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NYC Psychotherapist Blog

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Showing posts with label Somatic Experiencing. Show all posts
Showing posts with label Somatic Experiencing. Show all posts

Thursday, February 12, 2026

Coping With Alexithymia - Also Known as Emotional Blindness

What is Alexithymia?
Alexithymia is a personality trait where a person has difficulty experiencing, identifying, understanding and expressing emotions.

Coping With Alexithymia

Alexithymia is also known as "emotional blindness".

Alexithymia is on a spectrum representing a personality trait with varying degrees of severity rather than a binary "yes" or "no" trait.

Individuals can range from low to high in alexithymic traits. 

These traits can include:
  • Reduced imagination
  • Externally oriented thinking
Alexithymia is a personality trait rather than a mental health diagnosis.  

Alexithymia is common among people who are neurodivergent (autism and ADHD).

What Causes Alexithymia?
Alexithymia can be influenced by several factors:
  • Genetics
  • Past experiences
  • Certain psychiatric disorders and medical conditions including:
    • Adverse childhood experiences (trauma)
    • Autism
    • ADHD
    • Eating Disorders
    • Parkinson's
    • Stroke
    • Dementia
    • Multiple Sclerosis
    • Inflammatory Bowel Syndrome (IBS)
    • Diabetes 
    • Asthma
    • Hypertension and cardiovascular disorders
    • Chronic pain
    • Fibromyalgia 
    • Hormonal abnormalities
    • Substance abuse, which is linked to an inability to process emotions
About 10-13% of the population has this personality trait with more men experiencing it than women.

People with alexithymia have a hard time understanding and expressing their emotions. This affects the way they relate to others. As a result, relationships often suffer because their limited ability to express their emotions stifles communicate with others (see below:Understanding How Alexithymia Affects Relationships).

People with alexithymia also have difficulty sensing the physical sensations that accompany their emotions (see my article: Learning to Sense Emotions in Your Body).

Understanding the Genetic Component of Alexithymia
Studies indicate that there is a genetic component to alexithymia. One study found there is a higher degree of alexithymia among first-degree relatives.

Understanding the Environmental Component of Alexithymia
People who have experienced childhood abuse or neglect can develop alexithymia and have difficulty processing their emotions. Brain injuries can also contribute to alexithymia.

Understanding How Alexithymia Affects Relationships
It can be difficult to form and maintain emotional bonds for individuals who have alexithymia. 

People who have alexithymia tend to focus externally rather than on their internal state

Partners might feel ignored, abandoned or unloved due to their partner's low emotional responsiveness. This can make it difficult to communicate effectively and resolve conflicts. Partners can feel that they are with someone who is "robotic" which can lead to a superficial or distant relationship. 

In addition, since people with alexithymia also have problems reading other people's emotions, their partners might feel they are uncaring--even when the person with alexithymia cares deeply for them.

The partner can feel like they're alone because the person with alexithymia can have a hard time providing emotional support or emotional validation

With regard to sex, emotional detachment related to alexithymia often leads to a decline in sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

How to Address Alexithymia
Alexithymia can create a barrier to traditional psychotherapy because, as previously mentioned, individuals with alexithymia have difficulty experiencing, identifying, understanding and expressing their emotions.

Coping With Alexithymia

Emotional difficulties often present as physical complaints rather than emotional distress. 

Somatic oriented therapy, like Somatic Experiencing and other Experiential Therapies that focus on sensations in the body can help.  

Helping clients to develop somatic awareness can be helpful, 

Experiential therapists can ask clients, "What are you sensing in your body right now?" instead of "What are you feeling?"

mindfulness practice can also help clients to develop somatic awareness related to emotions.

What Are the Therapeutic Goals For Alexithymia?
There is no "quick fix" for alexithymia since it's a personality trait and not a curable disease.

While there is no "cure" for alexithymia, it also doesn't have to be a lifelong problem.

Psychotherapy for alexithymia needs to have a bottom up approach (see my article: What is the Difference Between Top Down and Bottom Up Approaches to Therapy?).

The therapeutic goals include:
  • Building the capacity to accurately perceive internal body sensations (also known as interoceptive awareness) and connect these sensations to emotions.
  • Affective education which can help to connect physical sensations to emotions. For example, a tightness in the chest can be linked to anxiety (see my article: How to Use the Wheel of Emotion).
  • Shifting from external-oriented thinking to recognizing inner emotional experiences.
  • An experiential bottom up approach can be effective in improving emotional processing.
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 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.






Friday, February 6, 2026

Healing From Childhood Trauma: What is the Difference Between Abuse and Emotional Neglect?

I've written about childhood trauma in prior articles, including articles about childhood abuse and neglect.

Childhood Abuse vs Neglect

A common question that clients ask when they are in trauma therapy involves understanding the difference between abuse and neglect, which is the subject of this article (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

What is the Difference Between Abuse and Neglect?
The main difference between childhood abuse and neglect is action versus inaction of the caregiver as well as the intent of their behavior. 
  • Abuse: Abuse is often an active, intentional, effort to harm, threaten or injure a child. It is an act of commission. Examples include (but are not limited to) physical harm, emotional abuse and sexual abuse. Abuse usually involves intentional, reckless and premeditated behavior.
  • Emotional Neglect: Emotional neglect is often passive. It is an act of omission. The caregiver does not provide the necessary basic care (food, shelter, medical care) and emotional nurturance which includes the emotional support, validation, empathy and secure emotional connection for healthy childhood development.
Clinical Vignettes
The following clinical vignettes illustrate the difference between childhood abuse and neglect.  All identifying information has been removed to protect confidentiality.

An Example of Abuse: Sara
When Sara was a young child, her father would often come home drunk and beat Sara and her siblings. He would also hit their mother who felt powerless to stop him from hitting her and the children. By the next day, when the father was sober, he didn't remember hitting his wife and children. But after Sara's maternal uncle moved into the home, he put a stop to the abuse by restraining the father and calling the police. After several incidents where the police were called, the father was court mandated to get into alcohol treatment and the family received mental health services from a local community mental health service.

An Example of Neglect: Tom
When Tom was a young boy, he was emotionally neglected by both of his parents. His mother focused on her design business so that she rarely went to any school activities that Tom participated in. She would frequently place Tom in front of the television while she entertained clients in the house. His father was usually away on business trips and, when he was at home, he spent most of his time in his den watching sports while Tom was alone in his room. When a young family moved next door, the mother would invite Tom to come over to play with her children. She was also kind and compassionate with Tom because she realized he was a lonely boy.

The Trauma of Childhood Abuse and Neglect
Both abuse and emotional neglect are traumatic.

There are times when emotional neglect can be more damaging than abuse because:
  • Emotional Neglect is Often Invisible: Emotional neglect can be hard to identify because it's often invisible. Neglect is characterized by what didn't happen (lack of love, attention or validation) as opposed to certain forms of abuse that can be detected based on marks or scars on a child's body that are noticeable.
Childhood Abuse vs Neglect
  • Children Internalize Neglect: Whereas children who are abused might blame the abuser, children  who are emotionally neglected often blame themselves. These children believe they are flawed in some way and, as a result, they were unlovable (see my article: Overcoming the Emotional Pain of Feeling Unlovable).
  • Brain Development: Many children who are severely and chronically neglected can experience cognitive and language deficits.
What Are the Long Term Effects of Childhood Abuse and Neglect?
Both abuse and neglect can have a long lasting potential psychological effects including:
  • Relationship Problems: Problems with trust, fear of intimacy or self abandonment in relationships (see my article: What is Self Abandonment?)
  • Problems with Emotions: Difficulty identifying, managing and expressing emotions 
Conclusion
Although both abuse and neglect can have long lasting effects, studies have shown that neglect is often particularly damaging especially when the neglect is unseen, ignored or overlooked.

Although I have discussed abuse and neglect separately to distinguish one from the other, there can also be a combination of abuse and neglect.

Many adults believe their experience wasn't bad enough to get help.  However, the trauma of abuse and neglect usually require the therapeutic interventions of trauma therapy.

Getting Help in Trauma Therapy
Trauma therapy includes a group of therapies that were specifically developed to help clients to overcome the traumatic effects of their history (see my article: Why is Experiential Therapy More Effective at Resolving Trauma Than Talk Therapy?).

Getting Help in Trauma Therapy

Trauma therapy includes:
  • EMDR Therapy (Eye Movement Desensitization and Reprocessing)
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist.

Working through unresolved trauma can help you to free yourself from your history so you can live a more fulfilling life.

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

As a trauma therapist, I have over 25 years of experience helping individual adults and couples.

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

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




















Thursday, January 15, 2026

Trauma Therapy: You Can't Change Your History But You Can Change Your Relationship to Your History So You Can Heal

Many people who are hesitant to get help to overcome the impact of their traumatic history think getting help in trauma therapy won't make a difference for them because it won't change what happened to them.

Trauma Therapy

How Can You Change Your Relationship to Your History of Trauma?
While it's true that you can't go back in time to change your history, you can heal in trauma therapy to reduce or eliminate the impact of traumatic experiences.

Transforming Trauma Into Resilience: Current modalities of trauma therapy can help you to transform trauma into resilience by:
  • Acknowledging Your Feelings: Acknowledging the pain instead of suppressing it. This means feeling the pain and completing the trauma healing cycle. It does not include toxic positivity, which is not a genuine response to trauma.
  • Developing a Support System: Instead of remaining isolated, you can develop a support system with trusted loved ones or support groups.
  • Developing Better Coping Skills: Trauma therapy includes helping clients to develop better coping skills to manage emotions before and after processing trauma.
What is Resilience?
Resilience is the capacity to recovery from stress and trauma rather than avoiding hardship (see my article: Developing Emotional Resilience).

Trauma Therapy

Genuine resilience also means finding new hope and growth after trauma rather than pretending to yourself and others that the trauma made you "stronger" when this isn't how you really feel.

What Are the Different Types of Trauma Therapy?
Safe and effective types of trauma therapy include:
  • EMDR Therapy (Eye Movement Desensitization and Reprocessing)
Trauma Therapy
  •  IFS (Internal Family Systems/Parts Work)
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
Get Help in Trauma Therapy
If you feel stuck due to your traumatic history, you're not alone.

Get Help in Trauma Therapy

A skilled trauma therapist can help you to process your traumatic history so you can live a more meaningful life.

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

I have over 25 years of experiencing working with individual adults and couples to overcome trauma.

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

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








 

Sunday, December 28, 2025

Overcoming Trauma: You Are Not Defined By What Happened to You

Carl Jung, the Swiss psychiatrist and psychoanalyst, coined the phrase, "I am not what happened to me, I am what I choose to become."

What Does It Mean That You Are Not What Happened to You?
Carl Jung's phrase means that while past experiences have shaped you, your true self isn't defined by them (see my article: You Are Not Defined By Your Diagnosis).

You Are Not Your Trauma

Instead, your true self is defined by the choices you make, your responses, and your ongoing process of self creation. The emphasis is your personal agency in choosing who you are, what you want to be and how you respond.

This way of looking at your history, including unresolved trauma, highlights that, with help and the right tools, you have the ability to transcend your history to overcome trauma and proactively build a future identity.

Jung was positing that none of us are a finished product based on our history. On the contrary, we have an innate ability to heal and grow beyond our history and circumstances (see my article: Healing From Unresolved Trauma: The Mind Has a Powerful Innate Ability to Heal Itself).

What Are the Keys to Transcending Your History?
  • Personal Agency: You have the power to decide who you are regardless of your history, although you might need help in therapy to do it.
You Are Not Your Trauma
  • Identity as Evolving: You identity is a evolving process--not a static state.
Healing From Psychological Trauma
Choosing to get help in trauma therapy is a courageous act--not a sign of weakness (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

Your mind has an innate ability to heal due to the mind's neuroplasticity.

You Are Not Your Trauma

Neuroplasticity is the mind's ability to reorganize its structure and function by developing new neural connections which allows you to adapt and recover.

Neuroplasticity underpins your ability to grow as an individual, overcome challenges and maintain cognitive health by strengthening beneficial pathways and pruning weaker ones.

What is Trauma Therapy?
Trauma therapy is an umbrella term for psychotherapy modalities which were developed specifically to help clients overcome trauma including:
  • EMDR (Eye Movement Desensitization and Reprocessing) Therapy
You Are Not Your Trauma
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
Get Help in Trauma Therapy
If you have been struggling on your own with unresolved trauma, you could benefit from working with a licensed mental health professional who is trained as trauma therapist.

Get Help in Trauma Therapy

Seek help from a licensed trauma therapist so you can free yourself from your traumatic history and live a more fulfilling life.

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

As a trauma therapist, I have helped many individual adults and couples to heal from 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.














Friday, December 26, 2025

Healing From Unresolved Trauma: The Mind Has a Powerful Innate Ability to Heal Itself

One of the basic concepts of trauma therapy is that the mind has a powerful innate ability to heal (see my article: How Can Trauma Therapy Help You to Overcome Unresolved Trauma?).

The Mind's Innate Ability to Heal in Trauma Therapy

What is the Mind's Powerful Innate Ability to Heal?
  • NeuroplasticityNeuroplasticity is the primary reason why the mind has an innate ability to heal itself. With regard to trauma therapy, neuroplasticity is the mind's ability to reorganize, adapt and create new neural pathways to learn new things and recover from trauma.
The Mind's Innate Ability to Heal in Trauma Therapy
  • Memory Reconsolidation: Trauma therapy uses memory reconsolidation to change how traumatic memories are stored. This often occurs over a period of time. Memory reconsolidation in trauma therapy works by:
    • Activation and Retrieval: When a client brings up a traumatic memory in trauma therapy, the memory opens up for change. 
    • Update: After the memory is activated again, the trauma therapist introduces new non-threatening information or experiences either through visualization or new coping resources.
    • Reconsolidation: The memory is then stored again in its new less threatening reconsolidated form which, essentially, de-traumatizes the memory.
How Can You Tap Into Your Mind's Innate Ability to Heal?
Along with trauma therapy, you can tap into your mind's natural ability to heal between therapy sessions by:
The Mind's Innate Ability to Heal in Trauma Therapy
Getting Help in Trauma Therapy
Rather than struggling on your own, get help from a licensed mental health professional who is trained as a trauma therapist.

The Mind's Innate Ability to Heal in Trauma Therapy

Unburdening yourself from unresolved trauma can free you from your history so you can live a more fulfilling life.

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

I have over 25 years of experience as a trauma therapist helping individual adults and couples.

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

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








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.








Saturday, December 6, 2025

How Your Early Unmet Emotional Needs Might Be Affecting Your Relationship

Many adults who grew up with emotional neglect or abuse are unaware that they're expecting their partner to fulfill those needs (see my article: What is Childhood Emotional Neglect?).

Unmet Childhood Needs and Adult Relationships

They're unaware of it because these expectations are often unconscious and, therefore, outside of their awareness.

What Can You Reasonably Expect From Your Partner?
So let's look at what's reasonable to expect from a partner.

Your partner can fulfill many emotional needs including:
However, your partner can't make up for early unmet emotional needs from your childhood because those needs stem from early attachment wounds. 

Why Your Partner Can't Make Up For Your Unmet Childhood Needs
Here are some of the reasons why your partner can't make up for your early unmet emotional needs:
  • Unmet Childhood Needs Stem From Early Attachment Trauma: Early abuse, emotional neglect or inconsistent care creates early attachment wounds. These conditions can also create insecure attachment and a need for constant reassurance or, conversely, an avoidance of emotional intimacy.
  • A Child-Parent Dynamic in Your Adult Relationship: Without realizing it, adults who were emotionally neglected and/or abused can create a child-parent dynamic in their relationship where they expect their partner to provide them with the good parenting they didn't get as a child. This can create emotional and sexual problems in the relationship.
Unmet Childhood Needs and Adult Relationships
  • Communication Problems: Many people whose emotional needs weren't met in childhood also learned as children not to ask for what they needed. This inability to ask for what they needed carries over into adulthood. It's not unusual for adults, who didn't get what they needed in childhood, to have childlike expectations that their partner will know what they need without telling their partner. This creates confusion, communication problems and resentment (see my article: Are You Expecting Your Partner to Be a Mind Reader?).
How to Cope With Unmet Childhood Needs as an Adult
  • Recognize Your Misplaced Expectations: Accept that your partner can't provide you with the nurturance you didn't get as a child and that your partner can never make up for what you didn't get. What you didn't get is a loss and needs to be grieved so you can heal.
Unmet Childhood Needs and Adult Relationships
Unmet Childhood Needs and Adult Relationships
  • Focus on Healing Yourself: Recognize and accept that your partner isn't your parent and that you need to focus on healing yourself or get help in trauma therapy so you can heal (see below).
  • Get Help in Trauma Therapy: A licensed mental health professional who is trained as a trauma therapist can help you to heal from the unresolved trauma, including early unmet emotional needs. There are different types of trauma therapy:
    • EMDR Therapy (Eye Movement Desensitization and Reprocessing)
    • AEDP  (Accelerated Experiential Dynamic Psychotherapy)
Getting Help in Trauma Therapy
If you're struggling with unresolved trauma, you're not alone.

Getting Help in Trauma Therapy

Rather than struggling alone, seek help from a licensed mental health professional who has an expertise in helping clients overcome trauma so you can live a more fulfilling life.

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

As a trauma therapist, I have over 25 years of experience helping individual adults and couples to overcome trauma.

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

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