Healing Perfectionism With IFS Therapy

This article was updated on September 18, 2026.

In my prior article, Journal Prompts to Cope With Perfectionism, I began a discussion about perfectionism.

In the current article, I'm discussing perfectionism from an IFS therapy perspective (see my article: IFS is a Gentle, Evidence Based Therapy).

Like the Japanese art of Kintsugi, IFS therapy doesn't eliminate our perfectionist parts—it repairs them with compassion, revealing the beauty in our cracks

How Do Defensive Parts Develop?

From an IFS therapy perspective, defensive parts usually develop at an early age.

In IFS these parts are known as proactive and reactive parts.

When you're faced with trauma or adversity, some of the internal parts of yourself are forced to take on extreme, rigid roles to protect you from pain. This usually occurs when you have had experiences as a child of rejection, failure, loneliness, conditional love, abuse or childhood emotional neglect.

The Core Self: 

From an IFS perspective, the Core Self is not a part. 

Everyone is born with a Core Self and a natural ability to heal. However, when there is childhood trauma, the Core Self can get blended with your defensive parts (both proactive and reactive parts). That can make it difficult to access the Core Self. 

Your IFS therapist can help you to discover your Core Self which helps with the healing process (see below for explanations about the proactive and reactive/defensive parts).

The Core Self and the 8 Cs

The Core Self is composed of the 8 Cs:

• Curiosity: Wanting to learn about your thoughts and feelings without judgment
• Compassion: Feeling kind towards your inner struggles
• Calm: Feeling steady and peaceful inside--even during rough times
• Clarity: Seeing your situation clearly without emotional fog
• Courage: Feeling able to face hard truths and uncomfortable emotions
• Confidence: Trusting that you can handle what comes your way
• Creativity: Opening up to new ideas and flexible ways of thinking
• Connectedness: Feeling a deep sense of belonging within yourself and with others

The Wounded and Defensive Parts:

This is the usual sequence of how wounded and defensive parts develop and how IFS healing process:

• 1. The Wounded Child Develops First During Childhood Trauma: Before the proactive or reactive parts develop, a vulnerable child part is wounded. The vulnerable child part is not a proactive or reactive part. It's the part that holds the trauma. As an example, a child might be rejected, yelled at or abused by a parent when she gets a bad grade at school. The child internalizes the parent's attitude towards her and believes "I'm unlovable" or "I'm powerless". In order to survive, the child's system buries the memory and painful emotion deep inside, which creates the exiled wounded child part.

• 2. The Perfectionist Part Steps Up to Prevent Pain (Proactive Part): Once the wounded part is buried, the internal system realizes it can never allow the wounded part to be triggered or exposed again. The proactive part emerges to police your life and prevent future pain before it can happen again. This part's strategy is, "If I can be perfect and never make mistakes, no one can ever reject or hurt me again."  This part takes over your consciousness and establishes impossibly high standards. This might work reasonably well for you as a child and you get praise from relatives and teachers, which reinforces this survival strategy. 

• 3. The Inner Critic Develops a Preemptive Shield: As life becomes more complex, maintaining 100% perfection becomes impossible. To protect you from the crushing blow of external judgment, a harsher manager called the inner critic, develops after the perfectionist develops. The inner critic believes that beating you up first (before you get external criticism) provides a safe shield. The inner critic's logic is, "If I criticize you for being lazy or messy before anyone else notices, I'll force you to fix it before others are able to hurt you." The inner critic often adopts the same words, attitude and tone of the critical authority figures from your past (parents, teachers and critical others). The inner critic learned that those voices are what define "safety" and "correctness".

• 4. The Parts Freeze in Time: The primary reason why these parts continue to be problems is that they are frozen in the past. Your perfectionist and critical parts often don't know that you are no longer child. They still believe you are that fragile child that couldn't survive without them.  

• 5. The Parts Take on Healthy Roles: As part of IFS therapy, you learn to have a dialogue and a relationship with these parts of yourself to help them to understand that you now have adult resilience.  As you develop a trusting relationship with these parts, they usually realize for the first time that you are no longer a fragile child that needs protection and they can relax instead of staying in exhausting roles. This allows them to take on healthy functions. For instance, instead of obsessively criticizing and striving for perfection, they might encourage you with a sense of healthy motivation.

Conclusion

For the sake of simplicity, I have described an inner world that has one wounded part, one proactive defensive part and one reactive defensive part. 

In reality, there are usually many wounded, proactive and reactive parts to heal.

Although I have focused on perfectionism, the IFS step-by-step process is the same for any other problem.

In my next article, I'll discuss how IFS therapy works to heal perfectionism.

Get Help in IFS Therapy

If you have been trying without success to work through your problems, you could benefit from working with an IFS therapist.

IFS therapy can help you to heal your problems so you can be live a more fulfilling life free from your traumatic history.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, and advanced practitioner specializing in IFS Parts Work, Somatic Experiencing, AEDP, EMDR, EFT Couples Therapy and Certified Sex Therapist.

I provide depth-oriented, experiential therapy to help individual adults and couples move past internal blockages into authentic relational alignment.

To learn more about my clinical background, clinical philosophy, and healing approach, please visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

• Office Location: I see clients in-person at my Greenwich Village office (New York, NY 10011) as well as online via secure telehealth.

• Initial Contact: I provide a complimentary 15-minute introductory phone call prior to scheduling an initial appointment.

• Contact Information: You can reach me directly at (917) 742-2624 during standard business hours or email me.

Also See My Articles:

What is Somatic IFS? 

How Does IFS Therapy Help You to Understand Yourself? 

How Can IFS Therapy Help With Anxiety? 

Relationships: How is Curiosity a Gateway to Empathy?

This article was updated on September 16, 2026.

In clinical practice, curiosity serves as a foundational gateway to empathy by reframing our cognitive mindset from judgment to active exploration. True emotional resonance requires a willingness to comprehend what lies beneath the surface; you cannot authentically share a feeling that you haven’t first tried to understand. By constructing a cognitive bridge for deeper interpersonal connection, cultivating a curious mind breaks down internal barriers to empathy through several distinct psychological pathways.

Curiosity is a Gateway to Empathy

Curiosity is the capacity to feel and understand another person's internal experience. However, you cannot share a feeling that you have not first tried to understand. Curiosity bridges this gap by creating the cognitive framework for deeper emotional connection. 

Curiosity breaks down the barriers to true empathy through several important mechanisms:

Curiosity Replaces Judgment With Inquiry: 

• Assumptions Are Blocked: When you enter an interaction with a curious mindset, your brain stops trying to instantly categorize, label and judge the other person's behavior.

• Understanding "Why" Becomes Prioritized: Instead of dismissing a behavior you don't like with a statement like, "He's being hostile towards me", curiosity poses the question, "What is causing him to react in this way?"

• Cognitive Loops Are Interrupted: This simple shift de-escalates emotional defensiveness which makes space to objectively observe the other person's reality.

Curiosity Unlocks Deep Listening:

• Focus is Externalized: Curiosity allows you to set aside your internal dialog, your biases and your premeditated responses.

• Meaning is Prioritized Over Winning: When you focus on trying to understand the meaning of the interaction, you stop focusing on your counter-argument or a need to offer unsolicited advice.

• Open-Ended Exploration is Invited: By asking non-judgmental questions, you actively invite the other person to share their nuanced, authentic experience.

Curiosity Expands Your Imagination

• Perspective-Taking is Activated: Curiosity and empathy encourages you to put yourself in the other person's place.

• New Perspectives Can Be Explored: Curiosity provides the spark to wonder about other perspectives and other realities that are different from your own.

• Biases Are Dismantled: Curiosity can help you to bridge the gap so you can empathize with others.

Clinical Vignette

The following vignette, which is a composite of many cases, illustrates how curiosity can lead to empathy:

Ann and Frank

Ann and Frank were married for 10 years.  During that time, whenever Ann became fearful or anxious, Frank became impatient and harsh with her, "Why are you afraid to go on this job interview? You have the skills and experience to get this job. Stop worrying so much."

Whenever Frank spoke to her in this way, Ann felt her feelings were dismissed by Frank and  then she felt ashamed of herself. Logically, she knew had the right skills and experience, but she didn't feel this way emotionally.

When they attended their next couples therapy session, Ann brought up how dismissed and ashamed she felt whenever Frank scolded her for being fearful and anxious. 

When their therapist explored what was happening for Frank emotionally when Ann got anxious or fearful, at first, he said he wasn't aware of feeling anything about it. So, their therapist asked Frank to slow down and sense into his body while remembering the conversation he had with Ann.

After a few moments, Frank remembered, "When I was child, whenever I tried to talk to my father about how scared I was of trying out for the Little League team, my father yelled at me and told me I had to face my fears and stop being a baby. He gave me a disgusted look like he was ashamed of me for being scared. That's how it was whenever I told him I was scared--until I stopped telling him."

As he said this, Frank's eyes welled up with tears, "I felt so ashamed, so I pushed down my fears and toughed it out."

At that point, Frank realized he was dismissing and shaming Ann in the same way his father dismissed and shamed him, "All I ever wanted was for my father to encourage me and give me emotional support. I realize now that's what Ann wanted, but whenever she feels anxious and afraid, it brings up those old feelings for me that I pushed down when I was a kid. It's so hard for me to tolerate because it triggers my own insecurities." Then, he apologized to Ann.

Their therapist spoke to them about using curiosity as a way to avoid judgment, criticism, dismissiveness and shaming.

Ann and Frank practiced these new skills in their couples therapy sessions as well as between therapy sessions. When he was able to get curious, he felt empathetic towards Ann and he discovered that Ann's fear and anxiety were also tied to her own childhood experiences of emotional neglect.

Frank became much more emotionally supportive and, in the process, he was able to talk in session about his own insecurities that he was never able to express as a child. Feeling understood for the first time by his wife and his therapist helped Frank to heal these old wounds.

Ann was also able to talk about how she was affected by emotional neglect in her family and she realized that, as adults, she and Frank could be emotionally supportive of each other as one way to heal their emotional wounds.

Being able to support one another also helped Ann and Frank to deepen their emotional connection (see my article: How to Develop Emotional Depth in Your Relationship).

Conclusion

Curiosity is a gateway to empathy.

Understanding the underlying issues that get in the way of being curious can help you to understand the emotional barriers you might be experiencing to feeling empathetic (e.g., unresolved traumatic childhood experiences).

Get Help in Therapy

If you have difficulty letting go of defensiveness that gets in the way of getting curious, you could benefit from working with a licensed mental health professional.

Working through these issues in therapy can help you to live a more meaningful life.

About Me

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

I have helped many individual adults and couples over the years.

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

I offer a free 15 minute phone call before setting up an appointment.

I see clients in my Greenwich Village office in New York City and online.

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

Also See My Articles:

Developing Curiosity and Self Compassion 

Maintaining a Sense of Wonder As An Adult 

Nurturing Your Relationship 

What is Complex Trauma?

While a single event, like a car accident or a natural disaster, can cause acute shock trauma, complex trauma refers to a severe psychological condition resulting from chronic, repetitive interpersonal wounds. 

Often rooted in childhood abuse, profound neglect, or ongoing domestic captivity, complex trauma occurs over an extended period, forcing the individual to develop survival adaptations that impact long-term mental health. As a trauma therapist in New York City, I see firsthand how understanding the multi-layered nature of Complex PTSD (C-PTSD) is the vital first step toward true clinical recovery and systemic healing.

What is Complex Trauma?

According to SAMHSA (Substance Abuse and Mental Health Services Administration), 1 in 7 children experience abuse or neglect.

What Are the Symptoms of Complex Trauma For Adults?

The symptoms of complex trauma can include any of the following:

• Feeling anxious
• Feeling depressed
• Experiencing flashbacks
• Experiencing nightmares
• Avoiding circumstances that remind you of the traumatic events (emotional avoidance)
• Having difficulty managing emotions
• Perceiving yourself in a distorted way
• Feeling worthless
• Avoiding or having difficulty with personal relationships
• Feeling disconnected from yourself or others (a form of dissociation)
• Having problems remembering parts of your childhood 
• Having difficulty providing a comprehensive narrative of your childhood memories, which can include fragmented memories.
• Experiencing sleep problems
• Experiencing sexual problems
• Experiencing medical problems, like Type 2 diabetes
• Feeling body aches, including migraines, stomach and digestive problems, arthritis
• Experiencing low energy or fatigue
• Misusing drugs, alcohol, tobacco, food
• Engaging in other compulsive or impulsive behavior, including compulsive gambling, sexual compulsivity, and other behaviors

Examples of Complex Trauma

Complex trauma usually begins in childhood.  These events are recurrent, overwhelming and longstanding, and they are usually perpetrated by other adults, like family members, family friends, neighbors, clergy, and so on.  These incidents often occur over a span of weeks, months or years.

Examples of complex trauma include:

• Physical abuse

• Emotional abuse

• Sexual abuse (see my article: Overcoming the Trauma of Sexual Abuse)

• Profound child emotional neglect (see my article: What is Childhood Emotional Neglect?)

• Abandonment

• Parentification (role reversal where child takes on the parental role)

• Medical abuse or trauma

• Torture or being held captive

• Living in a war zone or in an area with civil unrest

And so on.

Mind-Body Oriented Psychotherapy For Complex Trauma

The following mind-body oriented therapies are often effective to overcome complex trauma:

• EMDR Therapy which stands for Eye Movement Desensitization and Reprocessing (see my article: How EMDR Therapy Works: EMDR and the Brain)

• Somatic Experiencing Therapy (see my article: Trauma Therapy: The Therapeutic Benefits of Somatic Experiencing)

• AEDP, which stands for Accelerated Experiential Dynamic Psychotherapy (see my articles: What is AEDP?  Part 1 and Part 2).

• Hypnotherapy, which is also known as Clinical Hypnosis (see my article: What is Clinical Hypnosis?)

• Parts Work Therapy: Ego States Therapy of Internal Family System (see my article: How Parts Work Can Be Empowering)

Get Help in Therapy

If you are experiencing complex trauma symptoms, you could benefit from working with a trauma therapist (see my article: What is a Trauma Therapist?).

Once you have worked through your unresolved trauma, you can lead a more fulfilling life.

About Josephine Ferraro, LCSW

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, IFS, Somatic Experiencing and Certified Sex Therapist.

I am a trauma therapist who works with individual adults and couples.

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

I provide a free 15 minute phone call before setting up an appointment.

I see clients in my office in Greenwich Village in New York City and online.

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

How IFS Parts Work Therapy Can Help You to Recognize When a Younger Traumatized Part of Yourself Has Taken Over

I've written prior articles about IFS (Internal Family Systems) Parts Work as a trauma therapy (see a links for these articles at this end of this article).

This article provides a basic understanding of what happens when a younger part of you, also known as an exile in IFS, takes over when you get triggered.

Recognizing When a Younger Part of Yourself Has Taken Over

There is a lot more to IFS than exiles, including protector parts ("Manager" Parts and "Firefighter Parts") which you can read about in a book I recommend at the end of the article.

The focus for this article is how to recognize when you're immersed in a traumatized younger part of yourself which has taken over your current emotional experience and how to understand that this part is usually rooted in earlier traumatic experiences (see my article: Working Through Emotional Trauma: Separating "Then" From "Now").

What Are Younger Parts of Yourself?

In Parts Work Therapy, like IFS, there is a recognition that we all have many different parts that make up our inner world, including younger parts. 

You can think of parts as being metaphors for your intrapsychic experiences. Thinking of them as parts, as opposed to intrapsychic experiences, helps to simplify the concept of internal parts.

Recognizing When a Younger Part of Yourself Has Taken Over

Another way of thinking about a younger part is using the term "inner child" which has been popularized and made accessible in the work of John Bradshaw who wrote Homecoming: Reclaiming and Healing Your Inner Child.

Parts Work Therapy, including Internal Family Systems (IFS) Therapy and Ego States Therapy, also recognizes that traumatized individuals carry younger, vulnerable parts of their psyche and these parts carry heavy unprocessed traumatic emotional burdens including shame, fear and feelings of being unworthy.

In IFS these parts are called "exiles".

What Are the Characteristics and Examples of Exiles?

Some of the common characteristics include:

• Vulnerability: They represent younger, childlike selves needing care.

• Frozen in Time: These parts relive past traumatic experiences in the present including experiences of childhood emotional neglect and abuse. Not only are these parts frozen in time, they also have the same childhood capabilities you had at the time of the trauma. This is why when these younger parts/exiles erupt, you can't think logically and handle the current situation like an adult. In other words, you don't have access to the logical part of your brain at that moment.

Trauma Response: Frozen in Time

• Burdened Beliefs: These parts carry the burden of the original trauma and they often hold beliefs like "I'm unlovable" or "I'm broken".

• Examples of Exiles: The rejected child, the abused child, the neglected child, the frightened toddler, the unloved teenager or the humiliated younger self are some of the many examples of exiled younger parts.

How Do Exiles Function?

The feelings associated with exiles are usually too painful to feel on a conscious level so they remain unconscious until they are triggered.

This doesn't mean that exiles are "bad" or that any part of your inner world is bad. Rather than thinking of them as something to get rid of, which you can't do anyway, think about these parts as stuck or frozen in time and, through IFS Parts Work Therapy, they can be "updated" to be a healthier part of you.

When these feelings get triggered, they can suddenly erupt without warning (see my article: Parts Work Therapy: Is an Unconscious Part of Yourself Running Your Life?).

How Do You Know When a Younger Part (Exile) Has Taken Over?

The following are signs that an exile might have been triggered and taken over:

• Intense Emotional Flooding: A sudden and rapid onset of fear, sadness, hopelessness, helplessness or terror

• Reactions That Are Disproportionate to the Situation: A relatively minor event can trigger an extreme response which can relate to feelings of rejection or abandonment (see my article: Responding Instead of Reacting).

Triggered and Overreacting 

• Feeling "Young": You might feel small, young--like you're a child again--even though you're an adult.

• Somatic Sensations: Sensations might include a heaviness or tightness in your chest, intense cold, feeling unsafe and so on.

• Negative Core Beliefs: Sudden feelings of "I'm unlovable" or "I'm broken" or "I'm unsafe"

• A Sudden Need to Escape: You might feel a sudden need to escape in the moment and, afterwards, you might engage in compulsive behaviors to numb yourself again including:

• Compulsive cleaning or organizing
• Compulsive working 
• Compulsive shopping and/or overspending
• Drinking excessively
• Using drugs to numb out
• Out of Control Sexual Behavior
  
• Compulsive gambling including grief gambling
• Scrolling on your phone aimlessly for lengthy periods of time
• Other forms of compulsive and impulsive behavior used to numb and distract yourself

When you're immersed in an exiled part, the feelings are usually raw and painful. 

Since you're "blended" with this part, you no longer have the ability to witness your feelings in an objective and logical way. Instead of saying, "A part of me feels devastated", you experience the devastation as a overall feeling, like "I am devastated."

There is no separation between your Core Self (also known as Adult Self or Higher Self) and the exiled part because your Core Self is wrapped up in the exiled part, so you can't take space from the experience to be objective.

What to Do When Your Core Self is Blended With an Exile Part

This requires practice. Instead of lashing out at your loved ones, pause so you can observe what you're feeling instead of completely identifying with the feeling.

To unblend from this younger part/exile:

• Name the Feeling: Acknowledge the sensation: "I'm feeling frightened right now" or "I'm feeling unlovable right now" or "I'm feeling abandoned right now". This will help you to observe what is happening to you instead of being immersed in the experience (see my article: Overcoming Fear of Abandonment).

• Ask the Part For Space: If possible, have an internal dialog with the exile/traumatized part and ask this younger part for space so you can be in the present moment and not stuck in feelings related to your traumatic past.

• Be Curious and Compassionate: Instead of being judgmental and self-blaming, get curious and feel compassionate towards this part of yourself.

Clinical Vignette

The following clinical vignette is a composite of many cases and illustrates the dynamics described in this article:

Dana

Dana had a significant history of childhood trauma including emotional neglect and physical abuse.  There was no one available to help Dana as a child during her traumatic experiences.

After she graduated college, Dana moved far away from her family. She believed that if she moved away from Southern California, where her family lived, to New York City, her family would no longer affect her.

She developed a career as an executive coach which she really enjoyed. Her clients praised her work and she finally felt free of her family's influence.

When she got into an exclusive relationship with Tom, she felt like everything in her life was falling into place. Several months after they met, they moved in together in Manhattan.

Tom had a career as a management consultant that involved a lot of travel, which Dana knew about from the start of their relationship. However, his frequent travel brought up feelings of loneliness, abandonment, fear and panic.

If he didn't call or text her several times a day, Dana would have doubts about Tom and their relationship. Even though she knew he was in all day meetings, she still believed he could have found times during the day to call her instead of waiting until the evening.

Stuck in a Child Part

During those evening calls, Dana needed constant reassurance that Tom still loved her and he wasn't abandoning her. When Tom asked Dana where her fears were coming from, she was so immersed in her younger traumatized part that she couldn't think clearly. 

There were times in the middle of the night that Dana would feel on the verge of a panic attack and she called Tom and woke him up. Groggy with sleep, Tom couldn't understand why Dana was feeling so panicky and neither could she.

Afterward, they would talk about it and Dana would feel calmer for the moment--until the next time she got triggered with feelings of rejection and fear of abandonment.  Then, the cycle would begin again where Dana would demand reassurance from Tom, but nothing he said reassured her for long.

After several similar incidents, Tom spoke to Dana about getting help in therapy. He was kind and compassionate, but he knew that there was nothing he could do to help Dana overcome these problems. She needed professional help.

When Dana began therapy with an IFS therapist, she became aware that her triggers were related to unresolved trauma. 

Her therapist helped Dana to develop better coping skills including: Skills to develop a stronger observing self who could pause, witness herself when she was triggered, name the feeling and have a dialog with that inner part of herself to ask it to give her space so she could get curious about what was happening to her and approach this part with curiosity and compassion.

As Dana learned to remain grounded and not get derailed by her younger self, she had fewer incidents where she panicked when Tom was away. 

The work wasn't easy or quick. She still had times when she would regress into that younger part, but she would also recover faster than she had in the past (see my article: Progress in Therapy Isn't Linear).

Once Dana was stabilized, her IFS therapist was able to begin work with Dana on her traumatic history. 

The work was experiential--feeling the parts that came up--rather than just talking about it as she would have done in traditional talk therapy (see my article: Why is Experiential Therapy, Like IFS, More Effective Than Traditional Talk Therapy to Overcome Trauma?).

Over time, Dana was able to work through her unresolved childhood trauma so it was no longer affecting her or her relationship.

Her childlike part still came up at times, but once it was no longer carrying the burden of the childhood trauma, she experienced this part as being happy and playful rather than triggering unresolved trauma.

Conclusion

One blog article can't explain all the nuances of IFS. So, I suggest you read No Bad Parts: Healing Trauma and Restoring Wholeness With Internal Family Systems by Richard C. Schwartz.

Get Help in Parts Work Therapy

There are many different types of Experiential Therapy for trauma, aside from IFS Parts Work, including EMDR Therapy, Somatic Experiencing, AEDP and other trauma-related therapies.

Get Help in IFS Parts Work Therapy

Parts Work is unique in that you can do deep intrapsychic work without spending the amount of time you might in psychoanalysis.

A skilled IFS therapist can help you to work through unresolved trauma so you can have a more meaningful 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 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.

Also See My Articles

How Does Parts Work Therapy, Like IFS and Ego States Therapy, Help You to Understand Yourself? 

Discovering Your Core Self in IFS Therapy

How IFS Therapy Can Help You With Anxiety 

How Are Emotions Processed in IFS Therapy? 

Healing Psychological Trauma By Integrating Split Off Parts of Yourself in Trauma Therapy

In my prior article, What is Hypervigilance and How Is It Related to Unresolved Trauma?, I focused on the unconscious trauma-related defense mechanism of hypervigilance.

Healing Trauma

In the current article I'm focusing on how trauma therapy can help you to integrate the various split off parts of yourself.

What Are Split Off Parts of Yourself?

When you're trying to cope as best you can with traumatic situations, a common unconscious temporary coping strategy is to "zone out" or dissociate from your thoughts, feelings or circumstances (see my article: Discovering Disowned Parts of Yourself).

Healing Trauma

This coping strategy is relevant at all ages, but it's especially relevant if you're a young child because young children haven't developed the necessary skills and strategies to deal with dysfunction happening around them--whether the dysfunction is a chaotic family, unpredictable parents, abusive or neglectful parents, substance abusing parents or other similar traumatic situations.

As a child, when you're not emotionally or psychologically equipped to deal with trauma, being able to dissociate (or "zone out") is an adaptive survival strategy when what is happening around you is overwhelming and traumatic. 

Dissociation is a way your mind protects you by compartmentalizing events or circumstances that would otherwise cause you overwhelming stress. The overwhelming stress of childhood trauma is especially difficult if there is no one to help you to manage it.

Dissociation creates a sense of detachment from overwhelming stress and it can allow you to function reasonably well in other areas of your life. 

For example, even though there might be highly traumatic dynamics in your home, if you compartmentalize these dynamics, you can excel academically or in sports and anyone who doesn't know your family dynamics might not be aware that you're being traumatized at home because you appear to be a "normal" child in every other way.

Why is Integrating Split Off Parts of Yourself Essential For Healing from Trauma?

Everything I have mentioned so far about dissociation sounds adaptive, so why is there a need to integrate the parts of yourself that have been dissociated?

As I mentioned previously, dissociation is a temporary unconscious solution during traumatic circumstances but, as an adult, you pay a price for the parts of yourself you have dissociated.

Healing Trauma

First, it's important to understand that, unlike dissociation, psychological integration is a strong indicator of positive mental health because it involves bringing together various parts of your personality, thoughts, feelings and behavior into a cohesive whole. 

Second, psychological integration leads to increased self awareness, self reflective capacity, emotional regulation and resilience.

However, when you have dissociated parts of yourself, you can experience a lack of self awareness and emotional dysregulation and a lack of psychological integration.

Dissociated parts can also create problems in your adult relationships because you might externalize your problems by blaming others and projecting dissociated negative feelings about yourself on your partner, which can be an obstacle to healthy relationships.

How Does Trauma Therapy Help to Integrate Split Off Parts of Yourself

Trauma therapy is an umbrella term for many different types of therapy including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Somatic Experiencing
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Parts Work Therapy (including Internal Family Systems, also known as IFS, and Ego States Therapy)

• Hypnotherapy (also known as Clinical Hypnosis)
  

Clinical Vignette

As mentioned above, there are different types of trauma therapy. 

The following clinical vignette, which is a composite of many cases, illustrates how Parts Work Therapy can help with integrating dissociated parts:

Bob

When he was a child, Bob grew up in a family where his father was a severe alcoholic and his mother had an eating disorder. 

Whenever Bob's father, Jim, drank at night, he would become enraged, scream at Bob's mother, Bob and his two older brothers. Sometimes Jim would get so angry that he would go on a drunken rampage throughout the house where he would break furniture.

Bob's mother, Anna, was so frightened that she would cower in the corner of the room with Bob and his brothers. She was afraid Jim might physically abuse them. Although he never got violent with them, there was always the fear that his drunken rage would end in physical violence.

After his drunken rampages, Jim would be physically exhausted. Then, he would beg Anna to help him to go up the stairs to bed. At that point, Anna was so relieved his rage was over that she would help him to walk up the stairs so he could collapse in his bed.

Afterwards, Anna would come downstairs in a state of anxiety and she would binge eat. Typically, she would eat a few boxes of donuts, cereal, cookies, a couple of bags of potato chips and leftovers from dinner until she felt sick and then she would go upstairs to sleep in a separate bedroom from Jim.

After their father went to sleep, Bob's brothers would disappear into their own bedrooms and lock their doors. As a result, Bob was left alone with no one to talk to about his father's drunken rampage and his mother's eating disorder.  So, he would climb the stairs to his own bedroom and stare at the ceiling for hours until he eventually fell asleep.

Healing Trauma in Trauma Therapy

As an adult, when Bob started trauma therapy, he didn't remember much of his childhood at first. He remembered doing well academically and in sports, but the rest of his childhood was a blur because he had dissociated it.

He sought help in therapy because he was having problems in his relationship with Nina, a woman he had been dating for a year. She asked him to get help because she was fed up with him blaming her for his problems.

Before processing the trauma, his therapist worked with Bob to help him to develop better coping skills. She taught him mindfulness meditation. She also encouraged him to journal to increase his self reflective capacity.

When his therapist assessed he was prepared to process his traumatic childhood, she introduced him to Parts Work Therapy (see my article: Getting to Know the Many Parts of Yourself in Parts Work Therapy).

They started slowly so Bob could get the sense of what it means to have different internal aspects of himself. Gradually, he became aware that, just like everyone else, he had many internal parts and shifting self states and this was normal (see my article: Understanding. Your Shifting Self States).

When his therapist assessed Bob was ready to work on his unresolved trauma, she asked him to bring in pictures of himself from childhood. Since his family didn't take a lot of pictures when he was a child, Bob could only find two pictures of himself.

He hadn't seen these pictures in a long time and when he looked at them in his therapy session, he was surprised to see himself as a young child sitting by himself with a blank stare. It was at that moment when Bob understood how dissociated he had been when he was a child. 

He also realized why he didn't have many memories from that time--his experiences had been dissociated and compartmentalized so that they were inaccessible to him at that point.

As Bob gazed at his pictures, he felt a deep sense of compassion for his childhood self and Parts Work Therapy helped him to reconnect to that part of himself (see my article: Self Compassion as an Essential Part of Trauma Recovery.

Over time, Bob sensed his younger self coming alive again. He was able to reconnect with his younger self and imagine he could give his younger self what he didn't get as a child.

Healing Trauma in Trauma Therapy

Gradually, as Bob became more psychologically integrated, he developed a greater sense of self awareness, self reflective capacity and a capacity for emotional regulation.  

His girlfriend noticed the difference which helped to improve their relationship.

After he overcame his anger towards his parents, Bob felt compassion for them too because he realized each of them had been traumatized when they were younger (see my article: What is Intergenerational Trauma?).

Conclusion

Dissociation is a unconscious survival strategy that temporarily helps to deal with overwhelming events or circumstances.

However, over time, even though dissociation is temporarily helpful, it creates problems in terms of a lack of psychological integration.

Traumatic dissociation, especially dissociation that occurs over time, is an obstacle to psychological integration and positive mental health.

Trauma therapy can help to integrate the dissociated parts of yourself so you can develop increased self awareness, emotional regulation and healthy relationships.

Getting Help in Trauma Therapy

If you think unresolved trauma is an obstacle to your well-being, you could benefit from working with a licensed mental health professional who is a trauma therapist.

Getting Help in Trauma Therapy

A skilled trauma therapist, who has advanced skills and training in trauma recovery, can help you to work through unresolved trauma.

Rather than struggling on your own, seek help in trauma therapy so you can lead a more fulfilling life.

About Me

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

I have over 20 years of experience helping individual adults and couples (see my article: What is a Trauma Therapist?).

I offer in person therapy in my Greenwich Village office or online sessions.

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.