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NYC Psychotherapist Blog

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Showing posts with label couples therapy. Show all posts
Showing posts with label couples therapy. 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:











































Tuesday, May 26, 2026

How to Develop Emotional Depth in Your Relationship

As a psychotherapist who works with individual adults and couples, a common complaint I hear from clients is that they feel their relationship lacks emotional depth.  This leaves both partners feeling lonely.

Developing Emotional Depth in Your Relationship

How to Develop Emotional Depth in Your Relationship
Emotional depth can be learned and developed over time. While some people are naturally wired with higher neurological sensitivity, emotional depth is a capacity that can develop when you consciously choose to unlearn emotional detachment and practice expanding your inner world.

What is Emotional Depth?
Emotional depth includes: 
  • The capacity to be profoundly affected by life experiences
  • The ability to hold space for nuance
  • The ability to sit with emotional discomfort without trying to avoid it
Why Do Some People Lack Emotional Depth?
A lack of emotional depth is usually a learned survival mechanism which involves suppressing depth due to:
  • Childhood Conditioning: Being raised by emotionally distant role models or being taught that emotional vulnerability is a "weakness"
  • Protective DetachmentNumbing emotions or using constant busyness, humor and escapism to avoid processing painful emotions
  • Fear of Complexity: Choosing superficial interactions because stepping into deeper emotional waters feels unpredictable or overwhelming
How to Develop Emotional Depth
If you want to develop emotional depth, you can retrain yourself through deliberate habits including:

Shifting From Fact-Sharing to Emotional Labeling
Many couples mistake daily logistics ("How was your day?" or "Did you pay that bill?") for meaningful communication, but depth requires moving down into your internal emotional experience:
  • Expanding Your Emotional Vocabulary: Stop describing your state as just "fine", "good" or "bad". Use tools like the Wheel of Emotion to identify the precise layers of what you are experiencing (e.g., distinguishing anger from underlying grief or rejection).  Learning to name emotions builds a bridge between your logical brain and your inner world.
  • Practicing Staying With Discomfort: When difficult emotions arise, your instinct might be to distract yourself, self-medicate or find a quick fix solution. Instead of trying to move away from difficult emotions, pause, take a deep breath and observe the physical sensations in your body. Whether your emotions are pleasant or unpleasant, you will probably discover that emotions are often like waves--they rise, peak and then subside (see my article: The Life Cycle of Emotions).
  • Increasing Emotional Vulnerability Incrementally: Share minor internal fears, insecurities or meaningful childhood memories. This takes time to develop. So, recognize that you don't have to share your heaviest secrets overnight. Start by trying to be a little more emotionally open with your partner.
Practicing Active Attunement
Attunement means leaning in and emotionally connecting with your partner when your they reach out. This ensures that they feel safe, seen and validated:
  • Listening to Understand--Not to Fix: When your partner vents, suppress the urge you might feel to offer immediate solutions. Focus entirely on their emotional experience.
Developing Emotional Depth in Your Relationship
  • Asking Open-Ended Discovery Questions: Replace generic questions with deep, curiosity-driven questions ("What is a major dream you are currently feeling scared about?" or "What did your childhood teach you about handling your anger?").
Establishing Rituals of Connection
Rituals of connection anchor a relationship, ensuring that building depth is a priority even during stressful and hectic times in life:
  • Daily Emotional Communication: Set aside 15-20 minutes every evening where you turn off all electronics to check in with each other's internal worlds.
Developing Emotional Depth in Your Relationship
  • Non-Sexual Physical Affection: Prioritize long hugs, holding hands or cuddling on the couch. Regular non-sexual touch releases oxytocin, which naturally lowers defenses and deepens your emotional bond.
  • Share Novel Experiences: Step out of your comfort zones together by learning a new skill, volunteering or exploring an unfamiliar place. Facing the slight vulnerability of a new environment together forces you to rely on each other and connect with each other.
Leaning Into Constructive Conflict
Contrary to what most people think, couples who rarely or never fight often lack emotional depth because they are actively avoiding uncomfortable truths. Working through disagreements with care is a powerful way to accelerate emotional intimacy:
  • Share the "Anger Iceberg": Anger is often a secondary emotion. Look beneath the irritation to discover the primary emotion, a more vulnerable emotion driving the anger--such as hurt, fear or loneliness.  Instead of focusing on your anger, communicate the deeper emotions underneath the anger (see my article: Anger as a Secondary Emotion).
Developing Emotional Depth in Your Relationship
  • Use "I" Statements: Frame disagreements around your personal feelings rather than pointing fingers at your partner.  Say, "I feel disconnected from you when we don't spend time together" instead of "You always ignore me."
Get Help in Couples Therapy
If you and your partner are having difficulty trying to develop emotional depth in your relationship, you could benefit from working with a licensed mental health professional who is an experienced couples therapist. 

Get Help in Couples Therapy

Emotionally Focused Therapy (EFT) For Couples is especially helpful in bringing couples together and helping them to build the necessary skills over time so they can experience emotional vulnerability and depth (see my article: What is Emotionally Focuse Therapy (EFT)?).

Rather than struggling on your own, seek help in EFT couples therapy 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 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:














Monday, May 25, 2026

Cinema Therapy: How Can Watching Movies Improve Your Relationship?

In my prior article, Cinema Therapy: How Can Watching Movies Improve Your Mental Health?, I began a discussion about how cinema therapy (also known as movie therapy) is used in psychotherapy to improve mental health.


Watching Movies Can Improve Your Relationship

In the current article, I'm focusing specifically on cinema therapy for relationships and couples therapy.

How Can Cinema Therapy Be Used in Couples Therapy?
One way cinema therapy can be used in couples therapy is to help the couple deepen their emotional connection.

Watching Movies Can Improve Your Relationship

Cinema therapy is one potential tool in couples therapy. 

Cinema therapy uses movies, TV programs or videos to help couples to explore their relationship dynamics in a safe, structured way. While watching a movie, couples can project their feelings onto the characters which can make it easier to discuss difficult truths:
  • Metaphor As a Bridge: Couples identify with characters' struggles.
  • Emotional Distance: It can feel safer to look at a movie character's strengthens and challenges than it does to look at yourself or your partner.
  • Shared Vocabulary: Scenes provide a reference point for discussion for the individuals in the relationship and in their couples therapy.
  • Empathy Building: Partners see perspectives visually illustrated on screen. 
How to Watch Movies As a Couple to Improve Your Relationship
  • Choice of Films: The couples therapist chooses films with complex characters which are relevant to your issues.  The therapist might also choose films that will help to generate discussions between you and deepen your connection.
Couples Therapy Can Include Cinema Therapy
  • Watch Actively: Notice your reaction to the characters, their dilemmas and their choices. Notice what triggers discomfort in you and what resonates with you.
  • Discuss Openly: After you and your partner watch the film, have an open discussion with them about the characters including:
    • What character did you empathize with the most and why?
    • Which character flaws, if any, reminded you of your own?
    • Which character strengths reminded you of your own and your partner's?
    • How do the characters in the movie deal with conflict compared to how you and your partner deal with conflict?
    • Do you see any of your communication blind spots in this movie? Which ones? 
    • What did the characters need from each other? Did they get what they needed? How does this compare to how you and your partner meet each other's needs?
    • Which unexpressed fear or desire did the movie bring out in you?
    • If you could change one choice a character made, what would it be? How would you change it?
    • What thoughts and feelings did the movie bring up about how you and your partner can support each other better?
    • Did the character's actions or choices change how you view your relationship or a certain life situation?
    • What is one lesson from the movie that you can apply to your relationship and life?
An Example of a Movie For Cinema Therapy For Couples (No Spoilers):
The movie, 45 Years, is a powerful tool for cinema therapy for couples because it helps couples to confront the illusion that keeping secrets protects a relationship.

The movie illustrates how unexpressed insecurities and buried secrets from the past can quietly fester over time. It also illustrates how sudden realizations can create emotional distance between the couple.

The movie also shows the necessity of maintaining emotional connection rather than just settling for a comfortable routine.

Get Help in Couples Therapy
Cinema therapy is one possible component in couples therapy.

If you and your partner have been struggling, seek help from a licensed mental health therapist who is a couples 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 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: