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NYC Psychotherapist Blog

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Showing posts with label emotions. Show all posts
Showing posts with label emotions. Show all posts

Thursday, February 12, 2026

Coping With Alexithymia - Also Known as Emotional Blindness

What is Alexithymia?
Alexithymia is a personality trait where a person has difficulty experiencing, identifying, understanding and expressing emotions.

Coping With Alexithymia

Alexithymia is also known as "emotional blindness".

Alexithymia is on a spectrum representing a personality trait with varying degrees of severity rather than a binary "yes" or "no" trait.

Individuals can range from low to high in alexithymic traits. 

These traits can include:
  • Reduced imagination
  • Externally oriented thinking
Alexithymia is a personality trait rather than a mental health diagnosis.  

Alexithymia is common among people who are neurodivergent (autism and ADHD).

What Causes Alexithymia?
Alexithymia can be influenced by several factors:
  • Genetics
  • Past experiences
  • Certain psychiatric disorders and medical conditions including:
    • Adverse childhood experiences (trauma)
    • Autism
    • ADHD
    • Eating Disorders
    • Parkinson's
    • Stroke
    • Dementia
    • Multiple Sclerosis
    • Inflammatory Bowel Syndrome (IBS)
    • Diabetes 
    • Asthma
    • Hypertension and cardiovascular disorders
    • Chronic pain
    • Fibromyalgia 
    • Hormonal abnormalities
    • Substance abuse, which is linked to an inability to process emotions
About 10-13% of the population has this personality trait with more men experiencing it than women.

People with alexithymia have a hard time understanding and expressing their emotions. This affects the way they relate to others. As a result, relationships often suffer because their limited ability to express their emotions stifles communicate with others (see below:Understanding How Alexithymia Affects Relationships).

People with alexithymia also have difficulty sensing the physical sensations that accompany their emotions (see my article: Learning to Sense Emotions in Your Body).

Understanding the Genetic Component of Alexithymia
Studies indicate that there is a genetic component to alexithymia. One study found there is a higher degree of alexithymia among first-degree relatives.

Understanding the Environmental Component of Alexithymia
People who have experienced childhood abuse or neglect can develop alexithymia and have difficulty processing their emotions. Brain injuries can also contribute to alexithymia.

Understanding How Alexithymia Affects Relationships
It can be difficult to form and maintain emotional bonds for individuals who have alexithymia. 

People who have alexithymia tend to focus externally rather than on their internal state

Partners might feel ignored, abandoned or unloved due to their partner's low emotional responsiveness. This can make it difficult to communicate effectively and resolve conflicts. Partners can feel that they are with someone who is "robotic" which can lead to a superficial or distant relationship. 

In addition, since people with alexithymia also have problems reading other people's emotions, their partners might feel they are uncaring--even when the person with alexithymia cares deeply for them.

The partner can feel like they're alone because the person with alexithymia can have a hard time providing emotional support or emotional validation

With regard to sex, emotional detachment related to alexithymia often leads to a decline in sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

How to Address Alexithymia
Alexithymia can create a barrier to traditional psychotherapy because, as previously mentioned, individuals with alexithymia have difficulty experiencing, identifying, understanding and expressing their emotions.

Coping With Alexithymia

Emotional difficulties often present as physical complaints rather than emotional distress. 

Somatic oriented therapy, like Somatic Experiencing and other Experiential Therapies that focus on sensations in the body can help.  

Helping clients to develop somatic awareness can be helpful, 

Experiential therapists can ask clients, "What are you sensing in your body right now?" instead of "What are you feeling?"

mindfulness practice can also help clients to develop somatic awareness related to emotions.

What Are the Therapeutic Goals For Alexithymia?
There is no "quick fix" for alexithymia since it's a personality trait and not a curable disease.

While there is no "cure" for alexithymia, it also doesn't have to be a lifelong problem.

Psychotherapy for alexithymia needs to have a bottom up approach (see my article: What is the Difference Between Top Down and Bottom Up Approaches to Therapy?).

The therapeutic goals include:
  • Building the capacity to accurately perceive internal body sensations (also known as interoceptive awareness) and connect these sensations to emotions.
  • Affective education which can help to connect physical sensations to emotions. For example, a tightness in the chest can be linked to anxiety (see my article: How to Use the Wheel of Emotion).
  • Shifting from external-oriented thinking to recognizing inner emotional experiences.
  • An experiential bottom up approach can be effective in improving emotional processing.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping 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.






Monday, February 9, 2026

Emotional Regulation: How Do You Know What You Need When You Feel Emotionally Dysregulated?

Many people who would like to be more emotionally regulated don't understand what they need when they feel upset (see my article: Developing Skills to Manage Your Emotions).

Emotional Regulation

This is understandable because when you are sufficiently upset, the part of your brain that allows you to reason (the prefrontal cortex) is often "off line". 

The more reactive part of your brain, the amygdala, gets into a fight or flight mode so that you  can't think your way into knowing what you need.

When you feel emotionally overwhelmed, here are some tips on what can be helpful:
Emotional Regulation
  • Try the 5-4-3-2-1 Technique: Name 5 things you see, 4 things you can touch, 3 things you can hear, 2 things you can smell and 1 thing you can taste. This helps you to stop spiraling so you can get back to feeling like yourself again.
  • Pick a Color: If the 5-4-3-2-1 technique feels like too much in the moment, you can choose a color, like the color blue and look around the room and name all the things you see that are blue. This is an even simpler way to calm yourself. It also helps to orient you to your environment.
  • Try the Butterfly Tapping Technique: Another way to calm yourself is to use Butterfly Tapping:
    • Sit comfortably, cross your arms over your chest and rest your hands on your upper arms or shoulders. 
    • Give yourself alternating gentle taps on your upper arms or shoulder (right then left) in a slow rhythmic motion for 1-3 minutes or until you feel calmer.  This helps to reduce stress (see my article: Self Soothing with the Butterfly Hug).
  • Tune Into Your Body and Ask Yourself: "What do I need?"
    • What emotions are you feeling and where do you feel it in your body?
Emotional Regulation
    • Are you angry?  If so, what are you angry about? What do you need to feel safe?
    • Are you afraid? If so, what are you afraid about? What do you need to feel safe?
    • Are you lonely? If so, who can you contact to make a meaningful connection? This can also be a connection with a pet.
  • Practice Slowing Down With Low Stakes Situations: When you're learning to regulate yourself, practice slowing down with low stakes situations before you try to tackle more high stakes triggers.
Get Help in Therapy
Sometimes self help tips aren't enough and you might need professional help to learn to regulate yourself emotionally.

Get Help in Therapy

A licensed mental health professional can help you to get to the root of your problems so you can overcome the underlying problems that are triggering you.

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

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

As a trauma therapist with over 25 years of experience, I have helped many individual adults and couples (see my article: What is a Trauma Therapist?).

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

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










 

Sunday, February 8, 2026

How to Develop Emotional Safety in Your Relationship

Emotional safety is an essential part of any relationship.

Emotional Safety in a Relationship

What is Emotional Safety?
Let's start by defining emotional safety.

Emotional safety is an embodied sense that you can be your true self without fear of judgment, rejection or retaliation. 

Emotional Safety in a Relationship

When you feel safe emotionally, your nervous system is calm. You're not in a state of fear. You feel open and comfortable with yourself and with your partner.

Emotional safety is the foundation of a healthy relationships and allows you to share your emotional needs.

Emotional safety also allows you to admit your mistakes because you feel respected and valued by your partner.

If you're in a relationship, you feel heard and validated for your feelings. Even when your partner might not feel the same way, they can understand why you feel like you do.

What Are the Key Elements of Emotional Safety?
Emotional Safety in a Relationship
  • Non-judgment: When expressed in a healthy way, your feelings are treated as being understandable as opposed to being "too much" or "wrong".
  • Consistency: Being able to predict how your partner will respond helps your nervous system to relax rather than going into a fight, flight, freeze or fawn response.
  • Healthy Boundaries: You're able to set healthy boundaries with your partner without your partner making you feel guilty or lashing out.
Why Does Emotional Safety Matter in a Relationship?
When you feel safe in your relationship, you can regulate your emotions and stay emotionally engaged with your partner. 

Emotional Safety in a Relationship

If you don't have emotional safety, you might feel hypervigilantanxious or an urge to "walk on eggshells" to avoid conflict with your partner.

How Can You Build Emotional Safety in Your Relationship?
To build emotional safety, it's important to:
  • Get Curious and Listen: Get curious and listen to your partner to understand rather than to defend or"fix" them (see my article: What is Active Listening?).
  • Validate Each Other's Feelings: Acknowledge your partner's feelings--even if you don't agree or you don't feel the same way.
  • Be Transparent: Make sure your actions match your words to build trust.
  • Make Repairs: Own your mistakes in a timely manner and make an effort to reconnect with your partner.
Get Help in Couples Therapy
There are times when one or both partners have problems establishing and maintaining emotional safety due to prior traumatic experiences either as a child or in prior adult relationships (see my article: How Can Unresolved Trauma Affect Your Ability to Feel Safe?).

Get Help in Couples Therapy

If emotional safety is an issue in your relationship, you and your partner could benefit from working with a couples therapist experienced in Emotionally Focused Therapy for Couples.

Emotionally Focused Therapy (also known as EFT) can help you and your partner understand both of your unmet attachment needs and change negative dynamics in your relationship that keep you both stuck.

Rather than struggling on your own, seek help in EFT couples therapy so you can have a more fulfilling relationship (see my article: Tips on How to Get the Most Out of Couples Therapy).

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

I have over 25 years of experience working 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.

Also See My Articles:












Monday, January 12, 2026

Being Able to Identify Your Emotions Helps You to Build Emotional Intelligence

I've written about emotional intelligence (EQ) in prior articles (see my article: How to Develop Emotional Intelligence).

In the current article, I'm focusing on how identifying emotions helps to build emotional intelligence.

What is Emotional Intelligence?
Many people have difficulty identifying their emotions because they were never taught how to do it as children. As a result, as adults, they have difficulty developing emotional intelligence.

Identifying Emotions Helps to Build Emotional Intelligence

Emotional intelligence includes the ability to:
  • Recognize, understand and manage your emotions
  • Recognize and understand the emotions of others
  • Manage stress
  • Navigate social situations
  • Develop stronger relationships
  • Build career success
Why Is It Important to Be Able to Identify Your Emotions?
Being able to identify your emotions helps you to understand your inner world which allows you to manage your reactions and navigate the world more skillfully.  

How Does Emotional Identification Build Emotional Intelligence?
Emotional identification helps you to develop:
  • Self Awareness: This is the cornerstone of emotional identification and EQ. Being able to name your emotions (e.g., "I feel sad" or "I feel angry") is the first step. Self awareness allows you to move beyond just saying "I feel overwhelmed" or "I feel bad" to identify more specifically what you feel.
  • Self Regulation: When you're able to name your emotions, you can gain the ability to regulate them.  This means you can pause and take a breath before you react.  This helps you to prevent disruptive impulses so that you can adapt your behavior in stressful situations and develop resilience (see my article: Responding Instead of Reacting).
  • Improved Relationships: Being able to identify your emotions helps you to understand how you impact others. It helps to build empathy which can improve communication and build stronger bonds.
  • Improved Decision-Making: Awareness of your emotional state helps you to make better decisions by making you aware of when your judgment might be clouded by your emotions. This can help you to make more rational decisions.
  • Foresight and Preparation: You can learn to recognize and anticipate emotional triggers. This allows you to work on strategies to manage your emotions and to get help in therapy to work on the origin of those triggers.
Getting Help in Therapy
Even though you might not have developed the ability to identify emotions as a child, you can learn to develop emotional intelligence in therapy.

Getting Help in Therapy

A skilled psychotherapist can help you to learn the necessary tools and skills to develop emotional intelligence which will allow you to be more self aware and improve your relationships.

Developing a better understanding of yourself and your relationships can help you to lead a more fulfilling life.

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

I have over 25 years of experience helping 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:










 

Thursday, January 8, 2026

Why Do People Suppress Their Emotions?

Many people have a difficult time experiencing certain emotions in a healthy way so they suppress their emotions, which has health and mental health consequences.

Emotional Suppression

Which Emotions Are Commonly Suppressed?
The following emotions are the ones that are commonly suppressed among people who feel they need to hide these emotions:
  • Anger: Anger is often perceived as being aggressive or out of control (even for people who are experiencing anger in a controlled way). Frustration and rage, which are part of anger, are often suppressed (see my article: Fear of Anger is Often Coupled With Guilt and Shame).
  • Sadness or Grief: Crying or showing sadness or grief is often discouraged in our society, especially for men. This often leads to emotional suppression.
Why Do People Suppress Emotions?

Emotional Suppression
  • Social Conditioning: As mentioned above, many people are taught to be "tough" or polite which leads to hiding emotions which are perceived as negative.
  • Fear of Judgment: People who suppress certain emotions often fear that they will be judged or criticized for expressing certain emotions, so they suppress these emotions rather than expressing them.
  • Maladaptive Coping Mechanism: People who suppress certain emotions hide these emotions as a maladaptive coping strategy to avoid discomfort or situations they feel would be overwhelming for them (see my article: Avoidance as a Maladaptive Coping Strategy).
What Are the Consequences of Emotional Suppression?
The most common consequences of emotional suppression include:
Emotional Suppression
  • Emotions Resurface More Intensely: People who suppress their emotions often discover that these emotions resurface in a more intense way. They are also more at risk, compared to people who can express their emotions in a healthy way, for alcoholism, drug abuse and other impulsive or compulsive way
Get Help in Therapy
If you tend to suppress emotions that make you feel uncomfortable, you could benefit from getting help from a licensed mental health professional.

Get Help in Therapy

Learning to express your emotions in a healthy way can help you to be more self aware, reduce anxiety and stress, improve health and mental health and develop healthier relationships (see my article: Learning How to Express Your Emotions in a Healthy Way).

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

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

I work 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.

Also See My Article:













 

Tuesday, October 14, 2025

What's the Difference Between Emotional Co-regulation and Emotional Self Regulation?

People sometimes confuse the terms "emotional self regulation" and "emotional co-regulation" so I'm addressing the differences in this article.

Co-regulation vs Self Regulation

What's the Difference Between Co-regulation and Self Regulation?
When caregivers provide external support to their children, this is an example of emotional co-regulation, which is a foundational step for developing emotional self regulation.

Whereas co-regulation is the process in which one person helps another person to regulate their emotions, self regulation is the ability to manage your own thoughts, emotions and behaviors.

Both skills, co-regulation and self regulation, work together throughout life.

Let's break it down further:

Self Regulation
  • Definition: The internal ability to control your own thoughts, emotions and behaviors without relying on others.
  • Examples of Self Regulation:
    • Doing breathing exercises on your own to calm down
    • Managing frustration during an argument by going for a walk to calm down
Co-regulation
  • Definition: The process of two or more people working together to manage emotions and behaviors. This involves providing support, structure and warmth to help someone to calm down and learn coping skills.
  • Examples
    • A parent helping a child to calm down by speaking in a gentle tone and providing comforting hugs
    • One romantic partner helping another to calm down by listening in an attuned way, holding their hand and gently helping them to take relaxing breaths
  • Goal: To help someone to feel safe and understood which, in turn, builds their capacity for self regulation
  • Relationship Between Self Regulation and Co-regulation: Co-regulation is an essential step in helping someone to self regulate. A caregiver or partner's ability to self regulate is necessary in order for them to help co-regulate others. 
Clinical Vignette
The following clinical vignette illustrates the relationship between self regulation and co-regulation and how psychotherapy can help. As always, this vignette is a composite of many different cases to protect confidentiality:

Paul:
Paul was a latchkey kid. Both of his parents worked two jobs each so they weren't around when he came home from elementary school. 

There were times when he was at home alone that he thought he heard noises in the house and he was so scared he hid under his blanket until his parents came home. 

He knew his next door neighbors were at home, but his parents told him to never let them know he was home alone because they might call the child welfare bureau and then he would  be taken him away from his parents due to childhood neglect.

His parents explained to him they didn't want to leave him alone in the house, but they both needed to work and there were no other relatives to take care of him. They also couldn't afford childcare, so he would hide in fear until his parents came home.

Since Paul grew up being alone much of the time, he was often without his parents' emotional support, so he didn't learn how to manage his emotions.

His teacher told his parents that Paul had a difficult time calming himself down in school when he was upet. She suspected his parents weren't helping Paul to manage his emotions so she encouraged them to help him--although she didn't know they were often away from home.

By the time he went away to college, he was so anxious he was having panic attacks.  A college counselor referred him to a psychotherapist for help. 

His therapist used her co-regulate skills to help Paul. She also taught him self regulation skills by teaching him breathing exercises and other coping strategies. 

Eventually, he learned to regulate his emotions on his own.

After he graduated college, the skills he learned in therapy helped Paul to self regulate and co-regulate emotions with his new girlfriend, Sara.

Conclusion
Young children usually learn to co-regulate with their parents so they can develop self regulation skills as they get older.  However, there are times when children don't learn these skills because their parents are not around or the parents never learned to regulate their own emotions when they were growing. up so they can't help their children to develop skills they don't have.

Fortunately, people who didn't learn to regulate their emotions have an opportunity to learn as adults in psychotherapy.

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

I work with individual adults and couples.

As a Trauma Therapist, I have helped many clients to overcome trauma and manage their emotions so they can lead a more fulfilling life.

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:
























Friday, August 29, 2025

What Are the Benefits of Experiencing Your Emotions?

As a psychotherapist, I work with individual adults and couples to help them to experience and express their emotions in healthy ways.


The Benefits of Experiencing Your Emotions

What Are the Benefits of Experiencing Your Emotions?
The following are some of the benefits of allowing yourself to experience your emotions:
  • Increased Self Awareness: Emotions offer a guide to important information about your needs, experiences and triggers. When you allow yourself to experience your emotions, you gain a deeper understanding of yourself.
  • Better Mental Health: Suppressing emotions can contribute to stress, anxiety and depression. Also, when you suppress uncomfortable emotions, these emotions tend to come back in a stronger way. So, suppressing emotions makes the experience worse. Experiencing emotions can help to ease stress, anxiety and depression.
  • Increased Confidence: Expressing your emotions is a vulnerable act which takes courage. By being courageous and expressing yourself, you can increase your confidence.
The Benefits of Experiencing Your Emotions
  • A More Balanced Perspective: People who express their emotions in a healthy way tend to have a more balanced perspective.
  • Better Physical Health: Suppressing emotions can have a negative impact on your immune system and cardiovascular system. In addition, experiencing emotions can help to improve your overall physical health.
  • Improved Communication: Sharing your emotions in a healthy way provides clarity and context making it easier for you to express your needs and build empathy.
  • Increased Trust: Emotional authenticity can help to increase trust in your relationships.
How Can Therapy Help You to Identify and Express Your Emotions?
As a psychotherapist, I work in an experiential way (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy?).

The Benefits of Experiencing Your Emotions

Many of us weren't taught to identify and expression emotions. On the contrary, some of us were actively discouraged from expressing emotions which gives the message that emotions are dangerous (see my article: How Experiential Psychotherapy Can Facilitate Emotional Development in Adult Clients).

The reality is that everyone experiences emotions and, as mentioned above, there are many benefits to experiencing and expressing your emotions.

Psychotherapy with a therapist who works in an experiential way provides the following benefits:
  • Attuned and Compassionate Listening: A therapist who works in an experiential way attunes to her clients and listens with compassion. She also validates your emotions which allows you to be more emotionally vulnerable and deepen your understanding of yourself (see my article: The Healing Potential of the Therapist's Empathic Attunement).
The Benefits of Experiencing Your Emotions
  • Improved Emotional Vocabulary: If you had to suppress certain emotions in your family of origin, you might not have developed the necessary vocabulary to express yourself. Developing emotional vocabulary can increase your confidence.
  • Improved Coping and Emotional Regulation Skills: An experiential therapist can help you to learn better coping skills and emotional regulation by helping you to develop tools and strategies. This tools include:
  • Increased Awareness of Emotional Patterns: An experiential therapist can help you to become more aware of your recurring emotional patterns. When you have developed self awareness about these patterns, you can develop the necessary skills to make changes.
What Are Experiential Therapies?
The following are some of the experiential therapies that I use in my private practice:
Getting Help in Experiential Therapy
Whether you want to work on developing emotional intelligence or overcoming unresolved trauma, you could benefit from working with a licensed mental health professional who is an experiential psychotherapist.

The Benefits of Experiencing Your Emotions

A skilled experiential therapist can help you to develop the skills and strategies you need.

Rather than struggling alone, seek help in experiential therapy so you can lead a more fulfilling life.

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

I work 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 (917) 742-2624 during business hours or email me.