Why Medication Alone Can't Solve Most Psychological Problems

Many people who are taking medication ask why medication alone isn't solving their psychological problems (see my article: Medication Alone Isn't As Effective as Psychotherapy).

Medication Alone Can't Solve Most Psychological Problems

Why Can't Medication Solve Most Psychological Problems?

There are times when medication might be necessary and helpful to deal with the symptoms of a psychological problem. However, when medication is needed, a better approach to consider is combining medication with psychotherapy.

Here's why:

• Medication Targets Symptoms, But It Can't Get to the Root Cause of Your Problem: Whereas psychotherapy can get to the root cause of your problem, medication  alone can help to alleviate symptoms while you're on the medication. Medication doesn't address the underlying causes of your problem. For instance, if you choose to take medication for anxiety or depression, your symptoms might improve, but it doesn't address the underlying psychological and emotional factors involved so problem isn't resolved. 

Medication Alone Can't Solve Most Psychological Problems

• Medication Doesn't Teach You Tools, Strategies or Coping Skills: Medication might reduce your symptoms, but it doesn't help you to change negative thoughts or to improve emotional regulation. It doesn't help you to develop the necessary coping skills and internal resources. It also doesn't help you to work through unresolved trauma. Psychotherapy can help you with these issues and more (see my article: Developing Internal Resources and Coping Skills).

• Medication Doesn't Provide Provide Psychological Interventions: Psychological issues require psychological interventions. For instance, unlike psychotherapy, medication alone doesn't address the following issues or a variety other psychological problems:

• Grief

• Poor communication skills

• Dysfunctional relationship patterns

• Unresolved trauma

• Medication Doesn't Help You to Develop Internal Resources: Psychotherapy can help you to develop the necessary internal resources and coping skills related to your problem. In many cases, when you have developed these internal resources, it's possible you won't be as reliant on medication or you might not need it (always consult with your psychiatrist before you reduce or stop your medication). Medication is usually for symptom reduction. While medication can reduce symptoms, psychotherapy can help you to develop the following skills and internal resources and more:

• Develop self reflective capacity

• Develop a personal growth mindset

• Develop personal resilience

Conclusion

Medication can be a tool for managing symptoms and creating stability, but psychotherapy addresses the underlying issues at the root of your problem, helps you to develop coping skills and promotes positive change.

For many psychological issues, the combination of psychotherapy and medication can be effective. 

Always consult with a mental health professional who has the necessary expertise about this.

Getting Help in Therapy

If you have been struggling with unresolved problems, you could benefit from working with a skilled psychotherapist who can help you to develop the tools and strategies to overcome your problem.

Getting Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has the expertise to help you to lead a more meaningful life.

Note: Never reduce or stop medication without consulting with your psychiatrist.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Certified Sex Therapist.

I am also work with 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.

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 Therapy,  Somatic 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.

What is Emotional Co-Regulation?

Co-regulation is an essential part of being in a committed relationship.

Emotional Co-Regulation in a Relationship

The ability to be emotionally vulnerable enough to turn to your partner and allow your partner to turn to you for emotional support is an important skill that many couples struggle with in their relationship.

What is Emotional Self Regulation?

In order to understand emotional co-regulation, it's important to understand how emotional self regulation develops.

Emotional self regulation is the ability to manage thoughts and emotions in a healthy way.

Emotional Self Regulation

The emotional self regulation process begins in infancy with a nurturing caregiver who provides stable and consistent care and support for the baby.

Emotional self regulation develops over time with a caregiver who can manage their own emotions and helps the baby to manage theirs.

For instance, when a baby cries, their caregiver is there to pick up and soothe the baby by holding them, speaking to them in a soothing voice and taking care of their basic physical and emotional needs so the baby calms down and feels secure.

When a crying baby is soothed by a caregiver, the baby becomes aware over time that their caregiver is there to help them manage their emotions.  Even though the a baby has no explicit thoughts or words to express this awareness, they internalize the sense of feeling comforted.

In other words, if the baby experiences the caregiver as being consistent in providing care and nurturance, the baby has an implicit sense of being loved and cared for by the caregiver.  They internalize the sense that the caregiver will be there for them when they are in distress as well as when they're feeling good.

To paraphrase Donald Winnicott, the British psychoanalyst and pediatrician, the caregiver doesn't need to be perfect--just "good enough" to help the baby to develop physically, emotionally and psychologically.

A Caregiver Soothes Her Distressed Infant

Under good enough circumstances, this child will develop a secure attachment to the caregiver.  

Other circumstances can develop over time which can challenge secure attachment, including childhood trauma, caregiver trauma, and so on.  

For instance, if the child becomes overwhelmed by ongoing physical or emotional neglect, the child can develop insecure attachment with the caregiver, which has negative implications for relationships with others, including adult relationships when this child becomes an adult.

For the purposes of understanding how emotional self regulation works, let's assume that circumstances are good enough and this securely attached relationship with the caretaker enables the child to develop a healthy foundation for emotional self regulation skills. 

Aside from providing a warm and responsive relationship, a nurturing caregiver also provides the child with a stable and safe home environment.  

The caregiver, who is able to manage their own emotions, also models self regulation skills for the child as the child becomes older and more aware of the caregiver's emotions.

When the child is overwhelmed, the caregiver uses their own emotional regulation skills to soothe the child. This allows the child to internalize a sense that even big emotions can be managed with the caregiver's help.  This is co-regulation between the caregiver and the child.

This secure foundation, in turn, helps this individual to develop other healthy relationships as they mature into adulthood.  

What is Emotional Co-Regulation?

Humans are hard-wired from birth for attachment throughout the life cycle.

Someone who developed healthy emotional self regulation with their caregiver still needs other close relationships to fulfill their emotional needs.

Over time, an individual, who is able to form relationships with other relatives, friends, mentors, coaches, psychotherapists, romantic relationships and other adult relationships, can have these emotional needs fulfilled.

Examples of Emotional Co-Regulation

Adult emotional co-regulation can take many forms, including

• Getting together with a buddy to talk about something upsetting
• Talking to a business mentor about a problem at work
• Seeking help in therapy to deal with an unresolved problem
• Talking to their pastor or rabbi for emotional support and advice
• Seeking emotional support and advice from an older sibling about a problem
• Seeking emotional support from a partner or spouse about a problem, including problems in their relationship.

Turning to Your Partner for Emotional Co-Regulation

The examples above show how, even when someone knows how to self regulate, emotional co-regulation can occur in many circumstances with friends, mentors, relatives, religious leaders, therapists and partners when self regulation isn't enough.

Most people would agree that when you're in a committed relationship, you also want to be able to turn to your partner and allow your partner to turn to you for emotional co-regulation.  

Yet, emotional co-regulation with a partner or spouse is very difficult for many people because they struggle to be vulnerable with their partner (see my article: Emotional Vulnerability is a Pathway to Emotional Intimacy in a Relationship).

This is especially true for individuals who have an insecure attachment style where they didn't have good enough experiences with their primary caregiver or where other traumatic circumstances occurred that makes it hard for them to trust enough to be vulnerable.

Next Article

In the next article I'll focus emotional co-regulation in relationships, including overcoming an ongoing negative cycle in your relationship.

Getting Help in Therapy

If you're struggling with unresolved problems, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Couples Therapy

Even the most well adjusted individual can encounter circumstances that are so stressful that they are beyond their ability to cope.

A skilled psychotherapist can help you to develop the necessary skills to work through your problems so you can lead a more meaningful life (see my article: Managing Your Emotions While Working Through Psychological Trauma).

About Me

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

I work with individual adults and couples (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.

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

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

Each person needs to learn to be less emotionally reactive.  

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

Reducing Emotional Reactivity in Your Relationship

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

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

Reducing Emotional Reactivity in Your Relationship

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

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

5 Tips For Reducing Emotional Reactivity 

• Calm Yourself Before You React: Before you react, take a moment to breathe and calm your mind and your body. While you're calming yourself, use mindfulness techniques to become aware of what you're feeling, thinking and sensing in your body (see my article: The Mind-Body Connection: Developing a Felt Sense For Your Internal Experience ).

• Make an Agreement with Your Partner: The agreement is that neither of you will be emotionally reactive to the other, and if either of you feels like you're about to lose your temper, you'll take time to get calm. If this means that you take a break from the discussion to be alone for a short period of time, communicate this to your partner. If you're about to lose your temper, do something to calm yourself, like splashing cold water on your face.

• Tell Your Partner that You Want to Know What He or She Needs and Then Listen: Encourage your partner to tell you what s/he feels and what is needed from you. Listen carefully to what your partner is saying rather than focusing on your response (see my article: The Importance of Active Listening).

• Make an Effort to Understand What Your Partner is Trying to Communicate with You: Try to understand what's really being communicated beyond his or her angry tone and words.

• Don't Invalidate Your Partner's Experience When It's Your Turn to Respond: After you have listened to your partner's concerns and it's your turn to speak, don't invalidate or belittle your partner's concerns. Be respectful and, if you don't understand your partner's feelings, ask questions in a nonjudgmental way.

I'll provide a scenario in my next article to illustrate of what I've discussed in this article (see my article: Reducing Emotional Reactivity and Arguments in Your Relationship - Part 2.

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

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

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

I am a sex positive therapist who works with individual adults and couples.

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

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

Managing Your Emotions While Working Through Psychological Trauma

I have been discussing managing emotions and emotional intelligence in my last several articles:  

How to Develop Emotional Intelligence, How to Manage Emotions Without Suppressing Them

Developing Skills to Manage Emotions

Developing Emotional Management Skills With Experiential Therapy).

Managing Your Emotions While Working Through Trauma

In the current article, I'll be discussing managing your emotions while working through psychological trauma in therapy.

What is Emotional Dysregulation?

Emotional dysregulation refers to problems controlling or regulating emotional responses.  

Common Symptoms of Adult Emotional Dysregulation 

Emotional dysregulation can include some of the following symptoms:

• Crying for seemingly no reason
• Abrupt shifts in mood
• Depression
• Anxiety
• Shame
• Anger
• Problems calming yourself
• Problems soothing yourself
• Intense emotional reactions that are out of proportion to the situation
• Feeling easily overwhelmed
• Problems coping with stress
• Conflict in interpersonal relationships
• Impulsive behavior
• Substance misuse
• Compulsive behavior, including gambling, overspending, eating

Unresolved Childhood Trauma 

As I mentioned in a prior article, when childhood development goes well, children learn to manage their emotions with the help of their caregivers.  

However, when there is childhood neglect or physical, emotional or sexual abuse, this is traumatic, and if children don't get help from their caregivers, they often experience difficulty managing their emotions.

How a History of Unresolved Childhood Trauma Affects Adults

Without assistance, traumatized children often grow up to be traumatized adults who have problems with emotional dysregulation.

When this occurs, these adults have problems dealing with adversity in their personal or work-related relationships because they feel easily overwhelmed.  

Some people become so overwhelmed that they experience a trauma response of either fight, flight, freeze or fawn.

Clinical Vignette: Managing Your Emotions While Working Through Trauma

The following vignette, which is a composite to preserve confidentiality, illustrates how clients in trauma therapy learn to prepare for processing trauma by developing coping skills and strategies beforehand:

Sara

When Sara began experiential therapy to work on unresolved childhood trauma, she was told by her therapist that there is a preparation phase for doing trauma work.

The preparation phase consisted of helping Sara to develop the necessary coping skills and strategies to help her with any uncomfortable emotions that might come up during a therapy session or between sessions (see my article: Developing Coping Strategies in Trauma Therapy Before Processing Trauma).

At first, Sara felt a little disappointed to hear that she and her trauma therapist wouldn't delve right into her traumatic memories.  She had waited a long time to come to trauma therapy for the unresolved trauma which affected her ability to trust in her partner.  She wanted to overcome her unresolved trauma as soon as possible. She didn't want to wait.

However, her therapist provided Sara with psychoeducation about emotional triggers that could come up during or between sessions and her therapist wanted Sara to be prepared to deal with those triggers if they came up.

Sara was familiar with triggers because she often found herself reacting to stories on TV or in movies where someone was being assaulted.  Those scenes brought back painful memories of being hit by her father.

The first resource her therapist helped Sara to develop was the Relaxing Place Meditation (also called the Safe Place meditation), which allowed Sara to shift her awareness from any difficult emotions to a calm place so her mind and body would be soothed and she could deescalate from anxiety or any other uncomfortable emotions.

Her therapist also helped Sara to develop a resource called imaginal interweaves, a concept from Attachment-Focused EMDR therapy, where Sara named people in her life that she felt close to whom she could imagine as nurturing, powerful and wise figures if she felt the need to imagine them during trauma processing.

Sara also developed other coping strategies on her own, including attending yoga regularly and working out at the gym for stress management.

When Sara began processing her childhood trauma with EMDR therapy, she was glad her therapist prepared her beforehand with resources because she used all of those coping strategies to manage her emotions between sessions.

She also found many of these coping strategies useful during her daily life when other everyday stressors came up.

Processing the trauma with EMDR went a lot smoother because of the preparation, and Sara learned valuable emotional regulation skills to use in her daily life.

When to Seek Help in Trauma Therapy

If you have attempted to deal with emotional dysregulation and unresolved trauma on your own and you haven't been able to overcome your problems, you could benefit from seeking help from a licensed mental health professional who is a trauma therapist.

Managing Your Emotions While Working Through Trauma

Remember: Your unresolved trauma and emotional dyregulation don't define who you are (see my article: You Are Not Defined By Your Psychological Trauma).

Working with a trauma therapist can help you to develop the necessary skills to manage your emotions and work through unresolved trauma (see my article: Experiential Therapy, Like EMDR, Helps to Achieve Emotional Breakthroughs).

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Sex Therapist.

I am a trauma therapist who works with 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.

Developing Skills to Manage Your Emotions With Experiential Therapy

I have been focusing on managing emotions and emotional intelligence in my last three articles (see my articles: How to Develop Emotional Intelligence, How to Manage Your Emotions Without Suppressing Them and Developing Skills to Manage Your Emotions).  Those previous articles include self help techniques.  

Developing Skills to Manage Your Emotions With Experiential Therapy

The current article focuses on how experiential therapy can help if self help techniques don't work for you (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

What is Experiential Therapy?

Experiential therapy is a broad range of mind-body oriented therapies, which include:

• Somatic Experiencing (SE): Mind-Body Oriented Therapy: Somatic Experiencing

• EMDR Therapy (Eye Movement Desensitization and Reprocessing): Experiential Therapy, Like EMDR, Can Achieve Emotional Breakthroughs

• Parts Work (also known as Internal Family Systems, Ego States Therapy): How Parts Work Can Empower You

• AEDP (Accelerated Experiential Dynamic Psychotherapy): What is AEDP?

• Hypnotherapy (also known as clinical hypnosis, hypnosis): What is Clinical Hypnosis?

Each of these modalities work in a different way, but what they all have in common is that they use the mind-body connection.

Rather than just talking about your problems in an intellectual way (as is usually the case in regular talk therapy), experiential therapy helps you to make the connection between your mind with your body to get to emotions that are often unconscious (out of your awareness).  

In that way, experiential therapy tends to be more effective than regular talk therapy (see my article: Why Experiential Therapy is More Effective Than Talk Therapy).

Experiential therapy is also used to help clients to overcome emotional trauma, including shock trauma and developmental trauma.

How Does Experiential Therapy Help to Manage Emotions

Since all experiential therapy works with the mind-body connection, clients learn to identify and manage their emotions.

For instance, many people come to therapy with emotional blocks.  These blocks are often unconscious.  

Developing Skills to Manage Your Emotions With Experiential Therapy

Emotional blocks often occur due to past negative experiences and unresolved emotions, including emotional trauma.

Once they are uncovered, these blocks usually involve negative feelings about the self.  Common examples are "I'm not good enough" or "I'm not lovable" or other similar feelings.

But since the blocks are often unconscious at the start of experiential therapy, clients are unaware of them at the start of them at first.  When they come to therapy, these clients might only have a vague sense that something is wrong, but they don't know what it is.

An experiential therapist attunes to clients and listens for the underlying unconscious roots to the problem.  She will also help clients to develop a felt sense of the problem by asking clients to feel the sensations related to the problem in their body (see my article: What is the Felt Sense in Experiential Therapy?).

Many clients can sense into their bodies to identify emotions, but many others can't.  When clients can't sense emotions in their body, an experiential therapist knows that this is part of the block and works in an empathetic way to help clients to develop this skill.

Clients who are unable to identify emotions often sense a difficult or uncomfortable sensation.  From there, the experiential therapist starts where the clients are at that point and helps clients to differentiate sensations into specific emotions like anger, sadness, frustration, contempt, shame, and so on.

Being able to detect emotions on an experiential level is different from having intellectual insight into these emotions.  It means actually feeling it as opposed to just knowing it in a logical way. 

This is an important distinction between regular talk therapy and experiential therapy because change occurs with the combination of intellectual insight and emotional awareness.

Clinical Vignette: Developing Skills to Manage Emotions With Experiential Therapy

The following clinical vignette which, as always, is a composite of many cases to protect confidentiality is an example of how experiential therapy can help a client learn to identify and manage emotions as well as work through unresolved trauma:

Ed

After Ed's wife gave him an ultimatum to either get help in therapy or she would leave him and take their children with her, Ed began therapy with some ambivalence (see my article: Starting Therapy: It's Not Unusual to Feel Anxious or Ambivalent).

Ed told his therapist that he often yelled at their young children when he got upset and then regretted it later because it frightened them.  He said he tried various self help techniques, like trying to pause by taking a few breaths, but his emotions often overrode any attempts he made to keep from losing his temper.

Initially, Ed was unable to identify the emotions involved when he got upset. He just knew that he felt overwhelmed, but he couldn't identify the emotions involved.

His experiential therapist provided Ed with psychoeducation about experiential therapy and the mind-body connection.

Over time, she helped Ed to go back into a recent memory where he became upset with his children. She helped him to slow down so he could feel in his body what he was experiencing at the time.  

At first, Ed had difficulty detecting physical sensations or emotions in his body, so his therapist helped him to develop a felt sense of his experiences by using a technique known in hypnotherapy as the Affect Bridge (also known in EMDR therapy as the Float Back technique).

One of the emotional blocks they encountered occurred when Ed had a memory of himself at five years old when his father told him, "Big boys don't cry."  There were other times when his father scolded him when Ed got angry or when he made a mistake.  

As she listened to Ed's history with his father, his therapist realized that these experiences resulted in Ed numbing his emotions from an early age which was why he was having problems identifying his emotions.

Using Parts Work, his therapist helped Ed to develop compassion for his younger self.  He could look at his own five year old son and realize just how young he was when his father shamed him (see my article: Developing Curiosity and Self Compassion in Therapy).

Developing self compassion was an important part of Ed's therapy and, over time, feeling compassionate towards his younger self enabled Ed to get to the underlying emotions that had been numbed for many years.

Gradually, Ed was able to detect sadness when his throat felt constricted, anger when his hands were clenched and fear when his stomach was in knots (these are examples of how one particular person experiences these emotions and not universally true for every person).

As he continued to work in therapy on identifying and managing his emotions, Ed realized that when he got upset with his children, he was not only experiencing anger, he was also experiencing fear.  Fear was the underlying emotion at the root of his upset.

By then, Ed was curious enough to question why he felt fear when he was upset with his children. By sensing into his experience using the mind-body connection, Ed realized that fear was related to his childhood experiences with his father.  

He realized that he felt the same fear and sense of helplessness in the present that he experienced when he was a child (see my article: How Traumatic Childhood Fears of Being Helpless Can Get Triggered in Adults).

He realized that, although his father never said it directly, his father communicated to Ed that whenever Ed was sad or angry or made a mistake, Ed was allowing himself to be vulnerable to being ridiculed or worse.  

In other words, what was communicated to Ed was that so-called "negative emotions" or making a mistake was dangerous.  

This was a pivotal moment in Ed's therapy.  He realized that when his children made mistakes, which could mean making a mistake in their homework or getting an answer wrong, this sense of fear and vulnerability to danger were triggers that rose up in him without his awareness (see my article: Becoming Aware of Emotional Triggers).

Underneath his anger and fear, he sensed his intention to protect them, but instead of coming across as protective, he came across as harsh and critical, which was scaring them.

Once Ed learned to detect these emotions, he was able to stop himself from yelling at his children.  Having those physical cues he learned in experiential therapy allowed him to calm himself first so he could respond to his children more empathetically.

After he learned to manage his emotions, Ed worked on his unresolved childhood trauma with EMDR therapy so he was no longer triggered in this way.  

The work was neither quick nor easy, but once Ed worked through these issues, he no longer felt triggered.

Conclusion

Experiential therapy can help you to develop skills to manage your emotions.

Regular talk therapy can help you to develop intellectual insight into your problems, but problems often don't change with insight alone.  Change occurs on an emotional level.

This is an important distinction between talk therapy and and experiential therapy: With experiential therapy you can develop both insight as well as an emotional shift which enables you to make changes.

About Me

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

I work with individual adults and couples, and I have helped many clients to manage their emotions and work through unresolved trauma (see my article: What is a Trauma Therapist?).

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