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Showing posts with label emotional numbing. Show all posts
Showing posts with label emotional numbing. Show all posts

Monday, June 9, 2025

How to Stop Living Your Life on Autopilot

What is Autopilot Mode?
Autopilot is also known clinically as "cognitive disengagement."

Living on autopilot happens when you live your life based on routines, habits and external expectations instead of making conscious and intentional choices.

Getting stuck in autopilot is a common problem (see my article: How to Get Out of a Rut).

How to Stop Living Your Life on Autopilot

Many people just go through life disengaged and without joy--just going through the motions.

To stop living your life on autopilot, you can start by making small intentional changes to break repetitive pattens so you can re-engage with your life.

What Are Signs That You're Stuck in Autopilot?
  • You follow the same routines every day without awareness or conscious choice.
  • You lose touch with what you used to enjoy because you're just trying to "get through the day"
  • You numb yourself with distractions including social media, TV and busywork.
Examples of Living on Autopilot
  • Maria: Maria lived her life based on a set routine: Wake up, make coffee, cook, clean, take care of the kids. The next day she would repeat the same routines. Weekends were basically the same. She did this day after day for 10 years before she realized she had a vague sense of dissatisfaction with her life, but she didn't know why.  She began experiencing vague aches and pains so she saw her doctor who ruled out any physical problems. He recommended that she seek help in therapy. Shortly after she began therapy, Maria realized she was living her life on autopilot and she was deeply unhappy with her routines and habits, so she worked with her therapist to break free of her routines so she could live more consciously.
  • Steve: Steve felt he had a great job, but in the last few years he was stagnating in his career. He realized he was intentionally avoiding taking on new projects and challenges out of fear of stepping outside his comfort zone.  He also realized that his marriage was stagnating because he and his wife had drifted into set routines where they would spend the evening either zoning out in front of the TV or on their phones. As he became more self aware, he also realized his wife was drinking a lot, but he couldn't pinpoint when this began because they were both living their lives on autopilot. So, they each sought help in individual therapy as well as couples therapy so they could break free of their routines and develop new interests separately and apart. After a while, his wife realized she was drinking out of a sense of boredom and she stopped.
How to Stop Living Your Life on Autopilot
  • Interrupt the Pattern: Put down your phone and try something new. Start small with one particular habit and branch out from there. For instance, if you always eat cornflakes for breakfast, try something new. Be present and in the moment while eating or doing other tasks (see my article: Breaking Habits With Pattern Interruptions).
How to Stop Living Your Life on Autopilot
  • Approach Routines With Mindfulness: Instead of zoning out while you're doing the dishes or doing other routine tasks, slow down and engage your five senses--sight, sound, smell, touch and, if applicable, taste. When you become more aware, routine tasks become a lot less routine (see my article: The Mind-Body Connection and Mindfulness Meditation).
  • Think About What You Really Want to Do: Instead of focusing on what you think you should do or what's expected of you, ask yourself what you want to do. Try journaling to self reflect and see what comes up.
How to Stop Living Your Life on Autopilot
  • Get Curious: Autopilot keeps you zoned out. So, getting curious about something you're interested in helps to counteract autopilot tendencies. Maybe you've always been curious about Impressionist painters, learning a new language or doing improv. Allow yourself to be open to new experiences--even if it feels a little scary at first (see my article: Being Open to New Experiences).
How to Stop Living Your Life on Autopilot
  • Seek Novelty: Instead of relying on old habits and routines, be aware that autopilot thrives on habit and sameness. So, try something new. Join a book club or join a new discussion group to allow yourself to get motivated and inspired.
Get Help in Therapy
Living on autopilot might have felt safe at some point in your life. Maybe you felt comforted by routines and habits because you didn't have to think or feel. 

Getting Help in Therapy

But if you feel you're stagnating in life and you're unable to break free on your own, you could benefit from getting help from a licensed mental health professional who has helped clients to overcome this problem.

There might also be deeper reasons why you're stuck in autopilot including unresolved trauma.

Working with a skilled psychotherapist can help you to live your life with intention and purpose which will make your life more meaningful.

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

I have over 20 years of experience helping 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.







Friday, January 17, 2025

Emotional Regulation: What is the Difference Between Being Calm and Being Emotionally Numb?

Over the years, working with clients who have unresolved trauma, I have discovered that many people don't understand the difference between being calm and being emotionally numb (see my article: What is Emotional Regulation?).

Emotional Regulation: Calmness vs Emotional Numbing

Many clients who meditate on a regular basis often think they're calm when, in reality, they're emotionally numb. 

So, I think it's worthwhile to provide information about the difference between being calm and being numb in the current article (see my article: How to Manage Emotions Without Suppressing Them).

What is the Difference Between Being Calm and Being Emotionally Numb?
There is a big difference between the state of being calm and the state of being emotionally numb:

Calmness:
  • A conscious effort to relax, center and ground yourself
Calmness
  • A state of peace and serenity
  • An ability to be aware, acknowledge and manage emotions in an healthy way
Emotional Numbness:
  • A unconscious coping mechanism to avoid overwhelming emotions
  • A feeling of being emotionally detached, shut down, empty
  • An inability to feel positive or negative emotions 
Emotional Numbness
  • An experience of physical and/or emotional flatness
  • The potential to lose interest in people and activities that were enjoyable before
  • An impaired ability to fully participate in life
  • A usual preference for being alone rather than being with others
Note: You don't have to experience all of these symptoms to be emotionally numb.

What Causes Emotional Numbness?
Emotional numbness is usually an unconscious strategy or defense mechanism for coping with overwhelming emotion.

Emotional numbing can develop at any time in life. 

It often develops at an early age when children are in situations that are emotionally overwhelming (e.g., chaotic home life, emotional and/or physical abuse and so on).

Emotional Numbness

Although this unconscious strategy can help a child to survive in an emotionally unhealthy environment because they don't get too overwhelmed, it becomes a hindrance when these children become adults.

As adults, these individuals often have difficulty knowing what they feel about themselves and others. They might also experience difficulty connecting emotionally with others so that even if part of them wants to connect with others, another part of them is afraid.  

These internal parts tend to create conflict between their desire and their dread for connection (see my article: An Emotional Dilemma: Wanting and Dreading Love).

As mentioned earlier, unresolved trauma often plays of significant role for people who are emotionally numb.

Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how emotional numbness creates problems in a relationship and how trauma therapy can help:

Alexa
During the early stage of Alexa's relationship with Jim, she enjoyed getting to know him and spending time with him.

Problems developed after the honeymoon stage of their relationship.

Alexa and Jim

Prior to that, Alexa was aware of her emotions. She also enjoyed sex with Jim.  

However, after the initial stage of their relationship, as they became more emotionally intimate, Alexa felt emotionally and physically flat. She also felt disconnected from Jim.

After she sought help in trauma therapy, Alexa became aware of how her early history of emotional neglect and sexual abuse affected her ability to be emotionally and sexually available with Jim.

Her family history included growing up with parents who were emotionally distant from her. 

In addition, from the age of 10-13, she was sexually abused by her father's brother who took care of Alexa when her parents went out in the evenings.

Whenever her uncle came into her bedroom at night and fondled her, Alexa would freeze and dissociate (i.e., zone out).

In other words, she would become emotionally numb as an unconscious way to protect herself from being overwhelmed by the abuse.

Even when Alexa told her parents about the uncle's sexual abuse, they didn't know how to deal with it because they were intimidated by the father's brother because he was the  oldest brother and he tended to dominate Alexa's father.

As a result, although her parents stopped asking the uncle to take care of Alexa, they never confronted him, so he faced no consequences for the abuse. 

It wasn't until the uncle abused his neighbors' young daughter that he faced legal consequences after his neighbors reported him to the police and he was arrested. 

During her trauma therapy, Alexa processed her unresolved trauma with a combination of EMDR TherapySomatic Experiencing and Parts Work Therapy.

The work involved the abuse by the uncle as well as her parents' neglect.

The work was neither quick nor easy but, over time, Alexa processed the trauma and she was able to be more emotionally self aware and present with Jim.  

Alexa and Jim also sought help in sex therapy to help them both to overcome their sexual problems so they could enjoy sex again.

Conclusion
There is a big difference between being calm and being emotionally numb.

Emotional numbness is often a survival strategy to ward off overwhelming emotions related to unresolved trauma.

Trauma therapy can help clients to work through unresolved trauma. 

Everyone is different in terms of how they process trauma. 

How long trauma therapy takes often depends on many factors, including the depth and complexity of the trauma as well as a client's internal resources and ability to process the trauma.

When there is a history of sexual abuse which affects a relationship, sex therapy is often helpful to assist clients to connect emotionally and sexually in a way that feels safe and pleasurable for both of them (see my article: What is Sex Therapy?).

Getting Help in Therapy
If you're struggling with unresolved trauma, rather than struggling on your own, seek help from a licensed mental health professional who has the training and expertise to help you.

Working through trauma helps to free you from your history 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.

I work with individual adults and couples.

With over 20 years of experience, I have helped many clients to overcome trauma, including sexually related trauma (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.













Tuesday, January 14, 2025

How Can Unresolved Trauma Affect Your Ability to Feel Self Compassion?:

For many people showing compassion towards others is a lot easier than feeling self  compassion (see my article: Developing Self Compassion as an Essential Part of Trauma Recovery).

The Impact of Trauma on Self Compassion

If self compassion is a problem for you, you might wonder what makes it so difficult for you.

This is the topic of the current article.

Why is Self Compassion Difficult For So Many People?
There's no one answer, but after more than 20 years of experience working with clients who have difficulty with self compassion, I have seen certain common themes that come up over and over again:
  • Past Unresolved Traumatic Experiences: People who struggle with self compassion often didn't get much needed compassion when they were growing up. Many of them were emotionally neglected and abused and these children were powerless over their circumstances. As children, they learned to see themselves through eyes of abusive and neglectful family members so, over time, they came to believe they were unworthy. And  these feelings carried over into adulthood. Although, intellectually, they might understand they deserve self compassion, they don't feel it emotionally.
  • A Tough Inner Critic: The aftermath of traumatic experiences often brings a tough inner critic who tells traumatized individuals that they're not worthy of love, self compassion or much of anything that is positive. This inner critic, which is often a part that gets internalized from abusive parents, gives a constant stream of negative messages to them  (see my article: Overcoming Your Inner Critic).
  • An Inability to Identify and Feel Their Own Suffering: Many people who were abused or neglected as children aren't able to identify their own suffering. Many of those same people have difficulty even identifying their emotions--positive or negative. When they were growing up, their coping strategy was to use emotional numbing to blunt the pain that would have been too overwhelming. Although emotional numbing was probably an adaptive strategy at the time, it doesn't disappear when these people become adults. Many of these individuals continue to be cut off from their feelings, including feelings of self compassion (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).
How to Overcome Problems With Self Compassion
Unfortunately, traumatized individuals aren't able to overcome problems with self compassion on their own.  Their inner critic is often too strong for them to overcome it on their own.

Overcoming Problems With Self Compassion


They need help from licensed mental health professionals who have the training and experience to help them. But not all therapists are trained to help clients to overcome trauma, so it's important to ask any therapist you're considering about their training and experience with regard to trauma.

Getting Help in Trauma Therapy
If you're struggling with unresolved trauma, you owe it to yourself to seek help from a trauma therapist (see my article: What is a Trauma Therapist?).

There are specific therapy modalities that have been developed to help clients to overcome trauma. 

These modalities include:
  • EMDR (Eye Movement Desensitization and Reprocessing) Therapy
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
These trauma therapy modalities, which all come under the broad term of Experiential Therapy, are among the most effective types of therapy to overcome trauma (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

So, rather than struggling on your own, seek help from a licensed mental health professional who is a trauma therapist so you can free yourself from your traumatic history.

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

I am a trauma therapist with over 20 years of experience helping individual adults and couples to overcome 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.






Friday, June 15, 2018

Experiential Therapy: Learning to Sense Emotions in Your Body As Part of Trauma Therapy

One aspect of experiential psychotherapy that's different from regular talk therapy is sensing emotions in the body.  Sensing emotions in the body helps to deepen the work, get to unconscious emotions, and keeps the work in therapy from being just intellectual.  But some clients have difficulty sensing their emotions, especially if they have experienced significant trauma.  So, as part of the preparation phase of trauma therapy, the trauma therapist helps the client to learn to sense their emotions (see my article: The Body Offers a Window Into Unconscious Mind and What's the Difference Between "Top-Down" and "Bottom-Up" Approaches to Trauma Therapy?).

Experiential Therapy: Learning to Sense Emotions in Your Body as Part of Trauma Therapy 

Fictional Clinical Vignette: Learning to Sense Emotions the Body:
The following fictional clinical vignette shows how a client in experiential therapy can learn to sense emotions in the body:

Ellen
After numerous experiences of trying to work through unresolved childhood trauma in regular talk therapy, Ellen decided to try experiential therapy.

Ellen's psychotherapist provided her with psychoeducation about the different types of experiential therapy, including EMDR therapy, Somatic Experiencing and clinical hypnosis, and how each of them used the mind-body connection as part of the healing process.

As part of the preparation phase of trauma therapy, Ellen's therapist asked her to talk about 10 memories where she felt good about herself.  As she thought about it, Ellen had no problem coming up with the 10 memories from all different times in her life where she felt good about herself.  But as she and her psychotherapist went over each memory and her therapist asked her what emotions she felt in her body, Ellen was unable to identify the emotions or where she felt these emotions in her body.

Based on Ellen's traumatic history, as part of her defense mechanisms to protect herself when she was growing up, she learned to numb her emotions.  Unfortunately, as she discovered in her therapy, she not only numbed her anger, fear and sadness, she also numbed her positive emotions.  As a result, she wasn't sure what she felt.

Since experiential psychotherapy is based on being able to identify and experience emotions, Ellen's psychotherapist helped her to begin to sense her emotions in her body by starting with non-threatening situations.

For instance, Ellen had a puppy that she was very attached to from the day that she got him.  Whenever she held her puppy, she could feel how much she loved him and the puppy's unconditional love for her.

Using Ellen's experience with her puppy, Ellen's therapist asked her to close her eyes and imagine that she was holding her puppy.  Then, she asked Ellen to tell her what emotions came up for her and if she was aware of where she felt these emotions in her body.

Ellen had no problem imaging herself holding her puppy and sensing her emotions.  She told her therapist that she felt tremendous love for her puppy, and she felt protective of him.  She could also sense how affectionate her puppy was when he cuddled with her.  When she thought about where she felt her emotions for her puppy, she said she felt them radiating in her chest near her heart.

Over time, as Ellen and her therapist continued to work on other non-threatening experiences where she felt comfortable, she got better at identifying more emotions and sensing where she felt these emotions in her body.

After they had worked on a number of similar experiences, Ellen was ready to work on the 10 positive memories where she felt good about herself as part of the preparation phase of trauma therapy.

But Ellen was concerned that she might be unable to experience the negative emotions associated with her unresolved childhood trauma.  So, her psychotherapist recommended that they start by working on less threatening negative emotions.

She asked Ellen to come up with several memories that were mildly unpleasant.  She suggested that Ellen come up with memories that, on a scale of 0-10 (with 0 being no disturbance and 10 being the most disturbance Ellen could imagine) that were a 3 or 4 on that scale.

In response, Ellen came up with a memory of feeling mildly annoyed when she had to wait on line at the grocery store.  She was able to sense her annoyance and, on a scale of 0-10, she thought that memory was a 3.  Sensing where she felt the annoyance in her body was more difficult.

Her psychotherapist helped Ellen by suggesting that Ellen sense in her body to see where she was holding onto tension.  She also recommended that Ellen first focus on the area between her throat and her gut.  It took Ellen a while before she was able to detect that she felt mild tension in her upper stomach when she thought about that memory.

After they worked on a number of memories that were a 3 or 4, they gradually worked up to memories that were a 5 or a 6 in terms of how disturbing they were.

One such memory was when Ellen and her puppy ran into her neighbor in the elevator, and the neighbor complained that she didn't think the building management should allow dogs in the building because she was allergic to dogs.  Ellen told her therapist that she tried to be pleasant to her neighbor, who was being unpleasant to her, but she felt annoyed with her neighbor.

When Ellen re-experienced that memory and sensed into her body, she felt a constriction in her throat.  She told her therapist that she thought the constriction in her throat was probably related to wanting to argue with her neighbor but holding back.

Gradually, Ellen and her psychotherapist continued to work on increasingly difficult memories to help Ellen to identify and sense the emotions related to these memories in her body.  She was also expanding her window of tolerance for unpleasant emotions.

Experiential Therapy: Learning to Sense Emotions in Your Body As Part of Trauma Therapy

After a while, Ellen felt comfortable enough to be able to handle the difficult emotions that were associated with her unresolved childhood memories, and she and her psychotherapist used EMDR therapy to do trauma therapy (see my article: Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

Conclusion
Experiential psychotherapy involves identifying emotions and sensing where these emotions are in the body.  This deepens the work and keeps the therapy from being just an intellectual exercise.  It also helps to get to underlying emotions.

Many people, who have unresolved trauma, are unable to identify and sense emotions in the body related to traumatic memories.  This is due to the protective nature of the defense mechanisms they used as children, including emotional numbing, which was useful at the time to keep them from being overwhelmed, but isn't useful as an adult.

Usually, the more traumatic the memories are and the more defended these individuals had to be at the time, the more difficult it is to identify emotions and to be aware of the body.

As part of the preparation phase of trauma therapy, a trauma therapist can help clients to begin to identify non-threatening emotions, at first, as they gradually work their way to more challenging emotions.

By being aware of emotions in the body related to traumatic memories, clients in experiential psychotherapy are better equipped to gradually work through these difficult emotions to resolve the trauma.

Getting Help in Therapy
Unresolved traumatic experiences will remain a part of your experience to be triggered at any time.

Getting help from an experienced trauma therapist can free you from your traumatic experiences, so you can live a more fulfilling life (see my articles: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

Rather than suffering on your own, you owe it to yourself to get the help that you need.

About Me
I am a licensed NYC 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 to overcome their traumatic experiences.

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, June 6, 2018

Books: On Chesil Beach: How the Entire Course of a Relationship Can Be Changed By "Doing Nothing"

Usually, when you think of a relationship that doesn't work out, you think of something that one or both people actively did that resulted in the breakup.  But there are times, like in the book and movie, On Chesil Beach by Ian McEwan, when the entire course of a relationship can change by appearing to "doing nothing."

On Chesil Beach: How the Entire Course of a Relationship Can Be Changed By "Doing Nothing"

This occurs more often than most people think, and it's often only in hindsight, sometimes many years later, that the people in the relationship realize the impact of "doing nothing" when a response might have changed the course of the relationship.

On Chesil Beach is a good example of this dynamic but, in case you haven't read the book or seen the movie, I'll give another example so there are no spoilers in this article.

Fictional Clinical Vignette: How the Entire Course of a Relationship Can Change By Doing Nothing:
The following fictional clinical vignette illustrates how a relationship can change by seemingly "doing nothing":

Rick:
A year after a breakup, Rick sought help from a psychotherapist to deal with the emotional aftermath of the breakup.

According to Rick, he and his girlfriend, Diane, had been seeing each other for two years when they got into an argument about an insensitive remark that Diane made to Rick.  Specifically, he got angry with Diane after she called him "stupid" for forgetting her birthday.

Rick told his psychotherapist that he became so livid after she called him "stupid" that even after she apologized several times, he refused to talk to her.  After a few weeks, Diane stopped reaching out to him, and he made no effort to reach her.

How the Entire Course of a Relationship Can Be Changed By "Doing Nothing"

By the time Rick came to therapy, more than a year had gone by since he and Diane had any contact with each other.

It was only in hindsight, Rick said, that he realized that he shutdown emotionally and he was unresponsive to Diane because his father used to call him "stupid," and when she called him "stupid," he got emotionally triggered.  As a result, he didn't accept her apology (see my article: Coping With Trauma: Becoming Aware of Your Emotional Triggers).

Since that time, Rick realized that his relationship with Diane had been the best thing that he had ever experienced, and he made a mistake by not being willing to talk to her.  In hindsight, he realized that she had never done anything like this before, and she lashed out at him that one time in hurt and anger.  He also realized that when she apologized to him, she was sincere.

But when he contacted her a year after the breakup, she told him that she was in another relationship, which was serious, and she couldn't see him.  She said she felt no resentment or anger towards him, and she wished him well, but she couldn't have any more contact with him.

As he sat in his psychotherapist's office, he told her that he felt tremendous regret for shutting down and not accepting Diane's apology when the incident occurred.  He realized that he overreacted at the time, and it was now too late to get back with her.

He told his therapist that, looking back over his life, he realized that he had done this before in other relationships, but he never felt such regret as he did with Diane.  He came to therapy to overcome the emotional triggers that caused him to shutdown emotionally so he wouldn't keep ruining his relationships.

As Rick and his psychotherapist discussed his family history, he talked about his critical father, who belittled Rick from the time he was a young child.  He also talked about his passive mother, who did nothing to protect Rick or intervene on his behalf.

His psychotherapist recommended that they use EMDR therapy to work on the more recent issue involving Diane as well as the history of being criticized by his father (see my article: How EMDR Therapy Works: EMDR and the Brain and Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

His therapist helped Rick to understand that his defense mechanism of shutting down emotionally was useful to him when he was a child to keep him from getting overwhelmed, but it was no longer useful to him as an adult.  Not only was it not useful, it was actually doing him harm (see my article: What Happens When You Numb Yourself to Emotions From Your Traumatic Past).

The work in therapy was neither quick nor easy.  During their EMDR sessions, Rick felt such grief and compassion for the sad child that he was when he was younger.  He also grieved for his relationship with Diane and dealt with his fear that he might never meet anyone that he loved as much as he loved her.

By the time Rick completed therapy, he was no longer getting triggered by criticism or when someone called him a name because he worked this out with EMDR therapy.  He also understood that shutting down emotionally can be just as harmful to a relationship as being outwardly reactive in a negative way.

Conclusion
Romantic relationships often involve getting triggered by core unresolved issues, including trauma experiences from the past, as in the fictional vignette above.

When someone shuts down emotionally, also known as emotional numbing, s/he can be unreachable and unable and/or unwilling to try to reconcile the relationship because of the emotional trigger.

When this occurs, the person who experiences emotional numbing isn't thinking clearly.  The defense mechanism of emotional numbing "works" so effectively that it might take a while (if ever) before this person can look back in hindsight and realize the damage of being outwardly unresponsive.

Although from the outside, it might appear that "nothing is happening," there is actually quite a lot that's happening internally for the person who shuts down emotionally.  S/he is very overwhelmed, even though s/he might not be aware of it.

To the other person, it appears that s/he is being "stubborn" or "rigid," but, in actuality, the emotional numbing keeps the person emotionally inaccessible even to him or herself.

Getting Help in Therapy
Experiential psychotherapy, like EMDR therapy, helps you to overcome unresolved trauma so you no longer get triggered in your current life (see my article:  Why Experiential Psychotherapy is More Effective to Overcome Trauma Than Talk Therapy Alone)

If you realize that you keep getting triggered by unresolved trauma, you owe it to yourself to get help so you can free yourself from your traumatic history and live a fulfilling life (see my article: How to Choose a Psychotherapist).

About Me
I am a licensed NYC 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 to overcome 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.








Tuesday, February 27, 2018

When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure

There are many people, who have a history of traumatic experiences and who could benefit from psychotherapy, but they never come to therapy.  Instead, they do whatever they can to try to suppress and avoid feeling their feelings, but what they usually don't realize is that when they shut down their emotional pain, they're also shutting down the potential for feeling pleasure (see my article: What Happens When You Numb Yourself Emotionally).


When You Shut Down Emotional Pain, You Also Shutdown Potential Pleasure

In addition, what many of people don't know is that a skilled trauma-informed psychotherapist knows how to help clients to develop the ability to expand their "window of tolerance" so they can work through their traumatic experiences in an emotionally-safe therapeutic environment (see my article: Expanding Your Window of Tolerance in Psychotherapy).

What is the Window of Tolerance?
In my prior article, I explained that, according to Dr. Dan Siegel, the window of tolerance is a term that refers to the optimal level of arousal or the optimal zone.

When clients are in their optimal level of tolerance, they are neither hyper-aroused nor hypo-aroused.  They are able to deal with problems as they come up because they're at their optimal level of arousal.

During times of extreme stress, if clients are experiencing hyperarousal, they're in the flight/flight mode, which includes hypervigilance, anxiety, racing thoughts and possibly panic. If they're experiencing hypoarousal, they're in the freeze mode, which includes emotional numbness, feelings of emptiness or emotional paralysis.

Fictional Clinical Vignette: When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure
The following fictional vignette illustrates how suppressing emotional pain also suppresses pleasure:

Rena
After Rena's mother died in a car accident, Rena would wake up each morning feeling that she had nothing to look forward to and she lacked purpose and meaning in her life.

She told her new psychotherapist that everything felt "blah" and no sooner did she wake up in the morning than she felt like hiding under the covers (see my article: Coping With the Loss of a Loved One: Complicated Grief).

When You Shut Down Emotional Pain, You Also Shut Down Potential Pleasure
She explained to her therapist that she didn't always feel this way.  For most of her life, she looked forward to the joy that each day would bring and she was able to take emotional challenges in stride.  But she was very close to her mother and after her mother died in a car accident, her grief was unbearable.

Rena realized that she had never experienced such raw sadness and anger before.  Her new psychotherapist explained to Rena how emotional numbing numbed joy as well as pain.  She recommended that they use EMDR therapy to help Rena overcome her trauma (see my article: How EMDR Therapy Works: EMDR and the Brain).

Over the next several months, as Rena worked with her therapist on the unresolved grief, her therapist titrated the work so that it was manageable for Rena.

Rena's psychotherapist worked in a way that was within Rena's window of tolerance so that, although Rena still felt very sad when she processed her grief, she didn't feel overwhelmed.

Gradually, Rena was able to expand her window of tolerance so that she could tolerate dealing with deeper levels of emotion without feeling overwhelmed.

Psychotherapy Can Help You to Overcome Traumatic Experiences 

Over time, Rena felt as if she was coming back to life again.  Although she continued to feel sad, she also had moments of happiness.  She felt like she was coming out of a period of time when everything felt gray.  Now, she was beginning to notice colors, nature, music--all the things she enjoyed in her life before her mother died.

She memorialized her mother by writing short stories about her from the time her mother was a young girl up until the time she died so unexpectedly.  This felt healing to Rena (see my article: Writing About Your Mother After Her Death).

Conclusion
Shutting down often occurs when people feel overwhelmed by emotion.  It starts as a protective defense mechanism.  Over time, it can develop into an emotional and physical numbing that shuts out pleasure as well as pain.

When this occurs, some people feel their life has no meaning.  The more they try to avoid feeling, the more exhausting it becomes to try to suppress their feelings.

There is no quick fix for overcoming an overwhelming traumatic event, but trauma therapy can help.

Getting Help in Therapy
While it's understandable that people who have experienced trauma want to protect themselves from feeling the emotional pain, avoiding feeling emotions only makes it worse.

A skilled trauma therapist knows how to work with trauma in a relatively manageable way.

This doesn't mean that there is no emotional pain involved, but an experienced trauma therapist can work in a way to minimize a client getting overwhelmed by working within the client's window of tolerance and helping the client to expand that window of tolerance (see my article: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

If you're feeling stuck with unresolved trauma, you could benefit from seeking help from a licensed mental health professional who has an expertise in helping clients to overcome trauma.

Working through psychological trauma allows you to work through the emotional pain so that you can feel like yourself again and you can lead a more meaningful life.

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

I am a trauma-informed psychotherapist who works with individual adults and couples.

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


Thursday, January 25, 2018

Self Abandonment: Part 1: What is Self Abandonment?

In my prior articles, I've written about abandonment in terms of feeling or being abandoned by parents, romantic partners, and friends.

See my articles: 




I'm focusing on self abandonment in this article, a form of abandonment that is not talked about as much.

Self Abandonment: Part 1: What is Self Abandonment?

What is Self Abandonment?
The following list are signs of self abandonment:
  • Ignoring Your Own Well-Being Consistently to Focus on Others:  Rather than attending to your own feelings and what's best for you, you consistently ignore your well-being to focus on others--family members, friends, romantic partners and others.  Rather than taking care of yourself, you consistently prioritize others' needs over your own, even in relationships where there is little to no reciprocity.  This is codependent behavior.  You avoid thinking about your own feelings of sadness, loneliness or emptiness because it makes you feel too uncomfortable.  After a while, you might become so disconnected from your inner emotional world that you experience emotional numbing and no longer know what you feel.  You no longer know your emotional truth. You might even see self care as being "selfish."
See my articles: 


Overcoming Codependency: Taking Care of Yourself First
  • Placing Your Well-Being in Others' Hands:  Instead of taking care and nurturing yourself, you rely on others to do it for you.  You might be hoping, as an adult, to get from others what you didn't get as a child from one or both of your parents.  Even though you're hoping to get what you have needed for a long time from someone else, you might unconsciously choose people as romantic partners who can't or won't provide you with the love and nurturance that you need.  When you don't get what you need emotionally from your significant other, you interpret this as a sign that you're not worthy of being loved and it becomes a self fulfilling prophecy. Eventually, after several disappointing and hurtful relationships, you might give up completely on relationships (see my next description, Judging Yourself Harshly
See my articles: 


Choosing Healthier Romantic Relationships
  • Judging Yourself Harshly:  Rather than having a balanced view of your strengths and areas where you could improve, you consistently judge yourself harshly and you tell yourself, "I'm no good" or "I'm stupid" or "I'm unlovable" or some variation of these internal messages.  When someone compliments you, you feel so uncomfortable that you're quick to deflect and deny the compliment.
See my articles: 



Next Article:
In my next article, I'll provide a clinical vignette to expand on this topic and discuss ways to overcome a pattern of self abandonment: Self Abandonment - Part 2: A Clinical Vignette

Getting Help in Therapy
People who engage in self abandonment often don't realize that they're doing it because the behavior is so ingrained and often unconscious.

Having no recognition of how they betray themselves, they might not seek help until they're in an emotional crisis and in despair.

Once the crisis is over or they enter into a new relationship, they "feel better" and they often don't stick with therapy to change the underlying self destructive patterns--until they're in the next emotional crisis (see my article:Leaving Therapy Prematurely and Remaining in Therapy Beyond the Immediate Crisis).

If you recognize yourself in this article, you could benefit from getting help in therapy, and sticking with therapy to learn to develop a healthier sense of self (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist can help you to recognize and change self destructive patterns that are keeping you stuck in your life (see my article: How to Choose a Psychotherapist).

Once you've become aware of your self destructive patterns and worked through earlier trauma at the root of your problem so you can change, you can lead a more meaningful and fulfilling life.

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

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, November 20, 2017

What Happens When You Numb Yourself to Your Traumatic Past?

In a prior article, I discussed the effect of growing up in a family where you can't express your emotions (see my article:  Psychotherapy Can Help You to Overcome the Effect of Growing Up in a Family That Doesn't Talk About Their Feelings).  But there are also times when people try to avoid feeling their feelings and numb themselves emotionally because of a traumatic event in their life.

What Happens When You Numb Yourself to Your Traumatic Past?

In The Little Paris Bookshop: A Novel by Nina George, the protagonist, Jean Perdu, numbed himself for 20 years because of the loss of his relationship.  Rather than allowing himself to feel the pain of the breakup, he shuts down emotionally (see my articles:  Relationships: Fear of Being Emotionally Vulnerable and Allowing Yourself to Feel Your Feelings in a Healthy Way).

Not only has he numbed his feelings, but he literally locked the room in his apartment that held the the most poignant memories of his relationship from 20 years ago.

Even though Jean has a lot of empathy for others and he knows which books to recommend to heal them emotionally, he numbs himself to his broken heart and, for 20 years, he is unable to heal himself.

The effect of this emotional numbing is that he not only blocks the emotional pain, he also blocks out positive feelings.

What Happens When You Numb Yourself to Your Traumatic Past?

Although he is known and admired by many people, including his neighbors and people who go to his bookstore, he remains alone, lonely, cut off from himself and unwilling to deal with the past.

After he makes a surprising discovery, Jean embarks on a transformational journey to deal with the emotional effects of the past.

I won't provide any spoilers about what happened to Jean during his psychological journey, but I recommend reading the book for anyone who has ever experienced psychological trauma or contemplated dealing with past trauma.  Nina George portrays the effects of unresolved trauma poignantly and accurately.  The characters are also vivid and likable.

Getting Help in Therapy to Overcome Unresolved Psychological Trauma
Many people who suffer with unresolved trauma are hesitant about coming to therapy because they fear that trauma therapy will be too overwhelming (see my article: Starting Psychotherapy: It's Not Unusual to Feel Anxious or Ambivalent).


Getting Help in Therapy to Overcome Unresolved Psychological Trauma

A skilled trauma therapist knows how to assess clients' traumatic experiences as well as their internal resources so that the work can be manageable.  This doesn't mean that there is no discomfort when working on unresolved trauma in therapy.  It just means that there is a recognition that the therapy must go at a pace that feels safe for clients (see my article: Developing Internal Resources and Coping Skills in Therapy).

When you numb yourself emotionally, you're not only blocking your traumatic experiences, like Jean Perdu, you're also blocking or muting any positive feelings that you might have, and this is a high price to pay in order to avoid dealing with trauma from the past.

Rather than avoiding the working through process in therapy, you owe it to yourself to get the help that you need.  Once you have worked through past trauma, you will feel more emotionally integrated and have a greater capacity to live a more fulfilling life (see my article: How to Choose a Psychotherapist).

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

One of my specialties is helping clients to overcome psychological 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.