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Showing posts with label emotionally focused therapy for couples. Show all posts
Showing posts with label emotionally focused therapy for couples. Show all posts

Saturday, August 22, 2026

Creating Aliveness in Your Long Term Relationship

As a psychotherapist who works with individual adults and couples, I often meet with people in long term relationships where one person has a vibrant sense of aliveness and the other is more reserved.  

Creating Aliveness in Long Term Relationships

The livelier individual might have initially chosen the more reserved person because they represented safety and stability. This is especially true if the livelier person had a traumatic family background where there was a lot of instability in their family.

However, as time passes in their relationship and their life has stabilized together, the livelier individual's needs for stability has been satisfied and, as the years go by, this individual might yearn for their partner to be more alive and open to new experiences.

This situation is more likely to happen as the couple ages and the livelier partner realizes that time is passing. At that point, they might wonder, "Is this all there is to life?" and yearn for more from their partner and their relationship.

Yearning for more aliveness in their relationship, they might push the more reserved partner to be more exploratory to move out of their comfort zone.

For some reserved partners, all they need is a little encouragement and they can move out of their comfort zone and open up to new experiences. But many others remain stuck in their ways and their partner becomes increasingly dissatisfied over the years.

At that point, this couple might find themselves in my office with the livelier partner feeling resentful that their more reserved partner isn't meeting their current needs, and the reserved partner wondering why the status quo no longer satisfies the livelier partner.

Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates this kind of  mismatch and how couples therapy can help:

Cathy and Jack
Cathy and Jack were both in their early 60s, married for over 30 years and retired from successful careers. Their two adult children had long since moved away to other parts of the country.

Cathy was the one who initiated contact for couples therapy and Jack came somewhat reluctantly. When she talked about her family history, she described a chaotic family where, despite both parents having full time jobs, they were barely able to make ends meet. They were constantly getting eviction notices and there often wasn't enough food to eat. 

Due to their dire circumstances, Cathy knew from a young age she couldn't ask for new clothes or a new toy. She usually got hand-me-down clothes from her older siblings that was often too big, so she felt ashamed when she went to school with ill-fitting clothes. 

More importantly, Cathy's parents were so overwhelmed by their dire circumstances that they were too exhausted to be nurturing towards their children.

Jack's family history was very different. His parents were both successful professionals and the family lived in an upper middle class suburb. Although they appeared to be a happy family on the outside, there was emotional turmoil behind closed doors. The family secret that created the turmoil was Jack's father's drinking. 

Although he was regarded as a pillar in the community, Jack's father was a severe alcoholic behind closed doors. When he wasn't drinking, he could be a loving and engaged father with Jack, but as his drinking got worse over time, Jack's mother was frightened of her husband's drinking and she became increasingly passive as the years went by. So, Jack couldn't rely on either of his parents for nurturance and emotional support.

Jack never knew what to expect, so he learned to suppress his own emotional needs and became the golden child who always got excellent grades and tried to please his parents in every way he could.

Initially, when they met, Cathy admired how safe she felt with Jack. She knew she could rely on him through thick and thin--something she had never experienced in her chaotic family. Jack also admired Cathy's lively energy and how good he felt around her.

Their relationship went smoothly during the early years of their marriage, but as they approached retirement, Cathy felt increasingly dissatisfied with their relationship. She was acutely aware that the relationship felt stale. She wanted to travel more and experience as much of life as she could while they were both still in good health. But Jack preferred to stay home and maintain the same routine he had all of his adult life.

Not only did their existence feel monotonous to Cathy, but she grieved for their sex life which had been nonexistent for many years. For his part, Jack couldn't understand why Cathy felt so unhappy now. He wanted the two of them to get old together and he didn't mind if that meant sitting on their porch rocking chairs every day.

After Cathy gave Jack an ultimatum that either they get help in couples therapy or she would initiate divorce proceedings, Jack was shaken. Even though he had refused to attend couples therapy for years, he agreed to go at this point because he didn't want to lose Cathy.

Their couples therapist helped each of them to understand how their family backgrounds contributed to their personality development. 

Jack survived emotionally in his family by always being a "good boy" and never making waves. As Jack came to realize in his couples therapy, this meant the suppression of his personality. Keeping his head down and just getting through the day with his alcoholic father and passive mother became his unconscious survival strategy which continued into his adulthood--even though the danger was over and this survival strategy had outlived its usefulness.

Cathy survived emotionally in her family by suppressing her emotional needs and never allowing herself to want anything. She knew it would be hurtful to her parents if she expressed a desire for things they couldn't possibly give her so she developed her unconscious survival strategy of never asking for anything for herself--even during the early years of her marriage when she and her husband were financially successful.  

As they approached retirement, Cathy began to wonder what she might be missing in her life. Her best friend, Sara, was already enjoying her retirement years with her husband--traveling, taking new classes and exploring new ideas. Sara had even hinted to Cathy that she and her husband were having the best sex of their lives now that they had more time together without the stress of their careers.

When Cathy tried to talk to Jack about feeling bored and wanting to travel, he scoffed and dismissed her. Initially, she didn't have the courage to talk to Jack about reviving their sex life.

Once Cathy and Jack learned to improve their communication by breaking the negative cycle in their relationship, the next step was focusing on how to enliven their relationship.

Taking steps to enliven their relationship was exciting for Cathy, but it was frightening for Jack. He had spent most of his adult life suppressing his emotions as if he was still living at home with his alcoholic father. He didn't know if he could even allow himself to feel more alive.

During their couples therapy, Cathy learned to stop pressuring and criticizing Jack to be more alive because she realized that her pressure only made him withdraw more. 

Creating Aliveness in Long Term Relationships

Without the pressure, Jack and Cathy began to cultivate low-pressure aliveness: walks in naturetraveling and taking language classes together. Over time, Jack even agreed to take ballroom dance classes with Cathy which surprised both of them.

To revive their sex life, their couples therapist, who was also a certified sex therapist, asked them to start with nonsexual touch exercises called Sensate Focus where they started with the simple touch of hands, arms and other nonsexual areas of the body and progressed to more erotic touch over time.

Gradually, their sex life came alive in ways they both enjoyed. 

Conclusion
In couples sex therapy, the therapist gets full histories of family, relationship and sexual dynamics to understand the origin of the problems.

Individuals who come from impoverished backgrounds often unconsciously choose safety over aliveness initially in their relationship without even realizing it.

Individuals who come from families where there are dysfunctional dynamics, which include might include alcohol or drug abuse, often learn to be reserved to the point of suppressing aliveness.

What was once important in a relationship can change over time, especially as a couple ages and they consider what is important in life at a certain stage of their life. 

An awareness that time is passing and that there won't be as much time to enjoy life as there had been earlier in their relationship can lead to a reassessment of what each of them wants in life.

Couples therapy with a couples therapist who is also a sex therapist can help revive a couple to revive aliveness, including reviving their sex life, so that their relationship can be satisfying for both partners.

Get Help in Couples Therapy
If you and your partner have been unable to resolve your problems on your own, you could benefit from working with a licensed mental health professional who is a couples and sex therapist.

Get Help in Couples Therapy

If your problems include sexual issues, make sure your couples therapist is a certified sex therapist (most couples therapist aren't trained to work with sexual problems).

By getting help in couples therapy, you and your partner can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, Somatic Experiencing and certified sex therapist.

I have helped many individual adults and couples over the years.

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

I provide a 10-15 minute phone call prior to setting up an appointment.

You can reach me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:



























































Friday, July 24, 2026

What Are 4 Warning Signs Your Relationship Could Be in Trouble?

Many couples who seek help in couples therapy wait until the relationship is in serious trouble or they are one step away from ending the relationship.

Problems in a Relationship

Most long term relationships usually don't end because of one argument. On the contrary, they usually end due to the repetition of the same issues that don't change: Feeling unseen, unheard, misunderstood and stuck in a negative cycle.

Although all long term relationships have their ups and downs, there are specific patterns of behavior that indicate deep trouble. These include:

1. Communication Problems
There are certain communication problems that often precede the breakup of a long term relationship:
Communication Problems in a Relationship
  • Off Limit Topics: One of both partners avoid talking about certain important issues due to fear of the other partner's response.
  • Passive Aggressive Hinting: Dropping subtle (and not so subtle) clues or making sarcastic remarks instead of expressing needs directly and clearly.
2. Emotional Distance: Emotional distance often develops and grows over time in relationships that are in trouble:
  • Living Like Roommates: Although you share a physical space, you no longer share your thoughts, feelings, vulnerabilities, hopes and dreams or even talk about the highlights of your day.
Emotional Disconnection in a Relationship
  • Fading or Absent Physical Intimacy: Physical intimacy declines over time and might be absent for months or years. There is no sexual or non-sexual expressions of affection--no holding hands, no hugs or cuddling (see my article: Have You and Your Partner Stopped Having Sex?).
  • Feeling Relief During Absence: Feeling a sense of relief and peace during times when you are apart.
  • Intentionally Withholding: Intentionally withholding time, affection, interest and, possibly, withholding financial openness as a tool to punish a partner.
3. Chronic, Unhealthy Conflict
This might include:
Chronic Conflict in a Relationship
  • Personalized Attacks: Shifting from discussing a partner's current particular behavior to attacking your partner's character.
  • Lack of Repair After Conflict; Ruptures and arguments happen frequently, but neither partner steps forward to apologize or to genuinely try to heal the emotional wound.
4. Toxic and Controlling Behavior
These might include:
  • Holding the Relationship Commitment Hostage: Threatening a breakup or divorce over minor, every day disagreements as a way to manipulate the other person.
Toxic and Controlling Behavior in a Relationship
  • Walking on Eggshells: Constantly monitoring your own behavior, words and tone to avoid triggering a partner's anger.
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates the long term relationship can decline over time and how couples therapy can help:

Jane and Peter
During the early stage of their relationship, Jane and Peter had a happy, passionate relationship. 

Two years after they met, they got married and both of them developed busy careers.  Initially, they made sure to make time for each other on the weekends, but over the years, as ongoing conflicts developed, they stopped prioritizing their relationship and spent less time together.

Peter resented Jane's close relationship with her sister. He felt that Jane was constantly trying to solve her sister's problems. But when he complained to her about it, Jane refused to talk about it. After a while, as his resentment grew, Peter resorted to making sarcastic remarks to Jane whenever she got together with her sister. Inwardly, he was hurting, but he didn't know how to express his wounded feelings.

Jane resented Peter's long hours at work. She knew Peter didn't want to hear her complain about the time he spent at work, so she seethed inwardly. Sometimes she made caustic remarks ("I think you must be having an affair with someone at work"), but rather than addressing her complaints, Peter stonewalled and spent most of his time in his home office. Underneath her anger and resentment, Jane really missed spending time with Peter, but she felt too vulnerable to tell him this.

Problems in a Relationship

Several years later, they both felt lonely in their relationship. They were co-existing in the same New York City apartment as if they were roommates. They hadn't had sex in years and they were no longer physically affectionate with one another. Even though they still loved each other, they hadn't expressed love for one another in years.

Their biggest problem was their emotional disconnection, but neither of them felt comfortable enough to bring that up, so they had ongoing arguments about money instead. Peter accused Jane of spending too much money and Jane accused Peter of being cheap.

When Peter planned to be away on a business trip for a few days, he sensed that Jane was relieved that he wouldn't be around. On the surface, he was aware of being angry, but deep down he felt sad and hurt.

When Peter returned from his business trip, he could feel Jane's resentment. After a while, he felt overwhelmed by the problems between them and he told her, "I don't even know why we're together. If things don't get better between us, I think we should get a divorce."

Jane felt shaken by Peter's threat of divorce. She wanted to talk to him, but she was afraid of being rebuffed by him. Later that day when she saw her sister, Jane was in tears. She knew things were bad in her marriage, but she couldn't believe Peter was threatening divorce.

Jane's sister told her that when her close friend had marital problems, she sought help from an Emotionally Focused Couples Therapist (EFT) and they were making progress.

After Jane got the name of the EFT therapist, she took a deep breath and spoke to Peter about it. To her surprise, he listened to her and admitted that he would like to try to work on their relationship.

Their EFT couples therapist helped them to identify the recurring negative cycle in their relationship and provided them with tools and strategies to overcome this cycle.

Since their problems were long-standing and entrenched, the work was neither quick nor easy, but they made steady progress over time.

Their couples therapist was also a certified sex therapist, so after Jane and Peter worked through their emotional disconnection and recurring arguments, they made progress on improving their sex life.

Conclusion
Many couples wait until their relationship is in serious trouble before they seek help.

Like most difficult problems, relationship problems are easier to solve when problems first develop--before they become entrenched.

Get Help in Couples Therapy
If you and your partner have been struggling with relationship problems, seek help from a licensed mental health professional who is a couples therapist.

Get Help in Couples Therapy

If your problems include sexual issues, seek help from a couples therapist who is also a certified sex therapist (not all couples therapists are trained to deal with sexual problems).

A skilled couples therapist can help you to work through your issues so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS/Parts Work, EFT couples therapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute call before setting up an appointment.

To contact me, call me at (917) 742-2624 during business hours or email me.







































Thursday, March 26, 2026

Relationships: How Does Avoidance Push Ambivalence Underground?

Avoidance drives ambivalence underground by forcing intense internal conflicts into unconscious states of denial and behavioral withdrawal (see my article: Changing Maladaptive Behavior That Don't Work For You: Avoidance).


Avoidance Pushes Ambivalence Underground

When one or both partners in a relationship avoids dealing with their problems, they enter into a stalemate where the problems aren't addressed and internal conflicts grow. This can lead to increased emotional disconnection in the relationship.

How Does Avoidance Push Ambivalence Underground?
  • Creating Internal Stalemate: When love or closeness threatens an individual's sense of self, their nervous system forces a move toward emotional isolation. This pushes the internal conflict into a hidden, often unspoken state, creating intense emotions that keep looping.
  • Using Distractions and Substitutes: People who tend to avoid often create intense, externalized activities, including workaholism, spending an excessive amount of time on hobbies or shallow outside connections to fulfill emotional needs without facing the vulnerability of their relationship.
Avoidance Pushes Ambivalence Undergrouond
  • Reinterpreting Intimacy as Danger: By treating emotional intimacy as a threat to their safety or autonomy, the desire for closeness is pushed underground by a default survival reflex which creates emotional distance.
  • Boundary Setting Disguised as Vagueness: Instead of discussing the conflict directly, people who use avoidance often use vague statements like "I need more time" or "I'm not ready yet". This often hides the deeper inner conflict.
  • Panic Can Overwhelm Love: By the time the conflict rises to the surface, the individual's actions are motivated by panic rather than love and this masks their true wants and needs.
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates how avoidance pushes ambivalence underground and how therapy can help:

Jack
Jack met Linda when both of them were in their mid-30s. They both felt drawn to each other  immediately. 

Several months into their relationship, Jack's apartment lease was about to expire and Linda suggested that he move in with her. 

Initially, Jack agreed and then, as the date to move in with Linda got closer, he became increasingly anxious.  Linda tried to talk to Jack about his anxiety, but he put her off by saying, "I think it's too soon to move in together. I need more time to think about it." 

Avoidance Pushes Ambivalence Underground

Instead of moving in, Jack extended his lease for several more months to give himself time. In the meantime, Linda experienced her own anxiety about what Jack's ambivalence meant for their relationship.

Eventually, Jack moved in with Linda, but they spent less time together than when they were dating and living apart. He would spend long hours at the office and, when he was home, he spent much of his free time playing video games. 

When Linda tried to talk to Jack about his emotional distance, she felt she was getting nowhere because he made excuses. 

A few months after they moved in together, Linda told him that she was feeling increasingly lonely since he was either distracted with work or playing video games. She reminded him that she had told him early on in their relationship that she wanted to get married and have children and she was worried that their relationship was stagnating and time was passing.

Jack told her that he wasn't ready to consider marriage and he was nowhere near ready to think about children, "I feel like you're pressuring me when you know I'm not ready. I need time."

At that point, Linda gave Jack an ultimatum: Either they go to couples therapy to deal with their problems or she would leave him. 

Not wanting to lose Linda, Jack agreed to attend couples therapy, but his ambivalence continued to play out in couples therapy: He would make excuses not to go or find other reasons to avoid their sessions.

When the couples therapist confronted Jack with his ambivalence, he felt like he wanted to leave therapy rather than deal with his internal conflicts. But he knew if he stopped going to couples therapy altogether, he would lose Linda.

Over time, as the couples therapist got to know Linda and Jack better and understood their family histories, she pointed out the negative cycle that Jack and Linda were stuck in. She also pointed out how Jack's parents' marriage affected him: His father felt engulfed by his mother's emotional needs and he would find ways to avoid spending time with her.

As Jack became aware of the impact of his parents' relationship and the behaviors he was repeating in his own relationship, he knew he didn't want to make the same mistakes his parents made and he became more committed to working on his relationship in couples therapy.

Linda and Jack both learned tools and strategies to dig deeper into their unconscious motivations and how these motivations played out in their relationship.

Over time, Jack gradually became much less fearful of emotional intimacy and more committed to his relationship with Linda.  He allowed himself to be more emotionally present and vulnerable so that he was ready to make a commitment to get married. 

Several months after they got married, Linda became pregnant and she and Jack looked forward to raising a child together.

Conclusion
Avoidance pushes ambivalence underground by forcing internal conflicts into unconscious states of denial and withdrawal.

Avoidance Pushes Ambivalence Underground

The person who uses ambivalence to avoid these internal conflicts often doesn't realize they are using avoidance to push down ambivalence because this is an unconscious process.

When this occurs in a relationship, the other partner can feel like they are being strung along and then they need to make their own decisions.

Emotionally Focused Couples Therapy can help couples to see the negative cycle they are stuck in and provide them with ways to get out of the stalemate if they choose to get out.

In situations like this, the person who feels they are being strung along will often tell their partner to get help in individual therapy, but this is a relationship problem so it needs to be addressed by both individuals in couples therapy.

Getting Help in Couples Therapy
If you and your partner feel stuck in patterns that are causing problems in your relationship, you could benefit from working with a licensed mental health professional who has an expertise in working with couples.

Get Help in Couples Therapy

Rather than struggling on your own, seek help from an experienced couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT couples therapist, Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

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

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

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

Also See My Articles:




















 

Sunday, March 22, 2026

Overcoming Self Sabotaging Behavior in Your Relationship

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

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

Self Sabotaging Behavior in a Relationship

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

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

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

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

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

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

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

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

Self Sabotaging Behavior in a Relationship

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

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

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

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

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

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

I have helped many individual adults and couples.

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

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