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NYC Psychotherapist Blog

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Showing posts with label communication. Show all posts
Showing posts with label communication. Show all posts

Tuesday, March 3, 2026

Relationships: How Toxic Shame Makes Communication Challenging

Toxic shame can make communication very challenging in a relationship, so I'm exploring this issue and providing tips on how you can deal with this toxic shame.

What is Toxic Shame?
Before we delve into communication issues, let's start by defining toxic shame.

Toxic Shame in Relationships

Toxic shame is different from healthy shame.

Whereas healthy shame is usually a passing, situational emotion, toxic shame is a chronic, deep-seated belief of being unworthy, unlovable, flawed or bad (see my article: What is the Difference Between Healthy Shame and Toxic Shame?).
  • Internalization: Toxic shame is an internalized experience--usually internalized during childhood. It affects your identity ("I am bad" or "I am unlovable" or "I am stupid"). Healthy shame isn't about your identity--it's about your behavior ("I did something bad" or "I said something wrong").
  • Duration: Toxic shame is chronic and pervasive and healthy shame is temporary and dissipates after a while.
  • Purpose: While healthy shame motivates positive change, moral development and repairing relationships, toxic shame causes "emotional paralysis", defensiveness, self sabotage and social withdrawal.
  • Origin: Toxic shame usually develops in childhood due to abuse, emotional neglect, severe criticism or other types of trauma. Toxic shame creates a belief that love must be "earned" (e.g., good grades in school and in other performative ways).
How Does Toxic Shame Create Communication Problems?
Toxic shame creates deep insecurity which makes it challenging to communicate.

Here are the main communication issues related to toxic shame:
  • Defensiveness: Toxic shame makes individuals highly sensitive to perceived criticism. This can create a situation where even neutral comments can be heard as personal insults, which leads to defensiveness.
Toxic Shame in Relationships
  • Distorted Perception: Toxic shame acts like a filter. This can make it difficult for individuals to accept love or believe they are worthy, which causes them to misunderstand or ignore their partner's positive expressions of affection.
  • Emotional Withdrawing and Stonewalling: Toxic shame causes individuals to protect themselves from vulnerability by shutting down, withdrawing emotionally and/or physically, which can cause the other partner to feel lonely and abandoned (see my article: Are You a Stonewaller?).
  • Anger and Aggression: Toxic shame can manifest as anger or aggression where one partner responds to vulnerability or conflict by lashing out, blaming or engaging in contemptuous behavior to deflect from feelings of inadequacy.
Toxic Shame and Perfectionism
  • Perfectionism and Masking: An intense feeling of being "found out" as being inadequate can lead to hiding true feelings, maintaining a "perfect" facade and avoiding honest and open conversations about fears and insecurities.
How to Communicate With a Partner Who Has Toxic Shame
Julie Menanno, LMFT, an Emotionally Focused Therapist for couples discusses communication problems in her book, Secure Love.

As Ms. Menanno indicates, communicating with a partner who has toxic shame requires a "safe space" (see my article: Creating a Safe Haven For Each Other).

Here are some suggestions that can be helpful if you have a partner who experiences toxic shame:
  • Validate Before Solving: Listen to your partner's emotional experience first without immediately jumping into a problem solving mode. Recognize that your partner might be acting out of toxic shame and pressure, so try not to take their words personally (see my article: What is Validation and Why Is It Such a Powerful Relationship Skill?).
  • Use "I" Statements: Use "I" statements to express your feelings to avoid putting your partner on the defensive. An example would be: "I feel lonely when we don't talk for a few days" instead of "You always ignore me".
Teamwork in a Relationship
  • Work Together on the Problem as a Team: Instead of attacking your partner, attack the problem together. Instead of saying "You did this wrong", say "I know this is a tough situation for both of us." Approach the problem in the spirit of teamwork to deal with it.
  • Provide Reassurance: Since toxic shame can make your partner feel unworthy, remind your partner of your love and commitment.  
  • Create Safe Openings: If your partner shuts down, create a safe opening by saying, "I notice you're distant. I care about you and I want to understand."
  • Avoid "Why" Questions: Why questions like "Why did you do that?" can sound accusatory and trigger defensive reactions.
  • Prioritize Your Own Safety: If your partner is causing you harm, it's important to prioritize your own safety. Don't isolate. Talk to trusted loved ones and get support.
Getting Help in EFT Couples Therapy
If you and your partner have been unable to resolve problems between you, you could benefit from working with a licensed mental health professional who is an EFT couples therapist (see my article: What is Emotionally Focused Therapy For Couples?.)

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek professional help so you can have a more fulfilling relationship.

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

I have over 25 years of experience helping individual adults and couples.

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

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





















 




Monday, February 16, 2026

Relationships: Why is Sexual Aftercare Important?

I wrote about the importance of aftercare in a prior article about BDSM (Bondage and Discipline, Dominance and Submission and Sadism and Masochism), but aftercare isn't just for BDSM--it's important for non-BDSM encounters too, so I'm exploring that topic in this article.

Aftercare Shows You Care

The concept of sexual aftercare began in the BDSM community and is now considered a common practice in conventional sex that does not include BDSM.

What is Sexual Aftercare?
There is no one-size fits all approach to sexual aftercare.

Aftercare Shows You Care

Sexual aftercare is an essential part of sexual intimacy which helps to foster emotional connection and intimacy. 

Sexual aftercare involves both physical and emotional care which often go together.

Physical aftercare can include:
  • Cuddling
  • Offering a gentle massage
  • Sharing a blanket
  • Hydrating or having a snack
  • Tending to potential injuries that can occur during sex including scratches or bruises
  • Showering together
  • Taking a nap
  • Reading together
  • Listening to music
  • Anything partners enjoy that maintains physical comfort and closeness
Emotional aftercare can include:
  • Open, reassuring conversations between partners
  • Discussing vulnerable feelings
Why is Sexual Aftercare Important?
Sexual aftercare is important for many reasons including that it:
  • Helps each partner to relax and recover in a caring way
Aftercare Shows You Care
  • Shows mutual respect and appreciation
  • Helps partners to feel secure
  • Helps to ease partners to transition from sex to everyday life without feeling an abrupt change
  • Helps the body to adjust to fading feel-good hormones like oxytocin and dopamine which are released during sexual activity
  • Helps to avoid postcoital dysphoria which is a condition that some people experience after sex which includes sadness, anxiety or distress
  • Helps to prevent negative emotions where one or both partners can feel used, dismissed, unappreciated. Other people can experience guilt or shame if they don't engage in sexual aftercare
What Not to Do After Sex
  • Avoid jumping out of bed immediately after sex to take a shower unless you and your partner have agreed to this beforehand. If you abruptly leave your partner after sex, your partner can feel alone and abandoned after such an intimate experience. 
  • If you feel sweaty and uncomfortable after sex, after you cuddle with your partner, you can use a warm wash cloth and offer one to your partner. You can also shower together so the showering becomes part of the sexual intimacy. 
  • Even if you and your partner have a casual friendship or relationship, don't treat your partner like a sexual object. Show them respect and care.
How to Set Up Sexual Aftercare Before Sex
  • Clear communication with your partner is the key to having sexual aftercare that you and your partner can enjoy together.
Aftercare Shows You Care
  • Share information with your partner about your aftercare needs and find out what they prefer.
Conclusion
Sexual aftercare is an important part of sexual intimacy.

There is no right or wrong way to do sexual aftercare as long as it meets your needs and your partner's needs.

Getting Help in Sex Therapy
If you and your partner have been having sexual problems, you could benefit from talking to a sex therapist (see my article: What is Sex Therapy?).

Individual adults and couples seek help in sex therapy for a variety of reasons (see my article: Why Do Individuals and Couples Seek Help in Sex Therapy).

Sex therapy is a form of talk therapy. There is no nudity or sex during sex therapy sessions (see my article: Common Misconceptions About Sex Therapy).

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

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

I have over 25 years of experience 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.

Also See My Articles: 



























Thursday, February 12, 2026

How to Set Boundaries With Friends If They're Texting You Too Much

There are some people who enjoy texting back and forth with their friends all day long and it's mutually satisfying for all the texters involved.

Setting Boundaries With Friends About Texting

But if you're not one of those people who enjoys constant texting and you have a friend who likes to send you lots of texts, rather than letting resentment and emotional distance grow, you can tactfully set a limit with your friend (see my article: Do You Feel Entitled to Set Boundaries With the People in Your Life?).

In a world where people can reach others in a flash by texting, a lot of people find it gratifying to express their thoughts and feelings in texts and enjoy the dopamine hit when their friends text back.

People who have problems understanding boundaries can text all day long without considering whether the person they're texting has the time and emotional bandwidth to deal with a barrage of texts (see my article: Do You Feel Overwhelmed By Your Friend's Problems?).

If you haven't set a limit, you can give your friend the benefit of the doubt that they might not know you don't like a lot of texts and that you don't have the time or emotional bandwidth for it. Therefore, it's up to you to communicate this to them so you take care of your time and mental health.

Why Do Excessive Texts Create Stress and Anxiety?
Here are some of the most common reasons:
  • Pressure to Respond (Expectation of Availability): You might feel pressure to respond immediately. This often leads to stress and anxiety when you can't or you don't want to respond immediately.
  • Digital Burnout and Overstimulation: Constant notifications can break concentration. The ongoing distraction can lead to mental fatigue.
  • Lack of Personal Space: Excessive non-urgent texts throughout the day can feel like an intrusion on your privacy and downtime.
  • Anxiety Trigger: A high volume of text messages can induce anxiety and a feeling of being overwhelmed.
  • Disruption to Workflow and Personal Tasks: Constant interruptions can make it difficult to focus on work or personal tasks.
How to Set Boundaries With a Friend Who Texts Too Much
Here are some suggestions that might be helpful:
  • Shift the Focus from Their Behavior to Your Own Needs and Boundaries: First, recognize that you have the right to your feelings as well as the right to set boundaries. If you can't set boundaries with others, you're going to feel frustrated and you'll probably have ongoing interpersonal problems due to the lack of boundaries. Assuming you want to maintain this friendship, you can say, "Having to check texts many times per day makes me feel anxious. I'm trying to check these notifications less."
  • Express Appreciation For Their Friendship: Assuming you want to maintain this friendship, express your appreciation for your friend and the things you like about them so that you're not just focusing on something that bothers you about their behavior. 
Setting Boundaries With Friends About Texting
  • Shift Time Spent With Your Friend From Texts to In-Person Visits: Suggest to your friend that you would like to know what's going on in their life, but you would prefer to do it in person. Then, suggest a time when you're free to meet in person. 
  • Let Them Know When You're Available: Let your friend know when you're reachable and manage their expectations about when you're free to respond to texts. You can say something like, "I don't have time to check texts throughout the day, so I only check them after work" or "I've been so busy lately that I haven't had time to check personal texts." Then, as previously mentioned, you can suggest meeting when you're both free.
Setting Boundaries With Friends About Texting
  • Let them Know You're "Unplugging" to Manage Your Stress: Let your friend know that, as part of a new lifestyle change, you're taking time to "unplug" from your phone and computer. You can tell them that, as part of your digital detox, you're cutting back on the time you spend reading email and texts. You can also tell them that if they don't hear from you for a few days, this is the reason.  
  • Evaluate the Friendship: If your friend doesn't understand that you don't have the time and emotional bandwidth for a lot of texts in a day, you can evaluate whether the aspects you like about this friend outweigh this problem. If you have communicated your boundaries and they don't respect them, there might be other areas where you'll find they will cross your boundaries. At some point, you'll need to decide whether you want this friend in your life.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego State Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 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, January 28, 2026

What Does It Mean to Be "On a Break" From Your Relationship?

Anyone who watched the "Friends" episode, "The One Where Ross and Rachel Take a Break" remembers the problems that resulted from Rachel telling Ross during a heated argument that they should take a break.

Taking a Break From Your Relationship

During their argument, after Rachel suggests they take a break, Ross walks out feeling devastated. Then, he goes out to a club, gets drunk and he gets sexually involved with Chole, the "copy girl."

Soon afterwards, Rachel finds out that Ross slept with Chloe, which leads to another argument about what it means to be "on a break" and whether it meant that Ross and Rachel were broken up or they were temporarily not seeing each other but also not seeing anyone else.

This misunderstanding leads to a breakup because Rachel is hurt, angry and mistrustful of Ross.

What Does It Mean to Be "On a Break" From Your Relationship?
To avoid potential misunderstandings, it's important to be clear on what it means when you say you want a break in the relationship.

Here are some factors to consider:
  • Define the Terms: Be clear with each other as to whether you're each taking a "pause" from the relationship in order to fix problems or if the break is actually the beginning stage of a permanent breakup.
  • Establish Ground RulesBe specific: Does it mean a one week break or a one month break or some other time period? Also, be clear as to whether you can each date other people or if other people are off limits.  Does it mean you're going to go no-contact? If not, what type of contact will you have (text? phone calls? etc) and how often. Whatever you both decide, respect the boundaries you have both agree to.  If you don't define the terms together, you're going to have misunderstandings similar to Ross and Rachel on "Friends".
Taking a Break From Your Relationship
  • Focus on Self Care and Reflection: Use your time apart to think about your needs, your partner's needs, the relationship issues and whether or not you want to be in this relationship.
  • Avoid Manipulation: Do not use the break to gain leverage or make your partner jealous.
  • Manage Your Expectations: Be prepared for an outcome that could go either way including the possibility that the break can lead to a permanent separation.
  • Don't Use a Temporary Break to Avoid Saying You Want a Permanent End to the Relationship: Many people who don't feel comfortable saying they want to end the relationship tell their partner that they want a temporary break knowing beforehand that they don't plan to reunite with their partner. They're too uncomfortable to talk about their real feelings, so they use the excuse of a temporary break as a way to exit the relationship. Then, they ghost their partners and don't respond when their partners contact them which leaves their partners feeling hurt, angry and betrayed. If you know. you want to end the relationship, say so. It will be a lot less painful for both of you in the long run if you're upfront and honest with yourself and your partner.
Get Help in Couples Therapy
If you're not sure how to handle being on a break or you're not sure if you even want a break, seek help in couples therapy.

Get Help in Couples Therapy

A skilled couples therapist can help you to define what you each want from your relationship and, if you choose to stay together, provide you with the tools and strategies to get there. 

If you decide not to stay together, a couples therapist can help you to break up in a way that is caring and respectful.

So, rather than struggling on your own, seek help from a licensed mental health professional who is a couples therapist.

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

I have over 25 years of experience 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.




Wednesday, January 21, 2026

Relationships: Jealousy Isn't Love

Jealousy is a common emotion experienced in varying degrees in most romantic relationships (see my article: Overcoming Jealousy That's Ruining Your Relationship).

What is Jealousy?
Feeling jealous is often a signal of perceived danger to the relationship. 

Jealousy usually involves a fear of losing a partner to a rival. 

Jealousy Isn't Love

A little bit of jealousy can be a signal that you and your partner need to talk about insecurity and unmet needs. 

Communication between you and your partner about what makes each of you jealous or uncomfortable can help you to make positive changes in your relationship.

Why Do People Confuse Jealousy and Love?
People confuse jealousy and love because jealousy tends to: 
  • Signal a deep emotional investment
  • A fear of losing someone who is important 
  • A perceived threat to a valued bond
Jealousy is often romanticized as proof of devotion, but this is incorrect because jealousy isn't love.

What Can Trigger a Jealous Reaction?
Almost anything can trigger a jealous reaction. It depends on the person.

Examples might include:
  • Spending time with friends
  • Talking to an attractive person at a party
  • Going to lunch with a coworker
  • Talking about a former romantic partner which is called retroactive jealousy
How is Jealousy Different From Envy?
People often confuse jealousy and envy.

Whereas jealousy is losing someone or something to a third party, envy is wanting something that someone else has.

When Does Jealousy Become Unhealthy?
A fleeting pang of jealousy which leads to you and your partner talking about the relationship in a calm and thoughtful way can be a good thing and can bring you closer.  

This is different from excessive jealousy.

Jealousy Isn't Love

Excessive jealousy can lead to:
  • Obsessive thoughts and an inability to let go of fears, which leads to constant worry
  • Controlling behavior like dictating who a partner can see or where a partner can go, dictating what a partner can wear, forbidding certain activities and so on
  • Constant unwarranted suspicion with unfounded accusations and excessive questioning
  • Possessive or accusatory reactions
  • Invading privacy such as checking a partner's phone and demanding constant updates, which can erode a relationship
  • Isolation such as trying to isolate a partner from friends and family
Overcoming Excessive Jealousy
  • Self Reflection: If you're the partner who is excessively jealous, reflect on your behavior and identify your insecurities. Recognize that you have a problem and work on building your self esteem and confidence.               

Jealousy Isn't Love
  • Personal Safety: If you're the partner who is experiencing excessive jealousy from your partner, consider your personal safety first. If your partner is threatening you, you need to confide in at least one trusted loved one and remove yourself from harm.
  • Communication: Assuming you can both remain calm, speak openly with your partner about your feelings without blame.
Get Help in Therapy
  • Seek Help: Seek help in individual therapy or couples therapy to work out issues around jealousy.
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 worked with individual adults and couples for over 25 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:




































Thursday, January 8, 2026

Why Do People Suppress Their Emotions?

Many people have a difficult time experiencing certain emotions in a healthy way so they suppress their emotions, which has health and mental health consequences.

Emotional Suppression

Which Emotions Are Commonly Suppressed?
The following emotions are the ones that are commonly suppressed among people who feel they need to hide these emotions:
  • Anger: Anger is often perceived as being aggressive or out of control (even for people who are experiencing anger in a controlled way). Frustration and rage, which are part of anger, are often suppressed (see my article: Fear of Anger is Often Coupled With Guilt and Shame).
  • Sadness or Grief: Crying or showing sadness or grief is often discouraged in our society, especially for men. This often leads to emotional suppression.
Why Do People Suppress Emotions?

Emotional Suppression
  • Social Conditioning: As mentioned above, many people are taught to be "tough" or polite which leads to hiding emotions which are perceived as negative.
  • Fear of Judgment: People who suppress certain emotions often fear that they will be judged or criticized for expressing certain emotions, so they suppress these emotions rather than expressing them.
  • Maladaptive Coping Mechanism: People who suppress certain emotions hide these emotions as a maladaptive coping strategy to avoid discomfort or situations they feel would be overwhelming for them (see my article: Avoidance as a Maladaptive Coping Strategy).
What Are the Consequences of Emotional Suppression?
The most common consequences of emotional suppression include:
Emotional Suppression
  • Emotions Resurface More Intensely: People who suppress their emotions often discover that these emotions resurface in a more intense way. They are also more at risk, compared to people who can express their emotions in a healthy way, for alcoholism, drug abuse and other impulsive or compulsive way
Get Help in Therapy
If you tend to suppress emotions that make you feel uncomfortable, you could benefit from getting help from a licensed mental health professional.

Get Help in Therapy

Learning to express your emotions in a healthy way can help you to be more self aware, reduce anxiety and stress, improve health and mental health and develop healthier relationships (see my article: Learning How to Express Your Emotions in a Healthy Way).

Rather than struggling on your own, seek help from a licensed psychotherapist so you can live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States), Somatic Experiencing and a 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 Article:













 

Wednesday, December 10, 2025

Relationships: Why is It So Hard to Validate Your Partner's Vulnerability?

As a psychotherapist in New York City who works with individual adults and couples, I see many relationships who have problems with emotional validation.

Problems With Validating Your Partner's Vulnerability

In a prior article, Validation as a Pathway to Greater Emotional and Sexual Intimacy, I discussed the importance of vulnerability in developing emotional and sexual intimacy in your relationship.

In the current article I'm focusing on why it can be difficult to validate a partner's emotional vulnerability.

Why Is Validating a Partner's Vulnerability Difficult?
People often struggle to validate their partner's vulnerability for many reasons including:
  • Misunderstanding validation: Believing it means agreeing or admitting fault--rather than acknowledging their partner's emotional reality.
  • Fear and defensiveness: Vulnerability can trigger personal fears (fear of rejection or fear of inadequacy), making a partner defensive and punishing their partner for being vulnerable.
Problems With Validating Your Partner's Vulnerability
  • Lack of Skills: Not knowing how to validate, struggling with emotional intelligence or an inability to handle intense emotions.
  • Past Experiences of Being Hurt: Prior experiences of being hurt when vulnerability was met with rejection or criticism can create barriers.
  • Societal Norms: Pressure to be stoic, especially for men, can hinder emotional sharing.
  • Differing Perspectives: Difficulty accepting a partner's perspective due to a differing perspective.
  • Emotional Disconnection: Being disconnected from their own own painful feelings. This can drive invalidating behavior towards their partner.
What Does Invalidating Behavior Look Like in Relationships?
The following are some examples of invalidating behavior:
  • Dismissing a partner's feelings as "irrational" or "ridiculous".
  • Turning away from a partner.
Problems With Validating Your Partner's Vulnerability
  • Changing the subject
  • Focusing only on their own feelings about the topic
Conclusion
Validation isn't agreement.

Validation is about creating a safe haven for your partner's emotional experience.

Validating your partner requires a conscious effort, but the good news is that validation is a skill that can be learned (see my article: How to Validate Your Partner's Emotional Vulnerability).

Getting Help in Couples Therapy
If you and your partner have been struggling with problems in your relationship, you could benefit from working with a licensed mental health professional who specializes in working with couples.

Getting Help in Couples Therapy

A skilled couples therapist can help you to develop the skills and tools you need to have a more fulfilling relationship.

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

I work with individual adults and couples.

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

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