EMDR is a Mindfulness-Based Trauma Therapy

EMDR (Eye Movement Desensitization and Reprocessing) is essentially a mindfulness-based trauma therapy (see my article: How EMDR Therapy Works).

EMDR is a Mindfulness-Based Trauma Therapy

Both EMDR and mindfulness are present-oriented and nonjudgmental using dual awareness to process disturbing memories. Both down-regulate the sympathetic nervous system (SNS) which reduces the emotional charge and the vividness of the trauma.

Here are the qualities that EMDR and mindfulness share in more detail:

Shared Mechanisms of EMDR and Mindfulness

• Dual Awareness and Waking Memory: EMDR uses bilateral stimulation (BLS) and mindfulness uses attentional anchors, like mindful breathing. Both mechanisms enable the brain's working memory to multitask which strips away the vividness of traumatic memories.

• The "Observer" Stance: EMDR's core prompt, "What are you noticing now?" or instructing the client to "stay to with it" is active mindfulness. It shifts the brain away from identification with trauma and treats thoughts and bodily sensations as transient phenomena.  

• Adaptive Information Processing (AIP): Both practices engage the brain's natural capacity to heal. Just as mindfulness promotes "decentering" (stepping back from negative thoughts), EMDR removes the "splinter" of dysfunctional memory networks so the mind can integrate them adaptively.

Integration in Therapy

• Stabilization: Therapists use evidence-based mindfulness strategies, like grounding and containment exercises to build distress tolerance before dealing with traumatic memories.

• Somatic Awareness: Both frameworks require deep body awareness which helps clients to track physical sensations without spiraling (see my article: The Mind-Body Connection: What is Somatic Awareness?).

Mindfulness exercises for EMDR stabilization (Phase 2) are somatic and sensory tools designed to anchor you in the present, manage distress and prevent emotional flooding before trauma processing begins:

Key EMDR stabilization exercises include:

• Relaxing Place Exercise: You identify a real or an imaginary place that brings you a deep sense of peace.  Then, you focus on vivid sensory details: sight, sound, texture and temperature. EMDR therapists often pair this with bilateral stimulation to neurologically reinforce the feeling of calm and safety (see my article: What is the Relaxing Place Exercise?).

A Relaxing Place Exercise

• The Container Exercise: This exercise helps you to mentally store overwhelming emotions, body sensations and traumatic memories. You picture placing distressing thoughts into a secure container, like a locked chest or vault, closing it and leaving it safely put away until you are ready to process it again with your EMDR therapist.

• The 5-4-3-2-1 Grounding Technique: This sensory awareness exercise pulls you out of traumatic memories or dissociation by bringing your focus to the present room. You actively notice: 
• 5 things you can see
• 4 things you can physically feel or touch
• 3 things you can hear
• 2 things you can smell
• 1 thing you can taste

• The Butterfly Hug: This is a self-administered bilateral stimulation technique where you cross your arms over your chest, placing hands on opposite shoulders or collarbones, and giving alternating gentle taps on your right and left sides or focusing on a calm thought to self soothe when you feel triggered (see my article: What is the Butterfly Hug?).

EMDR Butterfly Hug

• Dual Awareness: One Foot in the Present and One Foot in the Past: This is a mindfulness practice where you learn to observe a distressing emotion or memory while simultaneously keeping your awareness on your body in the present moment. You might tell yourself something like, "A memory is coming up, but that happened in the past and I'm safe in this room right now."

Get Help in EMDR Therapy

EMDR therapy is a mindfulness-based therapy to overcome trauma.

Get Help in EMDR Therapy

If you have been unable to work through traumatic memories on your own or in traditional talk therapy, you could benefit from working with a licensed mental health professional who is an EMDR therapist.

Rather than suffering with unresolved trauma, seek help in EMDR therapy so you can free yourself from your traumatic history and live a more fulfilling life.

About Me

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

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

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

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

 

Understanding Why An Emotional Block Might Be Preventing You From Crying

If you have ever felt like your tears of sadness are "stuck", you know the frustration of feeling an emotional block (also known as emotional numbing). This often happens when your nervous system feels overwhelmed and enters into a self-protective "freeze" response.

Trauma Responses: The Freeze Response

You might feel the intense pressure of a lump in your throat, but your mind perceives this type crying as a potential threat to your emotional survival and safety. This "freeze" response is known as a trauma response. 

What Are the Reasons Why Your Tears Might Feel "Stuck"?

• Your Nervous System "Freeze" Response: When you experience prolonged stress or intense trauma, your sympathetic nervous system (SNS) can become overloaded. Instead of triggering a fight-or-flight response, your body reacts with a survival mechanism called dissociation (also known as a dorsal vagal shutdown).  Your brain reduces the intensity of your emotions to protect you from being overwhelmed by them. This response acts like a "circuit breaker" that cuts off power to your tear ducts (see my article: What is Trauma-Related Dissociation?)

Trauma Responses: The Freeze Response 

• Emotional Exhaustion and Burnout: Crying is an active biological process that requires emotional energy. If you have been trying to "hold it together" for months or even years, your emotional reserves can become depleted. The sadness is there, but your body might not have the stamina to release the tears.

Emotional Exhaustion and Burnout

• Unconscious Conditioning and Safety Walls: If you grew up in a household where there were rules that you shouldn't cry or you were punished for showing emotional vulnerability, these experiences can teach your brain to suppress tears. If you might ahve been given the message that you had to be "independent" when you were a child so you had to keep your emotions suppressed. In addition, forcing yourself to "power through" can leave you with no room to pause, soften, feel your feelings and cry.  

Being Scolded For Crying as a Child?

• Mental Health Conditions: Even though depression is usually associated with sadness, it frequently shows up as emotional blunting or anhedonia. This can make you experience your feelings as "flat" which makes tears inaccessible.

How to Safely Release Blocked Emotions in Experiential Therapy

You can't force an emotional release by trying to force yourself to cry because when you put that kind of pressure on yourself, your nervous system tightens up even more. In order for you release pent up emotions, you need to have a sense of safety so your body can gently release the emotions.

When you are dealing with "stuck" emotions, traditional talk therapy can be too much of an intellectual process that keeps you in your head. You might gain intellectual insight into your problems, but you don't get an emotional release.

The most effective therapies for processing trauma and releasing "stuck" emotions are mind-body oriented therapies, also known as Experiential Therapies (see my article: Why is Experiential Therapy More Effective For Healing Trauma Than Traditional Talk Therapy?).

The following are some of the main types of Experiential Therapy:

• Somatic Experiencing (SE): SE was developed by Dr. Peter Levine. SE treats emotional numbness as trapped survival energy from past stress or trauma. An SE therapist helps you to slow down so you can track subtle sensations (warmth, tingling, tightness) rather than asking you to only talk about what you're experiencing. By slowly introducing small amounts of "stuck" energy at a time (a process called "titration" in SE), your nervous system gently "thaws out" of its freeze response without becoming overwhelmed (see my article:  What Are the Benefits of SE to Heal Trauma?).

Somatic Experiencing Therapy

• Eye Movement Desensitization and Reprocessing (EMDR): While EMDR is usually associated with the bilateral stimulation process it uses, it is deeply rooted in how the body stores distressing memories. During the processing phase of EMDR, you focus on a particular memory or, if you are stuck in a freeze response, you focus on the physical feeling of numbness and where you feel it in the body. Then you follow either a physical or tactile bilateral stimulus. EMDR can help you to process "stuck" emotional information. Over time, this can lead to a somatic discharge like crying or a deep sense of physical relief when your body and mind feel safe enough to do it (see my article: How Does EMDR Therapy Work: EMDR and the Brain).

EMDR Therapy

• Internal Family Systems (IFS) Parts Work Therapy: In IFS an inability to cry due to a trauma-related freeze response is viewed as a protective strategy rather than a "broken" emotional system.  From an IFS perspective, this freeze response shields you from being overwhelmed by grief, fear or overwhelming sadness. In traditional psychotherapy the freeze response is often viewed as a symptom to eliminate, but in IFS the freeze response is appreciated as a protective aspect of the client. An IFS therapist uses the process called "unblending" to help the client to step away from the freeze response so that they can access Core Self, which is a part that is compassionate and curious to get to the underlying emotional wound that the emotional numbing protects (see my article: IFS Therapy is a Gentle Evidence-Based Trauma Therapy).

IFS Parts Work Therapy

• Accelerated Experiential Dynamic Psychotherapy (AEDP): An AEDP therapist treats the freeze response with a safe relational environment that gently helps to "thaw out" the nervous system. One of AEDP's primary goals is to "undo aloneness" where the therapist uses attachment-oriented affirmation ("I am here with you" or "We are doing this together") to build a secure base. When the brain registers true relational safety, the nervous system naturally begins to release it's survival-driven emotional numbing. The AEDP therapist also uses moment-to-moment tracking of the client's somatic cues. She will bring awareness to these somatic cues ("I notice that your jaw seems tight" or "I notice that your breath seems shallow. Can we slow down so we can see what's happening there?" Similar to IFS, AEDP recognizes that emotional numbing was once an adaptive defense when it wasn't possible to express emotions. So, she helps the client to process the emotional numbing. When the client begins to "thaw" from the emotional numbing, the therapist shares the emotional burden, validating the client's feelings and keeping the client anchored within their "window of tolerance" so that this energy can be discharged in a way that is manageable for the client (see my article: What is AEDP and How Does It Heal Trauma?).

What Are the Benefits of Integrating Experiential Therapies Like EMDR, IFS, AEDP and SE?

When an Experiential Therapist integrates EMDR, IFS, AEDP and SE (or any combination of these therapies), it means she is practicing an integrative trauma-informed "bottom up" approach to healing trauma.

Rather than using an intellectual top-down approach of talking about trauma conceptually, as would be done in traditional psychotherapy, the Experiential Therapist targets how trauma is held in the mind and in the nervous system. 

By using a combination of Experiential Therapy, the trauma therapist builds a complete plan that addresses the cognitive, emotional, relational and physical layers of your trauma. 

Get Help in Experiential Therapy

Whereas traditional psychotherapy is a "top down" approach, Experiential Therapies are a  "bottom up" approach to healing trauma.

Get Help in Experiential Therapy

The bottom-up approach of Experiential Therapy is often more effective than a top-down approach because because trauma, intense anxiety and emotional stress are stored in the lower brain regions and the autonomic nervous system which rational thoughts and traditional talk therapy cannot access.

If you are struggling with unresolved trauma, seek help in Experiential Therapy so you can heal your trauma and lead a more fulfilling life.

About Me

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

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

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

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

Also See My Articles:

EMDR Therapy - When Talk Therapy Isn't Enough 

Somatic Experiencing - A Mind-Body Oriented Therapy to Heal Trauma 

AEDP: How Does AEDP Process Emotions? 

IFS: How Are Emotions Processed in IFS Parts Work Therapy? 

What is the Connection Between IFS Parts Work Therapy and Neural Networks?

When I explain IFS (Internal Family Systems) Parts Work Therapy to clients, I emphasize that the "parts" in IFS are understood as metaphors for distinct, specialized neural networks in the brain (see links for my other IFS articles at the end of this article).

The Connection Between IFS and Neural Networks

IFS uses personalized, conversational language that most adults can understand, like "inner child", "protector parts" and "inner critic" as a way to make the these concepts accessible.

Neurobiological research shows that these "parts" are actually clusters of interconnected neurons that fire together during past experiences to form fixed behavioral, emotional and cognitive patterns.

What is the Connection Between IFS Parts Work Therapy and Neural Networks?

Parts Are Encapsulated Neural Networks:

• Implicit Memory Storage: When you experience trauma or chronic stress, your brain encodes the event into implicit memory (i.e., unconscious memory). The neural network formed during that event becomes localized and isolated.

The Connection Between IFS and Neural Networks

• Fixed Schemas: These isolated neural networks serve as mental maps or schemas. When triggered by a current event, the entire historical network fires simultaneously which causes you to feel, think and react in the same way as when this network was formed. In IFS, this is known as a part "blending" with you.

Neuroplasticity and Memory Reconsolidation

• Unlocking the Network: IFS Parts Work targets these specific neural networks by a process called memory reconsolidation. When you focus on a particular part with curiosity and compassion, you stimulate and open up that specific neural pathway. 

IFS Parts Work Therapy and Neuroplasticity

• Rewiring Through "Core Self Energy": By introducing "Core Self Energy" (a state of calm, curiosity, clarity and mindfulness associated with your precortex functioning), you can introduce new, positive emotional input into the activated network. According to neuroscientists, including Frank Anderson, MD, this targeted imagination and dual attention physically rewires the neural network, updates the old memory and stores it back in healthy, integrated state (see my article: Healing Unresolved Trauma and Neuroplasticity: The Mind Has a Powerful Innate Ability to Heal Itself).

Regulating Brain Regions

• Calming the Amygdala: IFS "protector parts" (like an inner critic or an anxious part) are driven by an hyperactive amygdala, which is the brain's threat-detection center. "Befriending" these parts tells your amygdala that the danger has passed, which down- regulates the fear response (see my article: Making Friends With Your Inner Critic as a way to understand the "befriending" process in IFS).

IFS Therapy: Calming the Amygdala

• Strengthening the Prefrontal Cortex: The "Core Self" of IFS represents a state of high neurological integration. Practicing IFS strengthens the connection between the prefrontal cortex (executive control) and the limbic system (emotions) allowing you to observe intense emotional reactivity without being completely overwhelmed by it.

Summary of Parallel Concepts

• IFS Concept: A "Part"
• Neurological Equivalent: A localized cluster of neurons forming an implicit memory network

• IFS Concept: A "Blended State"
• Neurological Equivalent: The automatic, involuntary firing of a trauma-encoded neural pathway

• IFS Concept: Core Self Energy (also referred to as "Self')
• Neurological Equivalent: Prefrontal cortex activation, high neurological activation and mindfulness.

• IFS Concept: "Unburdening"
• Neurological Equivalent: Neuroplastic reorganization and memory reconsolidation

Conclusion

IFS Parts Work Therapy uses a personalized language as a way to make the IFS concepts understandable to clients.

In this article I have addressed the neurological equivalents of IFS Parts Work Therapy as a way to show that IFS, which is a gentle evidence-based therapy for trauma, has neurological underpinnings for clients who are interested in the connection between IFS and science.

Get Help in IFS Therapy

If you have been struggling and traditional talk therapy hasn't helped you, you could benefit from working with a licensed mental health professional who is an IFS therapist.

A skilled IFS therapist can help you to work through psychological trauma so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples),  Parts Work (IFS Therapy and Ego States Therapy), 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 Other IFS Articles:

IFS is a Gentle Evidence-Based Trauma Therapy 

How IFS Therapy and Ego States Therapy Help You to Understand Yourself. 

Discovering Your Core Self in IFS Parts Work Therapy 

How Are Emotions Processed in IFS Parts Work Therapy? 

How Can Parts Work Therapy Be Empowering?

What Are the Similarities and Differences Between IFS and Contemporary Psychodynamic Psychotherapy?

 

Anxiety Can Be a Signal That You Are Suppressing Deeper Emotions

Anxiety is a common mental state that everyone experiences at one time or another. 

Anxiety can either be an adaptive emotion or it can be an inhibitory emotion, which I'll explain in this article (see my article: What is the Difference Between Fear and Anxiety?).

Anxiety Can Signal Suppressed Emotions

What is Anxiety?

Anxiety is characterized by physical and mental symptoms including (but are not limited to):

• Muscle tension
• Rapid heartbeat 
• Headaches
• Shortness of breath
• Digestive issues
• Lightheadedness
• Trouble sleeping
  
• Fatigue
• Nausea
• Trembling
• Twitching
• Excessive worry or a sense of impending danger
• Irritability
• Restlessness
• Avoidance of feared situations

When is Anxiety Adaptive?

Mild anxiety can be adaptive. 

For instance, mild anxiety can be adaptive before taking an exam, giving a presentation or preparing for a sporting event because it acts as a catalyst to help you to focus and prepare for these events to improve your performance.

When is Anxiety a Signal You Are Suppressing Deeper Emotions?

Anxiety can also act as a secondary emotion that let's you know you're suppressing core emotions, which are also known as deeper emotions or primary emotions (I'll use these terms interchangeably).

Core emotions include:

• Sadness
• Fear
• Joy
• Anger
• Surprise
• Disgust

When is Anxiety an Inhibitory Emotion?

When you experience anxiety as a secondary emotion, the anxiety is a signal that you are suppressing (or inhibiting) core emotions. 

Learning to suppress emotions often occurs early in life. 

As a child, you might have learned that emotions are "dangerous". 

This usually occurs when a  parent, who is uncomfortable with certain emotions, either ignores, punishes or lets you know in some other way that these emotions are unsafe.

Learning to Suppress Emotions as a Child

For instance, let's say you cried as a child because you were afraid of going to school. If your  parent was uncomfortable with your crying and didn't know how to handle your emotions, your parent might have said, "Stop being a drama queen" or "Big girls don't cry" or "You look ugly when you cry" (see my article: What is Childhood Emotional Neglect?).

If you had enough of these experiences as a child, you learn that it's unsafe to experience certain emotions because your parent isn't going to comfort you or, worse still, your parent will ignore, punish or criticize you. So, rather than experiencing the unbearable vulnerability of being alone with uncomfortable emotions, you learn to suppress these emotions.

When emotions are suppressed, the suppression creates trapped emotional energy which forces the body to keep the nervous system in a chronic state of fight-or-flight. This results in sustained spikes of cortisol or adrenaline which can create the anxiety-related symptoms mentioned above (racing heart, muscle tension and so on).

How Can You Address Suppressed Core Emotions?

If you notice you're feeling anxious and it's not a mild anxiety that is adaptive, you can pause, get curious, tune into your body and ask yourself, "What am I feeling underneath this anxiety?"

Using Somatic Awareness to Tune Into Your Body

For instance, if you tune into your body and notice that underneath your anxiety you're feeling sadness, you can reduce the anxiety in your body by allowing yourself to feel the sadness (see my article: The Mind-Body Connection and Somatic Awareness).

At that point, maybe you allow yourself to cry to release some of the sadness or maybe you write in a journal to express your sadness. 

You might also talk to a trusted friend so you don't feel alone with your sadness and you can  receive validation that your experience is normal and your friend has had similar experiences.

Other emotions that suppress core emotions are shame and guilt.

Getting Help in Therapy

If you find it difficult to tune into your body and detect the emotions you are suppressing, you could benefit from working with a licensed mental health professional who practices Experiential Therapy.

A psychotherapist who practices Experiential Therapy can help you to develop the necessary somatic awareness to deal with suppressed emotions and the underlying issues.

Experiential therapies are especially helpful in overcoming anxiety and trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?).

Experiential therapies include:

• Eye Movement Desensitization and Reprocessing (EMDR)

• Accelerated Experiential Dynamic Psychotherapy (AEDP)

• Somatic Experiencing (SE)

• Parts Work Therapy (IFS or Ego State Therapy)

Getting Help in Therapy

Rather than struggling on your own, seek help in therapy so you can calm your nervous system, deal with the underlying issues you have been suppressing and live a more fulfilling life.

About Me

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

As an Experiential Therapist, I have over 25 years of experience helping individual adults and couples.

To find out 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:

Self Help Tips For Coping With Anxiety

Getting Help For Anxiety in Therapy 

What Does Processing Your Emotions Mean?

How to Cope With News Anxiety 

Overcoming Adult Separation Anxiety

What is the Connection Between Anxiety and Depression? 

How Does Somatic Experiencing (SE) Process Emotions?

In my recent articles I've been exploring how the different types of Experiential Therapies, like AEDP, Parts Work (IFS and Ego States Therapy) and EMDR process emotions.

Processing Emotions with Somatic Experiencing

In the current article I'm focusing on how Somatic Experiencing, also known as SE, processes emotions (see my article: Somatic Experiencing: A Mind-Body Oriented Therapy).

Somatic Experiencing was developed by Peter Levine in the 1970s. Like many other types of Experiential Therapies, SE was developed to address the limitations of traditional psychotherapy (see my article: Why is Experiential Therapy More Effective Than Traditional Psychotherapy to Resolve Trauma?).

How Does Somatic Experiencing Process Emotions?

Somatic Experiencing processes emotions by focusing on bodily sensations (see my article: The Mind-Body Connection: What is Somatic Awareness?)).

Processing Emotions with Somatic Experiencing

Like other types of Experiential Therapy, Somatic Experiencing is a "bottom up" rather than a "top down" approach (see my article: What is the Difference Between a "Top Down" and "Bottom Up" Approach to Trauma Therapy?)

Clients are guided by their SE therapist to safely notice, feel and release tension related to trauma. This allows the nervous system to complete the interrupted stress response related to the trauma. These releases are often subtle.

What Are the Key Processes in SE to Process Emotions?

The key processes in SE include:

• A "Bottom Up" Approach: As mentioned above, instead of analyzing emotions, which is the usual way in traditional talk therapy, SE focuses on physical sensations to access and resolve underlying emotional experiences. These physical sensations might include tightness, warmth or pressure (to name a few).

Somatic Experiencing and Resourcing

• Resourcing: Prior to processing traumatic emotions, the client learns to develop a felt sense of calm and safety that can be accessed during times of activation related to processing the trauma (see my article: Developing Internal Resources and Coping Skills).

• Titration: Titration involves breaking down overwhelming traumatic memories into manageable pieces to avoid retraumatization during processing.

• Pendulation: Pendulation is shifting back and forth from a state of calm and safety to a state of discomfort related to the unresolved trauma.  This allows the nervous system to process traumatic emotions without being overwhelmed (see my article: Coping With Emotional Distress By Using the SE Technique of Pendulation).

• Discharging: As trapped energy related to the trauma is released, the client might experience physical sensations (e.g., heat). These sensations are often subtle.

Conclusion

Somatic Experiencing allows clients to process traumatic emotions and shift from a fight, flight, freeze or fawn response into a state of self regulation and relief.

I have been using Somatic Experiencing with clients regularly since 2011 and I have found that SE often combines well with other types of Experiential Therapy, like AEDP, EMDR and Parts Work.

Getting Help With Somatic Experiencing

If you feel stuck with unresolved trauma, you could benefit from working with a licensed mental health professional who is also an SE practitioner.

Getting Help With Somatic Experiencing

Freeing yourself from unresolved trauma can allow you to live a more fulfilling life.

About Me

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

I have over 25 years of experience helping individual adults and couples.

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

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

Also See My Articles:

What Are the Therapeutic Benefits of Somatic Experiencing?  

What Does Processing Emotions Mean? 

How Are Emotions Processed in Accelerated Experiential Dynamic Psychotherapy (AEDP)?  

How Are Emotions Processed in Eye Movement Desensitization and Reprocessing (EMDR) Therapy?  

How Are Emotions Processed in Parts Work (IFS and Ego States) Therapy? 

What is the Life Cycle of an Emotion?

How Are Emotions Processed in Accelerated Experiential Dynamic Psychotherapy (AEDP)?

I have been writing about emotions lately (see links to the prior articles at the end of this article).

As I have written in prior articles, Accelerated Experiential Dynamic Psychotherapy (AEDP) was developed by Diana Fosha, an American psychologist based in New York City.

How Emotions Are Processed in AEDP

AEDP is one of several types of therapy that fall under the umbrella of Experiential Therapy (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Heal Trauma?).

The other therapy modalities that fall under this category of Experiential Therapy include:

• EMDR (Eye Movement Desensitization and Reprocessing)

• Parts Work (IFS and Ego States Therapy)

• Somatic Experiencing

If you haven't read my more detailed articles about AEDP, I recommend that you read these articles first:

What is AEDP? - Part 1 and Part 2

How Does AEDP Work?

How Are Emotions Processed in AEDP?

In AEDP emotions are processed by:

• Here-and-Now Focus: Focusing on the here-and-now of the therapeutic relationship

How Emotions Are Processed in AEDP

• Somatic Awareness: Focusing on bodily sensations or somatic awareness

• Developing Secure Attachment: Working through painful emotions actively in a secure and supportive environment with a deeply attuned therapist

An AEDP therapist helps clients to move from a state of defensiveness or emotional numbness to an experience of transformation.

Creating a "Safe Container" For the Client to Process Emotions: 

The foundation of AEDP is helping the client to experience a secure attachment in the therapeutic relationship:

• The Therapeutic Relationship: Developing a trusting and validating therapeutic relationship

• Undoing Aloneness: Helping the client to undo the feeling of aloneness

A Here-and-Now Experiential Focus 

The AEDP therapist has a here-and-now experiential focus including:

• Therapeutic Attunement: Attunement that tracks the client's moment-to-moment experience

• Slowing Down: An AEDP therapist will often ask a client to "slow down" to catch the subtle shifts in emotion that might otherwise be overlooked.

Processing Core Emotions

The AEDP therapist helps the client to process emotions by:

• Getting Past Defenses: The therapist asks the client to identify and soften defense mechanisms (e.g., anxiety, intellectualizing, rationalizing, denial, numbing) to reach the underlying core emotions.

How Emotions Are Processed in AEDP

• Accessing Core Emotions: Once defense mechanisms soften, the client can work through deep core emotions. like sadness, grief, fear, anger or shame, which allows the client to feel the full wave of emotions (see my article: Getting Out of Your Head With Experiential Therapy).

• Facilitating Transformational Affects: By fully experiencing emotions in a safe therapeutic environment, the client can move from feeling trapped or broken to a safe of relief, self compassion and emotional resilience (see my article: Riding the Waves of Transformation)

Metaprocessing (Reflecting on the Experience)

The AEDP therapist facilitates metaprocessing by:

• Discussing the Therapy Process: A key component of AEDP is metaprocessing where the client and therapist talk about what it's like to share these emotions in the room:
• "What was it like to share that with me?"

• Cementing the Change: Reflecting on the experience helps to solidify the healing, deepen self awareness and strengthen the client's capacity for emotional regulation.

A Corrective Emotional Experience

AEDP helps to bring about a corrective emotional experience by:

• Reorganizing the Brain: By having a new positive experience of being seen, heard and understood while being in emotional pain, the brains neural pathways are reorganized which promotes neuroplasticity.

AEDP and Neuroplasticity

• Shifting From Avoidance to Connection: The process transforms shame into self compassion and changes habitual avoidance of feelings into a capacity for emotional awareness.

About Me

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

I have over 25 years of experience helping individual adults and couples.

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

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

Also See My Articles: 

Managing Emotions: What is the Life Cycle of Emotions?  

What's the Difference Between Emotional Regulation and Controlling Your Emotions?  

Coping With Alexithymia - Also Known as Emotional Blindness 

Emotional Regulation: How Do You Know What You Need When You're Distressed? 

What is Emotional Co-regulation? 

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

What is the Life Cycle of an Emotion?