Follow

Translate

NYC Psychotherapist Blog

power by WikipediaMindmap
Showing posts with label mind-body psychotherapy. Show all posts
Showing posts with label mind-body psychotherapy. Show all posts

Friday, September 18, 2026

Psychotherapy Can Help to Overcome the Effects of Growing Up in a Family that Doesn't Talk About Their Feelings

Medical Review / Last Updated: September 18, 2026
Over the years, I have worked with many clients who grew up in families where talking about feelings was completely avoided. Often, these individuals seek therapy as adults because they never learned to identify their own emotions. As a result, they frequently struggle in their adult relationships due to deep communication barriers.

A thoughtful couple sitting quietly on a sofa in soft natural lighting, illustrating emotional distance and the impact of childhood emotional neglect on adult communication
Growing up in a home where feelings are ignored often leaves adults without the tools to communicate, creating an invisible wall of emotional distance between partners.

When your family discourages you from talking about your emotions as a child, you grow up having a difficult time understanding your internal world. You can read more about how allowing yourself to feel your feelings can heal unresolved childhood issues that create relationship conflicts.
The Effect of Growing Up in a Family That Doesn't Talk About Feelings
Children learn to identify and express their emotions by talking to their parents. In a healthy environment, parents reflect back what the child is experiencing and teach them how to process difficult emotional states. Over time, these children develop the tools to cope with sadness, anger, frustration, and anxiety—emotions that would be incredibly hard, if not impossible, to navigate on their own.

But what happens when parents are uncomfortable with their own emotional landscapes and actively discourage their children from expressing vulnerability?
The answer is that children are left isolated, struggling to deal with heavy emotional burdens by themselves. Finding it too difficult to process these states alone, children instinctively learn to numb their feelings as a self-protective defense mechanism.

Unfortunately, emotional numbing is rarely selective. When people numb themselves to protect against pain, they inadvertently numb themselves to all emotions, leaving them unable to fully experience happiness, intimacy, or joy as adults.
The Impact of Emotional Numbing on Romantic Partners
Living with a spouse or romantic partner who cannot identify or express basic emotions can be deeply frustrating. Many people experience a partner who cannot express feelings as being emotionally withholding, as if they are intentionally stonewalling or refusing to communicate.

However, it is usually not a matter of choice; they simply do not know how to do it. To explore this dynamic further, see my article on the connection between childhood emotional neglect and adult relationship problems.
Clinical Vignette: Rita and Tom
The following clinical vignette, which is a composite of many cases, illustrates how growing up in an emotionally sterile household directly impacts adult intimacy:

Rita and Tom came to couples counseling because they were trapped in a chronic communication breakdown. Specifically, whenever a conflict arose between them, Rita experienced a total emotional block. She had extreme difficulty understanding what she felt, leaving her completely unable to speak to Tom about their problems.

Their first year together was a happy, whirlwind romance. But when they moved in together, they began to encounter new relationship challenges that they had never faced before.

Tom sensed that Rita was unhappy about the long hours he spent at the office. Whenever he came home late, she looked sullen and barely spoke to him. But when he asked her about it, she brushed it off and completely refused to talk.

Because her annoyance was obvious, Tom tried to get Rita to open up, but she continued to minimize her feelings. Frustrated by her silence, Tom tried talking about his own job and the intense sales pressure he was getting from his boss. He thought if he modeled vulnerability, she would feel safe enough to talk. Instead, she continued to retreat.
The Dynamic of the "Guessing Game"
Tom felt trapped in a perpetual guessing game. Because Rita’s annoyance manifested passively—through sudden silence, emotional distance, and cold physical cues—he was constantly trying to decode her mood.

There were other things that seemed to irritate Rita, but whenever he asked, she insisted nothing was wrong. Her underlying anger simply leaked out in other ways: she would stop talking to him entirely or act incredibly cool toward him.

After a while, Tom felt he could no longer bear the tension. He told Rita that her facial expressions and demeanor made her anger obvious, and denying it was destroying their connection. He expressed a deep need for open, honest communication and couldn't understand why she was being so withholding.

The more Tom pushed for communication, the more uncomfortable Rita became. The systemic tension increased to the point where they were barely speaking at all. Recognizing that their relationship was failing, Tom suggested therapy. Rita admitted she did not believe in psychotherapy but agreed to go because it mattered to her partner.
Uncovering the Family History in Individual Therapy
When they came for their first session, Tom did most of the talking. Rita sat in a highly defensive posture—arms tightly crossed, eyes staring firmly at the floor. She minimized their distress, stating she only attended to satisfy Tom. However, when asked directly if she wanted the relationship to survive, Rita immediately came out of her shell to affirm that she deeply loved Tom and wanted to stay together.

To break the gridlock, the therapist transitioned them into temporary individual sessions. During Tom's individual sessions, he spoke freely and vented his intense frustration. He truly believed Rita was maliciously withholding her feelings. He described his own upbringing as open, loving, and emotionally expressive, with no major childhood trauma.

During Rita's individual sessions, she arrived late, appearing visibly fidgety and uncomfortable. She explained that she wasn't trying to hurt Tom, but felt genuinely paralyzed. When asked to describe her childhood family dynamics, she became visibly puzzled and struggled to provide basic information.

After several sessions, Rita painfully revealed that in her childhood home, no one was ever permitted to express anger, sadness, or any perceived "negative feelings." Her parents masked all tension with superficial jokes, forcing an artificial environment of toxic positivity.
She vividly recalled a core memory from when she was five years old: her beloved dog died, and her mother strictly commanded her to "be a big girl" and stop crying. 

Rita buried her grief, and from that day forward, her mind effectively severed its connection to her emotional center.

Falling in love with Tom was the first time she had ever experienced intense adult emotions, leaving her system completely overwhelmed. She truly wasn't aware of being angry or annoyed when Tom came home late; she genuinely felt nothing but "tired." Tom’s demands for communication felt like an attack on a language she simply did not speak.
The Path to Thawing a Frozen System
Recognizing that Rita was trapped in a chronic trauma response of emotional numbing, the therapist provided targeted psychoeducation. She explained how the nervous system automatically shuts down emotional channels when a child's environment deems feelings unsafe.

To move beyond intellectual talk therapy, the therapist introduced Somatic Experiencing (SE)—a bottom-up, mind-body therapy. Instead of forcing Rita to label complex emotions textually, the therapist helped her track physical sensations step-by-step.
Slowly, Rita learned to decode her body’s unique language:

  • Anger manifested as a distinct clenching in her stomach and a subtle tension in her hands.
  • Sadness was identified by a heavy, compressive sensation across her chest.

Gradually, Rita's system began to safely thaw. Initially, expressing these newly identified feelings felt incredibly dangerous, triggering intense subconscious guilt as if she were breaking a childhood rule. However, Tom’s patience and validation provided the secure relational base she needed to continue.

Through this dedicated somatic work, Rita finally confronted and processed the deeply buried, longstanding childhood sadness she had carried since the loss of her dog. She realized she had a lifetime of unmet emotional needs as a child, and by finally honoring those long-buried feelings, she was able to step out of the protective freeze state, clear the emotional blocks, and build a deeply connected relationship with Tom.
Break the Cycle of Emotional Silence
If you grew up in a family that didn't talk about feelings, you don't have to stay trapped in a cycle of emotional numbing or relationship frustration. Learning to identify, experience, and communicate your emotions is a skill that can be safely reclaimed at any age.

Whether you want to work individually like Rita to thaw out your system, or as a couple to bridge a communication breakdown, specialized trauma-informed therapy can help.
About Josephine Ferraro, LCSW
I am a licensed New York psychotherapist and advanced trauma specialist. Over the years, I have helped many individual adults and couples move past childhood abuse emotional neglect to build deeply fulfilling, expressive relationships. 

My practice integrates cutting-edge somatic and experiential modalities, including:

  • Somatic Experiencing (SE)
  • EMDR Therapy
  • Internal Family Systems (IFS) Parts Work
  • AEDP
  • Emotionally Focused Therapy (EFT) for Couples
  • Clinical Hypnotherapy 

  • Sex Therapy for individuals and couples
Start Your Healing Journey Today
I see clients online throughout New York State and in person at my private office in Greenwich Village, New York, NY 10011.

I offer a free 15-minute introductory phone call before scheduling your initial appointment.










































































Sunday, March 3, 2024

10 Tips to Help You Open Up With Your Psychotherapist

If you've never been in therapy before or if you haven't had a good experience with a prior therapist, you might find it difficult to open up with a new psychotherapist, so this article will provide you with some tips that can make it easier for you.


Opening Up With Your Therapist

10 Tips For Opening Up With Your Psychotherapist
  • 1. Start By Choosing a Therapist Who is Right For You: The most important consideration when you're ready to go to therapy is whether you and any potential therapist you might choose are a good fit. Starting with a new therapist can be an adjustment--especially if you've never been in therapy before. It's a unique relationship where the focus is on you. Before committing to therapy with any particular therapist, you can attend a consultation with a therapist to see if you feel comfortable her. You might not be certain after one consultation, but you can usually tell after a few sessions. Even after you have chosen a therapist, it takes a while to build a rapport with a therapist because you're talking about the most emotionally vulnerable aspects of your life, so give it time. Also, make sure the therapist has the expertise you need for your problems (see my article: How to Choose a Psychotherapist).
  • 2. Think About What You Want to Talk About Before Your Sessions: If you want to get the most out of your therapy sessions, take some time before the session to reflect on what you want to talk about.  Many clients find it helpful to make notes for themselves so they use their time well in session. There are also many other clients who prefer to be more spontaneous in session because that's what works best for them. But if you have problems opening up to talk about yourself, prior reflection can be helpful (see my article: Getting the Most Out of Your Therapy Sessions).
  • 3. Talk About Your Fear or Anxiety About Opening Up to Your Therapist: Most therapists know that clients often have a hard time opening up, especially if they weren't encouraged to talk about their feelings when they were growing up. A skilled therapist can help you to get comfortable enough to explore your fear or anxiety about opening up so you can eventually open up.  If a therapist is a mind-body oriented therapist, she can help you to get more comfortable with breathing or grounding exercises.
  • 4. Consider Your Therapy Sessions a Collaboration Between You and Your Therapist: Therapy is a team effort.  Gone are the days when therapists just listened to you talk and after a while made an interpretation that was supposed to unlock profound insights. These days therapy is much less hierarchical and there's a recognition that clients and therapists work together in therapy to make it a meaningful experience. Although your therapist can help you to speak about difficult topics, you have the responsibility for initiating what you want to talk about.  Therapists aren't advisors, so they won't provide you with answers to your problems, but they can help you through the process (see my article: Psychotherapy as a Collaborative Effort Between Client and Therapist).
Opening Up With Your Therapist

  • 5. Take Some Time Before the Session to Relax, If Possible: It's understood that most people lead busy lives, but if it's possible for you to take even a few minutes before your session, do some breathing or stretching to help you relax before the session starts.
  • 6. Keep Your Therapy Appointments on a Regular Basis and Come On Time: In order to keep the momentum going in your therapy, you need to come regularly. It's understood that you might have to cancel once in a while (make sure you know your therapist's cancellation policy), but weekly sessions are generally the expectation.  Coming on time allows you to have the full benefit of the therapy time because sessions start and end at the appointed time, so if you're late, you won't get a full session (see my article: How to Keep the Momentum Going in Your Therapy).
  • 7, Keep the Focus on Your Sessions Without Distractions During Your Appointment: This means you don't have any other distractions (e.g., phones, pets, etc) so you can stay focused on your session. If you're having an online session, make sure you have absolute privacy. Therapy sessions where you don't have privacy are considered unethical and therapists won't conduct a session under those circumstances. 
Opening Up With Your Therapist

  • 8. Recognize That Therapy is a Process: You might not feel comfortable divulging the most vulnerable parts of yourself during the initial stage of therapy and that's alright. Give it time.  If you have issues opening up about a particular topic that you would like to work on, tell your therapist about your difficulty so she can help you to get comfortable (see my article: Progress in Therapy Isn't Linear and Setbacks Are a Normal Part of Therapy on the Road to Healing).
  • 9. Opening Up Usually Gets Easier Over Time: Assuming you and your therapist are a good match, opening up usually becomes easier over time as you build a rapport with your therapist and develop trust and confidence.  This is also part of the process.
  • 10. Talk About the Therapy With Your Therapist: If you're not sure about the process, talk to your therapist about it. Whether you're in the initial stage of therapy or you have been attending for a while, you can talk to your therapist about how you think therapy is going.  Many therapists do a check-in with clients periodically to see how the clients are feeling about the therapy, but you can talk about the therapy at any time, especially if there's something you don't understand or an area where you and your therapist don't agree. It's also a good idea to talk about the therapeutic relationship and whether you think it's going well.  If there's anything you feel went wrong in a session, bring it up so it can be addressed as soon as possible (see my article: Ruptures and Repairs in Therapy).
Conclusion
You can usually get a sense of whether you and your therapist are a good match.  If it's not a good match, you can tell your therapist rather than ghosting her. Experienced therapist are aware that every therapist isn't for every client, so this shouldn't be a problem.

Most clients get comfortable opening up over time, but if you have a particularly difficult time and you're aware that you and your therapist are a good match, bring up your difficulty in your therapy session.

Your therapist can help you to identify and work on overcoming whatever emotional obstacles might be getting in your way.

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

I work with individual adults and couples.

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

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









Monday, February 26, 2024

What is a Strengths-Based Perspective in Psychotherapy?

In recent years, many psychotherapists have become increasingly open to adopting a strengths-based perspective in psychotherapy.  This strengths-based perspective looks at not only clients' problems but also emphasizes clients' strengths and positive qualities.  

Social work has had an influence on this trend because it has a long tradition of recognizing clients' positive  aspects.  Over the years, as psychotherapists with social work background have come to dominate the psychotherapy field in New York City, psychotherapy has begun to change to reflect this positive perspective.

I believe there are many advantages to having a strengths-based perspective in psychotherapy--not least of which is that psychotherapists can help clients to develop increased self confidence as they learn to appreciate the strengths they already have.  As it is, many clients come to therapy feeling badly about themselves. Often, they can't see their many positive qualities. They dwell mostly on the negative.


A Strengths-Based Perspective in Therapy


Therapists who have a strengths-based perspective can help clients to appreciate what's right about them and not just what's wrong.

Psychotherapy's early history was one of pathologizing clients.  In recent years,  mind-body oriented psychotherapy, which includes EMDR, clinical hypnosis, and Somatic Experiencing, has emphasized helping clients to develop emotional resources as compared to only looking for pathology.  One of the best ways to help clients build emotional resources is to help them enhance the strengths they already have and might not even realize they have.  

Recognizing Strengths and Accomplishments
For instance, a client, who begins psychotherapy due to a history of trauma, might have significant accomplishments, despite longstanding trauma.  S/he might have graduated college, raised a family, and maintained gainful employment.  

Many clients don't appreciate their own resilience and ability to persevere despite adverse circumstances. They often minimize these strengths by telling themselves and others, "It wasn't such a big deal.  I just did what I had to do."  But a psychotherapist with a strengths-based perspective has the objectivity and the mindset to help a client with these strengths to appreciate and build upon these strengths.

A strengths-based perspective in psychotherapy is not a "feel good"or "Pollyanna" approach.  Therapists still need to help clients to overcome their problems and to look at how they might even be contributing to their problems.  A strengths-based perspective isn't a quick fix.  Rather, it's an even-handed, holistic approach that, I believe, in the long run, is much more beneficial to psychotherapy clients.

If you have been considering attending psychotherapy, but you've been hesitant because you fear being pathologized in therapy, I recommend that you find a psychotherapist who has a strengths-based perspective.  

Before you embark on the self exploration involved in psychotherapy, I recommend that you ask questions. Most experienced therapists expect potential clients to ask them about their psychotherapy approach in an initial consultation.  Many therapists also have websites that provide information about their particular philosophy to psychotherapy.  You have a right to be an informed consumer and to trust your instincts.

See my articles: 

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

I work with individual adults and couples.  

I have helped many clients overcome obstacles so that they could lead more fulfilling lives.

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