with his child and she planned to have the baby. He told Tina that he wanted nothing to do with her or the child. He tried to convince her to have an abortion, but she insisted she would have the child. She also told him that, unless he gave her a large sum of money, she would contact his wife and tell her about the child.

Shocked and upset, Jim didn't know what to do. In the past, he had many affairs and there were never any consequences. After getting the call from Tina, he felt angry with himself for not using a condom and believing her that she was on a birth control pill. 

Jim didn't want to hurt Linda. He also feared that Linda would leave him if she found out about the affair and the pregnancy.  He felt deeply ashamed and, after thinking about it, he decided to ignore Tina's calls and keep the secret from Linda.

Although Linda didn't know his secret, she sensed something was off between her and Jim. She asked him numerous times if there was something wrong because she sensed he was emotionally distant from her. 

Jim denied there was anything wrong. Inwardly, his felt increasingly ashamed. He felt so awful that he thought he didn't deserve Linda. He developed anxiety, insomnia and ruminating thoughts about the end of his marriage.

A few months later, when Jim came home, he found Linda sitting on the couch looking very upset. His worst fears were confirmed when Linda told him she received a call from Tina about the affair and the pregnancy.  She told Jim she wanted to know the truth.

After much hesitation, Jim admitted that he had an affair and he heard from Tina that she was pregnant. He said that without a paternity test to confirm the baby was his, he wasn't sure if he was the father, but he feared that the baby might be his.

At Linda's request, Jim moved into a hotel. Linda said she needed time to think about whether she wanted to remain in the marriage. Although he had opportunities to have sexual affairs while he was at the hotel, he felt so depressed that he rejected women who approached him.

A month later, Linda said she wanted to attend couples therapy to see if their relationship could be salvaged. 

During couples therapy Jim admitted to having numerous affairs which he now regretted. He expressed sincere remorse. He also admitted he had been selfish and he now realized he put their relationship at risk. In response, Linda expressed her anger, hurt, disappointment and sense of betrayal.

Soon after that, Jim entered into his own individual therapy to understand the underlying reasons for why he cheated, to make changes and to try to save his marriage. 

Subsequently, a paternity test revealed that Jim wasn't the father of the baby. Linda decided to stay in couples therapy with Jim to see if they could repair their relationship and if she could regain trust in him.  She told him that she wasn't promising him anything but, after investing 20 years in their marriage, she wanted to give it a try (see my article: Rebuilding Trust After an Affair).

Conclusion
Secrets and shame are connected in an ongoing destructive cycle.

Keeping secrets is different from maintaining privacy for the reasons mentioned above.

Getting Help in Therapy
If you have been struggling with secrets, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

Being able to talk about a long-held secret can provide you with a sense of relief. 

Although a psychotherapist can't tell you what to do, she can help you to sort out how the secret has been affecting you and your loved ones so that you can make decisions about what to do and how to change.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States) therapist, Somatic Experiencing and a 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.

Also See My Articles: