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NYC Psychotherapist Blog

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Showing posts with label couples therapist. Show all posts
Showing posts with label couples therapist. Show all posts

Sunday, June 21, 2026

Coping With Relationship Stress

My article focuses on how stress affects sexual desire in relationships (see my article: To Improve Intimacy in Your Relationship, Get Off the Sexual Staircase).

Coping With Relationship Stress

For most people stress is a libido killer: Work stress, raising children and the daily grind of life can leave people feeling depleted and unmotivated to have sex.

When you feel stressed or anxiety and hyper-focused on having an orgasm and ensuring that your partner has an orgasm, your nervous system shifts into a fight-or-flight mode. This is the opposite of what most people need to enjoy sex.

The Impact of Stress on Pleasure:
Stress can affect pleasure on a physical and mental level:

The Physical Impact
  • Stress Blocks Blood Flow: Stress releases cortisol and adrenaline, which constrict the blood vessels and direct the flow of blood to the genitals. 
  • Stress Prevents Relaxation: When the nervous system is under stress and you can't relax, sexual arousal can be difficult.
  • Stress Reduces Sensitivity: Anxiety can numb physical sensations. This can make touch less intense or even distracting.
The Mental Impact
Coping With Relationship Stress
How to Overcome Stress-Related Sexual Problems
To overcome stress-related sexual problems, you can try the following:
  • Practice Sensate Focus: Sensate Focus is a common exercise given to couples in sex therapy. It is a structured touching exercise where you and your partner take turns giving and receiving non-sexual touch. There is no sexual activity--even if one or both partners get sexually aroused.  Sensate Focus helps to eliminate performance pressure and goal-oriented sex (see my article: What is Sensate Focus?).
Coping With Relationship Stress
  • Redefine Intimacy: Dedicate time to non-sexual physical closeness. This can include things like taking a bath together and giving a back massage where there is no pressure or expectation of sexual intercourse.
  • Redirect Your Thoughts: When you feel your mind racing when you and your partner are being sexually intimate, shift your focus in a mindful way to other sensations--like the texture of skin, sound of music or slow, deep breathing.
Coping With Relationship Stress
  • Share What You Each Like: Talk to your partner about what feels comfortable and pleasurable to remove guesswork and doubt.
Coping With Relationship Stress
  • Be Aware of Fluctuations in Sexual Desire: Acknowledge to each other that it's normal to have fluctuations in sexual desire to eliminate any performative aspects of sex. If you don't want to have sex on a particular occasion, instead of just rejecting your partner outright, suggest another time during the week to have sex (see my article: Coping With Occasional Sexual Rejection).
  • Make Lifestyle Changes: Lifestyle changes like engaging in some form of physical exercise at a level that is right for you (e.g., walking, working out at the gym or taking a yoga class) can lower stress and increase blood flow. You can also engage in mindfulness to train your brain to stay in the present moment. Also, limiting caffeine, reducing alcohol and eliminating nicotine can improve your nervous system and vascular health (see my article: Can Yoga Improve Your Mood?).
Get Help in Sex Therapy
Sex therapy is a form of talk therapy for individual adults and couples (see my article: What is Sex Therapy?)

Get Help in Sex Therapy

Sex therapists are licensed mental health professionals who have advanced training and a  certification in sex therapy.

There is no nudity or sex during sex therapy sessions (see my article: What Are Common Misconceptons About Sex Therapy?).

Individuals and couples attend sex therapy for many reasons (see my article: What Are Common Issues Discussed in Sex Therapy?

If you and your partner have been unable to resolve your sexual problems, you could benefit from working with a sex therapist.

About Me
I am a licensed New York mental health professional who is a Certified Sex Therapist.

In addition to being a sex therapist, I am also a trauma therapist who has advanced training in psychodynamic psychotherapy, EMDR, AEDP, IFS, Somatic Experiencing and hypnotherapy.

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:







































Tuesday, June 16, 2026

Financial Infidelity in Relationships: How to Stop Hiding Financial Debt From Your Partner

Hiding financial debt from your partner is a form of financial infidelity which can be just as harmful as having a sexual affair. 

Keeping this secret can break trust with your partner, jeopardize your legal standing and ruin your shared relationship goals.

Financial Infidelity in Relationships

What Are the Potential Consequences of Hiding Financial Debt From Your Partner?
Let's look at the consequences in more detail:
  • Erosion of Trust: Finding out about secret debt can cause a tremendous erosion of trust and feelings of betrayal. It can trigger relationship conflict or a breakup.
  • Damaged Future Goals: Hidden debt takes away money that you and your partner would otherwise use to save for future goals, like a wedding, a new home or retirement.
  • Credit Roadblocks: Hidden debt can prevent you and your partner from qualifying for apartment rentals, home mortgages or car loans.
  • Legal and Joint Liabilities: If you co-sign for a loan or open joint accounts, your partner can become legally liable for the debt regardless of who spent the money.
Why Do People Hide Debt From Their Partner?
Secret spending or hidden debt usually occurs due to specific emotional and situational factors:
  • Shame and Embarrassment: Feeling severe shame, guilt and embarrassment about past financial mistakes or current bad habits
Financial Infidelity in Relationships
  • Fear of Confrontation: Worrying that a partner might judge you, get upset or call off a wedding or end the relationship
  • Desire For Control: Wanting total independence or a financial fallback without answering to anyone
  • Underlying Impulsive or Compulsive Habits: Masking debt that stems from hidden gambling, compulsive shopping or substance habits
What Steps Can You Take to Stop Hiding Debt From Your Partner?
There is no one-size-fits-all answer to this issue. What might be right for one person might not be right for another. 

You have to assess your situation and ensure that you are safe physically and emotionally before revealing secret debt. If you are in an unsafe environment where your partner might become physically abusive, you have to prioritize your safety. Depending upon your situaton, you might have to work with a domestic violence agency to develop your exit strategy before addressing financial issues.

For most people the following steps can be helpful:
  • Own Up Before the Wedding: Don't let your partner find out about your secret debt through a rejected loan application or a surprise collection letter.
Financial Infidelity in Relationships
  • Gather Concrete Information: Print and have available for your partner your credit reports and a clear list of every single card, interest rate, minimum payment and other relevant information.
  • Draft a Repayment Strategy: Present your partner with the truth along with an actionable plan as to how you plan to pay off your debt--whether this includes getting a second job, strict budgeting or whatever other positive steps you need to take.
  • Choose a Calm Setting: Pick a quiet time when you and your partner will have privacy to talk without being interrupted. Don't bring it up during an argument or in an offhand way.
  • Avoid Defensiveness: Take responsibility and don't blame your partner or others for hiding the debt.
  • Acknowledge the Betrayal: Validate your partner's feelings including anger, shock, hurt, sadness or whatever feelings your partner might have. 
  • Recognize That the Lie is Often More Damaging Than the Money OwedLies of omission where you don't reveal secret debt is still a lie. Assuming your partner wants to remain in the relationship, you will have to work to regain your partner's trust.
  • Assume Responsibility For the Financial Burden: Make it clear that you consider this to be your financial responsibility to fix and it is not their responsibility.
What Kind of Professional Help Can Be Helpful?
  • Financial Planner/Legal Advisor: Depending upon your situation, you might need a financial or legal professional to help you map out a financial strategy. A legal consultation can also help you to work on either a pre-nuptial or post-nuptial agreement to legally shield your partner from your liabilities.
  • Couples Therapist: A licensed mental health professional can help you both to deal with the emotional fracture in your relationship after you revealed the secret debt. It's best not to avoid dealing with the psychological damage to the relationship because these  problems can harden into deep resentment and mistrust. A couples therapist's role would include:
    • De-escalating and Creating Psychological Safety: The couples therapist would set communication boundaries to stop repetitive and toxic argument loops. They reinforce agreements against blame-based language, yelling or bringing up deception as a tool to weaponize for constant punishment.
Getting Help in Couples Therapy
    • Managing Emotional Flooding: A high betrayal trauma often leaves the partner who feels betrayed in a state of hypervigilance and, at times, panic. The couples therapist can teach emotional regulation skills and implement structured pauses when sessions become overwhelming or unproductive.
    • Validating the Deception Trauma: The clinical focus honors the hurt partner's pain. The therapist ensures that the secretive partner knows that the primary damage is the lying and the concealment--not just the missing money.
    • Halting the "Trickle Truth": A major obstacle to healing occurs when the secretive partner admits to hiding a certain amount of debt at first and then, later on, admits that there was even more debt. This continuous drip of information re-traumatizes the betrayed partner each time.
Getting Help in Couples Therapy
    • Investigating Each Partner's Relationships to Money: Using a therapeutic model like Emotionally Focused Therapy For Couples (EFT) the therapist helps the couple to look beneath the immediate problem of the debt to examine family-of-origin patterns, childhood financial insecurity or feelings of lack of autonomy in the current relationship.
    • Addressing Core Drivers of the Secretive and Deceptive Behavior: The therapist guides the secretive partner to look inward at their capacity for deception. The therapist explores whether the secretive behavior was driven by intense shame, a fear of conflict, severe avoidance or compulsive spending behavior.
    • Addressing Other Relevant Issues: Once the air has been cleared, the couples therapist can help the couple to develop verified openness in their relationship. This often involves sharing login information, co-managed budget spreadsheets and notification triggers for banking applications. It also involves setting financial boundaries where the couple establishes a pre-agreed upon threshold that would require a conversation before money is spent. In addition, once trust has been regained, the clinician helps the couple so that they don't remain in a permanent parent-child dynamic where one partner acts like the disciplinarian and the other partner acts like the untrustworthy child. 
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), IFS Parts Work Therapist, Somatic Experiencing and Certified Sex Therapist.

Over the years, I have helped many individual adults and couples.

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

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

Also See My Articles:






















Sunday, May 31, 2026

Relationships: How is Curiosity a Gateway to Empathy?

Curiosity is a gateway to empathy by shifting your mindset from judgment to exploration. 

Curiosity as 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.
Curiosity as a Gateway to Empathy
  • 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.
Curiosity as a Gateway to Empathy
  • 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."

Curiosity as a Gateway to Empathy

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.

Get Help in Therapy

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.

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

Also See My Articles:











































Sunday, March 22, 2026

Overcoming Self Sabotaging Behavior in Your Relationship

Becoming aware of self sabotaging behavior in a relationship can help you to break destructive patterns that create problems for you and your partner (see my article: Overcoming Recurring Patterns of Self Sabotaging Behavior).

What is Self Sabotaging Behavior in Relationships?
Self sabotaging behavior in relationships can be conscious or unconscious behavior that stem from fear of abandonmentlow self esteemunresolved trauma and other related problems.

Self Sabotaging Behavior in a Relationship

This destructive behavior often acts as a defense mechanism to avoid emotional pain.  

What Does Self Sabotaging Behavior in a Relationship Look Like?
The following are examples of self sabotaging behavior in a relationship:
  • Creating Conflict and Drama: Picking fights over small issues, being very critical or finding faults with a partner to cause problems
  • Withdrawing and Stonewalling: Distancing, shutting down emotionally or exiting conversations when intimacy or conflicts arise. Note: Many individuals who have an avoidant attachment style withdraw because they are overwhelmed and they need time to recoup. This is different from withdrawing to intentionally distance yourself from your partner (see my article: Improve Communication in Your Relationship By Eliminating the 4 Horsemen of the Apocalypse).
  • Testing Loyalty: Setting up tests to see how much your partner cares about you. This often leads to a self fulfilling prophecy of abandonment when the tests are unreasonable.
  • Insecurity and Jealousy: Projecting insecurities, excessive monitoring or comparing current partners unfavorably to past partners (see my article: Jealousy Isn't Love).
  • Ending a Relationship Prematurely: Ending a relationship before it can end on its own. This often occurs out of fear of a future rejection by the partner.
  • Holding Onto Grudges and Resentment: Refusing to let go of past minor disagreements or mistakes so there is no repair between you and your partner. Instead of actively repairing the problem between you, you avoid dealing with it so that, over time, there is a pile-up of grudges and resentment which causes emotional disconnection between you and your partner or the relationship ends from the weight of the resentments (see my article: The Unspoken Rift: Resentment, Emotional Distance and Loneliness in Relationships).
What Causes Self Sabotaging Behavior in Relationships?
  • Fear of Abandonment or Rejection: Pushing your partner away to avoid an anticipated future rejection--even in cases where this fear is a distortion
Self Sabotaging Behavior in a Relationship

  • Fear of Emotional Vulnerability: Lacking trust or experiencing a fear of taking the risk to open up emotionally. Since being vulnerable is an essential part of a healthy relationship, this fear can ruin a relationship (see my article: Vulnerability as a Pathway to Emotional and Sexual Intimacy)
  • Low Self Esteem:  A feeling that you don't deserve to be in a healthy, loving relationship
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates self sabotaging behavior in a relationship:

Jane
When Jane met Alan, she realized she liked him a lot and she wanted to get to know him better.

Three months later, they both agreed they had fallen in love and they wanted to be exclusive so they stopped dating other people.

Initially, Jane enjoyed her time with Alan and she could foresee a long term relationship and even marriage.  But, as they got closer, her old fears and insecurities made her feel very anxious and fearful in the relationship. 

One of her biggest fears was she anticipated that Alan would realize that she wasn't good enough for him and he would leave her (see my article: Overcoming the Fear That Others Won't Like You If They Got to Know the "Real You").

She talked to Alan about this and he tried to reassure her that he loved her and he wanted to be with her, but no amount of reassurance helped to alleviate Jane's fears.

Self Sabotaging Behavior in a Relationship

When Jane became overwhelmed with her fear that Alan would leave her, she would break up with him. Initially, she felt relieved because she was no longer dreading being abandoned. But soon afterward, she regretted breaking up with him and she would feel desperate to rekindle their relationship.

After they got back together again, Jane's fear and insecurity would come up again. She knew she didn't want to break up with Alan, but she found the emotional vulnerability of being in the relationship to be overwhelming. 

At the time, she didn't realize that she would pick arguments with him over insignificant things as a way of creating emotional distance. But when they started couples therapy, the couples therapist helped them to see the negative cycle in their relationship and Jane realized she was picking fights with Alan out of fear.

In addition to couples therapy, Jane attended her own individual trauma therapy to deal with the underlying trauma that was the cause of her self sabotaging behavior.

Over time, Jane was able to work through her unresolved childhood trauma which created her fear of abandonment and insecurity. She and Alan also learned to work as a team to prevent the negative cycle in their relationship with the help of their couples therapist.

Overcoming Self Sabotaging Behavior in Your Relationship
  • Recognize Patterns and Triggers: To recognize patterns and triggers requires self awareness and a willingness to change. 
  • Develop Open Communication: Instead of engaging in passive aggressive or other unhealthy behavior, create open and vulnerable communication with your partner. 
Overcoming Self Sabotaging Behavior in a Relationship
  • Build Self Esteem: Work on developing your self esteem to accept love and accept being in a healthy relationship without fear and reactive behavior.
  • Work on Unresolved Personal Trauma in Trauma Therapy: Since the root cause of self sabotaging behavior usually stems from unresolved childhood trauma, work on these issues in trauma therapy so that you no longer get triggered in your relationship.
Get Help in Couples Therapy
  • Work on Relationship Issues in Couples Therapy: A couples therapist who practices Emotionally Focused Therapy (EFT) can help you and your partner to identify and prevent and a negative cycle in your relationship.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work (IFS and Ego States Therapy) and Certified Sex Therapist.

I have helped many individual adults and couples.

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

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















Sunday, February 8, 2026

How to Develop Emotional Safety in Your Relationship

Emotional safety is an essential part of any relationship.

Emotional Safety in a Relationship

What is Emotional Safety?
Let's start by defining emotional safety.

Emotional safety is an embodied sense that you can be your true self without fear of judgment, rejection or retaliation. 

Emotional Safety in a Relationship

When you feel safe emotionally, your nervous system is calm. You're not in a state of fear. You feel open and comfortable with yourself and with your partner.

Emotional safety is the foundation of a healthy relationships and allows you to share your emotional needs.

Emotional safety also allows you to admit your mistakes because you feel respected and valued by your partner.

If you're in a relationship, you feel heard and validated for your feelings. Even when your partner might not feel the same way, they can understand why you feel like you do.

What Are the Key Elements of Emotional Safety?
Emotional Safety in a Relationship
  • Non-judgment: When expressed in a healthy way, your feelings are treated as being understandable as opposed to being "too much" or "wrong".
  • Consistency: Being able to predict how your partner will respond helps your nervous system to relax rather than going into a fight, flight, freeze or fawn response.
  • Healthy Boundaries: You're able to set healthy boundaries with your partner without your partner making you feel guilty or lashing out.
Why Does Emotional Safety Matter in a Relationship?
When you feel safe in your relationship, you can regulate your emotions and stay emotionally engaged with your partner. 

Emotional Safety in a Relationship

If you don't have emotional safety, you might feel hypervigilantanxious or an urge to "walk on eggshells" to avoid conflict with your partner.

How Can You Build Emotional Safety in Your Relationship?
To build emotional safety, it's important to:
  • Get Curious and Listen: Get curious and listen to your partner to understand rather than to defend or"fix" them (see my article: What is Active Listening?).
  • Validate Each Other's Feelings: Acknowledge your partner's feelings--even if you don't agree or you don't feel the same way.
  • Be Transparent: Make sure your actions match your words to build trust.
  • Make Repairs: Own your mistakes in a timely manner and make an effort to reconnect with your partner.
Get Help in Couples Therapy
There are times when one or both partners have problems establishing and maintaining emotional safety due to prior traumatic experiences either as a child or in prior adult relationships (see my article: How Can Unresolved Trauma Affect Your Ability to Feel Safe?).

Get Help in Couples Therapy

If emotional safety is an issue in your relationship, you and your partner could benefit from working with a couples therapist experienced in Emotionally Focused Therapy for Couples.

Emotionally Focused Therapy (also known as EFT) can help you and your partner understand both of your unmet attachment needs and change negative dynamics in your relationship that keep you both stuck.

Rather than struggling on your own, seek help in EFT couples therapy so you can have a more fulfilling relationship (see my article: Tips on How to Get the Most Out of Couples Therapy).

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: