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NYC Psychotherapist Blog

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Showing posts with label adult children of alcoholics. Show all posts
Showing posts with label adult children of alcoholics. Show all posts

Wednesday, April 8, 2015

Adult Children of Dysfunctional Families Often Have Difficulty Completing Things

As I mentioned in earlier articles, until they get psychological help, many adult children of alcoholics (ACOAs) and dysfunctional families have difficulty in adult relationships.

Adult Children of Dysfunctional Families Often Have Difficulty Completing Things

These difficulties usually stem from growing up in a family where they lived in a chaotic household where the parents were often drunk, unpredictable, irresponsible and created chaos in the family.

Since dysfunctional family dynamics are often intergenerational, chances are good that these patterns will continue from one generation to the next until the adult child of a dysfunctional family decides to get psychological help to break this pattern.

One of the difficulties is problems completing things, which include personal project, educational pursuits, work projects and so on.

The following vignette, which is a composite of many different cases to protect confidentiality, illustrates how these dynamics play out as well as how to break this pattern:

Dan
Dan grew up in a large family where his father, Joe, was a heavy drinker and his parents often argued because of Joe's alcoholism.

Adult Children of Dysfunctional Families Often Have  Difficulty Completing Things

As far back as he could remember, his family's social activities revolved around the local bar.  As the oldest child of seven children, he was usually the one who helped his father to walk home on a Saturday evening at closing time when his father was too drunk to walk on his own.

Since many of Dan's friends in the neighborhood had the same role in their families, Dan didn't realize, until he became an adult, that there was anything unusual about this.  He thought that this was just how life was for the average family.

Over the course of Dan's childhood, his father had many jobs as a plumber's assistant.  Most of the time, his father would begin these jobs with enthusiasm.  But soon after he began, he would complain about the boss's unfairness, perceived slights, and many other gripes that he would had.

Within a few months, he began to go in late or he just didn't show up at all.  On the days when he didn't bother to go in, he would hang out with his buddies in the bar.  Soon after that, he would lose his job and begin searching for another one where he would repeat the same pattern.

As a result, the family was often in a state of emotional and financial chaos.  Dan's mother, Liz, Dan and his brothers were usually on an emotional roller coaster, hoping the good times would last when times were good and dreading that the bad times would never end when times were bad.

As Joe's drinking problem progressed, Liz got a job as a school aide to help pay the bills.  Even though her salary was low, she managed, somehow, to always have food on the table, although it might be meager.  But she was constantly fending off the landlord, threats of eviction, and bill collectors.

When Joe could no longer work because his alcoholism created health problems, as a young adult, Dan became the primary breadwinner for the family, and his younger brothers helped out by getting part time jobs.  During that time, his mother went to nursing school and eventually got a job in a hospital as a nurse.

Volunteering for double shifts, Liz earned more money than the family had ever seen.  By then, Dan was able to enroll in college where he met and fell in love with Linda.



Adult Children of Dysfunctional Families Often Have Difficulty Completing Things

Throughout his life, Dan had difficulty completing things.  Even when he was a child, he would start assembling a model car with enthusiasm, but then he would lose interest and drop the project.

Dan was enthusiastic about starting college, but he soon found himself struggling to stay organized and keep up with the work.  Since he was very bright, he sailed through high school without much effort and without completing many of his assignments, but he discovered that college required more, which frightened him.

Whenever Dan felt frustrated and wanted to quit, Linda would encourage him to stick it out.  She helped him to try to stay calm and get organized, but he continued to struggle with an urge to quit.

At that point, Dan realized that he had a problem, but he didn't understand what was happening to him.  So, he decided to go to the college counseling center, where he was able to have three sessions with a clinical social worker, who provided Dan with psychoeducation about how adult children of alcoholics are often affected by their family dynamics.  After the three sessions, his college counselor referred Dan to me for psychotherapy.

Initially, Dan had a problem making a commitment to come to his therapy sessions.  He seemed always on the verge of leaving, saying that he understood his problems and he didn't see the need to continue.

The initial stage of our work involved helping Dan to develop better coping skills, which he was never taught as a child.  As a result, Dan had low tolerance for frustration or anything that required sustained effort.

At that point in his therapy, his motivation was mostly external:  He knew that if he quit college, his chances of getting the kind of job that he wanted would be nil.  

I helped Dan to see the difference between intellectual insight, which is what he had at that point, and actually using this insight to make the changes he said he wanted to make.  As we looked at his life, he admitted that insight alone wasn't helping him to change.

Then, we began working on Dan's early childhood trauma, including the shame that he felt about himself and his family, as well as breaking self destructive patterns related to his trauma.

Even though Dan was aware of the negative impact of his family dynamics, until then, he never thought of himself as having been traumatized.  He had problems accepting this, at first, until he began to connect, on an emotional level, his experiences in his family with his current problems.

Since talk therapy only took us so far, I introduced Dan to concepts of mind-body oriented psychotherapy, including clinical hypnosis, EMDR (Eye Movement Desensitization and Reprocessing) and Somatic Experiencing.

Over time, by using EMDR, Dan began to work through his childhood trauma (see my article:  What is EMDR? and How Does EMDR Work?).  It wasn't easy work, but the coping skills that he learned early on in therapy helped him.

Gradually, Dan noticed that he began to feel better about himself and he no longer felt ashamed.  He no longer felt responsible for his father's alcoholism and his enmeshed childhood family dynamics.

As Dan became more self aware and self confident, he was able to tolerate frustration better and he no longer felt the need to quit college.  He completed his assignments on time and enjoyed learning.

As Dan saw positive results in our work, he felt encouraged to continue to do the work.  He also began attending Al-Anon for additional emotional support, and Liz attended her own Al-Anon meetings to help her avoid codependent dynamics.

Dysfunctional Family Dynamics Without Alcohol
Although this article focuses on ACOA dynamics related to alcoholism, many people, who grew up in dysfunctional families where there was no substance abuse, also experience similar dynamics.

Aside from substance abuse, intergenerational patterns of trauma, regardless of their origins, can create similar dynamics.

See my other articles on this topic:
Dynamics of Adult Children of Dysfunctional Families

Adult Children of Dysfunctional Families and People Pleasing

Getting Help in Therapy
Many people who are affected by childhood trauma related to dysfunctional families, never get the psychological help that they need.  The result is that they continue to perpetuate these dynamics in their own lives as well as in their children's lives.

If these issues resonate with you, even though taking the first step might seem hard, you owe it to yourself and your spouse and family to get psychological help from a licensed mental health professional who has experience helping clients with these issues.

With help in therapy, you and your family could be living a happier life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I have helped many clients who grew up in dysfunctional families to thrive.

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, April 6, 2015

Adult Children of Dysfunctional Families: Confusing Love and Pity

This article was updated on September 17, 2026. 

Adult children of dysfunctional families frequently display a subconscious repetition compulsion where they confuse pity for love, routinely entering codependent relationships driven by an intense urge to rescue their partners. Even when active substance abuse is absent, individuals raised in chaotic or emotionally neglectful households develop relational adaptations nearly identical to Adult Children of Alcoholics (ACOA).
Adult Children of Dysfunctional Families: Confusing Love and Pity
  • Healing the rescue dynamic: Adult children of dysfunctional families can heal repetition compulsions by addressing childhood abandonment wounds in therapy.
Driven by a deep-seated, unconscious fear of abandonment, these individuals naturally gravitate toward romantic partners trapped in perpetual turmoil. Subconsciously, the mind reasons that a vulnerable, struggling partner is dependent on them and therefore less likely to leave—trapping both individuals in an exhausting trauma bond (see my articles: Dynamics of Adult Children of Dysfunctional Families and Overcoming Fear of Abandonment).
Recognizing that these codependent behaviors operate below conscious awareness is a critical milestone. Real, systemic change requires processing the root childhood developmental trauma so these protective relational scripts stop repeating across adulthood (see my articles: Adult Children of Dysfunctional Families: Having Difficulty Completing Things and Adult Children of Dysfunctional Families and People Pleasing).
Clinical Vignette: To preserve strict clinical confidentiality, the following scenario represents a composite case study illustrating how an adult child of a dysfunctional family can safely break a cycle of compulsive rescuing through depth therapy.
The Case of Ella: Trapped in a Rescue Schema
Ella initiated psychotherapy in her early 30s, feeling deeply distressed and demoralized by a continuous pattern of catastrophic breakups. Her latest live-in boyfriend, Dan, had just abruptly moved out of her apartment following a turbulent year of escalating conflict. Ella had experienced three prior long-term relationships, and every single one had collapsed under similar circumstances.
When Ella first met Dan at a local café, he was unemployed, financially unstable, and couch-surfing. Rather than noting these issues as warning signs, Ella experienced an immediate, intense magnetic attraction. Within weeks, she invited him to move into her apartment, assuming full financial responsibility while he looked for work.
Ella aggressively brushed off concerns raised by her close friends, who noted clear behavioral red flags (see my article: Falling in Love With "Mr. Wrong" Over and Over Again). Dan harbored a history of volatile relationships and career instability that perfectly mirrored Ella’s previous partners. However, Ella remained highly confident that with her boundless help, networking, and emotional management, Dan would quickly get back on his feet and they would remain in love forever.
The Turning Point: When Codependency Sparks Conflict
Initially, the relationship was marked by intense passion, which Ella mistakenly interpreted as confirmation that they were "soul mates." She spent massive amounts of energy leveraging her professional network to secure job interviews for Dan. However, her colleagues reported troubling feedback, noting that Dan was defensive, highly critical of past employers, and difficult to recommend.
After six months of chronic stagnation, the relational dynamic collapsed into resentment:
  • The Parent-Child Shift: As Ella pushed Dan to execute her job-seeking suggestions, Dan pulled away, stating he lost all sexual attraction to her because she was nagging him like his mother.
  • The Cycle of Blame: Ella felt profoundly unappreciated for her financial and professional sacrifices, completely blind to the fact that her intense caretaking was actually an attempt to micromanage his life.
  • The Abrupt Abandonment: The gridlock culminated when Dan quietly packed his belongings while Ella was at work, leaving a terse note stating he was exhausted by her attempts to "fix" him.
Unpacking the Trauma in Psychotherapy
Dealing with intense abandonment panic, Ella began weekly counseling. A foundational breakthrough occurred when I introduced her to the ACOA Laundry List—a clinical inventory of behavioral traits characteristic of adults raised in alcoholic or chaotic family systems. Ella was stunned to identify with nearly every trait on the list.
Through long-term psychotherapeutic processing, Ella achieved several critical emotional insights:
  • Disentangling Pity from Intimacy: She recognized that what she felt for her partners wasn't authentic, mutual love, but a projection of pity designed to fill her own internal voids.
  • Releasing the Identity of the Savior: She realized the massive emotional, physical, and financial toll she had paid by treating adult men as projects to be repaired.
  • Processing the Childhood Root: By processing her early childhood trauma, she unblended from her fear of abandonment. She realized she no longer needed to find people who were broken just to guarantee they wouldn't leave.
Ultimately, Ella broke her repetition compulsion, developing a secure sense of self-worth that allowed her to feel naturally attracted to stable, emotionally mature individuals.
 
Break the Cycle of Codependent Relationships
If you find yourself repeatedly falling for partners who need to be rescued, fixed, or financially supported, you may be running an old childhood survival script Confusing pity for love is an exhausting cycle, but with depth-oriented therapy, you can safely process your history and build a stable baseline of self-worth. 
   
As an advanced relationship and trauma specialist based in Greenwich Village, NY 10011, I provide specialized IFS Parts Work, Somatic Experiencing, EMDR, AEDP, and Psychodynamic Therapy to help adults build healthy, secure attachments.
 
I provide a complimentary 15 minute phone call before setting up an appointment (visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist).
 
You can reach me (917) 742-2624 or email me for in person or online therapy.












Sunday, April 5, 2015

The Dynamics of Adult Children of Dysfunctional Families

The Adult Children of Alcoholics World Service Organization outlines a laundry list of 14 traits of Adult Children of Alcoholics (ACOAs).  These traits often apply to adult children of dysfunctional families.

Dynamics of Adult Children of Dysfunctional Families

As a psychotherapist who specializes in working with trauma, I work with individuals and couples who are challenged by these characteristics and who often don't come to therapy until they have been significantly impacted in their adults lives.

Dynamics of Adult Children of Dysfunctional Families

These traits, which are usually deeply ingrained, are often perpetuated from one generation to the next, and difficult to overcome on your own.

Adult Children of Alcoholics and people from dysfunctional families are often surprised when they read the laundry list to discover that they identify with many of these traits.  They're also usually relieved to discover that these problems are not unique to them and that there is an identifiable cause that is known.

Some of the traits include:
  • Approval seeking and loss of identity
  • Confusing love and pity
  • Confusing compassion and responsibility
  • Fear of angry people and personal criticism
  • Fear of authority figures
  • Difficulty completing things
Adult Children of Dysfunctional Families and Fear

I've discussed other traits that are often identified as characteristics of adults from alcoholic and/or dysfunctional families in prior articles, including:
See my other articles about dynamics of adult children of dysfunctional families:

I look forward to hearing your comments.

Getting Help in Therapy
Many people who come from dysfunctional families, whether there was alcoholism or not, feel that they were the only ones who experienced childhood trauma in this way in their families.

As a result, they tend to isolate or to pretend that they're doing well when they're not.

Free Yourself From the Psychological Effects of Trauma By Getting Help in Therapy

Rather than isolating and suffering with the psychological effects of trauma by yourself, you could get help from a licensed mental health professional who has experience working with psychological trauma so you can free yourself from the negative impact of your family history and live a fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

One of my specialties is helping clients to overcome emotional 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.