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Showing posts with label guilt. Show all posts
Showing posts with label guilt. Show all posts

Friday, August 7, 2026

Journal Prompts to Cope With Perfectionism

As I discussed in a prior article, Journaling to Relieve Stress and Anxietyjournaling is a powerful tool when you want to make changes in your life.

When you're struggling with trying to be "perfect", journaling can help you to soften your perfectionistic tendencies, including calming down your inner critic (see my article: The Cycle of Perfectionism, Procrastination and Paralysis).

Writing in a Journal to Cope With Perfectionism

Journaling can also help you to understand the root of your problem and also develop self compassion for the critical part of yourself (see my article: Making Friends With Your Inner Critic).

The act of journaling gives you a safe space to explore your feelings.

The other benefits to journaling about perfectionism include:
  • Explore the Roots of Your Problem and the Triggers - Understanding the origin of your problem can also help you understand how perfectionism became a survival strategy and coping mechanism.
    • Your Early Influences: Did your parents, teachers, mentors or other people in your life exhibit perfectionist behavior?
Writing in a Journal to Cope With Perfectionism
    • Your Earliest Memories: What is your first memory of feeling the urge to be "perfect"?
    • Your Current Triggers: What specific situations trigger your inner critic and perfectionist behavior (e.g., family, relationships, work, fitness etc)?
    • Your Cultural Pressure: How do your cultural and social circles influence how you feel about past achievements and future aspirations?
    • Your Past and Current Survival Strategies: How did perfectionism act as a survival strategy in the past and in current situations? How is it hurting you now?
  • Have Dialogues With Your Inner Critic - Perfectionism often shows up in extreme ways of thinking, feeling and behaving. You can challenge rigid rules and reframe distorted thoughts and unhelpful feelings and behaviors:
    • Define "Good Enough": What internal or external benchmarks do you use to decide if a task or project is "good enough" and complete? (Perfection vs. Good Enough).
    • Expose the Hidden Rules: What unconscious rules do you live by that keep your anxiety and perfectionism high?
    • Consider the Worst Case Scenario: If you were to fail at your current goal, project or task, what is the worst thing that could happen?
    • Choose Alternative Self Talk: What is a harsh thought about yourself that you had recently? What is a kinder, more realistic alternative that you can tell yourself instead?
    • Redefine Failure: What is your current emotional relationship with failure? How can you see it as useful information for you instead of failure?
  • Release Control and Embrace Failure - Letting to of perfectionism allows you to focus and feel free about the process:
    • Loosen Your Grip: Where in your life are you trying to control the outcome the most?
Writing in a Journal to Cope With Perfectionism
    • Try an Experiment: What is one small thing you can intentionally do imperfectly this week just to see the outcome?
    • Lower the Bar: Which of your deadlines or unrealistic self-imposed standards can you safely lower today?
    • Learn to Enjoy the Mess: What would you enjoy right now if you weren't concerned about making it "perfect"?
    • Reclaim Your Time: What would help the perfectionist part of yourself to relax and soften to give you some free time back?
  • Celebrating Progress and Self Compassion - Shift your focus to the personal growth you have developed and not on what you have left to do:
    • Focus on Past Desires: What do you currently do or possess that you wanted in the past? Ten years ago? Five years ago? One year ago?
    • Focus on Boundary Wins: What demands are you now declining that you used to  accept out of guilt or shame?
    • Recognize Unseen Achievements: Write down three wins from this week that have nothing to do with external productivity--no matter how small they are.
    • Recognize Your Unconditional Self Worth: Aside from your accomplishments or hoped-for accomplishments and regardless of productivity, what qualities do you possess that make you an inherently valuable person?
Writing in a Journal to Cope With Perfectionism

Quick Tips For Journalers Who Are Perfectionists
People who have perfectionist tendencies often struggle with journaling because they get stuck in certain areas. This is usually because they:
  • Want to pick the "perfect" book or online site to use to journal.
  • Believe their journal should be "flawless" with no scratch outs or scribbles.
  • Believe that whatever they write should be very insightful all the time.
If this sounds like you, you can try these quick tips to see if they're helpful for you:
  • The "Ruin It" Strategy: If you're writing in a journal book, you can start your journal with a big intentional scribble to break the distortion in your thinking that your journal must be "perfect".
  • Time Your Writing Sessions: Set a timer for 5 or 10 minutes and stop writing when the timer goes off--even if you are in mid-sentence. This can help you to overcome the habit that what you're doing must be completely finished.
  • No Editing Allowed: Use a pen. Don't cross out mistakes. Don't tear out pages from your journal. Allow the journal to be messy.
Get Help in Therapy
These journal prompts and tips can help you to cope with perfectionism.

However, if you want to overcome perfectionism, you might need to do deeper work with a licensed mental health professional who can help you to overcome the problems that are holding you back.

Get Help in Therapy 

Rather than struggling on your own, IFS Therapy is particularly effective at helping clients to overcome perfectionism and other problems (see my article: IFS Therapy is a Gentle, Evidence Based Therapy).

I will write more about how proactive and reactive parts develop from an IFS therapy perspective.

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.

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

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

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

Also See My Articles:





















 

Tuesday, August 4, 2026

Are You Feeling Like a Failure Because You Can't "Fix" a Loved One?

It's incredibly difficult to stand by and watch an adult you love engage in self-sabotaging and destructive behavior. You can feel helpless and hopeless, so your inclination might be to try to "fix" your loved one in whatever way you think you can.

You Can't "Fix" a Loved One

Loving someone deeply can trick you into believing that you have the power to control and change their behavior. But you can't "fix" a loved one because they're not an object that needs to be repaired. 

If you're confusing your deep love with a duty to "cure" a loved one, you can end up feeling emotionally, physically and mentally depleted. 

Why Are You Feeling This Way?
There can be a few reasons why you feel a sense of guilt for not being able to control or change a loved one you care about--whether it's a parent, sibling, adult child or close friend:
  • The Savior Illusion: You might mistakenly believe that if your love is strong enough, it can override their emotional pain or trauma.
  • Internalizing Your Loved One's Chaos: You might be treating their problems like it's a reflection on your worth or effort.
  • Control Feels Like Comfort: Trying to "fix" them is often a coping mechanism to erase your own discomfort with their suffering.
How Can You Shift From Trying to "Fix" to Trying to Support Them?
To protect your own well-being and build a healthier dynamic between you and your loved one, consider shifting from your approaching of attempting to "fix" to being emotionally supportive.

Take a look at the examples below and notice the difference between trying to "fix" and being emotionally supportive:
  • Trying to "Fix": Offering unsolicited advice (e.g., "You're drinking too much" or "You're spending too much money on unimportant things and not paying your bills").
  • Trying to "Fix": Sacrificing your boundaries to shield them from consequences.
  • Being Emotionally Supportive: Focus on yourself and your own well-being and be an attuned listener for your loved one.
  • Trying to "Fix": Trying to force change or manage their life (e.g., making excuses to their manager when they don't show up for work or paying their overdue bills).
  • Being Emotionally Supportive: Instead of making excuses for them, create a safe, non-judgmental environment where change is possible if they choose to change.
Reminders to Maintain Your Own Well-Being
  • Separate Love From Rescue: You can love someone without carrying the burden of trying to save them.
  • Be Aware That You're Not Failing: Instead of feeling like you're failing, recognize that you're hitting the natural limit of what one human being can do for another.
  • Let Go and Grieve The Expectation: Let go of unrealistic expectations of trying to "fix" your loved one. Allow yourself to mourn the version of the relationship you wish you could have with them. 
Clinical Vignettes
The following clinical vignette, which is a composite of many cases, illustrates the problem with trying to "fix" a loved one:

Tina and Her Adult Son, Mike:
Tina's only child, a 45 year old son, Mike, had a compulsive gambling problem. Although he earned over $100,000 a year, he had poor credit because he had many overdue bills, the bank was threatening to foreclose on his home and his wife was threatening to leave him.

You Can't "Fix" Your Loved One

Whenever Mike felt desperate, he called Tina and begged her to bail him out. In that moment, he would promise to get help for his gambling problem and also to pay her back. But as soon as he got the money from Tina, he gambled more (instead of paying off his gambling debts) and he got deeper into debt. 

He also never paid Tina back and she was depleting her and her husband's retirement savings. Her husband, Joe, told her to stop enabling Mike's behavior, but Tina wanted to help her son and she knew she would feel guilty if she didn't help him.

When Joe told Tina that he was angry that their retirement fund was getting depleted due to Mike's gambling problems, she understood that her efforts to "fix" her son's problems were having a devastating impact on her marriage and she sought help in therapy.

The work in therapy wasn't easy, but her therapist helped Tina to see the enmeshment with her son so she could switch from trying to "fix" him to being emotionally supportive (see my article: How to Stop Being Enmeshed With Your Family).

Tina was able to see that her behavior with her son had its roots in her dysfunctional family dynamic, especially her parents' codependent relationship. Whenever Tina's father was too hungover to go to work, her mother would call his manager and make excuses for his absences. Eventually, he was let go from his job and Tina's mother had to take two jobs to keep the family afloat.  

Several years after Tina's father lost his job, he was drinking more heavily than ever and he died due to an alcohol-related heart attack at the age of 40. After the father died, Tina's mother blamed herself for not being able to get her husband to stop drinking.

Tina wasn't aware of how she was affected by her parents' dynamic until she got into therapy and she realized she was trying, in vain, to rescue her 45 year old son--just like her mother tried, in vain, to rescue her father.

With a heavy heart, Tina refused to give Mike any more money the next time he came to her in desperation. At first, he pleaded with her and told her he would lose his home and his utilities would be turned off. 

This was especially difficult for Tina, but she realized that, in the long run, she couldn't try to "fix" his problem anymore because her efforts kept Mike from dealing with his gambling problem. She also didn't want to ruin her marriage.

When pleading didn't work, Mike became furious, cursed and threatened to cut her off. She responded by reminding him that he already owed her thousands of dollars. She also told him that she would be emotionally supportive of his getting help for his gambling problem.

Mike was too angry to respond to his mother and, after that talk, he disappeared from his parents' life for two years and he was unresponsive to their calls. Even though they knew they did what was best for Mike and for themselves, this estrangement was heartbreaking for Tina and Joe (see my article: Estrangement Between Parents and Adult Children).

In the meantime, Tina worked in therapy to deal with her own childhood trauma in therapy and the estrangement with her son.

A year later, when Mike contacted Tina and Joe again, he was in therapy, he was attending Gamblers Anonymous and he stopped gambling. He said his therapist was helping him to deal with the underlying issues related to his gambling. He told them that Tina's refusal to give him money was the best thing that ever happened to him because it forced him to confront his problems. 

As part of his making amends with his parents, Mike made a payment plan with them to pay back the money he owed them. They also worked together to develop a healthier family dynamic.

By that time, Tina and Joe's relationship had improved and they were looking forward to retirement in a few years.

Conclusion
It's very difficult to watch a loved one floundering without wanting to do something to help. 

The problem with trying to "fix" or rescue your loved one is that it's usually counterproductive and perpetuates your loved one's problem as well as your own.

Acknowledging and accepting that you can't "fix" anyone can help you to set boundaries so you can be emotionally supportive in a healthy way.

Get Help in Therapy
Trying to change a long-standing unhealthy pattern can be very difficult.

Get Help in Therapy

If you have tried on your own to change without success, you could benefit from working with a licensed mental health professional who has experience helping clients with these types of issues.

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

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, 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 offer a free 10-15 minute phone call before setting up an appointment.

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

Also See My Articles:

























































Thursday, July 9, 2026

Healing From Moral Injury

Moral injury is the profound psychological, social and spiritual distress that occurs when someone perpetrates, witnesses or fails to prevent acts that violate their deeply held moral beliefs and values.

Healing From Moral Injury

Moral injury was originally studied in military veterans returning from war. Now, it's seen as a widespread phenomenon affecting healthcare workers, first responders and everyday individuals.

The consequences of moral injury is that it has a negative impact on a person's conscience, shatters their sense of self worth and erodes their trust in institutions or leaders. 

What Are Core Causes of Moral Injury?
A moral injury is triggered by a Potentially Morally Injurious Event (PMIE) which usually break down into the following categories:
  • Acts of Commission: Doing something that actively violates your moral code (e.g., a soldier either accidentally or following orders to harm civilians in a combat zone).
  • Acts of Omission: Failing to act or prevent harm when your ethical compass dictates that you should (e.g., as a bystander you fail to stop an assault).
Healing From Moral Injury
  • Betrayal: Witnessing individuals in authority or institutions act against what is moral and just, especially in high stakes situations (e.g., an executive ordering employees to hide serious defects in a product that can do harm to consumers).
  • Bearing Witness: Observing atrocities, extreme cruelty or systemic injustices without the power to change the outcome (e.g., care workers or visiting relatives witness bed-bound residents suffering from severe bedsores, malnutrition and prolonged isolation due to corporate understaffing and regulatory failures).
What Are the Symptoms and Manifestations of Moral Injury?
When an individual's ethical boundaries are crossed or when they are placed in a situation where they violate their own moral beliefs and values, it alters their worldview.

Common symptoms include:
  • Sustained Guilt and Shame: Feeling a persistent sense of remorse or believing "I am a bad person."
  • Social Isolation: Withdrawing from loved ones, peers or community activities due to feeling unworthy or that they will "contaminate" others.
Healing From Moral Injury
  • Loss of Trust: An inability to trust authority figures, organizational leadership or systems.
  • An Existential or Spiritual Crisis: Questioning long-held religious or spiritual beliefs, faith n a higher power or the fundamental goodness of society.
  • Anger and Disillusionment: Directing profound bitterness toward a system or the people that forced an impossible choice.
What is the Difference Between Moral Injury and Posttraumatic Stress Disorder (PTSD)?
While moral injury and PTSD often co-occur, they are distinct psychological concepts:

Whereas moral injury is primarily a guilt, shame and values-based condition, PTSD is a mental health condition after experiencing of witnessing a deeply traumatic, terrifying or ife-threanting event or ongoing events. 

Primary Triggers
  • Moral Injury: Ethical transgressions or a betrayal of core values
  • PTSD: A life threatening, psychological event (or series of events) that overwhelms an individual emotionally and psychologically
Core Emotions
  • Moral Injury: Guilt, shame and deep remorse
  • PTSD: Fear, horror, helplessness or panic
Biological Impact
  • Moral Injury: Identity disintegration (i.e., a shattering of a person's core sense of self, moral identity and personal narrative)
  • PTSD: hypervigilance, visual replay (e.g., visual replay, present-moment distortion, flashbacks, body memories and so on) and a heightened startle response
Clinical Status
  • Moral Injury: Recognized as a moral problem and clinical focus, but not a separate diagnosis
  • PTSD: A formal psychiatric diagnosis
What Are Current Examples of Moral Injury in Everyday Life?
There are many current examples including but not limited to:
  • Healthcare Resource Triage: A doctor or nurse is forced to triage care by rationing ventilators or critical ICU bed during a pandemic which, effectively, determines which patients will live and which will die.
  • Family and Caregiver Burnout: A family member caring for a relative with severe dementia becomes completely exhausted and places the relative in an understaffed nursing home. This results in a deep sense of abandonment.
  • Navigating Marital Separation and Divorce: A parent files for divorce to escape an unhappy marriage, but they experience profound guilt over the emotional distress and disruption caused to their children.
How to Heal From Moral Injury
Since moral injury is a wound of the conscience rather than a fear-based disorder (like PTSD), conventional trauma treatment focused only on anxiety reduction might not be enough.  Recovery requires specialized multi-dimensional support including:
  • Meaning Making: Processing the event to contextualize actions within a chaotic or impossible situation.
  • Self Forgiveness: Moving away from persistent self punishment and developing self compassion.
Healing From Moral Injury
  • Communal Recognition: Speaking the truth to a supportive group of peers who understand the unique pressures of the situation.
  • Moral Repair: Engaging in altruistic actions, volunteerism or advocacy work to reaffirm personal values.
  • Psychotherapy: Therapy helps to heal moral injury by providing a structured, nonjudgmental place to process guilt and shame, deconstruct impossible standards or responsibility and rebuild a functional moral identity.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, EFT (for couples), 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.

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


































 

Wednesday, July 8, 2026

What Are the Psychological Benefits of Play For Adults?

When was the last time you played as an adult just for the fun of it--without a goal or an agenda?
The Benefits of Play For Adults

For most adults, play is usually low on their list of priorities. The older they get, the less playful they become. They are too busy contending with never-ending to do lists and, as adults get older, productivity becomes more important than play. From that perspective, play becomes a "waste of time".

Societal pressures, biological shifts and cognitive changes reshape how they view time and behavior. In addition, the adult brain prioritizes efficiency and survival over exploration and the modern world conditions adults to experience being "unproductive" with guilt.

What Are the Psychological Benefits of Play For Adults?
Despite personal and societal pressures, we now know, based on psychological and neurobiological research, that play and playfulness are beneficial for adults.

The Benefits of Play For Adults

Contemporary studies from organizations, like the National Institute for Play, indicate that adults play is a neurological necessity for optimal cognitive function, stress resilience and optimal well-being.

The key psychological benefits of adult play include:
  • Stress Reduction and Better Coping: Research indicates that highly playful adults experience lower levels of perceived stress because play triggers the release of endorphins and dopamine while actively regulating cortisol. Playful adults utilize healthier, adaptive coping mechanisms, including positive reframing, rather than avoidant behaviors.
The Benefits of Play
  • Enhanced Emotional Intelligence and Resilience: Research has revealed that play directly enhances emotional intelligence and strengthens personal resilience. It can provide a psychological buffer which allows adults to bounce back from adversity and workplace burnout.
  • Cognitive Flexibility and Flow States: Play can act as a cognitive refresh by removing pressure and goal-driven thinking. According to research on adult playfulness, engaging in unstructured or mentally challenging play (e.g., puzzles or strategic games) stimulates creative thinking and problem solving. This makes it easier to enter into deeply satisfying flow states (see my article: What is a Flow State?).
  • Social Connectedness: Group play, cooperative games and shared laughter foster empathy, trust and intimacy. In addition, structured social play significantly reduces loneliness and social isolation.
How Do Adults Play?
Researchers categorize most adult play into the following categories:
  • Active forms - like recreational sports
  • Digital play - like video games
  • Unstructured hobbies - like painting, playing music or trying a new craft just for the fun of it
How Can You Be More Playful as an Adult?
To reclaim play in your adult life:
  • Start By Giving Yourself Permission: For most adults, the biggest barrier is internal. Remind yourself that play isn't frivolous so you can overcome your inner critic who might judge you for "wasting time."
  • Start Small: You don't have to go out and join a sports team--unless you want to. You can start small by dancing to your favorite music or coloring in a coloring book. An initial low commitment reduces pressure.
  • Get Curious: Find out what you like:
    • Do you like games with winners and losers? 
    • Do you enjoy making things?
    • Do you prefer laughter and silliness?
    • Do you like play that involves movement and physical awareness?
  • Notice Play in Your Daily LifePlayfulness is a mindset so begin to notice common everyday examples:
    • Doodling
    • Improvisational cooking
    • Daydreaming about fictional scenarios
    • Exploring nature
Conclusion
When you include play in your life, you realize that life isn't all about being productive or enduring day-to-day challenges. It's also about experiencing joy.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, EFT (for couples), 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.

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

Also See My Articles:
































Thursday, June 11, 2026

Ambivalence and Codependence in the Mother-Daughter Relationship

The topic of conflict and ambivalence in the mother-daughter relationship is the subject of this article. One article in a blog cannot do justice to this topic but, hopefully, it can serve as a starting point for many similar articles and it will be thought provoking (see my articles: Healing Mother-Daughter Relationships and Letting Go of Resentments in Mother-Daughter Relationships).


Ambivalence and Codependence in Mother-Daughter Relationships

The complexity of the mother-daughter relationship is derived, in part, from the fact that mothers and daughters share a biological and often certain psychological factors. 

As such, mothers often see themselves in their infant daughters, at times, projecting their own unfulfilled hopes and dreams on their infant daughters. 

In turn, daughters learn to identify with their mothers. A certain amount of maternal idealizing is a normal part of a daughter's development. 

However, when the identification or idealization interferes with a daughter's psychological development, this often interferes with the normal separation and individuation process that is necessary for the daughter to mature into her own person.

Clinical Vignette:
The following vignette which, as always, represents a composite of numerous cases illustrates how ambivalence and codependence between a mother and daughter as well as an over identification by the daughter for the mother kept the daughter stuck and unable to develop into her own person without feeling like she was betraying her mother.

Donna:
When Donna began therapy, she was in her early 30s. She was already quite successful in her career. As she saw it at the time, her presenting problem was that she had a long history of problems in her romantic relationships with men. 

Her relationships always began well. However, as soon as the relationship became serious, Donna became extremely ambivalent about it and found some way to sabotage it. When she began therapy, she was in a one-year relationship with a man that she loved very much and who also loved her. She saw the potential for a good marriage with this man, but she was very frightened to make that commitment with him, and she could not understand why.

Donna's family history included her parents' divorce when she was five years old. Prior to that, she remembered a lot of arguing between her parents, who were not well suited for each other. After the divorce, the father remarried within a couple of years. However, Donna's mother sank into a depression and she began to drink heavily.

As an only child, Donna remembered feeling responsible for her mother's happiness. Her mother poured out her sorrows to Donna, and Donna did her best to try to make her mother happy by listening to her, trying to entertain her with funny stories from school, being an "A" student, and trying never to bother her mother with her own concerns. 

As a result, at a young age, Donna and her mother switched roles, and Donna became a parentified child. She learned to anticipate her mother's needs before her mother even expressed them. She even cleaned up her mother's mess when her mother got drunk and threw up around the house. For this, Donna's mother rewarded her by telling her what a wonderful daughter she was, and this made Donna feel good.

Donna's relationship with her mother continued in this way until Donna became a teenager, and she began to express a need to spend more time with her friends. Donna's mother never actually stopped Donna from going out with her friends, but when Donna got home, she often found her mother in an irritable, sullen state.

She never told Donna directly that she was unhappy that Donna was beginning to achieve a certain amount of independence that is a normal part of adolescence but, indirectly, she complained about how lonely she felt when Donna was out and how hard her life was as a single mother. 

This made Donna feel very guilty for leaving her mother alone and for going out and having a good time with her friends. At those times, Donna worked extra hard to get back into her mother's good graces. After a while, Donna's mother was appeased and, once again, she rewarded Donna by telling her that she was the best daughter that a mother could have.

At times, Donna turned down her friends' invitations to go out because she didn't want to leave her mother alone and unhappy. She also feared that her mother would drink more when Donna was out, which was often the case. At least if she was there, Donna thought, she could monitor her mother's alcohol intake and help her mother to go to bed when she was too drunk.

After her parents' divorce, Donna had virtually no contact with her father. She feared that her mother would be upset if she maintained a relationship with her father, so she ignored his phone calls and, after a while, he stopped calling.

During that time, dating boys was out of the question in Donna's mind. Her mother was very bitter about her own divorce and she would often tell Donna how awful men were. Donna was interested in a couple of boys at school, who also expressed an interest in her, but Donna felt that it would be a betrayal to her mother if she began dating boys. So, rather than dating, she stayed home with her mother and catered to her needs.

When it came time for Donna to apply for college, one of Donna's teachers, who had an intuitive sense of what was going on in Donna's home, encouraged Donna to go away to college. A part of Donna longed to be away and attend a college with an active campus life. However, a stronger part of Donna didn't want to leave her mother alone. So, she opted to go to a local college, even though other colleges offered her better opportunities and a chance for a full scholarship.

By the time Donna was a sophomore in college, she began to feel depressed and lonely. She didn't know why she was feeling this way, so she went to the student counseling center. With the help of her college counselor, Donna began to see that she was missing out on many of the social activities that other students were enjoying and that she also wanted to attend.

So, gradually, Donna became more social and, soon afterwards, she started dating, much to her mother's chagrin. By that point, Donna realized that she needed to have a social life of her own, but she continued to feel guilty and that, in some way, she was betraying her mother by spending less time with her and more time with her friends.

By the time she graduated, Donna was offered an excellent job opportunity in NYC that she knew she could not afford to pass up. With much ambivalence and guilt about leaving her mother, she moved to NYC to begin her new career. However, she called her mother several times a day to "check in" on her and to listen to her mother's problems. She also visited her mother frequently on weekends.

When Donna entered into her first serious relationship, she was wary of telling her mother. She feared that since her mother had such a low opinion of men, her mother would disapprove of her being in a relationship

When Donna finally summoned the courage to tell her mother, her mother acted as if she had not even heard her. She never expressed any curiosity about this man or even asked Donna how the relationship was going. This made Donna feel very sad and guilty--as if she was doing something wrong by having a life of her own and being in a relationship, as if she wasn't entitled to her own happiness.

Shortly after that, Donna began finding faults with her boyfriend and they started arguing. Within a few months, they were broken up. When Donna told her mother about the breakup, her mother responded by telling her to come home and spend time with her. Her mother seemed to have no recognition that Donna was heart broken.

This same pattern continued in most of Donna's relationships. She felt pulled between the man that she loved and a "loyalty" that she felt for her mother. By the time that Donna came to see me, she was miserable. She was also aware that she was ruining an otherwise wonderful relationship with a man that she really loved. But she didn't know how to stop engaging in this behavior.

We began by doing inner child work to help Donna understand and appreciate the root of her problems. Over time, she learned to have more compassion for herself when she was a child and as an adult. She also started to see how her own inner emotional conflict caused her to feel that she had to choose between her boyfriend and her mother.

With a lot of work in therapy, Donna started feeling more entitled to have a happy life and not to sacrifice her life for her mother. She also learned to see that her codependent relationship with her mother was not helping her mother or her. 

So, gradually, over time, she changed her behavior towards her mother. Rather than calling her mother several times a day, she called her once a week. Rather than spending hours on the phone listening to her mother's problems and trying to "fix" them, Donna encouraged her mother to get help.

Donna's mother did not respond well to this new change in Donna. After a few weeks of this, Donna's mother refused to talk to Donna and told her that she would talk to her when Donna "came to her senses again." 

This was a serious emotional challenge for Donna, and part of her wanted to revert back to her old behavior to "rescue" her mother. But, deep down, Donna realized that she needed to stick to what she knew was best for her and her relationship with her boyfriend. 

She also realized now that her mother would never get help for her alcoholism as long as Donna provided her with an emotional crutch. So, even though it was very difficult for her, Donna refrained from reverting back to her former dysfunctional way of relating to her mother.

After several months, Donna's relationship with her boyfriend improved substantially. Even though she missed her mother, Donna realized that she felt happier than she had ever felt and she finally felt entitled to her happiness. She also reconciled her relationship with her father.

About a year later, she received a call from her mother. Her mother told Donna that she had just completed a 28-day rehab and she wanted to reconcile her relationship with Donna. And, for the first time, she told Donna that she wanted to meet her boyfriend. This was the beginning of Donna and her mother having a healthy relationship together without much of the guilt, codependence, and ambivalence from the past.

Healthy Mother-Daughter Relationships
Even though this article focuses on ambivalence and codependence in mother-daughter relationships, I want to also say that there are many mothers and daughters who have healthy relationships. 

Healthy Mother-Daughter Relationships

Even mother-daughter relationships that begin with the sort of enmeshment, codependence and ambivalence that were involved with Donna's relationship with her mother often improve when one or, preferably both, people get psychological help.

Getting Help in Therapy
If you are part of an emotionally unhealthy mother-daughter dynamic and you want to establish a healthier relationship, you could benefit from attending psychotherapy with a licensed mental health professional who has expertise in this area.

About Me
I am a licensed psychotherapist, hypnotherapist, and EMDR therapist in New York City.

I work with individuals and couples.

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

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

Also, see Mother-Daughter Relationships Over the Course of a Life Time.