Follow

Translate

NYC Psychotherapist Blog

power by WikipediaMindmap
Showing posts with label change. Show all posts
Showing posts with label change. Show all posts

Tuesday, August 12, 2025

How Does Accelerated Experiential Dynamic Psychotherapy (AEDP) Work?

In the past, I have described Accelerated Experiential Dynamic Psychotherapy (AEDP) in two prior articles:



How Does AEDP Work?
In the current article, I'm focusing on how AEDP works and going into more detail.

AEDP to Overcome Unresolved Trauma

AEDP is a therapeutic modality that focuses on helping clients to process and transform traumatic experiences in a safe and supportive environment (see my article: Why Experiential Therapy is More Effective to Overcome Trauma Than Regular Talk Therapy).

Here are some of the basics about how AEDP works:
  • Building a Secure Therapeutic Relationship: An essential part of AEDP is developing a strong, trusting bond between the client and the therapist. The therapist becomes a secure base for emotional exploration and healing by providing empathy, validation and emotional support so that the client feels safe enough to share vulnerable feelings.
AEDP to Overcome Unresolved Trauma
  • Helping Clients to Identify, Connect With and Process Core EmotionsRather than just talking about emotions in an intellectual way, AEDP focuses on experiencing and processing emotions in the here-and-now with the therapist. This involves becoming aware and processing suppressed emotions related to traumatic experiences. 
  • Working Through Defensive Mechanisms That No Longer Work: Clients learn to recognize, understand and modify defense mechanisms that might have served them as part of their survival strategy earlier in life but no longer work for them now.
AEDP to Overcome Unresolved Trauma
  • Accessing Transformational Affects: AEDP helps clients to access positive emotions, like joy, love and compassion, which can empower clients to heal unresolved trauma and make positive changes (see my article: How Glimmers Give You a Sense of Ease, Safety and Joy).
  • Metaprocessing: This involves reflecting on the therapeutic process including the client's emotional experiences in AEDP therapy, the therapist's interventions and the therapeutic alliance between the client and therapist. This helps clients to develop insight into their emotional patterns and how they apply them to other relationships.
What Experiential Techniques Does AEDP Use?
AEDP's experiential techniques include:
  • Guided Imagery and Visualization: An AEDP therapist helps clients to process emotions with guided imagery and visualization exercises.
  • Role Playing and Other Interactive Exercises: The therapist helps clients to practice new emotional responses and behaviors in a safe therapeutic environment.
How Does AEDP Help Clients to Have Transformational Experiences?
  • Strengthening a Sense of Self and Building Resilience: When clients process difficult  emotions related to trauma, they develop a greater sense of self acceptance and capacity to cope with challenges.
  • Creating More Fulfilling Relationships: By addressing attachment wounds and developing healthier emotional patterns, clients can develop secure and more fulfilling relationships.
Conclusion
Accelerated Experiential Dynamic Psychotherapy (AEDP) is a dynamic and experiential approach which facilitates deep emotional healing by creating a safe therapeutic space for clients to explore, process and transform unresolved trauma and current emotional challenges.

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

Getting Help in AEDP Therapy

Rather than struggling on your own, seek help in AEDP therapy 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.

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:













Wednesday, July 9, 2025

Why is Self Acceptance the Foundation of Self Confidence?

In the past, I've written articles about self acceptance, including Self Acceptance and Compassion.

In the current article I'm focusing on self acceptance as the foundation of self confidence.

What is Self Acceptance?
Self acceptance involves accepting all aspects of yourself--whether you consider these aspects to be positive or not.

Self Acceptance is the Foundation of Self Confidence

Self acceptance involves accepting your strengths as well as accepting aspects about yourself you might want to change. 

In other words, even while you're working towards making changes, you embrace all of who you are right now.

Why is Self Acceptance the Foundation of Self Confidence?
If you're working on developing increased self confidence, starting with self acceptance is essential to your development.

When you accept yourself as you are right now, you validate yourself internally rather than relying on external validation (see my article: What is Self Validation?).

Self Acceptance is the Foundation of Self Confidence

Even when you're working on making changes, you tell yourself, "I'm good enough as I am" because you're secure within yourself.

When you accept yourself as you are right now, you're more likely to bouncing back from disappointments or setbacks.

Self acceptance allows you to have compassion for yourself as you would have for loved ones in your life.

Self acceptances allows you to be your true self rather than pretending or wanting to be someone else. 

Self acceptance also reduces the likelihood you will compare yourself unfavorable to others

Comparison and judgment are the thieves of joy so it's important to stop comparing yourself unfavorably to others including on social media.

Self acceptance allows you to step outside your comfort zone to take healthy risks which can build self confidence.

What is the Difference Between Self Acceptance and Complacency?
Many people worry that if they accept themselves as they are, they will become complacent, but self acceptance and complacency are two different things.

Self acceptance is acknowledging yourself as you are right now and complacency is being satisfied with how things are to the point of stagnation.

Self Acceptance is the Foundation of Self Confidence

While self acceptance is a starting point to any change you want to make, complacency is often leads to a lack of motivation to change.

The important factor is your intent: Are you accepting yourself as you are right now as a starting point or are you accepting yourself as a reason to stagnate?

Self acceptance allows you to take action to make positive changes. 

In contrast, complacency often leads to inaction.

Self Confidence as a Learnable Skill
Self confidence is considered a learnable skill.

Self confidence is influenced by how you think and how you behave.

Self Confidence is a Learnable Skill

You can develop self confidence by changing the critical messages you're giving yourself.

You can also develop self confidence by giving yourself manageable challenges like taking a public speaking course, a storytelling workshop or taking improv classes.

Getting Help in Therapy
Many people lack self confidence due to unresolved trauma that keeps them mired in shame (see my article: How Unresolved Trauma Can Affect Your Ability to Feel Self Compassion).

Getting Help in Therapy

Getting help in trauma therapy can free you from your traumatic history so you can learn self acceptance and develop self confidence.

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

I have helped individual adults and couples in therapy for over 20 years (see my article: What is a Trauma Therapist?).

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, July 4, 2025

How Do You Know If You're Ready to Seek Help in Trauma Therapy?

Many people procrastinate getting help in therapy to deal with unresolved trauma (see my article: What is a Trauma Therapist?).

One the one hand, it's understandable that people want to think carefully before beginning trauma therapy because it's a commitment. 

Getting Help in Trauma Therapy

On the other hand, it's possible to procrastinate and overthink it to the point where years go by and you're still dealing with the impact of unresolved trauma.

How Do You Know If You're Ready to Seek Help in Trauma Therapy?
Here are some characteristics that would be helpful:
  • Some Awareness and Curiosity of the Impact of the Trauma: You have some awareness that traumatic circumstances in your life have had a negative impact on you. You might not understand the full impact, but you have a sense that your traumatic history is creating problems in your present life (see my article: Why is Past Trauma Affecting You Now?).
Getting Help in Trauma Therapy
  • A Desire and Willingness to Change: In addition to being aware of the problem, you have a desire and willingness to change. This includes realizing that working through trauma isn't a quick fix process (see my article: Developing Internal Motivation to Change).
  • Feeling Emotionally Ready to Start the Process: You are at a point in your life when you feel ready emotionally to begin the process. Your trauma therapist will help you develop the necessary tools and skills to prepare for processing the trauma. The length of time for the preparation phase of trauma therapy varies depending upon a client's particular circumstances.
  • Having the Time to Commit to the Process: You understand that trauma therapy involves a commitment of time and you can commit to once-a-week trauma therapy to work through yout traumatic history.
  • A Willingness to Confront the Problem: Although you know it will be challenging, you are willing to confront the problem with help and support from your therapist. 
  • An Openness to Emotional Vulnerability: You understand working on the problem will involve opening up emotionally to traumatic events from the past, but that you're in charge of deciding when you're ready to start processing the trauma and your therapist will assess with you the timing of the processing.
Clinical Vignette
The following clinical vignette is a composite of many cases (to protect confidentiality) and illustrates one possible pathway for the decision-making process:

Anna
A few years after Anna graduated college, she was aware she was having problems connecting on an emotional and sexual level with men.  

She watched videos, listened to podcasts and read articles about psychological trauma, so she had some awareness that there was something in her history that was affecting her in her present life.

Initially, she was afraid to seek help in therapy because she was feared therapy would be too overwhelming, so she thought about it for a several years and kept putting it off. But when she heard about a close friend's experience with trauma therapy, she became curious for herself.

Getting Help in Trauma Therapy

Her friend, Carol, told Anna she was also scared to start trauma therapy at first, but she felt motivated to get help because her relationship with John was getting serious and she realized she was worrying she might create the same tumultuous relationship her parents and she really didn't want to that.

Carol told Anna that, after talking to another friend about trauma therapy, she got curious to find out what it was about. So, she had an hourlong consultation with a trauma therapist who described the process to her and she realized the therapist would go at Carol's pace. She also realized she felt comfortable with this therapist.

Carol also told Anna her therapist prepared her to process her traumatic family history using EMDR Therapy. Carol said the therapist also used Parts Work Therapy

Carol said she learned so much about herself and, even though she was still processing the trauma, she was beginning to feel like a weight was being lifted from her. 

She also began to realize she wouldn't repeat her parents' dysfunctional patterns and it was possible for her to have a healthy relationship with John.

Anna trusted Carol. She also knew she wanted to be more open emotionally and sexually so she could eventually get into a relationship. So she set up a consultation with another trauma therapist who was recommended to her.

During the consultation, the trauma therapist asked her what she wanted to work on in therapy. In addition, the therapist explained the different types of trauma therapy she did including:
  • EMDR Therapy (Eye Movement Desensitization and Reprocessing)
  • AEDP (Accelerated Experiential Dynamic Processing)
She also explained the preparation phase of trauma therapy and that it would be Anna's decision when she felt ready to go on to the next stage, processing the trauma.

After her initial consultation, her trauma therapist helped Anna to develop the skills and tools she needed to process her trauma. 

When both Anna and her therapist felt she was ready, they began working on processing her trauma keeping in mind Anna's goal of becoming more emotionally and sexually open.

Over time, Anna noticed small positive changes in herself where she began to feel more open and curious about opening up emotionally and sexually.

Her therapist told her that setbacks are a normal part of the therapy process on the road to healing, so Anna wasn't surprised when she had a minor setback.

Getting Help in Trauma Therapy

When Anna began dating Bill, she felt more comfortable with him than she had ever felt in the past with other men. He was willing to take things slowly until they dated for a while.  

Over time, as she continued to process her childhood history in trauma therapy, Anna was able to open up to be more vulnerable with Bill.

She also enjoyed her therapy sessions, even though she had to process difficult memories, because she was learning about herself and she was opening up to new possibilities in her life.

Getting Help in Trauma Therapy
If you have been on the fence for a while about getting help in therapy, you can start by contacting a therapist for a consultation.

Use the time in the consultation to ask about the therapy process, how the therapist works and any other questions you might have about trauma therapy.

Getting Help in Trauma Therapy

You might need to have more than one appointment to tell if you feel comfortable with the therapist or you might need to see a few therapists before you know which one to choose (see my article: How to Choose a Therapist).

Freeing yourself from your traumatic history can lead 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.

I have over 20 years of experience as a trauma therapist helping individual adults and couples to overcome traumatic experiences.

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, June 25, 2025

Relationships: Navigating Changes in Your Relationship as New Parents

Becoming new parents can be joyous and wonderful, but it can also be challenging to your relationship which can make you feel guilty.

Navigating Changes in Your Relationship as New Parents

The Challenges of Being New Parents
Some of the challenges of being a new parents are fairly well known:
  • Being sleep deprived especially during the first few months
  • Experiencing poor concentration due to lack of sleep
  • Losing patience with your partner and yourself
  • Feeling like you are not a "good enough" parent
  • Experiencing postpartum depression
Postpartum Depression
  • Feeling jealous that your partner pays more attention to the baby than to you
  • Feeling like you and your partner are neglecting your needs as a couple
  • Feeling the need to take a break from parenting
  • Realizing you and your partner have different parenting styles
  • Feeling like you have lost control of your life, your relationship and your household
  • Listening to seemingly endless advice and childrearing stories from relatives and friends
Awareness and Acceptance That Your Relationship Has Changed
Before you had the baby, the two of you probably had more time to do whatever you wanted to do or to just relax at home.

The two of you could focus on yourself as individuals and your relationship as a couple. 

Before you had the baby, you probably knew your lives would change and you both would need to adjust, but knowing it and actually experiencing the changes are two different things.

Now, in addition to being a couple, you're both parents and parenting will take up most of your time and energy. You don't have as much time to nurture your relationship as you did before the baby because the baby's needs are the priority. 

In the past, when two or three generations lived close by, new parents had more help, but things have changed in recent years and many new parents don't have close relatives who can help. So, all the responsibilities of taking care of a baby fall on the new parents, which adds to their stress and anxiety.

All of these factors and more can have a negative impact on your relationship as you both realize how much your life has changed.

How to Navigate the Change to Your Relationship as New Parents
  • Develop open communication about how you feel about your new role as a parent and feelings it might bring up about your relationship.
  • Make time for each other, even in small ways. This can help you to maintain an emotional connection with each other.
  • Share responsibilities for the baby and other household responsibilities fairly (see my article: Sharing the Mental Load).
  • Reassess the need to shift responsibilities from time to time so neither of you feel resentful.
  • Be patient with yourself and each other as you both navigate these changes.
  • Get help from a licensed mental health professional if the changes have put a strain on your relationship.
Getting Help in Couples Therapy
Adding another commitment to your schedule might feel like the last thing you want to do with all your new responsibilities, but if your relationship is suffering due to all the new changes that parenthood brings, you could benefit from seeing a couples therapist to salvage your relationship.

A skilled couples therapist can help you to adjust to the changes to your relationship so you can approach the changes as a team.

Rather than waiting until your relationship problems get worse, seek help early so you can have a more fulfilling relationship.

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

I have over 20 years of experiencing 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.






















 

Wednesday, June 18, 2025

Relationships: How to Navigate the Commitment Stage of a Relationship

I have been focusing on the 5 Stages of Relationships in my recent articles:




In the current article, I'm focusing on the Commitment Stage and how to navigate changes in this stage of your relationship.

How to Navigate the Commitment Stage of a Relationship

As a recap: The 5 Relationship Stages including the:
  • Honeymoon Stage
  • Uncertainty Stage
  • Adjustment Stage
  • Commitment Stage
  • Acceptance Stage
For a detailed explanation of each stage, see my prior article.

What is the Commitment Stage of a Relationship?
The Commitment Stage usually occurs after two or more years.

The Commitment Stage includes:
  • An awareness that the positive aspects of the relationship outweigh the negative aspects
  • An increased comfort with each other than in the prior stages
  • A feeling of safety and security in the relationship
What Are the Challenges of the Commitment Stage?
  • Assess if your needs and wants are being responded to by your partner and vice versa
  • Maintain an awareness of the goals you and your partner have set
Clinical Vignette
The following vignette, which is a composite of many different cases to protect confidentiality, illustrates the challenges of the Commitment Stage and how couples therapy can help:

Jane and Bill
Three years into their relationship, Jane and Bill got engaged. 

At that point, they were living together for two years and they felt comfortable, secure and emotionally safe with each other.

How to Navigate the Commitment Stage of a Relationship

They had already navigated the challenges of HoneymoonUncertainty and Adjustment Stages, but they were having problems with sexual intimacy in their relationship so they sought help from a couples therapist who was also a certified sex therapist.

In their couples therapy they realized that their relationship, which was once passionate and exciting, had transitioned into almost a friendship once they became emotionally secure and safe with each other.

While they were happy that they felt close to each other, they missed the sexual passion they once experienced in the earlier part of their relationship.

Their couples/sex therapist helped them to keep their emotional intimacy while improving their sexual intimacy. 

They realized they had gradually let go of the sexual part of their relationship which got crowded out by work and personal obligations. 

They didn't expect sex to be as exciting as it had been during the Honeymoon Stage of their relationship, but they wanted to have more satisfying sex.

Although they were reluctant to do it at first, they learned to schedule sex so it didn't get crowded out of their schedule (see my article: The Benefits of Scheduling Sex).

They realized that, before they lived together, the longing and anticipation during the early stage of their relationship was no longer present (see my article: A Cornerstone of Eroticism: Longing and Anticipation).

They also learned from their couples/sex therapist about spontaneous and responsive desire and that most couples who have been together for a while experience responsive desire.

Responsive desire means they might not feel sexually turned on before they begin to have sex, but they could get turned on once they start (see my article: Spontaneous and Responsive Desire Are Both Common and Normal).

Both Jane and Bill were skeptical at first, but they agreed to include sex in their schedule and realized that it was true that once they began kissing, they both got turned on and could have satisfying sex.

How to Navigate the Commitment Stage of a Relationship

They also learned about certain sex therapy techniques like the simmer technique which helped them to simmer sexual desire between their sexual encounters (see my article: Creating the Potential For Sexual Desire With the Simmering Technique).

With help in couples/sex therapy, Jane and Bill learned to have passionate sex again.

Conclusion
One of the potential problems of the Commitment Stage is that the security and safety of the relationship can transform the relationship into a friendship or roommate situation.

This change can occur so gradually that it might take a couple a while to realize that sex has gone out the window.

The good news is that a couple can revive their sex life so they can have satisfying sex again with the help of a couples therapist who is also trained in sex therapy (most couples therapists are not trained in sex therapy).

Getting Help in Couples Therapy
If you and your partner are struggling in your relationship, rather than struggling on your own, seek help from a licensed mental health professional who works with couples.

If your problems include sexual problems, see a therapist who is also a certified sex therapist.

Working with a licensed therapist who has an expertise related to your problems can help you to have a more fulfilling relationship.

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


I have over 20 years of experience working 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.










Tuesday, June 17, 2025

Relationships: How to Navigate the Adjustment Stage of a Relationship

I have been focused on navigating various relationship stages in relationships in the last couple of article.

Navigating the Adjustment Stage of a Relationship

    See my prior articles: 


In the current article, I'm focusing on how couples can navigate the Adjustment Stage.

As a recap: There are 5 Relationship Stages including the 
  • Honeymoon Stage
  • Uncertainty Stage
  • Adjustment Stage
  • Commitment Stage
  • Acceptance Stage
For a detailed explanation of each stage, see my prior article.

What is the Adjustment Stage?
  • The Adjustment Stage: Around two years or shortly after, you and your partner will enter into the adjustment stage, assuming you were both able to get through the prior stages. The changes in this stage are often more deep-seated and more challenging. For instance, you might realize you both have developed different views about sex, religion, money, politics or child-rearing. You can both see whether the two of you can have a longer term relationship or if you're not compatible and you will each go your separate ways.

Navigating the Adjustment Stage of a Relationship
  • Challenges of the Adjustment Stage
    • Being aware of certain negative patterns in the relationship
    • Deciding if you're open to negotiating your individual differences
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates the unique problems associated with the Adjustment Stage and how couples therapy can help:

Tina and Joe
Two and a half years into their relationship, Tina and Joe moved in together in an apartment in New York City.

Soon after they moved in together, they realized they had different views about money.  Tina considered herself to be a saver and Joe thought of himself as a spender.

Tina didn't realize how much debt Joe had until they moved in together and she saw his bills coming in the mail. She was shocked that he owed over $25,000 in credit card debt and he didn't seem worried about it.  This debt was on top of his student loans, which were significant.

Although they kept their money in separate accounts and they were both high earners, Tina worried that they would have to wait longer than she anticipated to buy a co-op apartment. 

Navigating the Adjustment Stage of a Relationship

When she broached the topic with Joe, she felt dismissed. He said he wasn't worried about it at all because he knew he could pay off the credit card debt with money his parents would give him if he asked them (see my article: How to Stop Arguing About Money).

Tina told Joe she felt anxious with his asking his parents for money because she wanted them to live within a budget. She felt his parents could be intrusive at times and if they lent him money, they would want to be involved in their decision-making. 

At the same time, she knew this was his debt and she wasn't sure if she had the right to tell him how to handle it.

This lead to a discussion about their relationship goals including their goal to buy a co-op apartment in Manhattan.  She had no outstanding debt, but she worried that they might be denied a mortgage due to Joe's high debt (see my article: 10 Relationship Goals to Create a Stronger Relationship).

After several big arguments, they began couples therapy to sort out these issues. During couples therapy, Joe learned active listening skills instead of dismissing Tina's concerns (see my article: Relationships: Arguing About Money).

Tina admitted that she had many sleepless nights worrying about Joe's debt and what they might mean for buying an apartment. She learned in couples therapy how to calm herself so she could sleep at night.

Prior to talking in couples therapy, Joe had not taken his credit card debt seriously, but once they talked about it in terms of buying a Manhattan apartment, he realized he needed to be more aware of his spending habits.

During their couples therapy sessions Joe and Tina were able to clarify their relationship goals which helped Joe feel more comfortable with being on a budget.

Navigating the Adjustment Stage of a Relationship

Joe also realized that he had been too financially dependent on his parents and this dependence came with strings. Specifically, his parents felt they could tell him what to do, which he never liked.

Both Tina and Joe developed increased self awareness in couples therapy. They  also learned to work together as a team to resolve their problems.

Staying within a budget was a difficult adjustment at first for Joe, but as he and Tina began looking at co-op apartments online, he felt motivated to make sacrifices now for their future together.

Eventually, Joe paid down his debt and he and Tina began attending open houses to purchase a co-op.

Conclusion
As mentioned in earlier articles, relationship stages don't always occur in a linear way.  These stages can come up at any time.

Making changes can be challenging, but when couples have relationship goals, they're usually able to put these adjustments in context for their goals (similar to Joe and Tina in the vignette above).

Getting Help in Couples Therapy
If you and your partner are struggling with problems in your relationship, rather than struggling on your own, seek help from an experienced couples therapist.

Getting Help in Couples Therapy

A skilled couples therapist can help you to overcome the challenges in your relationship so you can have a fulfilling life.

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

I have over 20 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.