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NYC Psychotherapist Blog

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Showing posts with label couple therapy. Show all posts
Showing posts with label couple therapy. Show all posts

Thursday, April 27, 2023

Relationships: The Benefits of Scheduling S£x

Most people think that spontaneous sex is the best kind of sex--this is sex that occurs in the heat of the moment when two people can't keep their hands off each other no matter what they're doing and where they are. 

 
The Benefits of Scheduling Sex

Spontaneous sex is the kind of sex that you see in movies where the characters suddenly rip each other's clothes off because they can't wait one more moment to have sex (see my article: Creating the Potential For Sexual Desire With the Sex Drive Simmer Technique).

But the reality for most people is that they're leading such busy lives that sex is often neglected or put last after taking care of the kids, doing the chores, work and other demands on their lives--especially for people in long term relationships.

When a couple hasn't had sex in a while, it can be hard to get back into it and, for many couples, even harder to talk about it (see my article: How to Talk to Your Partner About Sex - Part 1 and Part 2).

Usually it's the person with the stronger sex drive that brings it up in a tentative, half-joking way so as not to get hurt by the possibility of a rejection.

Then person, who might have a lower sex drive, feels guilty and burdened by their partner's need for sex.  The person with the lower sex drive might acquiesce to having more sex, but they often don't enjoy it because they feel like they're doing it for their partner instead of being something that they want for themselves as well as for the relationship.

The Benefits of Scheduled Sex
Many couples who come to see me in my private practice in New York City seek help because they're either having infrequent sex, unsatisfying sex or no sex at all.  

The Benefits of Scheduling Sex

They will often say that they had a great sex life when the relationship was new and before they got busy in their lives with their children and other responsibilities.  But, over time, sex became less of a priority--until so much time had passed that it felt too difficult to initiate sex again (see my articles: What is Your Sexual Initiation Style? and What If You and Your Partner Have Different Initiation Styles?).

Sex therapists often recommend that couples, who find themselves in this situation, experiment with scheduling sex.  Many people respond dubiously to this recommendation, but there are many benefits to scheduling sex.

In addition, what probably seemed like "spontaneous sex" when two people were dating wasn't really so spontaneous.  First of all, there's planning involved with dating, including choosing an activity, what clothes to wear, daydreaming about what it will be like, planning a day to meet and deciding on the question of "Your place or mine?" 

So, what seemed like it was "spontaneous sex" when you were dating was actually a planned sexual activity with a buildup of anticipation, sexual energy and dopamine (see my article: A Cornerstone of Eroticism: Longing and Anticipation).

Once you're living together and you're seeing each other all the time, you lose a lot of the anticipation, sexual energy and dopamine because the two of you are spending a lot of time together. You've become familiar to each other--like family, and that takes away much of the mystery and excitement (see my article: The Madonna-Whore Complex is Still Alive and Well Today).

Once you're spending a lot of time together, the two of you need to find ways to create that sexual excitement and scheduling sex (as unsexy as it might sound at first) is one way to do this.

So, let's look at the benefits of scheduling sex with your partner?
  • Making a Commitment to Prioritize Sex: Often when a couple doesn't schedule sex, it doesn't happen because you both get busy. Life has a way of crowding out sex, so you keep putting it off until a lot of time has passed. So, when you make a commitment to have sex on certain days or at certain times, you're more likely to follow through with it if it's important to both of you.
The Benefits of Scheduling Sex

  • Creating Longing and Anticipation: One of the primary benefits of scheduling sex is that you both get to look forward to it with longing and anticipation. This helps to stimulate sexual excitement that builds from the time you scheduled it to the time you have sex.
  • Giving You Time to Think About What You Might Enjoy: Just like planning a vacation can be half the fun, giving yourself time to think about what you might enjoy sexually helps to get you in the mood for sex and adds to your enjoyment.
The Benefits of Scheduling Sex

  • Helping You Avoid Future Dry Spells: When you have scheduled a time to have sex, you're more likely to avoid dry spells where long periods of time go by before you have sex again. The longer you wait to have sex, the more difficult it is to get going again.
  • Providing a Time and Place to Explore, Experiment and Be Playful: Maybe one of the reasons you and your partner might have entered into a dry spell was because you both got into a sexual rut where you did the same things over and over again until these sexual activities got boring. If you have agreed on a time to have sex, you can also use that time to be playful and explore other aspects of sex.  Maybe you'll try a new sex toy or a sexual position you haven't tried before. Maybe you'll talk about your sexual fantasies or do a role play you would both enjoy. Whatever you try that's new, it's a chance to add novelty to your sex life to keep it fun and exciting (see my article: The Power of Novelty to Enhance Sexual Desire in Your Relationship).
  • Decreasing Stress: Sex can be a great way to relieve stress.  Many people talk about how relaxed and refreshed they feel after having sex--whether they have an orgasm or not.
How to Schedule Sex
  • Find a Day and Time That Works For Both of You: Whether you choose certain days and times on a weekly basis or you plan it from week to week, talk to your partner about times to have sex when it's convenient for both of you. You might need to negotiate the time too because it's not unusual for one person to be a morning person and the other to be a night owl so you'll need to find a compromise. Then, once you've decided on the schedule, write it down in a shared calendar.
  • Stick With the Schedule as Best as You Can: Aside from emergencies, try to stick to the schedule so that each of you show your commitment to yourself and each other.  This doesn't mean that if the days you planned turn out not to work that you can't change it. But don't give up your scheduled sex time to accommodate other friends and family for non-urgent matters.
  • Be Flexible About Your Sexual Activities: If you and your partner made a plan to have sex every Saturday night and Sunday morning, be flexible about what you plan to do. Depending upon your energy level, sexual activities can mean different things--it doesn't always mean intercourse.  For instance, on some days when you're feeling energetic and you have more time, you might plan to spend a few hours in bed experimenting with role plays or sex toys with lots of foreplay.  Other days, when you're tired, you might both be in the mood for a quickie or spend the time engaging in oral sex. So, try to expand your definition of sex beyond intercourse to accommodate both of your moods and energy (see my article: Rethinking Foreplay as More Than Just a Prelude to Sexual Intercourse).

Getting Help in Sex Therapy
If you have tried to improve your sex life without success, you could benefit from sex therapy (see my article: What is Sex Therapy?).

Sex therapy is a form of talk therapy. There is no physical exam, nudity or sex during sex therapy sessions (see my article: What Are the Most Common Misconceptions About Sex Therapy?

Many individuals and couples seek help in sex therapy for a variety of reasons (see my article: What Are the Most Common Issues Discussed in Sex Therapy?).

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

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and 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.














Thursday, February 9, 2023

What is Emotionally Focused Therapy For Couples (EFT)?

Emotionally Focused Couple Therapy, also known as EFT, was primarily developed by Canadian psychologist, Dr. Sue Johnson in the 1980s.

See my articles: 


How EFT Couple Therapy Can Help You to Improve Your Relationship). 

Dr. Johnson established The International Centre for Excellence in Emotionally Focused Therapy (ICEEFT) in 1998, and the center provides training for psychotherapists in EFT.  There is also an EFT Center in Greater New York (NYCEFT).  EFT is now being used internationally in psychotherapists' offices, hospitals, clinics and in other therapeutic centers around the world.
Emotionally Focused Therapy For Couples

EFT draws on attachment theory, which focuses on the earliest relationship between caregiver and baby, and also the enduring emotional bond between adults.

EFT is also based on Carl Rogers' person-centered psychotherapy, which takes an empathic stance in therapy.  In addition, EFT the theory of adult bonding to help couples understand their individual dynamics and the dynamics in their relationship, including whatever negative cycle they might have developed that keeps them stuck.

What Are the Stages in Emotionally Focused Couple Therapy (EFT)?
There are three stages of EFT Couple Therapy:
  • Stage 1: De-Escalation:  As part of the first stage of EFT Couple Therapy, the EFT couple therapist begins by assessing the couple's interaction style, which cause conflicts.  She also helps the couple to identify the negative cycle/attachment emotions, and frames the problem based on the cycle, attachment needs and fears.
  • Stage 2: Restructuring the Bond and Changing Interaction Patterns:  During the second stage of EFT Couple Therapy, the EFT therapist assists each person in the relationship to voice his or her attachment needs and deep emotions.  The EFT therapist coaches each person on how to express acceptance and compassion for the other partner's attachment needs and deep emotions.  Each member of the couple is also coached in how to express his or her own attachment needs and emotions and how to discuss the issues that are causing conflicts.
  • Stage 3: Consolidation:  The EFT couple therapist coaches the couple on how to use new communication styles to talk about their problems and come up with new solutions.  The couple also learns to use the skills they learned in EFT couple therapy so they create and use new interaction patterns after they leave EFT couple therapy.

Conclusion
EFT Couple Therapy is a well-researched method that helps couples to improve their relationship.  It has been studied extensively and shown to be effective.

Emotionally Focused Couple Therapy

EFT Couple Therapy was developed by Sue Johnson, and it is based on attachment theory, Rogerian therapy, and a theory of adult bonding.

There are three stages in EFT (as presented above).

Although the stages are presented in a linear way in this article, in reality, just like any other form of therapy, the process isn't always linear.

Since the couple is coached to identify and change the negative cycle in their relationship, they learn to stop blaming each other.  Instead, they learn that there are "no bad guys"--just a negative cycle that they can learn to change.

For more information about EFT Couple Therapy, see Sue Johnson's book, Hold Me Tight.

Getting Help For Your Relationship in EFT Couple Therapy
If you and your spouse or partner are stuck in a negative cycle, you owe it to yourself to get help from an EFT couples therapist.

Your EFT couples therapist can help you to restructure the bond in your relationship so you change the negative cycle, express your emotional needs and gain acceptance and compassion for your partner's and your own emotional needs.

About Me
I am a licensed New York psychotherapist, EFT couple therapist, AEDP, EMDR therapist, hypnotherapist, Somatic Experiencing and Sex Therapist.

I work with individuals 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 regular business hours or email me.

Also see my articles:
What Happens in Stage One of EFT Couple Therapy?

Saturday, December 3, 2022

Reducing Emotional Reactivity and Arguments in Your Relationship - Part 2

In my prior article, 5 Tips for Reducing Emotional Reactivity and Arguments in Your Relationship - Part 1, I began a discussion about this topic.  In this article, I'll provide a clinical example to illustrate how to these tips work with a couple having these ongoing problems.

Clinical Example: Reducing Emotional Reactivity and Arguments in a Relationship
The following vignette, which is a composite of many vignettes, illustrates how a couple can learn to reduce their reactivity and arguments:

Ann and Bill
During their fourth year of marriage, Ann and Bill, who were both in their early 40s, considered getting a divorce because of their frequent arguments.

Reducing Emotional Reactivity and Arguments in Your Relationship


While they were dating, they hardly argued at all.  However, after they had their second child, the stressors involved with raising two children took a toll on their relationship to the point where they were arguing nearly everyday.  

When Ann suggested that they try couples therapy, Bill was skeptical at first. But he agreed to meet with a couples therapist to try to work things out between them.

Their couples therapist, who was an Emotionally Focused couples therapist, helped them to see the ongoing pattern of their interactions, their attachment styles and how their differences were impacting each other.

Ann learned that she tended to have more of an anxious attachment style with Bill, and Bill learned that he tended to have an avoidant attachment style with Ann.  Although this is a common dynamic in couples, it also creates problems.

Whenever there was a conflict, Ann would want to try to resolve things immediately due to her anxiety, and Bill preferred to withdraw for a few days because of his avoidant dynamic. Bill's avoidance exacerbated Ann's anxiety, and Ann's anxiety made Bill want to avoid the issues even more.  This often lead to a downward spiral between them.

Their EFT couples therapist helped them to each have more empathy for each other.  Ann learned to give Bill more time and space so that he could calm himself before he dealt with the conflict.  Bill learned to appreciate how anxious their arguments made Ann feel, and he also learned to be more specific in terms of how much time he needed, so Ann didn't feel like she was waiting for him indefinitely.

Each of them make an agreement to reduce their emotional reactivity by reducing their stress levels. Ann took up yoga, and Bill learned a breathing exercise.  They both began doing mindfulness meditation to reduce their overall stress, so they could approach each other in a calm way when disagreements arose.

In addition, they learned to be patient and engage in active listening with each other. Instead of being preoccupied with what they were going to say, they gave each other their full attention.

They also learned to ask questions if there was anything they didn't understand rather than jumping to conclusions and reacting based on those conclusions. They also learned to stop invalidating and belittling each other other during their disagreements.

Although they still had occasional disagreements, over time, they stopped having big contentious arguments.  They were each much happier in their relationship, and they decided to remain married.

Conclusion
The five tips for reducing emotional reactivity and arguments are as follows:
  • Calm yourself before you react
  • Make an agreement with your partner to reduce emotional reactivity.
  • Tell your partner that you want to know what s/he needs from you.
  • Make an effort to understand what your partner is trying to tell you.
  • Don't invalidate or belittle your partner
Getting Help in Therapy
Many couples are unable to work through their issues on their own.  In addition, some couples are having a difficult time due to the stressors involved with the pandemic.

If you and your partner are unable to resolve your problems, you could benefit from seeing a couples therapist.

Rather than struggling on your own, if you and your partner are unable to resolve your problems, contact a licensed therapist who provides couples therapy.  

Working with an experienced couples therapist could save your relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, EFT couples therapist and Sex Therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I am a sex positive therapist who works 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.























Friday, December 2, 2022

5 Tips For Reducing Emotional Reactivity and Arguments in Your Relationship - Part 1

Everyone has had the experience of getting triggered and overreacting to their partner at one time or another.  But when there's a pattern of emotional reactivity that leads to frequent arguments, these arguments can signal a serious problem that threatens the relationship. 

Each person needs to learn to be less emotionally reactive.  

So, let's explore how you can reduce the emotional reactivity in your relationship (see my article: The Challenge of Keeping Small Arguments From Becoming Big Conflicts in Your Relationship).

Reducing Emotional Reactivity in Your Relationship

What is Emotional Reactivity? 
Emotional reactivity is a tendency to have intense emotional reactions. Negative emotional reactions, like snapping at your partner, often occur because you feel triggered by something that was said or you're displacing your anger from another situation onto your partner. For instance, you have a problem with your boss and you come home and snap at your spouse.

What is Emotional Regulation?
Generally, emotional regulation refers to an ability to modulate your emotions to reduce reactivity.  

Reducing Emotional Reactivity in Your Relationship

For instance, instead of snapping at your spouse after you had a bad day at work, you take a moment to calm yourself first so that you don't displace your emotional reaction to the situation at work onto your spouse. One way to reduce reactivity so that you can regulate your emotions is through mindfulness.

What is Mindfulness? 
On the most basic level, mindfulness is a state of focusing your awareness on the present moment while accepting your feelings, thoughts and body sensations. It takes practice to achieve a state of mindfulness, especially if you tend to be emotionally reactive (see my article: The Mind-Body Connection: Mindfulness Meditation).

5 Tips For Reducing Emotional Reactivity 
  • Make an Agreement with Your Partner: The agreement is that neither of you will be emotionally reactive to the other, and if either of you feels like you're about to lose your temper, you'll take time to get calm. If this means that you take a break from the discussion to be alone for a short period of time, communicate this to your partner. If you're about to lose your temper, do something to calm yourself, like splashing cold water on your face.
  • Tell Your Partner that You Want to Know What He or She Needs and Then Listen: Encourage your partner to tell you what s/he feels and what is needed from you. Listen carefully to what your partner is saying rather than focusing on your response (see my article: The Importance of Active Listening).
  • Make an Effort to Understand What Your Partner is Trying to Communicate with You: Try to understand what's really being communicated beyond his or her angry tone and words.
  • Don't Invalidate Your Partner's Experience When It's Your Turn to Respond: After you have listened to your partner's concerns and it's your turn to speak, don't invalidate or belittle your partner's concerns. Be respectful and, if you don't understand your partner's feelings, ask questions in a nonjudgmental way.
I'll provide a scenario in my next article to illustrate of what I've discussed in this article (see my article: Reducing Emotional Reactivity and Arguments in Your Relationship - Part 2.

Getting Help in Couple Therapy
Everyone needs help at some point.

If you've tried to change a reactive communication pattern in your relationship and you're been unable to do it, you and your partner could benefit from working with a couple therapist who can help you to understand and change the dynamics in your relationship (see my article: What is Emotionally Focused Therapy For Couples?).

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I am a sex positive therapist who works 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, September 25, 2019

Why Do Core Emotional Issues Get Triggered in Romantic Relationships?

When you're involved in a serious romantic relationship, you are at your most emotionally vulnerable.  So, it's no surprise that core emotional issues often get triggeredwhen you're in love.

See my article: Relationships: Fear of Being Emotionally Vulnerable


Core Emotional Issues Get Triggered in Relationships

Of course, there are usually many positive emotions that come up too when you feel loved and cared about and when you feel the same way for someone else.  But many people discover that several months into the relationship (and sometimes even before that) they begin feeling vulnerable as they realize just how important their partner is to them and how hurtful it would be if it didn't work out.

This emotional vulnerability is usually felt even more acutely when either one or both people have experienced emotional trauma from the past, including family of origin issues, prior breakups or earlier losses.  These old wounds tend to get triggered in the current relationship--even though the relationship might be going very well.  And, if it isn't going well, the current problems can trigger old emotional wounds even more.

Many people find the periods of time in a relationship when it's unclear if the relationship will go to the next level the most anxiety provoking.  These transitional times can include going from casual dating to a monogamous dating, from monogamous dating to being in a committed relationship and the period from a committed relationship to living together or getting married.

If one of both people are ambivalent about the next step, it can be unnerving as each person weighs the risk of remaining emotionally open to the other.  It helps a lot if the couple can talk about it openly.  But if they can't or if their talks are unproductive, they could benefit from couples therapy.

Clinical Vignette:  Why Do Core Emotional Issues Get Triggered in Romantic Relationships?
The following fictional clinical vignette illustrates how core issues are triggered as a romantic relationship transitions from casual dating to a more committed relationship:

Ann and Ted
After they met at a party, Ann and Ted, who were both in their mid-30s, began dating casually about once a week.  During the initial few weeks, they enjoyed each other's company, especially since they had so many common interests.

Two months into the relationship, Ann realized how much she cared for Ted, and she wondered if he was seeing other women.  She wasn't sure how to bring this up. On the one hand, she didn't want Ted to think she was being too demanding of his attention but, on the other hand, she was becoming increasingly worried that as she began to really like him, he might become interested in someone else.

When her worries became greater than her fear of appearing demanding, she broached the topic with Ted over dinner.  Initially, she felt anxious and she feared taking the emotional risk of making herself vulnerable when he might not feel the same way.  But she knew she needed to address this issue, so she told Ted she thought they needed to have a talk about their relationship (see my article: Dating: Is It Time to Have the Talk?).

Upon hearing Ann's words, Ted's expression shifted and Ann could see that he looked worried, "Is everything okay between us, Ann?"  In response, Ann took the risk and told Ted that she really liked him and she would prefer it if they could date each other exclusively rather than dating other people.

When she heard Ted laugh, Ann was confused until he said, "Oh...You looked so serious--I was worried that you were going to say that you didn't want to see me anymore. I'm not dating anyone else and I feel the same way that you do."

During the next few weeks, after they talked about how much they both cared for one another, their relationship deepened, and they spent more time together than before.  With the deepening of their relationship, they enjoyed each other's company even more and made vacation plans for the summer.

However, soon after that, Ann became worried again because she realized she had fallen in love with Ted, and she worried that if their relationship didn't work out, she would be devastated.  She thought about her last long term relationship where she and her fiancé had plans to get married, but their relationship fell apart just a few months before the wedding after he got "cold feet" and ended the relationship.

Even before that engagement, Ann tended to be skeptical about relationships.  Her parents divorced when she was only six months old.  Since her father disappeared from her life after the divorce, Ann never had a relationship with him.  Her mother, who never remarried or even dated after she and Ann's father were divorced, had very negative views of men.  She would constantly warn Ann not to trust men, and she even tried to discourage Ann from dating.

Although Ann rebelled against her mother's negative views about men and began dating in high school, she never felt completely free of her mother's views.  Even though she liked boys and she wanted to be in a relationship, she feared that her mother might be right.

When her fiancé left her, Ann couldn't help feeling that this was a sign that her mother might be right that she shouldn't trust men.  It took Ann a couple of years to overcome the pain of that loss. She was very hesitant to get involved again, but she didn't want to resign herself of a life of being alone.  So, when she met Ted, she decided to give dating another chance.

But as her feelings for Ted grew, her fear also continued to grow.  Aside from this, she wanted to have children, and she feared that if she waited too long, she might have problems getting pregnant.

There were days when she almost wanted to end the relationship rather than face the possibility that at some point in the future he might leave her.  On a rational level, she knew that there were no signs of this but, on an emotional level, her fear became overwhelming.

They were now dating exclusively for six months, and Ann knew that Ted wouldn't initiate a conversation about where they were in their relationship.  He seemed to be content with the way things were going between them.  So, she knew she would have to do it, but she was even more fearful than she had been the first time they talked.

One night when they were out to dinner, Ted noticed that Ann was much quieter than usual, and she was just pushing the food around her plate, so he asked her, "Is something wrong, Ann?"

Ann's initial inclination was to try to smile and say that there was nothing wrong, but she couldn't do it.  She was barely holding back tears.  She knew that Ted was aware of how devastated she felt when her engagement ended suddenly because they talked about their history of relationships soon after they started dating.  But she wasn't sure if he knew about the lasting effect it had on her and how it was affecting their relationship.

With much effort, Ann told Ted about her fears of getting hurt in their relationship and how it was becoming increasingly difficult for her to cope with those fears.  While she was telling him about this, she could barely look at him because she felt so ashamed.  She was sure that he would think she was being ridiculous and that her fears would push him away.

But, to her surprise, Ted listened and he was very understanding.  Although he had never experienced the kinds of losses that Ann experienced, he was deeply moved by her fears and sadness.  He gave her the time and space she needed to express her feelings without being judgmental.  Then, he assured her that his feelings for her had deepened over time and he had no intention of leaving her.

Ann was momentarily relieved to hear this, but her fears continued to mount.  She was afraid that her fears would bring about the end of the relationship, so she suggested that they go to couples therapy.

At the recommendation of a friend, who attended Emotionally Focused Therapy (EFT) for couples, Ann and Ted began couples therapy.  With the help of their EFT couples therapist, they developed a better understanding of their attachment styles and how these attachment styles affected their relationship (see my article: What is Emotionally Focused Therapy (EFT) For Couples?).

After the EFT couples therapist recommended that Ann attend her own individual therapy to deal with the loss of her father, which was getting triggered in her current relationship, Ann started individual therapy.  In her individual therapy, Ann was able to separate out her family of origin experiences and losses (including the negative views about men that her mother attempted to impart on Ann) and her current experiences with Ted.

Both Ted and Ann discovered in EFT that they had different communication and attachment styles, and they learned how to communicate better (see my article: How Your Attachment Style Affects Your Relationship).

Most importantly, they learned how to be emotionally vulnerable with each other in order to ask for what they needed from one another and to enhance their relationship (see my article: EFT Couple Therapy: Learning to Ask For What You Need From Your Partner).

At the same time, Ann got more comfortable with trusting that, even though she knew there were no guarantees, things would work out between them, especially once she was no longer triggered.

Conclusion
Core issues, including emotional insecurities, old emotional wounds, and negative beliefs about oneself, often get triggered in romantic relationships because people are most vulnerable when they open themselves to loving another person.

When there is a history of loss and emotional trauma, it's not unusual for these issues to enter into the relationship and cause one or both people to become fearful of getting hurt.

Emotionally Focused Therapy for couples, which has been well researched, is an effective couples therapy to work out these and other relationship issues.

When one or both people have previous trauma that is affecting the current relationship, it's often beneficial to also seek help in individual therapy.

Getting Help in Therapy
Fear due to previous losses and trauma often have a significant negative impact on romantic relationships.

Being able to separate out the trauma from the past from the current relationship is difficult to do when someone is being triggered.  It takes the expertise of a trained trauma therapist or EFT couple therapist to begin to help people to uncouple these issues.

Understanding that you and your partner might have different attachment styles and how these attachment styles affect your relationship is an important component of EFT couples therapy.

If you're having problems in your relationship, rather than allowing your relationship to deteriorate, you owe it to yourself and your partner to get help so you can have a more fulfilling, loving relationship.

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

I am trained in Emotionally Focused Therapy for couples and I have found it to be an effective modality for helping couples to overcome their problems.

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.























Thursday, January 31, 2019

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

Couples often feel frustrated by recurring negative cycles in their relationship.  Even couples who really love each other and want to be there for each other get stuck in these negative cycles (see my article:  What is Emotionally Focused Couple Therapy (EFT)?)

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

Emotionally Focused Therapy for couples provides couples with an opportunity to identify their negative cycles and, with the help of an EFT-trained couple therapist, learn how to restructure their interactions with each other (see my articles:  EFT Couple Therapy: Working Together to Overcome the Negative Pattern in Your Relationship).

Emotional responsiveness is an essential part of a loving relationship.  But a common problem in many relationships is that each individual in the relationship has a different concept of what being emotionally responsive means, and this is one of the problems that can perpetuate a negative cycle.

Fictional Vignette: Learning to Become Emotionally Responsive to Your Partner in EFT Couple Therapy:
The following fictional vignette is typical of the dynamic that often occurs in couples when there are problems with emotional responsiveness.  Even though this vignette is presented with the woman and man having particular dynamics, these dynamics can occur with either a man or a woman.  In addition, these dynamics also occur in same-sex relationships.

Sam and Nina
Several months into their relationship, Sam asked Nina to move in with him.  Although she loved Sam and she knew he loved her, Nina told him that she was hesitant to take the relationship to the next level because she felt he wasn't as emotionally responsive to her as she would like him to be.

At first, Sam was surprised to hear Nina say this and he asked her to give him examples of when this occurred.  Nina gave Sam several examples of when she needed his emotional support and, instead of being emotionally present with her, Sam overlooked how upset she was and gave her suggestions on how to "fix" the problem.

Sam listened carefully as Nina spoke, but he couldn't understand why Nina thought he wasn't being emotionally supportive by recommending ways to "fix" her problem.

Nina tried to explain to Sam that she wasn't looking for him to "fix" her problems, which included longstanding complex problems with her parents.  Instead, she just wanted him to listen and be emotionally present with her as she talked to him about these problems.

No matter how Nina tried to explain what she felt she needed from Sam emotionally, he remained confused.  By the end of their discussion, Nina felt frustrated that Sam didn't understand, and Sam felt irritated that Nina couldn't see that if she used some of his suggestions, she wouldn't have these problems anymore, "Isn't it better to have a solution?"

When Nina told Sam that she thought this problem between them was significant enough for them to go to couple therapy, he told her that he thought she was making things unnecessarily complicated between them and he didn't see why they needed to go to couple therapy.

But as the weeks passed and they were both feeling emotionally distant from each other, and Nina expressed doubts about the relationship, Sam told Nina, reluctantly, that he would agree to go to couple therapy to try to work things out between them.

Since Nina's friend told her that she and her spouse had a very good experience in Emotionally Focused Therapy for couples (EFT), Nina sought an EFT couple therapist.

Initially, Sam was sure that the EFT couple therapist would take Nina's side and blame him for their problems, especially since the therapist was a woman.  But he was surprised that the therapist was evenhanded with each of them and she understood and was able to reflect back Sam's and Nina's individual points of view about their problems together with empathy.

Nina and Sam were both pleased that the EFT couple therapist was able to help them to identify the negative cycle where they got stuck as a couple.

Specifically, the therapist assessed that when Nina told Sam that she wasn't getting what she needed from him, Sam felt criticized and blamed, which caused him to withdraw from Nina.  And when Sam withdrew from Nina, she became angry and frustrated and she would become more strident in her efforts to try to get Sam to understand (see my article: What Happens During Stage One of Emotionally Focused Couple Therapy (EFT)?.

Nina's reaction, in turn, caused Sam to withdraw even further, and the negative cycle went on and on (see my articles: How EFT Couple Therapy Helps "Pursuers" to Become Aware of Primary Emotions to Improve Their Relationship and How EFT Couple Therapy Helps "Distancers" to Become Aware of Primary Emotions to Improve Their Relationship).

Both Nina and Sam agreed that this was their negative cycle.  Sam asked the therapist, "It's great that we know what our negative cycle is, but how do we fix it?"  Hearing him say this, Nina rolled her eyes in anger and frustration and turned to the therapist, "You see?  This is what I have to deal with.  Right away, he wants to know how to 'fix' it" instead of trying to get a deeper understanding of it."

When Sam saw Nina roll her eyes, he folded his arms defensively and slumped in his chair.  It took several more sessions for Nina to stop criticizing Sam and for Sam to understand that therapy, including couple therapy, is a process.  She told them that she felt confident that they would eventually both learn to be more emotionally responsive to one another.

When Nina got to the point where she understood in couple therapy that Sam genuinely wanted to be emotionally responsive to her and improve their relationship and, at the same time, his earlier family experiences were an obstacle for him, Nina became much more open and compassionate towards Sam.

When Sam experienced Nina as more open and compassionate towards him, Sam was more willing to see how Nina's family background had a negative impact on her in their relationship.  He also became much more patient with the couple therapy process.

They both came to understand that an intellectual understanding of their relationship dynamic was not enough and to achieve the changes that they each wanted, the shift would have to occur on an emotional level.

With the help of their EFT couple therapist, Sam and Nina began to restructure their dynamics in their couple therapy sessions by allowing themselves to be emotionally vulnerable with each other to say what they each needed (see my article: What Happens During Stage One of Emotionally Focused Couple Therapy (EFT)?).

At first, when they learned to do this in their couple therapy sessions, they thought they were done with therapy.  But, as their EFT couple therapist told them, they discovered that, at that point, it was difficult to do this on their own without the help of their therapist.  They needed a lot more practice in their sessions to begin to have success on their own.

Like most dynamics in therapy, Nina and Sam found out that their individual progress in couple therapy was often two steps forward and one step back.  But over time, they each became more comfortable being emotionally responsive to each other when they were on their own.

Sam learned how to listen to Nina in an emotionally present and responsive way.  Most of the time, he was no longer focused on "fixing" things between them.  And Nina learned to stop criticizing and blaming Sam when he occasionally slipped up and reverted back to trying to "fix" the problem.

They both learned that, even though they were bound to make mistakes with each other, as everyone does, the most important thing was that they knew how to turn towards each other (rather than away) to emotionally repair their interactions with one another.

Conclusion
In every couple, each person brings a family history that impacts how s/he relates in an adult romantic relationship.

Having compassion and empathy for one another and being willing to change a negative cycle is key to a successful relationship (see my article: EFT Couple Counseling: New Bonds of Love Can Replace a Negative Cycle in Your Relationship).

Learning to Become More Emotionally Responsive to Your Partner in EFT Couple Therapy

How each person in a relationship defines and thinks about being emotionally responsive might be different.

Emotionally Focused Therapy (EFT) for couples is a well-researched, powerful tool to help couples to learn to recognize their negative cycle and change it with the help of the EFT couple therapist.

The EFT couple therapist helps the couple to learn new ways of interacting in their sessions so that, eventually, they can interact in a more emotionally responsive way with each other when they're on their own--instead of remaining stuck in a negative cycle.

Getting Help in Emotionally Focused Therapy (EFT) Couple Therapy
Rather than struggling on your own, you and your partner could benefit from Emotionally Focused Therapy so that you can have a more loving and emotionally satisfying relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Emotionally Focused therapist for couples.

I have worked with individuals and couples for over 20 years.

I work with heterosexual, lesbian, gay, transgender and queer 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, October 1, 2018

Relationships: You're In Love But Not Compatible With Your Partner

It's so easy to get caught up in the passion of a relationship, especially when you're in love and things are new and exciting.  But, as many couples find out, being in love and being compatible aren't the same things. They discover that the relationship isn't going to work out--despite the fact that you're both in love with each other (see my article: All You Need is More Than Love).


Relationships: You're In Love But Not Compatible With Your Partner

Of course, when we're talking about compatibility, it matters whether we're referring to relatively minor issues where there can be negotiation and compromise or if we're discussing core values that are non-negotiable with each person.

When the incompatibility involves core values, many couples, who love each other, keep hoping for the best because they don't want to lose each other.  But if they remain together, get married and have children, it can be even more heartbreaking to have ongoing conflict, tension in the home and, possibly, an eventual breakup.

Fictional Clinical Vignette: In Love But Not Compatible
The following fictional vignette, which is representative of many actual cases, illustrates the problems  involved when two people in a relationship are in love but not compatible:

Alan and Jennifer
Alan and Jennifer met at a local dance club in Manhattan when they were both in their 20s.  Instantly attracted to one another, they began dating regularly and, after several months, they were both in love with each other, sex was amazing, and they decided to remain monogamous.

After dating for a couple of years, they talked about the possibility of moving in together and eventually getting married.  Neither of them had ever felt so in love and committed to a relationship before.

The problem was that when they talked about getting married, Jennifer said she wanted to have at least two children, and Alan said he didn't want to have children at all.  Although Jennifer was concerned about this, she didn't want to breakup with Alan.  So, she decided to move in with him and wait to see if he changed his mind.

Two years after they moved in together, each of them was even more committed to the relationship than before.  But the question about children remained an issue.  Alan still maintained that he didn't want children, and Jennifer wanted children more than ever.

At the same time, Jennifer was concerned about her "biological clock" and, if she was going to have children, she wanted to start trying to get pregnant within the next year or two.  They talked about this issue many times, but they couldn't come to an agreement, and they were both feeling increasingly anxious about what this meant for their relationship.

Soon after that, they decided to come for couple therapy to see if they could work out this issue.  As Jennifer explained it, she felt like she was caught in a dilemma:  She didn't want to be with anyone else, except Alan, but she didn't want to regret not having children later or feel resentful towards Alan about it.

Alan explained to the couple therapist that he also felt like he was in a dilemma:  He loved Jennifer and he wanted to marry her, but he felt he would be unhappy having children.  He said he thought about going along with Jennifer about having children, but he was also afraid that he would resent her eventually if he acquiesced to her and he was unhappy later on.

Jennifer expressed her deep sorrow and frustration.  She had been raised to believe that if two people love each other, they could work anything out.  She thought "love conquers all," but their problem seemed intractable.

Furthermore, from a practical point of view, she feared that, even if she was willing to leave Alan, which she didn't want to do, there was no guarantee that she would meet someone else that she would fall in love with and who wanted children.  She didn't want to give Alan up, and Alan also didn't want to break up.

Fortunately for this couple, they began to spend a lot more time with Jennifer's sister, Ann, who just had a baby.  Jennifer adored her niece, and Alan was very surprised that he also loved being with the baby.  He said he began to enjoy imagining himself being a father and raising a child.

After that, Alan told Jennifer that he changed his mind--he would like to have at least one child, and this allowed them to take the next step to get engaged.

They remained in couple therapy until after their first child was one years old. In their couple therapy sessions, they talked about how challenging it was to have a new baby and how tired they often were. Having a child turned out to be a lot more work than either of them had imagined. But both Alan and Jennifer were happy that they decided to have a child.  Since everything else in their marriage was going fairly well, they ended couple therapy at that time.

Occasionally, over the years, they returned to couple therapy whenever issues came up.  But, overall, they were getting along very well and their child was thriving.

Conclusion
In this particular scenario, the problem worked out because circumstances changed and they both ended up on the same page about having children.

Unfortunately, for many couples, whether the issue is having children or some other core issue, things don't always work out so well.

If Alan and Jennifer had not come to an agreement about children, like many couples, they would have had to decide whether to stay together or not.  This is a big dilemma to have to face and, obviously, there's no right or wrong answer.

In addition, so many of us were raised with the idea that "love conquers all."   It can be so disappointing and disillusioning when you and your partner are in love, but you disagree about important issues, and it seems like your relationship isn't going to work out, despite how much you love each other.

Getting Help in Couple Therapy
Being in conflict about a core value can put a very big strain on your relationship, especially if you're both procrastinating about dealing with it--whether it's about having children or any other important issues.

Sometimes, couples can come to an agreement--whether it's to stay together or break up--with the help of couple therapy.  It can be a relief to make a decision even if it's a very difficult one (see my article: What is Emotionally Focused Couple Therapy (EFT)?

Your problems probably won't go away on their own, so it's better to face them together with the help of a couple therapist.

If you've been putting off dealing with core issues in your relationship, whatever they might be, you could benefit from working with an experienced couple therapist.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and EFT couple therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

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.













Saturday, September 29, 2018

Infidelity: How to Save Your Relationship After You Have Had an Affair

In my last article, I focused on how an injured partner can cope with intrusive thoughts and emotions after finding out about a spouse's affair.  In this article, I'm discussing what the unfaithful partner can do to try to save the relationship (see my articles: Coping With Infidelity).

Infidelity: How to Save Your Relationship an Affair

Research on infidelity reveals that 20-40% of all marriages experience some form of infidelity.  In my opinion, this is a very high number and more research needs to be done to determine why so many people cheat on their partners and what, if anything, can be done in terms of prevention.

Generally, the research reveals that men tend to cheat more than women, but women also cheat.  This article assumes that either a man or a woman is capable of cheating.

After an affair has been discovered, if the relationship is to survive, the partner who cheated has certain responsibilities, especially during the initial stage of this process.

For the Partner Who Cheated:
If you're the partner who cheated, at a minimum, you need to be willing to do the following:
  • Be Honest With Your Partner About the Infidelity: Assuming that you want to save your relationship, with time and effort, a relationship can survive infidelity if both partners are willing. What often ruins a relationship is when the partner who cheated lies about it--even when his or her partner shows evidence that the affair has been discovered.  If you want to save your relationship, rather than lying or having the truth come out piecemeal over time, answer your partner's questions honestly, thoroughly and patiently.  This isn't the time to get defensive or to become avoidant.  You owe it to your partner to be open about what happened and answer whatever questions s/he might have. If, on the other hand, you no longer want to be in your relationship, then, as difficult as it might be, you need to be honest about this and communicate this to your partner.  Sometimes, people who cheat do it unconsciously as a way to getting out of the relationship because they don't know how to tell their partner that they no longer want to be in the relationship.  Instead of communicating directly with their partner, they "act out" by having an affair.  Rather than "acting out," you need to be honest, direct (although considerate and tactful) and talk to your partner as soon as you realize you no longer want to be in the relationship.  
  • Take Responsibility For the Affair: Rather than making up excuses, take full responsibility for having the affair--regardless of the state of your relationship at the time.  Making excuses, blaming your partner or being defensive will only exacerbate the problem.  
  • Show Genuine Remorse: You have caused your partner a lot of pain and put your relationship at risk.  Don't expect to be forgiven the first, second, third or tenth time that you apologize for the affair.  You might need to apologize many, many times.  Also, your partner might not be ready to accept your apology for a while.  Surviving infidelity is a process and you will need to be sincere in showing your remorse and commitment to the relationship.  This can take months or years.  
  • Be Attuned and Empathetic to Your Partner's Pain: If you want to save your relationship, you need to show that you're attuned to your partner's feelings and that you care.  This will probably mean that you're going to be on the receiving end of your partner's rage, hurt and sadness for however long it takes your partner to forgive you--assuming that s/he does eventually forgive you.  Be willing to take in your partner's emotions.  This is not the time to try to sweep your partner's feelings under the rug or rush him or her to "move on."  Infidelity is a serious breach and a betrayal.  Unless you can show that you're emotionally present to your partner's pain, your relationship probably won't work out. 
  • Don't Dismiss Your Partner's Emotional Reaction: Related to being attuned and empathetic, don't dismiss your partner's reaction to discovering the affair.  Don't tell your partner that s/he is overreacting.  This will only reveal that you're not attuned to your partner's feelings.  Likewise, telling your partner that the "other woman" or "other man" meant nothing to you and you don't understand why your partner is so upset, will make you sound like you're being dismissive.  Even if it's true that the other person meant little or nothing to you, you have to understand that this sounds like you're making excuses and minimizing your partner's emotions. Your partner's response to this could rightfully be, "If she [he] meant nothing to you, why did you do it and risk our relationship?" If, on the other hand, your partner asks you about  your feelings towards the person you had the affair with, that's different--you can respond honestly about that.  In that case, you're responding to your partner rather than trying to minimize the affair.  Remember: Everyone is unique in terms of how s/he reacts to discovering infidelity and how long it takes (if ever) to forgive.
  • Cut Off All Ties With the Person You Cheated With: If you're serious about saving your relationship, you must cut off all ties with the "other woman" or "other man."  This is non-negotiable.  No exceptions.  You can't try to salvage your relationship while you maintain a connection with the other person.  If the other person contacts you about reconnecting to resume the affair or "to be friends," you maintain your stance that there can be no contact.  You must let your partner know that the other person contacted you so that your partner doesn't discover this on his or her own.  That would make matters worse because it would look like you're trying to hide things.
  • Deal With Triggers That Lead to Cheating: As part of your self reflection about your behavior, consider whether there are certain triggers that lead to your cheating.  For instance, if you know that drinking or drugging lead to cheating on your partner, get professional help for these issues.  If you continue to indulge in substances that usually precede cheating, you will leave yourself vulnerable to cheating and possibly lose your relationship.  Boredom is another possible trigger.  Another example is that if you know that going to certain places makes you vulnerable to cheating, avoid those places if you can or, if you can't, make a plan as to what you will do to avoid cheating and stick with that plan.  Ditto for certain online sites.  Don't delude yourself into thinking that you can be "strong" and deal with triggers.  You will only be kidding yourself, and there's too much at stake to put yourself and your relationship at risk (see my article: The Allure of the Extramarital Affair).
  • Be Willing to Demonstrate Your Accountability to Your Partner: Whether this means that you allow your partner to have access to your phone, email or other online accounts, you need to show your partner that you're willing to be an open book.  If your partner wants you to call him or her when you're working late at the office or on a business trip, do it.  Do whatever is necessary to try to regain your partner's trust (see my article: Learning to Trust Again After an Affair).
  • Work Actively to Repair and Rekindle Your Relationship: Beyond everything else that has already been mentioned above, you need to be willing to do major work on your relationship if it is going to survive.  You need to find meaningful ways to show your partner that you love him or her and that s/he is the most important person in the world to you.  If the two of you have been emotionally disconnected, find ways (once your partner is ready and willing) to reconnect emotionally.
Recognize that, ultimately, even if you're very committed to salvaging your relationship, it will be up to your partner to decide if s/he wants to remain in the relationship.  For many people, infidelity is beyond what they can forgive, and you might have to accept this as the consequence of your behavior.

Sometimes couples rush to put the pain behind them without going through the necessary emotional process of dealing with the betrayal and breach of trust.  Then, later on, they discover that just telling each other that they're "moving on" or "starting over" isn't enough.  The problem might have been swept under the rug, but it's still there.

Getting Help in Therapy
Depending upon the underlying issues that caused you to cheat, you might need individual therapy and, if and when your partner is ready, couple therapy.

Coping with the guilt and shame about an affair as well as triggering behavior can be very challenging on your own (see my article: Healing Shame in Therapy and Learning to Forgive Yourself).

Don't underestimate how easy it would be to resume an affair or start a new one, especially if you're not dealing with the root cause of your problem.  

A skilled psychotherapist, who has experience working with partners who cheat, can help you to get to the root of your problem and develop the necessary skills to remain faithful in your relationship.

Many couples, who decide they want to remain in their relationship after an affair, don't make it because they get stuck in a negative cycle and they don't know how to change it.

A skilled EFT therapist (Emotionally Focused Therapy) can help you and your partner to overcome the negative cycle so that you can rebuild trust and rekindle your relationship.

Getting help in therapy could make the difference between saving your relationship or breaking up.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Emotionally Focused (EFT) therapist for couples.

I have helped many individuals and couples to survive infidelity.

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.