Coping with Pregnancy Loss

It is a little known fact that approximately 10-20% of all pregnancies end in a miscarriage.

The actual number might be even higher because most miscarriages occur early in the pregnancy and many women don't even realize they had a miscarriage. 

Coping With Pregnancy Loss

Some of these women don't even realize they were pregnant before they had a miscarriage.

Coping With Pregnancy Loss

The sense of loss for women and their partners can be profound and isolating because, unlike other losses, there are no funerals or rituals to process this loss with their loved ones. 

In addition, family and friends are often not emotionally supportive. 

Coping With Pregnancy Loss

Some loved ones can be emotionally invalidating by brushing off the loss and telling the woman and her partner, "Oh, you can just try again" as if there was no loss at all involved with the miscarriage.

Aside from feeling the sadness of the loss, many women also feel ashamed and guilty because they believe they did something to cause the loss--even when it's objectively clear that they didn't.

Many loved ones believe a miscarriage is no loss at all because they believe there wasn't enough time for the woman to develop an emotional attachment. But this negates the fact that the woman and her partner had a dream of having a child and now that dream is lost.

Difficulty Grieving Pregnancy Loss

Many women and their partners never grieve for pregnancy loss, but the trauma of the miscarriage lives within them and between them.

Coping With Pregnancy Loss

The lack of rituals to grieve the loss with loved ones often leads the woman and her partner to suppress their emotions about the loss so they can "move on" and try to get pregnant again.

What Are the Possible Consequences of Not Grieving a Pregnancy Loss?

Failing to process the loss can result in physical, emotional and relationship difficulties:

Physical symptoms might include:

• Fatigue
• Sleep disturbance
• Change in appetite (either under-eating or over-eating)
• Physical discomfort

Emotional symptoms might include:

• Depression
• Anxiety
• PTSD (post-traumatic stress disorder)
• Guilt
• Shame
• Complicated grief where the grief becomes prolonged and intense
• Isolation due to avoiding the judgment of others

Relationship difficulties might include:

• Difficulty communicating about their feelings about the miscarriage including fear of talking about the loss
• Problems being sexual with each other after the loss
• A higher risk of a breakup as compared to couples who experience a live birth

How to Cope With Pregnancy Loss

• Be Emotionally Supportive of Each Other: Even though you and your partner might not feel the same way about the pregnancy loss, be supportive of each other.

• Get Emotional Support From Loved Ones Who Understand: You want to confide in people who will be supportive and who will not make you feel emotionally invalidated. Anyone who would be likely to dismiss your feelings by saying, "Just move on and try to get pregnant again" isn't the right person to confide in.

• Grieve the Loss of the Pregnancy and Your Dream of Having a Baby At That Point in Your Life: Grieve in any way that is meaningful to you. Each of you might have different ways of grieving. Respect that. There is no one "right way" to grieve a pregnancy loss.

• Get Help in Therapy: Get help in couples therapy with a supportive therapist who helps clients with grief, especially grief related to a miscarriage. If your partner refuses to go, at first, start going yourself and your partner might join you in time.

Seeking Help in Therapy For Pregnancy Loss

You and your partner might not be ready to seek help in therapy immediately after the pregnancy loss, but don't struggle too long with your loss by yourselves.

Seeking Help in Therapy For Pregnancy Loss

A compassionate psychotherapist who has experience helping clients with loss can help you to grieve your loss so you don't develop the physical, emotional and relational problems mentioned above.

Rather than struggling on your own, seek help from a licensed mental health professional has the expertise to help you to work through your loss.

Also See My Article:

How to Cope With Pregnancy Loss When You and Your Partner Have Different Feelings

About Me

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

I have helped many individual adults and couples to overcome grief.

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.

Setting Boundaries: How to Stop Being Enmeshed With Your Family

I began a discussion about enmeshment in an earlier article, Overcoming Shame in an Enmeshed Family.

Overcoming Enmeshment in Your Family

Topics in the Current Article

In the current article, I'm covering:

• What is Enmeshment?
• What Causes Enmeshment in Families?
• How to Overcome Enmeshment
• Getting Help in Therapy to Overcome Enmeshment

What is Enmeshment?

If you grew up in an enmeshed family you probably had at least some of the following issues:

• There was a lack of physical and emotional boundaries.

• There was a tendency to focus on what's best for other family members and not what's best for you.

• You put other family members' happiness above your own.

Overcoming Enmeshment in Your Family

• You feel guilt and shame, as an adult, if you put your needs above other family members. For instance,  you might not want to call your mother every week, but you feel guilty and ashamed if you don't because you know she wants you to call weekly.

• Your family's self worth is dependent upon your success.

• Your family expects you to share everything about your life--even things you might want to keep private. They get offended if you say something in your life is private.

• Your family might have imposed their ideas on you when you were a young adult instead of encouraging you to follow your own hopes and dreams. If you wanted to follow your own aspirations, they felt offended and you felt guilty and ashamed.

• Parents in enmeshed families tend to treat their children like friends instead of children because there is a lack of boundaries.

• You tend to avoid conflicts, even now as an adult, because you have difficulty setting limits.

• You lack a strong sense of who you are.

• You absorb other people's emotions around you because you lack appropriate boundaries (this is different from being an empath).

What Causes Enmeshment in Families?

Enmeshment usually develops in dysfunctional families and repeats the pattern from one generation to the next (see my article: 

Overcoming Enmeshment in Your Family

It can be difficult to pinpoint when an enmeshed family dynamic started since it might go back generations and family members often have little to no awareness about the enmeshment.

Enmeshment often develops due to unresolved trauma, mental health problems, substance abuse, compulsive gambling or other related issues.

What is the Impact of Enmeshment in Adult Relationships?

The following characteristics are common for adults who grew up in enmeshed families?

• Low self esteem
  

• Anxiety
  

• Fear of abandonment
  

• Being out of touch with your feelings

• Feeling burdened by guilt and shame

Overcoming Enmeshment in Your Family

• An overdeveloped sense of responsibility

• Poor personal boundaries

• Difficulty setting boundaries with others

• Codependency
  

• Difficulty with assertiveness

• Difficulty with emotional regulation 

• Difficulty calming or soothing yourself emotionally

Clinical Vignette

The following clinical vignette, which is a composite of many cases, illustrates the negative impact of enmeshed family dynamics and how psychotherapy can help:

Maria

Maria grew up in crowded family home where she shared a bed with her two older sisters. She had no privacy. 

When Maria was 15 years old, her oldest sister found Maria's diary, she read it to their parents, grandparents and siblings and they laughed at what Maria wrote about feeling sad.

Her parents and grandparents invalidated her feelings and told her she had nothing to feel sad about since she had a roof over her head, food and clothing.  They told her that only someone who had something terrible to hide from the family would even want to write in a diary.  Then, her father tore up her diary and threw it in the garbage. He told her she should be ashamed of herself for what she wrote.

When she turned 16 years old, Maria's maternal uncle, who came to live with her family, began touching her inappropriately when no one was around. He told her that he would hurt her sisters if she told anyone about the sexual abuse (see my article: Overcoming the Trauma of Sexual Abuse).

One day her mother happened to come home early and she found her brother touching Maria's breasts. She threw her brother out of the house and she also blamed Maria for the sexual abuse.  

She told Maria it was her fault that the uncle touched her inappropriately. Then, she made Maria promise not to tell Maria's father because she feared what he might do to the uncle if he found out.

When it was time for Maria to choose a major in college, her parents insisted that she become a teacher--even though Maria wanted to become a medical doctor. Her parents told her that women shouldn't become doctors because they would have to see men's naked bodies and this was shameful for a woman.

Maria was upset that her parents were trying to force her to choose a career she didn't want so she sought help from a professor who referred her to the college counseling center.  

In counseling, Maria learned to set boundaries with her family--even though they didn't like it and they threatened to stop paying her tuition.

Overcoming Enmeshment in Your Family

Her counselor helped Maria to get a scholarship and a room in a dorm so she could live independently from her family.  She took pre-med courses and, eventually, she went to medical school.

While she was in medical school, she sought help from a trauma therapist so she could deal with the impact of her enmeshed family, including the sexual abuse.

Even though her family didn't like that Maria was making her own decisions and setting boundaries with them, they accepted it reluctantly.  

While she was in medical school, Maria met her husband-to-be and she learned to have a healthy relationship with him with the tools she learned in therapy.

How to Overcome Enmeshment

To become a mature adult, children need to learn to become their own person at stages that are appropriate for their development at the time.  This is part of the individuation process.

Individuation means being your own person and not just an extension of your parents and other family members.

When you are appropriately individuated from your family, you can maintain your relationships with them with appropriate boundaries. You also learn how to be your own person physically, emotionally and psychologically.

To overcome enmeshment, you need to learn to:

• Set appropriate boundaries with family members (see my article: How to Set Boundaries Without Guilt).

• Discover who you are as an individual apart from your family.

• Learn to stop feeling ashamed and guilty if what's right for you might make your family unhappy.

• Get help in therapy when trying to overcome enmeshment becomes too challenging.

Getting Help in Therapy

Overcoming enmeshment can be challenging.

Getting Help in Therapy

A licensed mental health professional with the right expertise can help you to develop the skills you need to overcome enmeshment and develop healthier relationships.

Rather than struggling on your own, seek help from a skilled psychotherapist so you can lead a more meaningful life.

About Me

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

As a trauma therapist, I have helped many individual adults and couples to overcome trauma, including enmeshed relationships.

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 Psychological Manipulation?

Psychological manipulation or gaslighting involves someone else controlling your thoughts, emotions or behavior (see my article: What Are 7 Signs You're Being Gaslighted?).

What is Psychological Manipulation?

The primary goal of psychological manipulation is control.

The manipulation can be subtle or it can be more overt. 

In addition, the person doing the manipulation might or might not be aware they're manipulating.

Manipulation can start out relatively small and build up over time, which makes it difficult for you to realize you're being manipulated.

Sometimes people who are outside of this dynamic can detect the manipulation more easily than you can. 

You might not want to believe that someone close to you is trying to manipulate you so you might second guess yourself about what's going on.

Why is Psychological Manipulation So Damaging?

As mentioned above, you might not recognize you're being manipulated which can cause you to be in denial about it.

What is Psychological Manipulation?

In addition, over time, you might lose trust in your own thoughts, feelings and behavior and, instead, you rely solely on the person who is manipulating you. This means you're giving up your power to the person manipulating you.

    

See my articles: 

Are You Giving Up Your Power to Someone Who Doesn't Treat You Well? 

Taking Back Your Power

What Are the Signs You're Being Manipulated in a Relationship?

The following list includes some of the most common signs that you're being manipulated.

Your partner might exhibit some of these signs and not others:

• They Blame You for Their Actions: They don't take responsibility for the things they do. Instead, they blame you. If they lose their temper, go out and binge drink or engage in other destructive behavior, they blame you. From their  perspective, you made them do it.

• They Try to Convince You That You're Wrong: They make excuses for their behavior. They might try to twist what happened to get you to appear as if you're the one who is wrong and they're right. They also tend to be relentless in getting you to take the blame for whatever happened and they don't stop until you say you were wrong.

• They Put Words in Your Mouth and Distort What You Say: People who are highly skilled at manipulation know how to turn your words against you until you're convinced of what they're saying. However, what they're doing is distorting your words through trickery so they can have the upper hand in the situation. And, if you don't realize this, you might allow your partner to do this and then you doubt yourself.

• They Blame You If You Don't Trust Them: If you don't go along with their manipulation, they tend to portray themselves as being trustworthy (when they're not) and blame you for not trusting them--even if, objectively, they have shown themselves to be untrustworthy many times.

What is Psychological Manipulation?

• They Keep Secrets: Whether their secrets are big or small, they tend to keep secrets from you. The secrets might involve where they are, who they're with or what they're doing. Even when you find out about their secrets and it makes no sense to you why they're keeping this secret, the problem isn't necessarily about the particular secret--it's about the fact that they're withholding information from you as a way to have the upper hand. In addition, if they find out you didn't tell them something that you weren't necessarily keeping a secret (e.g., going to the mall with a friend), they can get upset that there's something you're doing--no matter how innocent--that they don't know about because it means they're not in control of this aspect of your life. So, there's a double standard here about what they feel is okay for them and what they feel is okay for you.

• They Don't Like You to Have Privacy: This is similar to keeping secrets. Even if you've given them no reason to mistrust you, they want to know everything that's going on with you--who you saw, who you spoke to, where you went, when you went and so on. They might also want to check your phone, email and texts so you don't have any privacy because when you have privacy, they can't control that part of your life which makes them feel uncomfortable. But when it comes to their privacy, they insist on it. Once again, this is about control and it's another double standard (see my article: What's the Difference Between Privacy and Secrecy?).

• They Try to Make You Feel Guilty: They can try to make you feel guilty in a number of different ways. For instance, if you made a mistake, they might keep bringing it up as a way to make you feel guilty and bad about yourself. They might keep bringing up your mistakes long after they occurred. This is another way they try to control you.

• They Use Passive Aggressive Tactics: When they're angry with you, instead of talking about it directly, they act out in ways they know would annoy you to get back at you. Then, they might deny they were behaving in a passive aggressive way out of spite.

• They Use Your Trust Against You: They might offer to help you in your time of need. Then, when you trust them and accept their help, they put you down for needing and accepting their help. They try to make you feel like you're "weak" for needing their help--even if they offered to help.

• They Don't Like You to See Friends and Family: People who are highly manipulative know that if you have loved ones in your life, generally speaking, you're less likely to allow yourself to be manipulated because you'll be getting feedback from others about your partner's behavior, which your partner won't like. They want to be the only ones who influence and control you so your loved ones are threatening to your partner.

• They Start Arguments About Little Things: Even if you want to be easygoing and agreeable, a partner who wants to manipulate you might start a small fight with you as a way to get you to give in to them. Their strategy is to control you.

• They Blame You For Other People's Actions: In addition to blaming you about their actions, they might blame you for other people's actions. For instance, if someone at a party flirts with you and, objectively, you didn't encourage this behavior, instead of blaming the other person for flirting, your partner finds a way to blame you. They might say you encouraged the flirting by what you wore to the party or how you spoke or anything else. This type of behavior often gets confused with jealousy, but it's really about manipulation.

• They Talk Down to You and Belittle You: They speak to you in a condescending way. This is a form of emotional abuse. They want you to feel inferior to them or that you wouldn't be able to survive without them (see my article: Belittling Behavior in Relationships).

• They Behave in a Self Centered Way: They make the relationship center around them. If you need their emotional support, they invalidate your feelings. They might point out that either they have it much harder than you do and tell you that you have no right to your feelings. This is a form of narcissism and emotional abuse (see my article: Narcissism: An Emotional Seesaw Between Grandiosity and Shame).

There are many other ways that a partner can manipulate, but the ones mentioned above are some of the most common ones. And, as previously mentioned, your partner doesn't have to exhibit all of these signs in order to be manipulative.

This article focused on psychological manipulation between two partners in a relationship, but this form of manipulation can occur between any two or more people.

Get Help in Therapy

Psychological manipulation is damaging to your self esteem and your sense of self. 

Get Help in Therapy

Over time, you might feel so disempowered that, even when you realize you're being manipulated, you continue to give away your power to your partner because you have become increasingly emotionally dependent upon them.

Rather than struggling on your own, seek help from a licensed mental health professional who has experience helping clients to overcome this problem.

About Me

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

With over 20 years of experience, 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.

How Can Trauma Therapy Help to Cope With Family Estrangements?

Many people believe that family bonds are unbreakable, and yet many parents, adult children and adult siblings are choosing to have minimal or no contact with each other.

Coping With Family Estrangement

Family estrangements, whether they involve no contact or minimal contact, often bring a sense of:

• Loss
• Grief
• Sadness
• Shame
• Guilt

These feelings come up even when people who have chosen to be estranged believe that estrangement is best for everyone involved.

Coping With Family Estrangement

Since family estrangement often goes against many people's basic assumptions and values about what family relationships should be, there is often a stigma attached to choosing to have little or no contact with family members.

The estrangement is difficult enough, but dealing with the stigma adds another emotional burden.  As a result, people often seek help in trauma therapy to cope with their feelings.

Family estrangements can be for a finite amount of time and it's possible, under certain circumstances, for family members to work out their problems (see my articles: Healing Mother-Daughter Relationships and Healing Father-Son Relationships).

Other types of family problems cannot be worked out either because one or more family members are unwilling and/or unable to work out their problems or because doing so would be emotionally or physically harmful to one or more people involved.

Each case is different and, as previously mentioned, a family estrangement doesn't necessarily mean a total cutoff. It can be a decision for minimal contact. 

How Can Trauma Therapy Help to Cope With Family Estrangements?

Assuming you and your therapist are a good therapeutic fit and your therapist has experience helping clients to deal with the trauma of family estrangements, trauma therapy can help you to:

• Develop Insight and Understanding: Choosing to be estranged from your family can be a confusing and guilt-ridden process even when you know that it's what's best for your mental health. It's also equally true that being the family member who hasn't chosen estrangement and who wants a reconciliation can be just as difficult. Therapy can help you to develop insight and understanding about your family situation so that whatever decision has made (or you are considering making) makes sense to you--even though it brings emotional distress.  

• Feel Emotionally Supported: A skilled therapist will be objective and not intrusive. She won't try to influence your decision-making process or try to get you to change your mind or advocate for a particular course of action. She will listen with empathic attunement and provide you with emotional support.

• Develop Tools and Strategies: A skilled psychotherapist will help you to develop the necessary tools and strategies to cope with your situation--no matter if you're the person who has chosen estrangement or the person who wants a reconciliation. Depending upon your needs, these tools and strategies might include helping you to: 

• Increase your self esteem

• Communicate your personal needs

• Set appropriate boundaries with family members (see my article: How to Set Boundaries Without Guilt)

• Develop relationship skills

• Cope With Grief: Family estrangements are often traumatic for everyone involved. Even when you're the one who has chosen to be estranged from your family, you can still experience grief, sadness and loss. The estrangement can also trigger unresolved trauma. If you're the person who didn't choose the estrangement, you might feel helpless and hopeless to deal with the situation, which can also bring up unresolved trauma.

• Heal Emotionally: Emotional healing can mean different things for different people. There are certain types of psychotherapy, which were developed specifically to help clients heal from trauma, including family trauma, which a trauma therapist can use, including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing) Therapy

• AEDP (Accelerated Experiential Dynamic Psychotherapy) 

• Ego States Therapy (also known as Parts Work)
• 
  
• Somatic Experiencing

• Take the Next Step in Your Life and Avoid Stagnation: Whether you have chosen the estrangement or you feel it has been imposed upon you, you might struggle with how to move on in your life. Moving on doesn't mean that you won't feel sad or angry. It means you recognize that, although your family situation is difficult, you know that getting  stuck indefinitely is detrimental to your well-being. So, you might need tools and strategies to avoid indefinite stagnation.

My Next Article on This Topic:

Estrangements Between Parents and Adult Children

Getting Help in Therapy

As previously mentioned, family estrangements are often traumatic for everyone involved. 

Getting Help in Trauma Therapy

No matter what your role is in a family estrangement, you could benefit from working with a skilled trauma therapist who has experience helping clients with this issue. 

Rather than struggling alone, seek help from a licensed mental health professional who has the skills and experience to help you.

About Me

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

One of my specialties is helping clients to overcome trauma, including family 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.

Why Do People in Relationships Keep Secrets From Each Other?

In a prior article, I discussed the difference between privacy and secrecy in a relationship (see my article: Privacy vs Secrecy in a Relationship).

What's the Difference Between Healthy and Unhealthy Secrets in a Relationship?

Aside from maintaining your own privacy in a healthy way, there can be other healthy reasons for maintaining certain secrets.

Discovering Secrets in a Relationship

Healthy Secrets

An example of a healthy secret would be a surprise. For instance, if one of the partners is planning to propose, they would probably want to surprise and delight their partner by taking them to their favorite restaurant and proposing with an engagement ring.

Similarly, one of the partners might want to surprise the other with a gift, a birthday party or a much desired vacation.

In both cases, these secrets were temporary and would add to the partner's pleasure.

Unhealthy Secrets

Unhealthy secrets include but are not limited to:

• Hiding Deceitful Behavior: Using a secret to hide deceit; manipulation; betrayal, lying, including lies of omission, often leads to mistrust and can ruin a relationship.  An example of this would be infidelity, including emotional infidelity.

• Hiding Serious Issues: Hiding serious issues, like serious medical problems; financial issues, including financial infidelity; an addiction, among other issues, can weaken or destroy a relationship. 

Why Do People in Relationships Keep Secrets From Their Partner?

There can be many reasons why people keep secrets from their partner, including:

• Maintaining Power and Control: The partner who is keeping a secret to maintain power and control over their partner is engaging in an unhealthy dynamic. Maintaining this dynamic can lead to a decrease in emotional intimacy, emotional distancing, resentment and the potential demise of the relationship.

• Feeling Shame and Guilt: Someone who feels ashamed or guilty about something they did will often keep it a secret because they fear their partner will reject or leave them.

• Feeling Fear of Criticism and Judgment: Even if a partner doesn't leave, they might be critical or judgmental about what their partner did, so the partner keeps it a secret so they don't have to deal with the criticism or judgment.

Keeping a Secret Due to Fear of Criticism

• Avoidance: Related to the above, someone might want to tell their partner about their secret, but they fear how their partner might react, so they procrastinate. The procrastination might be short term or it can be indefinite.

• Experiencing Lack of Trust in the Partner: When someone doesn't trust their partner, they might not want to be vulnerable by revealing what they did, so they keep it a secret.

• Having Poor Communication Skills: Someone who doesn't have good communication skills might not know how to reveal something negative to their partner, so they keep it a secret.

• Having Poor Interpersonal Skills: Someone who has poor interpersonal skills might not know how to approach their partner about something they did, so they keep it a secret.

• Having Poor Relationship Skills: Similar to poor interpersonal skills, someone who has poor relationship skills might not understand the importance of being open and honest with their partner. In many cases, they grew up in a household where good relationship skills weren't modeled for them, so they never developed these skills. There might also have been toxic family secrets.

• Not Wanting to Be Accountable to a Partner: Similar to poor relationship skills, someone might not want to be held accountable by their partner for their actions.

• Being Selfish/Self Centered: Someone who is self centered and selfish might only think of themself and not how their secret might affect their partner.

• Wanting Revenge Against Their Partner/Payback: If someone is angry about something their partner did, they might intentionally keep a secret as a way of getting back. This often happens with infidelity where one partner finds out the other partner cheated and the first partner cheats too as a form of revenge--even though they keep the infidelity a secret.

• Wanting to Be the Betraying Partner After Having Been the Betrayed Partner in a  Current or Prior Relationship: When someone was betrayed in a prior relationship, they might want to gain power in the next relationship by being the betraying partner.

How Can Secrets Ruin a Relationship?

• Secrets Are Stressful: Keeping a secret often involves a lot mental and emotional energy on the secret keeper's part, which creates stress.  The partner who is keeping the secret might also feel stressed because they fear their partner will find out their secret. If someone is keeping a secret from their partner, they might are not be open and honest about other issues in the relationship.  

Secrets Are Stressful

• Secrets Create Mistrust and Resentment: When someone finds out their partner is keeping a secret, they can feel mistrustful of their partner as well as hurt and resentful. 

• Secrets Hurt Both Partners: Keeping a secret hurts both people. The secret becomes burdensome for the secret keeper. Snt,ecrets also create emotional distance between the two partners, which can result in loneliness for both people (see my article: Are Toxic Secrets Ruining Your Relationship?).

Getting Help in Therapy

Whether you're the secret keeper or you're in a relationship where you have discovered your partner has been keeping a secret, you don't have to struggle alone. You could benefit from working with a licensed mental health professional (see my article: Coping With Secrets and Lies in Your Relationship).

Getting Help in Therapy

If you're the one who is keeping a secret, being able to let go of a burdensome secret can free you from guilt and shame.  You can also work with a skilled therapist to how you want to deal with the issue.

If you're the one who has discovered a secret, you might feel overwhelmed with emotions that a licensed mental health professional can help you to work through.

Couples therapy can help you to work through a betrayal and strengthen your relationship, if you choose to stay together, or end your relationship in an amicable way, if you choose to end the relationship, so you don't bring issues from the current relationship to the next 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.

I work with individual adults and couples.

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

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

Getting Help For Premature Ejaculation

As a sex therapist in New York City, I help individual clients and couples who are having problems with premature ejaculation, erectile dysfunction and other sexual related problems. 

Problems With Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation is a common problem. It's estimated that as many as 1 in 3 men suffer from premature ejaculation at any given time.  

Premature ejaculation is a treatable condition, so if you have been avoiding getting help, please reconsider this because you don't need to continue to suffer with this condition.

If you have premature ejaculation occasionally, it's usually not a cause for concern. However, you might be diagnosed by your doctor with premature ejaculation if:

• You always or almost always ejaculate within 1 to 3 minutes of penetration

• You're unable to delay ejaculation beyond 1 to 3 minutes after penetration

• You avoid having sex because you feel frustrated and ashamed of ejaculating too soon

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is not being able to delay ejaculation beyond 3 minutes during partnered sex or during masturbation.

There are two types of premature ejaculation:

• Lifelong: Lifelong premature ejaculation occurs all the time or nearly all the time since the first sexual encounter.

• Acquired: Acquired premature ejaculation occurs after a period of not having this problem.

What Causes Premature Ejaculation?

Premature ejaculation is often a combination of physical and psychological problems so each person needs to be assessed and diagnosed individually.

What Are the Psychological Factor That Can Contribute to Premature Ejaculation?

The psychological factors might include:

• Early sexual experiences
• A history of sexual abuse or trauma
• Depression
• Poor body image
• Worry or anxiety about premature ejaculation
• Guilt or shame that cause you to rush through sex
• Erectile dysfunction
• General anxiety
• Relationship problems

The biological factors might include:

• Irregular hormone levels or brain chemicals
• Swelling or infection of the prostate gland or urethra
• Inherited factors

What Are the Risk Factors for Premature Ejaculation?

The risk factors might include:

• Stress
• Erectile dysfunction
  

How Can Premature Ejaculation Impact Your Life?

Premature ejaculation can create complications in your personal life including:

• Stress
• Relationship problems
• Fertility issues

When Should You Seek Help From a Medical Doctor?

Problems with premature ejaculation can occur from time to time, but you should seek help from a urologist or a sexual health medical doctor if you always or nearly have problems with premature ejaculation.

Help from a Medical Doctor For Premature Ejaculation

You might feel embarrassed to talk to a doctor about your problem, but urologists and sexual health medical doctors have experience with this common problem, so don't allow embarrassment to keep you from getting help.

When Should You Seek Help From a Sex Therapist?

Since premature ejaculation is often caused by psychological issues, you could benefit from seeking help from a sex therapist to deal with these issues (see my article: What is Sex Therapy?).

Help From a Sex Therapist For Premature Ejaculation

A skilled sex therapist can help you to overcome the psychological problems that prevent you from having a satisfying sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than suffering on your own, seek help from a qualified medical doctor to rule out any physical problems and get help from a sex therapist for the psychological issues that might be contributing to your problem (see my article: What Are Common Misconceptions About Sex Therapy?).

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.

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.