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NYC Psychotherapist Blog

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Showing posts with label mind body connection. Show all posts
Showing posts with label mind body connection. Show all posts

Monday, January 20, 2025

Self Care During Turbulent Times

Self care is important in the best of times, but it's especially important during turbulent and stressful times whether it involves stress in your personal life or beyond (see my article: Post Election Stress and Anxiety).

Self Care During Turbulent Times

Many people think self care is selfish, but this couldn't be further from the truth. 

In fact, self care is essential to everyone's well-being (see my article: Is Self Care Selfish?).

What Does Self Care During Turbulent Times Mean?
Self care during turbulent and stressful times means engaging in behavior that prioritizes your physical and emotional health including:
  • Health Eating: Nutritious meals and good hydration
Self Care: Good Sleep
Self Care: Meditation and Breathing Exercises

Self Care: Journaling

Self Care: Maintaining Social Connections

How to Approach New Self Care Habits
  • Be Flexible: New habits can take a while to develop, so strive to be consistent, but also be flexible instead of trying to be perfect (see my article:  Overcoming Perfectionism).
Self Care: Be Flexible and Start Small

  • Start Small: Start small and progress in a manageable way over time. 
Getting Help in Therapy
If you're struggling with problems you have been unable to resolve on your own, seek help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to work through unresolved issues, so rather than struggling on your own, seek help 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 Therapist.

I work with individual adults and couples.

    See my article: What is a Trauma Therapist?

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

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






 

Saturday, October 26, 2024

How Trauma Therapy Can Help You Overcome Unresolved Trauma

In a prior article, The Unconscious Mind: The Symptom Contains the Solution, I discussed how mind-body oriented therapies help to access solutions that are already in your unconscious mind.

These mind-body oriented therapies, which are also called known as Experiential Therapy, include: 
  • Parts Work (Ego States Therapy and Internal Family Systems)


Trauma Therapy For Unresolved Trauma

This is because these mind-body therapies provide a window into the unconscious mind (see my article: The Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Why Do Many People With Unresolved Trauma Have Problems Finding Solutions to Their Problems?
Here are some of the reasons why someone with unresolved trauma might have problems finding solutions to their problems:
  • Ambivalence A person can really want to resolve their problems, but they might feel ambivalent. In other words, they have mixed feelings about it. A part of them wants to solve their problems, but another part of them might resist solutions for a variety of reasons, including fear and anxiety (see my article: Making Changes: Overcoming Ambivalence).
  • Fear of the Unknown: Someone might have lived with a problem for a long time and they might be fearful what life might be like without their problem. They're accustomed to the problem and they fear the unknown (see my article: Overcoming Your Fear of Change).
  • Fear of Uncertainty: Related to fear of the unknown is fear of uncertainty. This is especially true if people have experienced overwhelming uncertainty which was traumatizing in the past. For instance, if they grew up with a lot of uncertainty as children, they might be especially fearful of uncertainty as adults (see my article: Living With Uncertainty).
Unresolved Trauma and Fear of Uncertainty
  • Lack of Self Confidence: When someone lacks self confidence, they might doubt their ability to come up with possible solutions to their problems (see my article: Overcoming Feelings of Inadequacy).
  • Shame: Many people who have unresolved trauma have a negative belief that they were to blame for their traumatic past. For instance, a person who experienced sexual abuse might have a distorted belief that they were responsible for the abuse. In many cases, their parents or other adults might have told them it was their fault. These distorted negative beliefs can create a lot of shame that has a negative impact on many areas, including problem solving. They might erroneously believe that any problem they have is their own fault, which can be emotionally paralyzing when it comes to decision making (see my article: Overcoming Shame in Therapy).
Trauma Therapy For Unresolved Trauma
  • Problems With Emotional Regulation: The thought of making a change, even a change that could resolve their problems, can be anxiety provoking for someone with unresolved trauma. If someone has a problem regulating their emotions, they might have problems coping. This can make them feel stuck (see my article: Developing Skills to Manage Your Emotions).
  • Lack of Trust: If someone has experienced trauma, they might not trust solutions that involve relying on other people. This is often because, in the past, they weren't able to rely on people who were supposed to be trustworthy. They might even mistrust themselves to make the right choices.
  • Compensatory Aspects to the Problem: There are many examples of compensatory aspects to problems. For instance, a person might want to stop drinking because they know it's bad for their health, their partner is complaining about it, and they're also missing days from  work. But they might also like the way they feel when they drink. Drinking might give them "liquid courage" in social situations. So, on the one hand, they want to quit but, on the other hand, they want to continue to experience how they feel when they drink.
  • Perfectionism: People who tend to be perfectionists often find flaws with any solution to their problems. In their effort to find a "perfect solution", no solution seems adequate, so they remain stuck in their problem (see my article: Overcoming Perfectionism).
  • Fear of Making a Mistake: Even if someone isn't a perfectionist, they might feel emotionally paralyzed to risk trying a solution to their problems if they are afraid of making a mistake. This type of fear is often learned early childhood either from parents who are themselves fearful of making mistakes and who discourage their children from taking any risks (see my article: Overcoming Your Fear of Making Mistakes).
  • Unresolved Trauma and a Negative Bias: People who have unresolved trauma often fear they will be traumatized again so change is hard for them. People with a negative bias anticipate everything that could go wrong with possible solutions. They anticipate the worst and they don't want to experience the overwhelming emotions they experienced when they were traumatized in the past (see my article: Reacting to the Present Based on Your Traumatic Past).
  • Family or Cultural Issues: Someone might feel pressure to remain stuck in their problem because they don't want to go against family, religious or cultural traditions. For instance, if someone is in an unhappy marriage, they might remain in the marriage to appease their family, religion or cultural group.
How to Overcome Problems With Change Related to Trauma
  • Practice Self Compassion: Strive to avoid self criticism and have compassion for yourself. Be kind to yourself and acknowledge that change is hard, especially if you have unresolved trauma (see my article: Developing Self Compassion).
  • Write in a Journal: Journaling can be a valuable tool to help you deal with your anxiety and fear.  Writing about your anxiety and fear can help you to gain insight and challenge your doubts (see my article: Journaling to Relieve Stress and Anxiety.
  • Identify Triggers: Being able to identify triggers can help you to temporarily avoid people, places and things that might be too stressful for you to cope with at certain times in your life. It's a temporary solution until you get help in trauma therapy because you can't avoid situations that trigger you indefinitely. But until you get help in therapy, you can give yourself a temporary break while you're under a lot of stress (see my article: Coping With Trauma-Related Triggers).
  • Restructure Your Distorted Negative Thoughts: Cognitive restructuring is a useful tool, especially if you have thoughts that tend to run away with themselves. When you restructure your thoughts, you look at your thoughts objectively and challenge the ones that are unrealistic (see my article: 5 Tips For Challenging and Restructuring Distorted Negative Thoughts).
  • Reframe Your Distorted Negative Perspective: Reframing your perspective is similar to restructuring your thoughts. Instead of believing the worst possible scenario, learn to look at the same problem from a different angle. You might be able to reframe problems in terms of possible positive outcomes (Developing a Different Perspective Through Reframing).
Get Help in Trauma Therapy
A skilled trauma therapist has advanced training in helping clients to overcome unresolved trauma.

Trauma Therapy For Unresolved Trauma

When you're considering a therapist, ask about their training, experience and background with regard to trauma.

An experienced trauma therapist can help you to overcome unresolved trauma that keeps you stuck.

Rather than struggling on your own, seek help from a licensed mental health professional who has advanced training and experience in trauma therapy so you can lead a more fulfilling life.

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

I work with individual adults and couples. 

As a trauma therapist, I have helped many clients to overcome their 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.


















Wednesday, July 3, 2024

The Mind-Body Connection: Overcoming the Defense Mechanism of Denial With Experiential Therapy

In my prior article, The Mind-Body Connection: The Body Reacts When the Mind Gets Stuck in Denial, I discussed the defense mechanism of denial and how denial impacts people psychologically as well as physically due to the mind-body connection.

Overcoming the Defense Mechanism of Denial

In this article I'm focusing on how Experiential Therapy can help clients who use denial as a maladaptive coping mechanism  (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

Denial as an Unconscious Process
For many people using denial is an unconscious process. 

People who use denial unconsciously often have little or no awareness that they are using denial to avoid emotional pain--until there are consequences as a result of the denial and avoidance.

The consequences might be a worsening of their emotional problems and/or health.

People who have more awareness about their use of denial often realize they need help, but their fear of dealing with their problems keeps them from fully acknowledging their problem so they don't seek help.

Overcoming the Defense Mechanism of Denial

What You Can Do on Your Own
  • Recognize and Acknowledge the Problem: This is the first step in overcoming denial. If you recognize you engage in a pattern of denial and avoidance, you can start to make changes. Some of the signs that you use denial as a defense mechanism include:
    • Getting defensive
    • Avoiding thinking about a problem
    • Avoiding taking action to resolve a problem
  • Slow Down: You're more likely to use denial as a way to avoid a problem when you react quickly, so taking the time to slow down can help you to self reflect on how your behavior (or lack of behavior) is affecting a problem you're avoiding.
Practice Mindfulness

  • Practice Mindfulness: Along with slowing down, practicing mindfulness can help you to stay calm and grounded so you can deal with stress and your own habit of denial and avoidance.
  • Develop Self Awareness: Self reflection can help you to be more self aware recognize how you might be self sabotaging.
Writing in a Journal Develop Self Awareness

Asking For Emotional Support
How Experiential Psychotherapy Can Help to Overcome a Pattern of Using Denial
Experiential Therapy is different than regular talk therapy (see my article: Experiential Therapy Offers a Window Into the Unconscious Mind).

Experiential Therapy can help you:
  • Develop Self Awareness: Experiential Therapy can help you to develop better self awareness about unconscious defense mechanisms you might be using, including denial, using mind-body oriented interventions (see my article: Making the Unconscious Conscious).
  • Develop Greater Self Reflective Capacity: Experiential Therapy can help you to develop or improve your self reflective capacity so that you can think about their thoughts, emotions and behaviors, including unconscious motivations. Becoming aware of unconscious motivations and using self reflection can help you to think before you act so they can make better choices (see my article: The Unconscious Mind: The Symptom Contains the Solution).
Gaining Insight in Therapy
  • Gain Insight: Experiential Therapy can help you to gain insight into your thoughts, emotions and behaviors.
  • Provide Clinical Feedback: Experiential Therapists can provide you with clinical feedback to help them understand your patterns and how you make decisions so you can grow and change.
  • Overcome Emotional Blocks: Experiential Therapists are aware that you might have difficulty making the changes you want to make because you might have emotional blocks that need to be identified. Once emotional blocks have been discovered, Experiential Therapists can help you to work through and overcome the blocks. This is often challenging and requires a commitment to let go of dynamics that are holding you back (see my article: Overcoming Emotional Blocks).
  • Facilitate Transformational Experiences in Therapy: Experiential Therapists can help facilitate transformational changes.
Get Help in Therapy
Since defense mechanisms, like denial, are often unconscious, it can be difficult to overcome emotional blocks to change on your own.

Getting Help in Experiential Therapy

If you have been unable to resolve your problems on your own, you could benefit from seeking help from an Experiential Therapist who can help you to overcome maladaptive coping strategies, like denial and avoidance.

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

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

I am an Experiential Therapist who works with individual adults and couples.

I have helped many clients to overcome obstacles to their growth.

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, October 30, 2022

How Unresolved Childhood Trauma Can Affect Your Ability to Be Emotionally Vulnerable in an Adult Romantic Relationship

In my last article, Emotional Vulnerability as a Strength in a Relationship, I discussed the importance of being emotionally vulnerable as an adult in a romantic relationship.  I discussed how being emotionally vulnerable can bring people closer and create greater emotional intimacy (see my article: Vulnerability as a Pathway to Greater Emotional Intimacy in a Relationship).

Unresolved Childhood Trauma Can Affect Adult Romantic Relationships

But there are times when unresolved trauma can create an obstacle in terms of someone feeling safe enough to allow themselves to take the risk of being vulnerable, which is the topic of this article.

How Unresolved Childhood Trauma Affects Your Ability to Be Emotionally Vulnerable in an Adult Romantic Relationship
The following clinical vignette, which is a composite of many cases with all identifying information removed, illustrates how unresolved childhood trauma creates an obstacle to emotional vulnerability and how experiential therapy can help:

Bill and Sara
When Bill and Sara first met, the chemistry between them was so strong that they both knew they wanted to be in a relationship within the first month.  

But six months into the relationship, after the new relationship energy wore off, they were getting into arguments because Sara felt her emotional needs weren't being met in their relationship.

Specifically, Sara complained to Bill that he was often emotionally distant.  At first, Bill wasn't aware of being any different from how he had always been with Sara, but he took her complaints seriously, especially when she told him that he seemed to have difficulty now being emotionally intimate.  

She told him that he didn't seem to have any problem with being close to her during the first several months of their relationship, but after that he seemed more emotionally withdrawn. 

Initially, Bill felt annoyed. He felt she was making a big deal out of nothing.  But, over time, as he continued to listen to her tell him that she felt he was distant around her, he thought about it more carefully, especially since his last two girlfriends told him the same thing.

Since he didn't want to lose another girlfriend because of complaints about his being emotionally withdrawn, Bill started therapy to work on this issue. 

He had attended cognitive behavioral therapy (CBT) in the past and he learned some relationship skills, but he felt CBT didn't get to the root of his problem.  


After hearing Bill's childhood history of childhood emotional neglect, his therapist understood why Bill was so uncomfortable allowing himself to be vulnerable with Sara and also in his previous relationships (see my article: How Unresolved Trauma Affects Intimate Relationships).

His father worked long hours and when he was around, he usually spent most of his time in the basement tinkering with gadgets he was developing.  

His mother spent a lot of time doing volunteer work for several organizations, so Bill was usually left in the company of the housekeeper.  She was emotionally cold, and she was  also preoccupied with her duties, so she didn't have time for Bill.

As a child, Bill was aware that he wasn't supposed to interrupt his father when he was tinkering with his gadgets or bother his mother when she got home.  This was made very clear to him by both parents. 

So, as an only child, he often felt lonely and as if he was a nuisance to his parents (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).

Whenever he went to visit his friends, Bill was surprised to see how warm and affectionate his friends' parents were with them.  This was so different from his own experience with his parents.

Now that he was in therapy as an adult, he admitted to his therapist that it was easier for him to tell Sara that he loved her during the first few months.  But after that, he felt uncomfortable and he didn't understand why.  

His therapist explained to Bill that as a couple gets closer and a relationship gets deeper, unresolved childhood issues come up and affect the relationship--especially issues involving emotional vulnerability (see my article: Reacting to the Present Based on Your Traumatic Past).

She also provided psychoeducation about childhood emotional neglect and how this often triggers issues with emotional intimacy in adult romantic relationships after the initial new relationship energy wears off.

At first, Bill had problems getting in touch with his fear of being emotionally vulnerable.  But working experientially with Somatic Experiencing (SE) with a recent memory of his discomfort when Sara asked him to tell her that he loved her.  

As he sensed into his body, he felt the right side of his neck and shoulder tense up.  He also felt a tightening in is stomach (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

His therapist asked Bill to stay with that feelings for as long as they were tolerable.  Then, she asked him to identify the emotions he felt that were connected to the tension in his body.  

At first, Bill couldn't think of anything, but as he continued to stay with his bodily experience, he had a sense of fear and sadness when his therapist used a technique called the Affect Bridge, which is used in hypnotherapy, Somatic Experiencing, EMDR and other types of experiential therapy.

Over time, Bill and his therapist continued to work with this memory in subsequent therapy sessions, another memory came to him where he asked his mother to play with him when he was five years old.  

His mother had just gotten in from one of her volunteer projects and she seemed annoyed.  She told him to go to his room and play by himself, which made him feel sad and fearful of making his mother angry.

In other subsequent sessions Bill remembered trying to approach his father to try to get him to play catch with him.  But his father said he was too busy and sent Bill away to play on his own.

His therapist provided Bill with additional psychoeducation about childhood emotional neglect, which surprised Bill because he never thought of himself as being emotionally neglect, but now this made sense to him.

As Bill continued to work on these issues in therapy using the mind-body connection, he was able to put words to emotions about his early experiences of being dismissed by his parents and what came to mind for him was, "I'm not good enough" (see my article: What is the Felt Sense in Experiential Therapy?).

Over time, Bill made the connection between his early feelings of not being good enough and his fear of being emotionally vulnerable with Sara.  He realized that he had put up a wall with her--a defense mechanism to ward off his fear of being rejected, which was connected to his childhood emotional neglect and not feeling good enough. 

Deep down he feared Sara would discover that he wasn't good enough for her, so he protected himself by being emotionally distant with her.

His therapist explained EMDR Therapy to Bill and how it can help with unresolved trauma (see my article: Experiential Therapy, Like EMDR, Helps Achieve Emotional Breakthroughs).

Experiential Therapy Can Achieve Emotional Breakthroughs

Gradually, Bill worked through his childhood trauma in therapy so that it no longer affected him in the present.  The work was neither quick nor easy.

Once he worked through his childhood trauma, being emotionally vulnerable was no longer a problem for him and he was able to express his emotional vulnerability openly with Sara without fear (see my article: Healing Old Emotional Wounds That Are Affecting Your Relationship).

Sara was happier in their relationship than she had ever been because she felt her emotional needs were now being met, and Bill was happy because he was no longer burdened by childhood trauma.

Conclusion
For the purposes of this blog article, which is short compared to scholarly articles, the vignette above is a simplified version of trauma therapy using Somatic Experiencing and EMDR therapy.

In real life cases clients might need other interventions, like doing Parts Work to work through obstacles that come up in trauma therapy--obstacles which are often fairly entrenched by the time a client reaches adulthood and comes to therapy.

Generally, experiential therapy, like EMDR and Somatic Experiencing, tend to work faster than regular talk therapy because an experiential therapist is using the mind-body connection to get access to the unresolved trauma and the unconscious emotions connected to it.

It is often the case that these types of problems don't come up early in the relationship, as seen in the vignette.  At that point, couples are often carried along with the excitement of new relationship energy (NRE), which is a heightened emotional and sexual state during the beginning phase of a relationship.  

The wearing off of NRE, which is also referred to as limerance, varies for people.  However, in most cases NRE wears off anywhere from a few months to a couple of years.  At that point, the couple usually enters into a new phase of the relationship where emotionally intimacy deepens, and this is when problems with emotional vulnerability often comes up.

Without the NRE (or limerance) to carry him along in the scenario above and faced with the deepening of emotional intimacy in the relationship, Bill's unconscious fears of allowing himself to be vulnerable surfaced.

Before he attended therapy, Bill would not have made the connection between his early childhood neglect (and the fear this engendered in him) and his emotional withdrawal from Sara.  It was only when he began doing Somatic Experiencing in therapy that he felt the connection--physically and emotionally--between his childhood experiences and his current relationship with Sara.

Getting Help in Therapy
Unresolved childhood trauma often creates obstacles once a romantic relationship deepens and one or both people feel the need to withdraw emotionally to protect themselves.  Most of the time, this occurs on an unconscious level so they are not aware of what is causing it.

Since emotions are stored in the body, experiential therapy creates a connection between the mind and the body so that clients are able to have a felt sense of these issues.

Once the original trauma is worked through, the client is free of their traumatic history so they can allow themselves to be emotionally vulnerable without fear.

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

I work with individual adults and couples and I have helped many clients to overcome 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.








Sunday, August 7, 2022

Coping With Emotional Distress By Using the Somatic Experiencing Technique of Pendulation to Calm Yourself

In my prior article, Global Pandemic Causes Significant Increase in Anxiety and Depression, according to the findings of the World Health Organization (WHO), there has been a 25% increase in pandemic-related anxiety and depression.  

WHO also indicates that this increase in anxiety and depression is probably just the tip of the iceberg.  

Given these circumstances, individuals who are struggling emotionally need a way to cope with these emotions, and one way to cope is using pendulation.

Using Pendulation to Cope With Emotional Distress


What is Pendulation and How Can It Help You to Cope With Emotional Distress?
Pendulation is a concept which is part of Somatic Experiencing (SE) (see my article: Mind-Body Oriented Therapy: Somatic Experiencing).

SE is a mind-body oriented therapy, developed by Dr. Peter Levine, which helps individuals to heal from trauma.

Pendulation is a useful technique to help individuals to cope with distressing emotions--like the pandemic-related emotions described in my previous article or any other type of distressing emotion, including emotions related to psychological trauma.

Similar to the pendulum on a clock, pendulation involves a shifting back and forth of emotions or body sensations.


Pendulation is Similar to the Movement of a Pendulum on a Clock

Specifically, you start by identifying the distressful emotion or bodily sensation you're experiencing and locate it in your body.  

After you notice the distressful emotion/sensation and where it's located in your body, you find a neutral or calm point in your body and you shift your awareness back and forth (or pendulate) between the distressful and calm experiences.

An Example of Pendulation
For instance, if you identified sadness as the distressful emotion and you locate the sadness as being in your throat where you feel a constriction (a welling up of tears), you sense into other parts of your body to find a calm or neutral point.  

Let's say you detect a sense of calmness in your chest.  You stay with that sense of calmness for a moment to give yourself a chance to experience it.

Then, move back to the sadness in your throat and stay with that for a moment before you go back to the calmness in your chest. 

As you keep going back and forth between the sadness and the calmness, you are pendulating between the two emotions.

As you continue to pendulate back and forth, notice what how the sadness changes.  There is usually a shift due to the integration of the two emotions.

If you have difficulty finding a calm or neutral place within yourself, you can find an external resource, like looking at a glass of water or looking out the window at a tree, and so on.

What If You're Unable to Identify the Distressful Emotion?
There are many individuals with a history of trauma who have difficulty identifying emotions, especially distressful ones.  

They might know they're struggling with a difficult emotion, but they don't know if it's anger, sadness or any other emotion.

If this sounds familiar to you, you can still use pendulation even if you can't identify the emotion.  

For instance, you might know you have a sinking feeling in the pit of your stomach, but you don't associate any particular emotion with that sensation.

Even without knowing the distressful emotion, you can still locate an area in your body where you don't feel that sinking feeling--where you feel neutral or calm.  Then, you can shift your awareness back and forth between those two areas.

If you're working with an SE therapist, over time, you can learn to identify your emotions.  This takes practice. 

Even before you learn to identify specific emotions, you can use pendulation as a self help technique between therapy sessions to calm yourself.

How Does Pendulation Facilitate Emotional Healing?
According to Dr. Levine, pendulation is a natural process that facilitates emotional healing within the nervous system.

As previously mentioned, the shifting back and forth allows for an integration of these emotions, which facilitates healing.  

Pendulation Facilitates Emotional Healing

Whereas before you might have felt stuck in your distress, after you learn pendulation, you feel more emotionally resourced.  

Over time, as you sense the integration of emotions, you gain confidence that you can cope with uncomfortable emotions and you won't get stuck in a distressed state.  

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

As a trauma therapist, I work with individual adults and couples (see my article: What is a Trauma Therapist?).

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

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












Wednesday, March 16, 2022

Making Big Changes: The Role of the Unconscious and Why You Might Not Be Able to "Just Do It"

Making a major change in your life--even a change you really want--can be challenging.  Many self help books and motivational coaches urge people to "just do it!" as if you could just power through to automatically change.  Although this might be true sometimes, this is a superficial view of what it takes to overcome an emotional block you might encounter when you want to make a big change. What is often overlooked is the role of the unconscious mind in the change process (see my articles: Making the Unconscious Conscious and Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Making Big Changes: Why You Might Not Be Able to "Just Do It"

On the surface, it seems logical: You want to make a change in your life, so you make a decision to do it and it gets done. But we now know that most of mental processing occurs on an unconscious level. 

So, although you might think you can just push yourself to make a major change, your unconscious mind initiates the process or, as often happens, gets in the way of your making the change.

Clinical Vignette
The following vignette, which is a composite of many cases with all identifying information removed, illustrates how the unconscious can get in the way of making a major change and how experiential therapy can help:

Alice
When Alice came to therapy, she was frustrated and confused about why she was procrastinating with starting a new project she really wanted to do, which involved a major change for her.

Alice told her therapist that there was no doubt in her mind that she wanted to take advantage of this new opportunity to write for a prestigious journal. She knew that being able to publish her scholarly articles would give her the professional exposure she wanted and open up new doors for her.  

And yet, she explained, whenever she thought about submitting her articles to the journal editors, she felt so much anxiety that she got a headache and upset stomach. She tried to reason with herself that there was nothing to cause her discomfort, but she still felt so anxious that she couldn't even sit at her computer.

This left Alice feeling confused and frustrated because she just couldn't understand what was holding her back.  She was also aware that if she procrastinated too long, the editors might withdraw their offer and she didn't want that to happen.  So, to buy herself some time, she negotiated a delay and the editors accommodated her, but she knew she couldn't delay indefinitely.

Prior to coming to therapy, Alice worked with a life coach to help her to get motivated.  The life coach gave Alice various exercises to do, including writing about her core values.  He encouraged her by telling her to remember her past successes, and he also advised her to do affirmations about her new goal. But nothing worked--she still felt sick whenever she thought of this new opportunity.

Not only was she unable to start, but she also felt like there was something seriously wrong with her because her inaction didn't make sense to her.  Her life coach advised Alice that whatever was creating the obstacle for her was beyond the scope of coaching, and he advised her to seek help in therapy so she could work on a deeper level.

Alice's therapist explained to her that, even though, on a conscious level, Alice wanted this opportunity, she was encountering an unconscious block that was getting in the way.  She also explained how they could uncover this block using Experiential Therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

Her therapist described the various types of Experiential Therapy, which use the mind-body connection, like EMDR therapy, AEDPSomatic Experiencing and clinical hypnosis,. She explained how these modalities uncover and overcome the emotional blocks that were getting in Alice's way (see my article: The Unconscious Mind and Experiential Therapy).

Over time, Alice's therapist helped Alice to get into a relaxed state so she could use a method called the Affect Bridge to go back to the earliest time when she felt this type of anxiety.  Her therapist explained the Affect Bridge could get to the root of what was triggering Alice's anxiety to uncover the problem.

During one of the sessions using the Affect Bridge, Alice recalled a memory she had not remembered in a long time:  When she was in high school, she came home from school feeling very excited because her English teacher said she wanted to recommend Alice to be a writer on the school newspaper.  Alice loved to write and she had always wanted to write for the paper. But when she told her mother about it, her mother frowned and told her, "Don't forget where we come from."  

Since Alice was a very obedient child and she knew her mother disapproved of her writing for the high school paper, she turned down the opportunity, which made her sad; however, she didn't want to make her mother unhappy.

Later on in that same therapy session, when her therapist was debriefing her, Alice explained that her parents immigrated from Eastern Europe just before Alice was born.  They had very little money when they came and they relied heavily on other family members, who were already in New York, to help them until Alice's father was able to get a job.  They often recalled their impoverished circumstances and the importance of family by saying, "Don't forget--always put family first."

Recalling that memory also prompted other memories where her mother disapproved of other opportunities that were presented to Alice.  Each time it was as if her mother believed that these opportunities would create a wedge between Alice and her.  

Even the thought of Alice going to college was fraught for her mother--until Alice's guidance counselor convinced her mother that Alice would have better job opportunities if she went to college.  This was something her mother understood because it involved work and survival, so she relented, but she wouldn't allow Alice to go away, so she had to go to a local college.

Recalling those memories caused Alice a lot of sadness and anger.  Even though she loved her family and she had been especially close to her mother, she wished she had been able to defy her mother to take advantage of these opportunities.  But, she explained, as a teenager, she didn't dare.  She was too afraid of standing up to her mother, and she believed it would break her mother's heart.

"But why is this affecting me now?" Alice asked her therapist, "I'm 45 years old, and both of my parents are long gone" (see my article:  Reacting to Your Present Circumstances Based on Your Traumatic Past).

As they continued to work together using Experiential Therapy, Alice realized that, even though her mother was no longer alive, her internal experience of her mother still had a powerful influence on her.  She realized that her mother didn't understand and she feared that if Alice took advantage of these opportunities, Alice would begin to move away from her family emotionally or physically.

Gradually, Alice also realized that, unconsciously, she was still trying to appease and reassure her mother that she was still loyal to her family.  Even though her parents had been dead for a number of years, this unconscious wish was still very much a part of her.

After Alice had this realization, she knew it was not only important to her career that she write for the journal--it was also important for her emotional development to stop operating under these longstanding unconscious thoughts. 

So, with some mixed feelings, she submitted her first article to the journal.  She also continued to work in therapy to grieve for what for the opportunities she missed in the past and to overcome some lingering guilt she felt about doing something she knew her mother would have felt threatened by if she were still alive.

Experiential Therapy Helps You to Overcome Emotional Blocks

Her therapist helped Alice to work through the earlier trauma using EMDR therapy, so Alice was able to let go of the remaining emotional blocks and work on her new project without guilt or hesitation.

Conclusion
The unconscious mind has a powerful role in your decision-making.  So when you encounter an obstacle in making a decision or moving forward with a plan, your unconscious mind is likely involved.

Sometimes there's an old unconscious emotional block, like "I'm not good enough" or "I'm unlovable," which is out of your awareness, which keeps you from making the changes you want (see my article: Overcoming the Internal Critic and Overcoming the Emotional Pain of Feeling Unlovable).

Experiential therapy can help you to make the unconscious conscious, as illustrated in the vignette above, so you're free to live fully in the present without trauma.

Getting Help in Therapy
If you've been struggling with a problem despite your best efforts to solve it, you could benefit from working with an experiential therapist.

Rather than struggling on your own, you can overcome the obstacles holding you back so you can live a more fulfilling life.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP and Somatic Experiencing 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 or email me.