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NYC Psychotherapist Blog

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Showing posts with label dysfunctional family. Show all posts
Showing posts with label dysfunctional family. Show all posts

Thursday, February 6, 2025

Why Do People Go to Therapy?

When I was 18 years old, I sought help in therapy to deal with certain issues I was struggling with at the time. 

I'll never forget our family doctor's response when I told him that I started therapy: "Why are you going to therapy? Do you think you're a movie star?" 
Why Do People Go to Therapy?


I knew he was trying to make light of a subject that made him feel uncomfortable but, even back then, as a teenager, I realized his response was unenlightened and behind the times. 

I would like to think people are better informed now, but I still hear from clients in my psychotherapy private practice that their friends and family respond negatively when they hear about therapy: 

"Why are you going to therapy?" 
"Therapy is for crazy people. You're not crazy"
"You must be weak if you going to therapy" and so on 
    
        See my articles below about common misconceptions about therapy.

So, after hearing these remarks many times, I thought it would be worthwhile to write about the reasons why people go to therapy. I'm hoping this article can help to normalize the therapy process.

Why Do People Attend Psychotherapy?
People attend therapy for a variety of reasons including but not limited to:
  • Personal Growth: Many people seek help in therapy to develop self awareness and self reflective capacity. Self reflective capacity is the ability to examine, analyze and evaluate your thoughts, feelings and behavior.  This includes the capacity to reflect on your inner emotional and psychological world to understand the ways you feel, think and behave. This allows you to make changes in the way you see yourself and how you interact with others (see my article: The Growth Mindset vs the Fixed Mindset).
Going to Therapy For Personal Growth
  • Unresolved Trauma: Unresolved trauma often has a negative impact on day-to-day interactions with loved ones or colleagues. Getting help in trauma therapy can help to overcome trauma. Note: Trauma can be a one-time event or it can occur over time such as unresolved childhood abuse or neglect.
                      See my articles:
Going to Therapy to Overcome Trauma
  • Relationship Issues: People who seek individual therapy or couples therapy to work on relationship issues often find they benefit from therapy and they have more fulfilling relationships. Also, some couples want to work on having an amicable separation or divorce or help on how to co-parent in a healthy way ,

Going to Therapy For Relationship Problems

  • Low Self Esteem: Problems with low self esteem can have a negative impact on all areas of life. People who attend therapy can develop a healthy sense of self (see my article: What is Low Self Esteem?).
  • Sexual Problems: Individual clients and people in relationships benefit from seeking help in sex therapy to overcome sexual problems.
                See my articles: 
    • Grief: Even though grief is a common experience for everyone at some point, grief can be overwhelming especially if people don't know how to grieve or they experience complicated grief.
    Going to Therapy For Grief Work
    Going to Therapy For Work-Life Balance

    Going to Therapy to Manage Emotions

    Common Misconceptions About Therapy
    Generally, people are better informed about psychotherapy than in the past, but there is still a stigma among people who don't understand therapy.

    I have included links below for the most common misconceptions about therapy:




    Getting Help in Therapy
    People seek help in therapy for many different reasons.

    Getting Help in Therapy

    Whether you're considering therapy for your personal growth or you have problems you have been unable to cope with on your own, you could benefit from working with a skilled psychotherapist.

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

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

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

    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, May 19, 2018

    Trying to Decide Whether to Salvage Your Relationship With Your Parents

    In my previous article, Now That You're An Adult, Your Parents Have Changed Into the Parents You Wanted As a Child, I began a discussion about the experiences of adult children whose parents were abusive when they were younger but who changed into the parents that these children wanted all along since childhood.  In this issue, I'm focusing on a decision that many adult children are faced with--whether to try to salvage their relationship with their parents (see my articles: Ambivalence and Codependency in Mother-Daughter RelationshipsGetting Help in Mother-Adult Daughter Therapy, and Deciding Whether or Not to Reconcile Your Relationship With Your Father).


    Trying to Decide Whether to Salvage Your Relationship With Your Parents

    Why Do Adult Children Become Estranged From Their Parents?
    Deciding whether to try to salvage a relationship with one or both parents isn't easy, and many adults seek help in psychotherapy to grapple with this issue.  There's no one answer that will suit everyone, and each person will have to decide what's best for him or herself and family members.

    From the adult children's perspective, there are many different reasons why they and their parents become estranged.

    Most of the time adult clients in psychotherapy indicate that the estrangement developed due to physical abuse or neglect from childhood (see my articles: What is Childhood Emotional Neglect? and What is the Connection Between Childhood Emotional Neglect and Problems Later On In Adult Relationships).

    In order to take care of themselves emotionally and physically, these adult children made a decision to part ways with their parents because there was no way to continue to have a relationship without it being harmful to them.

    Often this type of estrangement occurs gradually over time. But if even limited contact with parents is still hurtful, these adult children might cut back even further in terms of contact--until, in some cases, there is no contact.

    For most adult children this is an agonizing decision to make.  It might not start out being a decision to end all contact but, as time goes on and neither the adult child nor the parents reach out, it can develop into complete estrangement with little incentive to reach out.

    The Problem With Cultural Myths About All Parents Always Being Loving
    Aside from the emotional difficulty with reducing or eliminating contact with parents, adult children are often stigmatized for having less or no contact with parents due to cultural myths.

    These cultural myths are all around us and perpetuated in songs, stories, movies, and Mother's Day and Father's Day cards:  All parents, especially mothers, are presumed to be loving, nurturing and self sacrificing towards their children.

    While there are many loving and nurturing parents, by no means are all parents loving and nurturing. There are families where one or both parents are emotionally and physically abusive behind closed doors where no one, except the children, see and experience what's going on (see my article: Breaking the Family Code of Silence in Dysfunctional Families).

    Cultural myths about all parents being loving makes it that much more guilt and shame producing for adult children to make decisions about reducing or eliminating contact with their parents.

    In many cases, these adult children are stigmatized by well-meaning others who need to believe in the cultural myth.  In some cases, these same people are in denial about their own families and haven't dealt with their own ambivalence about their parents.

    Many clients in psychotherapy tell their psychotherapists that when they decided to reduce or eliminate contact with one or both parents, other family members, friends and acquaintances didn't understand how these adult children could "do this to the parents."

    There is often an implicit message that if adult children are reducing and eliminating contact with their parents, the problem must somehow be the adult child's fault.  These adult children might hear others say, "But their your parents.  How can you cut them off" or "You know your parents did the best they could at the time" or other platitudes.

    I think that people who say these things often don't realize how damaging these statements are to the adult children, especially for adult children who might have grown up feeling emotionally invisible to  their parents and others (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).

    When they have to also endure others' scorn for taking care of themselves, this can make their decision-making process that much more lonely, and it can continue to make them feel invisible and undeserving of self care (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

    Rather than trying to guilt or shame adult children for taking care of themselves, it would be much more helpful for others to realize that they might not have the whole story and to use empathy and understanding before making judgments.

    Obstacles For Adult Children to Salvaging a Relationship With Parents 
    The obstacles to salvaging a relationship with one or both parents can be formidable, including (but not limited to):
    • Parents' Denial, Lack of Acknowledgement and Refusal to Take Responsibility For Abuse: Chances of salvaging a relationship between adult children and parents are usually better if the parents can acknowledge and try to make amends for a history of abusing or neglecting the child.  Although they can't change the past, if parents can take responsibility and they are sincere about their remorse, this makes it somewhat easier for the parents and adult child to try to develop a better relationship.  It doesn't erase the past, but it provides a basis for reconciliation for many people.  But when parents either deny or minimize the abuse ("That happened a long time ago.  You should be over it by now"), this can be a major obstacle to a reconciliation.
    • Ongoing Abuse or Manipulation:  When one or both parents continue to be abusive with an adult child, this is a major obstacle to salvaging the parent-adult child relationship.  The adult child must decide if it's better to try to have some form of relationship rather than none.  If the abuse or manipulation continues, it makes it that much more difficult to sustain a relationship.
    • The Adult Child's Relationship With Parents Is Beyond Repair:  In some cases, the relationship between adult children and their parents is so damaged that it is beyond reconciliation.  This can include a history or the ongoing perpetuation of severe forms of abuse, including (but not limited to)  sexual or physical abuse. Where there is no hope of change and maintaining a relationship with parents would only mean continued abuse, adult children often have no choice but to abandon any hope of having a healthy relationship with one or both parents.  
    Developing a Compromise to Maintain a Relationship With Parents (if possible)
    The bond between most parents and children is strong and, even in cases where the actual bond isn't strong, there is often a wish for repair on both sides in order to develop a stronger bond.

    Finding the compromise that works for everyone involved can be challenging, especially if parents are in denial or refuse to take responsibility for or minimize a history of abuse when their adult children were younger.

    Sometimes, adult children decide to have limited contact with their parents on holidays and birthday.  Other times, adult children move to another part of the country and try to maintain some telephone contact.  This can be a trial and error process with both sides discovering what works for everyone--if there, in fact, is a solution that works.

    An adult child might decide that, even if it's emotionally triggering to see his or her parents occasionally, this is the lesser of two difficult situations when considering a complete cut off and limited contact.

    When they see each other, there is often an unspoken agreement to avoid certain topics that would create conflict.  This might cause some regret for both parents and adult children that their relationship isn't as emotionally intimate as they wished it could be, but it's part of the compromise to maintain some contact and minimize damage.

    When No Compromise is Possible
    As previously mentioned, in some cases, due to numerous factors, including severe abuse or neglect or ongoing abuse, a compromise isn't possible.  This is a painful, but often necessary, decision for the health and well-being of the adult child.

    As An Adult Child, Trying to Decide Whether to Salvage Your Relationship With Your Parents

    Getting to this decision can be a long, painful road with many attempts at compromises along the way.

    In addition to dealing with possible guilt and shame, there is grief involved because cutting off complete contact often involves giving up any hope that the relationship can be repaired and the hope of ever having a loving parental relationship at all.

    Conclusion
    This article focused on adult children, but there are also circumstances where parents have to decide whether or not to salvage their relationship with their adult children when to do so would be to perpetuate emotional and/or physical pain for them.  This decision is also usually agonizing.

    From the adult child's perspective, cutting off a relationship with one or both parents is almost never taken lightly.  There is often guilt and shame involved--even when the adult child knows that to maintain a relationship would involve ongoing abuse.

    Some adult children decide to compromise and maintain limited contact with parents.  Often, there is an underlying hope that, eventually, a time will come when the adult child and the parents can reconcile their relationship--even if it seems impossible at the current time.

    Is maintaining hope for a full reconciliation in the future a form of denial?  There's often no way to know in the present.

    For many people a complete reconciliation never happens, and they live their lives with an open emotional wound waiting for that day.

    For other people, as they and their parents get older, there might be a new perspective and the possibility of a reconciliation where it never seemed possible before.

    This might also involve a time when the adult children have their own children and the parents are motivated to repair the relationship because they want to be involved in their adult child's and grandchild's lives.  It might involve a parent who is very sick or close to death with a final wish for reconciliation and healing.

    Getting Help in Therapy
    Psychotherapy clients, who decide to have limited or no contact with parents, often work with their psychotherapists to resolve a traumatic history of abuse or neglect and work through their current decision-making process (see my article: The Benefit of Psychotherapy).

    Unresolved childhood trauma often gets triggered in the present, so working with a skilled trauma therapist can help to resolve developmental trauma (see my article: How to Choose a Psychotherapist).

    If you have been struggling on your own with unresolved problems, you owe it to yourself to get help from a licensed mental health professional who is a trauma therapist (see my article: How Trauma Therapy Can Help You to Overcome Trauma and Develop a More Accurate Sense of Self).

    By working through unresolved trauma, you can free yourself from the effects of your traumatic history so you can have a chance to lead a more fulfilling life.

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

    I work with individual adults and couples, and I have helped many clients with unresolved trauma.

    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, July 18, 2009

    Overcoming Shame in an Enmeshed Family

    In my last post, I wrote about Overcoming Shame. In this post, I will introduce a particular aspect of the origin of shame and how it affects individuals in enmeshed families.

    What is an "Enmeshed" Family?
    Salvador Minuchen introduced the concept of enmeshed families in his family systems theory in the mid-1970s.

    Overcoming Shame in an Enmeshed Family

    An enmeshed family allows individual members little to no autonomy or personal boundaries. The roles among family members can be very rigid. One person might be "the scapegoat," another person might be "the hero" and so on.

    These roles are not explicitly assigned. It's usually an unconscious process and much more subtle than that. The point is that individuals in this type of family often grow up not knowing how they really feel or what they want to do in their lives because they are encouraged to feel whatever the rest of the family feels (usually initiated by one or both of the parents) and strongly discouraged from developing their own feelings and preferences.

    What are the Consequences of Growing Up in an Enmeshed Family?
    There is often a strong sense of shame in enmeshed families. The family might designate a particular family member to contain these feelings of shame by making that member "the scapegoat" of the family.

    When families scapegoat a particular family member, rather than looking at the dysfunctional family dynamic, they point to this family member and say that he or she is the cause of the family's problems.

    Often, the scapegoated person is the one who strives to be an individual, which is threatening to the rest of the family. He or she is often the healthiest one in the family, but other family members don't see it this way. In their eyes, if only this family member would shape up and think and behave the way that the rest of the family does, everything would be all right. 

    Needless to say, this person carries the family shame and often grows up to feel ashamed of him or herself and defective in some way. The other rigid roles that are assigned in this type of family also cause the individual members to feel ashamed as well.

    Enmeshment leads to shame and shame often leads to depression, anxiety, alcoholism, drug abuse, eating disorders, compulsive gambling, sexual addiction, and other addictive behaviors as well as family violence.

    How to Overcome the Effects of Enmeshment as an Adult
    Often, enmeshed families do not seek mental health treatment unless they're forced to do it after serious problems have developed.

    So, for instance, if one of the children begins to have problems in school and the local Bureau of Child Welfare investigates and finds abuse or neglect, the family is often encouraged (and sometimes mandated) to attend family therapy.

    However, many times the family problems are overlooked because no one outside the family knows what's going on. So, the individual children grow up with a strong sense of shame and problems in their own intimate adult relationships, assuming that they are able to have intimate relationships.

    For adults who grew up in enmeshed families, the idea of getting help for themselves might feel like they're being "disloyal to the family." They've grown up with such a strong sense that they must go along with the family dynamic that it's hard for them to think for themselves--let alone think or do something different from the rest of the family. 

    If they are able to begin individual psychotherapy, they often feel highly ambivalent about the treatment and they might drop out before completing the work.

    If you grew up in an enmeshed family, I recommend that you read John Bradshaw's books and find a psychotherapist who has worked with individuals who suffer with shame as a result of growing up in an enmeshed family. 

    It might feel uncomfortable at first to seek help for yourself, but it can be enormously helpful to free you from the bonds of shame and allow you to flourish in your life.

    About Me
    I am a licensed NYC psychotherapist, hypnotherapist and EMDR therapist.

    I work with individual adults and couples.

    I have helped many individuals to overcome shame to be able to go on to lead satisfying lives.

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

    To set up a consultation, please feel free to call me at (917) 742-2624 or email me.

    Also, see my article:  Overcoming Shame: Disengaged Families