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Showing posts with label avoidance. Show all posts
Showing posts with label avoidance. Show all posts

Monday, September 14, 2026

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

This article was updated on September 14, 2026. 

In psychotherapy, the approach-avoidance conflict is a psychological state of intense internal tension that occurs when a client is simultaneously drawn toward and repelled by the exact same goal, action, or relational dynamic. Originally introduced by pioneering psychologist Kurt Lewin as an internal "tug-of-war," this dynamic is the primary catalyst for the anxiety, ambivalence, and behavioral stagnation that many clients experience at pivotal stages of the therapeutic process.

Minimalist continuous one line drawing of a human head containing a complicated brain structure, symbolizing internal conflict and the negotiation of parts in IFS therapy.
Navigating the internal landscape: The approach-avoidance conflict is a complex, interconnected system of protective parts operating within a single mind.

As a licensed psychotherapist in New York City, I witness this relational and cognitive gridlock constantly in my private practice. While many individuals seek counseling with a deep desire to implement positive life modifications, they frequently encounter a parallel wave of avoidant resistance. (This builds directly upon the foundational concepts explored in my previous piece, Why Are So Many of Us Fearful of Change While Others Embrace It?). By normalizing this predictable friction, clients can learn to safely identify, accept, and integrate the conflicting parts of their psyche.
The Predictable Pattern of Internal Stagnation
This psychological conflict operates on a distinct, mathematical trajectory based on a client's proximity to their objective:
  • The Approach Vector: When a client is distant from their goal, they primarily perceive its positive benefits, maximizing their forward motivation.
  • The Avoidance Vector: As the client advances emotionally or physically closer to the goal, sub-conscious fears emerge, spiking sharply the closer they get to actualizing the change.
  • The Point of Paralysis: Eventually, the repulsive force of avoidance equals the attractive force of the approach. At this intersection, clients experience profound anxiety, indecision, or total behavioral paralysis.
Clinical Scenarios: How the Conflict Manifests in Therapy
  • Intimacy and Relationships: A client intensely craves deep emotional connection (The Approach), yet harbors a paralyzing fear of vulnerability or rejection (The Avoidance), resulting in sub-conscious self-sabotage just as a relationship turns serious.
  • Trauma Processing: A client desires somatic healing and symptom reduction (The Approach), but fears re-experiencing painful traumatic memories (The Avoidance), leading to missed sessions or premature termination of therapy as deep work begins.
  • Career Evolution: An individual desires a prestigious, fulfilling position (The Approach), but experiences an intense fear of failure or increased responsibility (The Avoidance), manifesting as severe procrastination during the application phase.
  • Behavioral Modification: A client seeks a stable, healthy lifestyle (The Approach), but experiences a fear of facing reality or leaving their comfort zone (The Avoidance), causing a relapse into maladaptive habits.
How Internal Family Systems (IFS) Resolves the Conflict
Traditional therapeutic models often attempt to force a client past their resistance. In contrast, Internal Family Systems (IFS) therapy recognizes this gridlock as a protective clash between two or more internal sub-personalities, or "parts" (see my article: IFS Therapy is a Gentle Evidence-Based Therapy).
Instead of fighting the avoidance, an IFS therapist guides the client to look inward, identify the positive intentions of each conflicting part, and facilitate an internal negotiation.
The IFS Theoretical Framework: Protectors and Wounds
Within the IFS model, both the "approach" and "avoidance" drives are viewed as separate inner parts holding good intentions, typically working to protect old, underlying emotional vulnerabilities:
  • The Approach Part: Usually a proactive protective part (such as a Manager) striving to achieve goals, master skills, or secure interpersonal connections to ensure safety, validation, and self-worth.
  • The Avoidance Part: Usually a reactive protective part (or a Firefighter/Manager variant) that halts forward momentum because it detects existential danger. It fears that taking the next step will trigger a hidden exile, flooding the system with ancient shame, pain, or trauma.
The Step-By-Step IFS Process For Internal Negotiation
  1. Differentiating and Unblending Parts: Instead of identifying with the conflict ("I want to change, but I just can't"), the therapist helps the client reframe the experience: "A part of me desperately wants to move forward, while another part is completely terrified." By anchoring the client in Core Self energy—characterized by compassion and curiosity—the individual can observe both parts without judgment or bias.
  2. Honoring the Avoidant Protector: Rather than overriding the avoidant behavior, IFS prioritizes it. The therapist encourages the client's Self to ask the protector: "How are you trying to serve me?" or "What are you afraid will happen if we take this step?" Acknowledging and validating its protective history allows the avoidant part to loosen its grip and build trust with the Core Self.
  3. Facilitating Internal Dialogue: Once both sides feel fully witnessed by the Core Self, the therapist guides a collaborative negotiation. The Self may ask the avoidant part: "If I promise to proceed incredibly slowly and protect our system, would you step aside to let the approach part try a micro-step?" Because the protector is respected rather than fought, it typically agrees to soften its stance.
  4. Healing the Underlying Exile: The avoidant protector is hypervigilant only because it stands guard over a wounded internal exile. Once the protector trusts the Self to step aside, the IFS practitioner safely unburdens, processes, and heals the original root trauma. Once the underlying vulnerability is fully resolved, the avoidant part naturally retires its defensive behaviors, neutralizing the conflict entirely.
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.

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.

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

Contact & Consultation Information

I see clients online throughout New York State and in person at my private office in Greenwich Village, New York, NY 10011.


I offer a free 15-minute phone call before scheduling your initial appointment.

  • Phone: Call me directly at (917) 742-2624 during standard business hours.

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Wednesday, April 29, 2026

The Cycle of Perfectionism, Procrastination and Paralysis

In my prior article, Intergenerational Trauma: What is the Link Between Perfectionism and Unresolved Trauma?, I looked at perfectionism through the lens of trauma that is passed on from one generation to the next.

The Connection Between Perfectionism, Procrastination and Paralysis
In the current article, I'm discussing the cycle of perfectionismprocrastination and paralysis (also known as avoidance).

Cycle of Perfectionism, Procrastination and Paralysis

Perfectionism, procrastination and paralysis form a cycle where an obsession with perfection is the driver leading to avoidance (procrastination) and ultimately resulting in inaction (paralysis).

This self-sabotaging loop occurs because impossible standards create anxiety which makes starting or finishing tasks feel overwhelming and risky (see my article: Overcoming Self-Sabotaging Behavior).

Understanding the Cycle of Fear
  • Perfectionism (The Driver): Striving for impossible results, setting impossibly high standards and using all-or-nothing thinking.
  • Procrastination (The Behavior): Delaying work or some other action because of a fear that the outcome won't meet the impossibly high standards. This inaction or avoidance can be disguised as "waiting for the right time".
  • Paralysis (The Result): Becoming stuck and unable to start or finish a task, project or other commitment due to the pressure of wanting it to be "perfect".
How to Break the Cycle
  • Be Aware: "Done is Better Than Perfect": Focus on starting and completing tasks rather than making them "perfect".
  • Break Down Tasks: Divide tasks into more manageable and less intimidating parts.
  • Set Time Limits: Limit the time you spend "polishing" and trying to make something "perfect".
  • Practice Self Compassion: Work towards calming down your inner critic and accept that mistakes are inevitable and part of the learning process (see my article: Making Friends With Your Inner Critic).
  • Work on Underlying Issues: The cycle of perfectionism, procrastination and paralysis often develops at an early age related to unresolved psychological trauma. Working through these underlying issues with a licensed mental health professional can help you to get to the underlying issues and resolution to the problem.
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates the cycle discussed above and how psychotherapy can help.

Jean
Ever since she was a child, Jean approached all tasks and projects with a lot of anxiety. Her parents made her do her homework over and over again until they assessed it was "perfect" (excellent penmanship, no erasures, etc).

When she got to college, Jean had problems getting her papers in on time because her need to make everything "perfect" would cause her to either rewrite her papers many times before she could turn them in or her fear of the papers being less than "perfect" caused her to procrastinate and get the papers in late. There were times when she felt so anxious that she wasn't able to even start the papers.

Cycle of Perfectionism, Procrastination and Paralysis

One of Jean's professors, who recognized that Jean was intelligent and hard working, suggested that Jean get help in therapy to overcome these problems.

Working in trauma therapy, Jean gained insight into the origin of her problem and used the tools and strategies her therapist provided to get her papers in on time.

As part of her therapy, her therapist, who used Internal Family Systems Parts Work Therapy (IFS), helped Jean to work through these issues by getting her inner critic to soften and step aside so she could complete her tasks. Jean also learned to strengthen her Core Self so she was no longer influenced by the parts of herself that strove for "perfection".

Get Help in Therapy
If self help techniques haven't helped you to overcome perfectionism, seek help from a qualified mental health professional.

Get Help in Therapy

Overcoming the root cause of your problem can help you to work through these issues so you can lead 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 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.








Sunday, April 19, 2026

Debunking Common Myths About Anxiety

Anxiety is a common psychological condition; however, unfortunately, there are many misconceptions about anxiety (see my article: What is the Difference Between Fear and Anxiety?).

Debunking Common Myths About Anxiety

Anxiety is a treatable and legitimate condition--not a sign of personal weakness. 

Over 40 million adults experience some form of anxiety annually in the United States.

Debunking Common Myths About Anxiety
  • Anxiety Isn't An Overreaction or Being "Dramatic": Anxiety disorders are mental health diagnoses that are real. 
  • Anxiety Isn't a Sign of Weakness: Anyone can develop an anxiety disorder. It's not a sign of weakness and shouldn't be stigmatized. 
Debunking Common Myths About Anxiety
  • You Can't Just "Snap Out of It" or "Relax": Anxiety isn't a voluntary condition. It requires help from a mental health professional.
  • Anxiety Isn't in Your Mind: Anxiety includes physical and mental health symptoms which can include panic, racing heart, feeling dizzy, nausea and so on.
  • Medication Isn't the Only Treatment: Psychotherapy, lifestyle changes and self care are often effective without medication. Each person who experiences anxiety needs to be assessed for their particular symptoms and their particular mental health needs, which might include medication. 
Note: The purpose of this article is only to provide information. An assessment and diagnosis needs to be made by a qualified medical or mental health professional.

Getting Help in Therapy For Anxiety
Anxiety can include many different types of anxiety-related diagnoses including panic attacks, posttraumatic stress disorder (PTSD) and generalized anxiety to name a few (see my article: Getting Help in Therapy For Anxiety).

Getting Help in Therapy For Anxiety

If you have been experiencing anxiety, you owe it to yourself to get help from a licensed mental health professional.

Developing the tools and strategies to cope with anxiety and getting to the underlying issues can help you to lead 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 helped many individual adults and couples.

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

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

Also See My Articles:








Thursday, March 26, 2026

Relationships: How Does Avoidance Push Ambivalence Underground?

Avoidance drives ambivalence underground by forcing intense internal conflicts into unconscious states of denial and behavioral withdrawal (see my article: Changing Maladaptive Behavior That Don't Work For You: Avoidance).


Avoidance Pushes Ambivalence Underground

When one or both partners in a relationship avoids dealing with their problems, they enter into a stalemate where the problems aren't addressed and internal conflicts grow. This can lead to increased emotional disconnection in the relationship.

How Does Avoidance Push Ambivalence Underground?
  • Creating Internal Stalemate: When love or closeness threatens an individual's sense of self, their nervous system forces a move toward emotional isolation. This pushes the internal conflict into a hidden, often unspoken state, creating intense emotions that keep looping.
  • Using Distractions and Substitutes: People who tend to avoid often create intense, externalized activities, including workaholism, spending an excessive amount of time on hobbies or shallow outside connections to fulfill emotional needs without facing the vulnerability of their relationship.
Avoidance Pushes Ambivalence Undergrouond
  • Reinterpreting Intimacy as Danger: By treating emotional intimacy as a threat to their safety or autonomy, the desire for closeness is pushed underground by a default survival reflex which creates emotional distance.
  • Boundary Setting Disguised as Vagueness: Instead of discussing the conflict directly, people who use avoidance often use vague statements like "I need more time" or "I'm not ready yet". This often hides the deeper inner conflict.
  • Panic Can Overwhelm Love: By the time the conflict rises to the surface, the individual's actions are motivated by panic rather than love and this masks their true wants and needs.
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates how avoidance pushes ambivalence underground and how therapy can help:

Jack
Jack met Linda when both of them were in their mid-30s. They both felt drawn to each other  immediately. 

Several months into their relationship, Jack's apartment lease was about to expire and Linda suggested that he move in with her. 

Initially, Jack agreed and then, as the date to move in with Linda got closer, he became increasingly anxious.  Linda tried to talk to Jack about his anxiety, but he put her off by saying, "I think it's too soon to move in together. I need more time to think about it." 

Avoidance Pushes Ambivalence Underground

Instead of moving in, Jack extended his lease for several more months to give himself time. In the meantime, Linda experienced her own anxiety about what Jack's ambivalence meant for their relationship.

Eventually, Jack moved in with Linda, but they spent less time together than when they were dating and living apart. He would spend long hours at the office and, when he was home, he spent much of his free time playing video games. 

When Linda tried to talk to Jack about his emotional distance, she felt she was getting nowhere because he made excuses. 

A few months after they moved in together, Linda told him that she was feeling increasingly lonely since he was either distracted with work or playing video games. She reminded him that she had told him early on in their relationship that she wanted to get married and have children and she was worried that their relationship was stagnating and time was passing.

Jack told her that he wasn't ready to consider marriage and he was nowhere near ready to think about children, "I feel like you're pressuring me when you know I'm not ready. I need time."

At that point, Linda gave Jack an ultimatum: Either they go to couples therapy to deal with their problems or she would leave him. 

Not wanting to lose Linda, Jack agreed to attend couples therapy, but his ambivalence continued to play out in couples therapy: He would make excuses not to go or find other reasons to avoid their sessions.

When the couples therapist confronted Jack with his ambivalence, he felt like he wanted to leave therapy rather than deal with his internal conflicts. But he knew if he stopped going to couples therapy altogether, he would lose Linda.

Over time, as the couples therapist got to know Linda and Jack better and understood their family histories, she pointed out the negative cycle that Jack and Linda were stuck in. She also pointed out how Jack's parents' marriage affected him: His father felt engulfed by his mother's emotional needs and he would find ways to avoid spending time with her.

As Jack became aware of the impact of his parents' relationship and the behaviors he was repeating in his own relationship, he knew he didn't want to make the same mistakes his parents made and he became more committed to working on his relationship in couples therapy.

Linda and Jack both learned tools and strategies to dig deeper into their unconscious motivations and how these motivations played out in their relationship.

Over time, Jack gradually became much less fearful of emotional intimacy and more committed to his relationship with Linda.  He allowed himself to be more emotionally present and vulnerable so that he was ready to make a commitment to get married. 

Several months after they got married, Linda became pregnant and she and Jack looked forward to raising a child together.

Conclusion
Avoidance pushes ambivalence underground by forcing internal conflicts into unconscious states of denial and withdrawal.

Avoidance Pushes Ambivalence Underground

The person who uses ambivalence to avoid these internal conflicts often doesn't realize they are using avoidance to push down ambivalence because this is an unconscious process.

When this occurs in a relationship, the other partner can feel like they are being strung along and then they need to make their own decisions.

Emotionally Focused Couples Therapy can help couples to see the negative cycle they are stuck in and provide them with ways to get out of the stalemate if they choose to get out.

In situations like this, the person who feels they are being strung along will often tell their partner to get help in individual therapy, but this is a relationship problem so it needs to be addressed by both individuals in couples therapy.

Getting Help in Couples Therapy
If you and your partner feel stuck in patterns that are causing problems in your relationship, you could benefit from working with a licensed mental health professional who has an expertise in working with couples.

Get Help in Couples Therapy

Rather than struggling on your own, seek help from an experienced couples therapist so you can have a more fulfilling relationship.

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

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

Also See My Articles: