Coping With Relationship Stress

My article focuses on how stress affects sexual desire in relationships (see my article: To Improve Intimacy in Your Relationship, Get Off the Sexual Staircase).

Coping With Relationship Stress

For most people stress is a libido killer: Work stress, raising children and the daily grind of life can leave people feeling depleted and unmotivated to have sex.

When you feel stressed or anxiety and hyper-focused on having an orgasm and ensuring that your partner has an orgasm, your nervous system shifts into a fight-or-flight mode. This is the opposite of what most people need to enjoy sex.

The Impact of Stress on Pleasure:

Stress can affect pleasure on a physical and mental level:

The Physical Impact

• Stress Blocks Blood Flow: Stress releases cortisol and adrenaline, which constrict the blood vessels and direct the flow of blood to the genitals. 

• Stress Prevents Relaxation: When the nervous system is under stress and you can't relax, sexual arousal can be difficult.

• Stress Reduces Sensitivity: Anxiety can numb physical sensations. This can make touch less intense or even distracting.

The Mental Impact

• Stress Can Create a Goal-Oriented Mindset: Treating sex like a task to complete creates sexual anxiety (see my article: What is Performative Sex?).

Coping With Relationship Stress

• Stress Can Create "Spectatoring": You become a detached observer and judge your own performance instead of being an embodied participant (see my article: Understanding Your Sexual Accelerator and Brakes).

How to Overcome Stress-Related Sexual Problems

To overcome stress-related sexual problems, you can try the following:

• Practice Sensate Focus: Sensate Focus is a common exercise given to couples in sex therapy. It is a structured touching exercise where you and your partner take turns giving and receiving non-sexual touch. There is no sexual activity--even if one or both partners get sexually aroused.  Sensate Focus helps to eliminate performance pressure and goal-oriented sex (see my article: What is Sensate Focus?).

Coping With Relationship Stress

• Redefine Intimacy: Dedicate time to non-sexual physical closeness. This can include things like taking a bath together and giving a back massage where there is no pressure or expectation of sexual intercourse.

• Redirect Your Thoughts: When you feel your mind racing when you and your partner are being sexually intimate, shift your focus in a mindful way to other sensations--like the texture of skin, sound of music or slow, deep breathing.

Coping With Relationship Stress

• Talk to Your Partner: Instead of trying to suppress your stress and anxiety, which can make it worse, talk openly with your partner outside the bedroom (see my article: How to Talk to Your Partner About Sex - Part 1 and Part 2).

• Share What You Each Like: Talk to your partner about what feels comfortable and pleasurable to remove guesswork and doubt.

Coping With Relationship Stress

• Be Aware of Fluctuations in Sexual Desire: Acknowledge to each other that it's normal to have fluctuations in sexual desire to eliminate any performative aspects of sex. If you don't want to have sex on a particular occasion, instead of just rejecting your partner outright, suggest another time during the week to have sex (see my article: Coping With Occasional Sexual Rejection).

• Make Lifestyle Changes: Lifestyle changes like engaging in some form of physical exercise at a level that is right for you (e.g., walking, working out at the gym or taking a yoga class) can lower stress and increase blood flow. You can also engage in mindfulness to train your brain to stay in the present moment. Also, limiting caffeine, reducing alcohol and eliminating nicotine can improve your nervous system and vascular health (see my article: Can Yoga Improve Your Mood?).

Get Help in Sex Therapy

Sex therapy is a form of talk therapy for individual adults and couples (see my article: What is Sex Therapy?)

Get Help in Sex Therapy

Sex therapists are licensed mental health professionals who have advanced training and a  certification in sex therapy.

There is no nudity or sex during sex therapy sessions (see my article: What Are Common Misconceptons About Sex Therapy?).

Individuals and couples attend sex therapy for many reasons (see my article: What Are Common Issues Discussed in Sex Therapy?

If you and your partner have been unable to resolve your sexual problems, you could benefit from working with a sex therapist.

About Me

I am a licensed New York mental health professional who is a Certified Sex Therapist.

In addition to being a sex therapist, I am also a trauma therapist who has advanced training in psychodynamic psychotherapy, EMDR, AEDP, IFS, Somatic Experiencing and hypnotherapy.

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:

Sharing the Mental Load

Understanding Your Sex Script 

What is Sexual Desire Discrepancy in Relationships? 

Responsive Sexual Desire and Spontaneous Sexual Desire Are Both Normal

What is the Difference Between Emotional and Sexual Intimacy? 

How to Develop Emotional Depth in Your Relationship

Overcoming Sexual Shame and Guilt

What is Your Sexual Initiation Style? 

Creating Sexual Desire With the Sexual Simmer Technique

What Causes Out of Control Sexual Behavior (OCSB)? 

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.

 

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?

 

What is Self Awareness and Why Is It Important For You and Your Relationships?

What is Self Awareness?

Self awareness is the conscious ability to recognize and understand your own emotions, thoughts, behaviors, strengths and weaknesses (see my article: What is Self Reflecting Awareness and Why Is It Important to You?).

Developing Self Awareness

Self awareness involves objectively evaluating your character and recognizing how your actions and personality affect yourself and others.  Self awareness acts as the basis for Emotional Intelligence (EQ).

What Are the Core Components of Self Awareness?

• Internal Self Awareness: Understanding your own inner emotional wants and needs, values, passions, aspirations and emotional reactions

• External Awareness: Recognizing how you are perceived by others and understanding the impact of your actions on them 

• Objective Focus: The ability to monitor yourself as if you were another person by focusing on the reality of your behavior rather than on a self created story

Why Does Self Awareness Matter?

• Enhanced Emotional Control: Recognizing your emotions helps you to manage them effectively

Developing Self Awareness

• Better Relationships: Understanding your impact on others helps improves interpersonal connections

• Personal Growth: Identifying strengths and weaknesses fosters a growth mindset and increased self esteem

What Are the Signs of Low Self Awareness?

Some of the signs of low self awareness include:

• Lack of Reflection: Rarely thinking about your own thoughts, feelings, behavior or motivations 

• Limited Emotional Vocabulary: Describing feelings as only "good" or "bad" or in some other vague way that make it difficult to understand, process or communicate your feelings

• Poor Emotional Regulation: Experiencing intense, sudden emotional outbursts or being unable to identify and manage your own triggers

• Defensiveness and Accountability Deficits: Responding to feedback with anger or excuses rather than reflection and taking responsibility for mistakes

• "Blind Spots" and Poor Perspective: An inability to "read the room" or to recognize how your behavior affects others (see my article: Overcoming Your Emotional Blind Spots)

• Arrogance and Over-Reliance on External Validation: Holding a distorted or overly positive view of yourself while needing to be the center of attention (i.e. a need for a lot of external validation) and always needing to be "right"

• Boundary Crossing: Consistently crossing or pushing other people's boundaries (see my article: How to Set Boundaries Without Guilt)

What Are the Consequences of Low Self Awareness?

While you might struggle to understand why your actions aren't getting you the results you want, low self awareness often leads to:

• Fractured relationships
• Poor decision-making
• High levels of anxiety and frustration 

How to Develop Better Self Awareness

• Get Curious: Get curious about your own thoughts, feelings and behavior and what motivates you (see my article: How to Develop a Curious Mindset)

• Practice Mindfulness: Be fully present and aware of your thoughts and feelings in the moment

• Seek Feedback: Ask trusted friends and family members for their perspective on your behavior

Developing Self Awareness

• Journaling: Reflect on your thoughts, feelings and behavior in a journal

• Asking Yourself "Why": Analyze the underlying reasons behind your behavior and your decisions and ask why you feel and think the way you do

How Can Therapy Help You to Develop Increased Self Awareness?

Psychotherapy, especially Experiential Therapy, provides a safe space for you to boost your self awareness:

• A Safe Reflection Space: The therapist can offer a "mirror", providing objective feedback that helps you to see blind spots and helps you to see how your behavior affects you and others.

• Identifying Unconscious Patterns: Therapy can help you to identify recurring unconscious thoughts, feelings and behavior that influence your life which helps you to move from automatic reactions to conscious choices.

Developing Self Awareness

• Exploring Emotions and Triggers: You can learn to identify, label and understand the root causes of your emotional responses, including stress and anger, using tools like the Wheel of Emotions or other similar methods.

• Mindfulness Techniques: Mindfulness in therapy encourages you to be present and notice your thoughts and behavior in the here-and-now without judgment, which helps you to understand your inner world and manage your responses.

• Uncovering Core Beliefs: By exploring past experiences and current perceptions, you can uncover deep-seated beliefs and values that drive your behavior.

• Visualizing Your Inner World: Experiential Therapy, like Internal Family Systems (IFS), can help you to explore your desires, fears, needs and goals (see my article: How Does Imagery and Imagination Enchance Psychotherapy?).

Getting Help in Therapy

A lack of self awareness often occurs because adults weren't taught about emotional intelligence when they were children. 

Their parents didn't help them to name, validate and manage emotions in their daily life. 

Getting Help in Therapy

This often occurs because these parents weren't taught these skills as children, so they grew up to be adults lacking in self awareness.

A skilled psychotherapist can help you to develop emotional intelligence which will increase your self awareness and your awareness of others. 

By developing better self awareness, you can lead a more meaningful 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 helped many individual adults and couples over the year.

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

Coping With the In-Between State of Change

The in-between state of change can be challenging because you are between an old reality that has ended and a new reality that hasn't developed yet (see my article: Navigating Life's Transitions).

Coping With the In-Between State of Change

Although that in-between state of change can feel scary and uncertain, it can also be a powerful time when many new possibilities open up for you. It all depends on how you navigate that time in your life (see my article: Opening Up to New Possibilties in Your Life).

What Are Liminal Spaces in Your Personal Life?

This in-between state is also known as a liminal space.

Liminal means occupying a place at a boundary or a threshold. 

I'll be using the terms "in-between state" and "liminal space" interchangeably in this article.

Coping With the In-Between State of Change

In psychology a liminal space is a transition or the initial stage of a process. You are at the threshold of having ended something in your life and not yet having begun the next stage.

Some examples include:

• Graduating high school but not yet starting college
• Leaving an old job and not yet starting a new job
• Letting go of an old identity but not yet establishing a new identity 
• Being in the process of moving from an old home and traveling to a new one
• Retiring for a job and not feeling comfortable yet in a new life as a retired person
• Being in the process of making a decision where the status quo no longer fits but you don't yet know what will be next
• Leaving an old relationship and not knowing what comes next 
• Grieving the death of a loved one

How Personal Liminal Space Can Affect Your Mental Health

Most of the time a personal liminal space isn't inherently negative or dangerous. 

There are exceptions, of course: If you lose your job and you don't have savings, it's understandable that you would be under a lot of stress until you find your next job.

In most other circumstances, however, it's your perception of being in an in-between state that might be affecting you.

If you respond to an in-between state as being dangerous when, objectively, it's not, you can feel overwhelmed, anxious and upset because you don't know how to cope with this stage in your life.

This might be especially true if you grew up in an environment where these types of changes were responded to with high anxiety and feelings of foreboding.

How to Cope With Liminal Spaces in Your Personal Life

Everyone experiences transitions in life. There's no way to avoid it.

Assuming that your basic needs are taken care of during a transitional time, you can learn a new way to cope with transitory periods in your life:

• Learn to Accept the In-Between State of Change: Since everyone experiences times when they are in liminal space, rather than trying to resist or deny it, learn to accept this time. Acceptance doesn't mean you like it or you will react to it in a passive way. It just means that you acknowledge that it is happening. Even though it might feel scary and uncertain and you might not be able to control the circumstances, you can control your own thoughts and reactions. For instance, you can't control the death of loved one, but you can find healthy ways to grieve the loss (see my articles: Awareness and Acceptance and Grieving and Healing From Losses).

Accept What You Can and Can't Control

• Create Routines: Creating routines can help to give you a sense of security and stability. For instance, if you have lost a job or you retired, rather than having a lot of unstructured time, create routines for sleeping and waking up, make time for hobbies, get regular exercise or go for walks in nature, etc. (see my article: Starting the Day With a Positive Intention).

Create Personal Rituals in a Mindful Way

• Create Personal Rituals: Whereas a routine is a functional, repetitive task to provide structure and efficiency to manage your life, personal rituals are intentional, meaningful actions that provide purpose, emotion and symbolism. Personal rituals are actions you create for yourself and which exist on a continuum from basic to more elaborate. You can take what might otherwise be a mundane task and create a personal ritual. For instance, if you normally drink your tea while being on "autopilot", you can drink your tea in a mindful way by enjoying the quiet of the day, breathing the aroma, feeling the warmth of the tea and noticing the taste (see my articles: The Power of Rituals and The Power of Personal Rituals).

Practice Mindfulness: Be Here Now

• Practice Mindfulness: Much of the distress of being in a transitional state comes from catastrophizing about what might happen. In retrospect, you might discover that many of your fears didn't materialize. So, to stay calm, take a pause and bring your attention to the present moment. Bring your attention to your body to focus on your breathe. If that feels too challenging, choose a color (let's say blue) and count how many things around you are the color blue. This helps you to orient yourself to your present time and place rather than worrying about what might or might not happen in the future (see my article: Being in the Present Moment).

The Hero's Journey

• Express Yourself in Creative Ways: Much of the current literature and entertainment come from "The Hero's Journey", which the American mythologist, Joseph Campbell, wrote about in his book, The Hero of a Thousand Faces. He identified as a pattern in mythology, both ancient tales and modern stories, where the protagonist travels from the "Known World" to the "Unknown World", faces challenges along the way, meets helpers and returns transformed. The creator of Star Wars, George Lukas, was influenced by "The Hero's Journey". You can also reframe a time of being in an in-between space as being on a journey from the "Known World" to the "Unknown World" and how you will be transformed along the way. You can do this by writing, storytelling or drawing.

Get Help in Therapy

• Get Help in Therapy: If you're having a difficult time coping on your own, you could benefit from working with a licensed mental health professional who can help you to cope with this difficult time. A skilled psychotherapist can help you to feel emotionally supported and to learn new skills and strategies to cope. So, rather than struggling on your own, seek help 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 and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples to overcome trauma and navigate changes in their life.

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:

How Does Imagery and Imagination Enhance Your Life 

Overcoming Fear of Change 

Coping With Midlife Transitions

Coping With Alexithymia - Also Known as Emotional Blindness

What is Alexithymia?

Alexithymia is a personality trait where a person has difficulty experiencing, identifying, understanding and expressing emotions.

Coping With Alexithymia

Alexithymia is also known as "emotional blindness".

Alexithymia is on a spectrum representing a personality trait with varying degrees of severity rather than a binary "yes" or "no" trait.

Individuals can range from low to high in alexithymic traits. 

These traits can include:

• Difficulties with emotional regulation

• Reduced imagination

• Externally oriented thinking

Alexithymia is a personality trait rather than a mental health diagnosis.  

Alexithymia is common among people who are neurodivergent (autism and ADHD).

What Causes Alexithymia?

Alexithymia can be influenced by several factors:

• Genetics

• Past experiences

• Certain psychiatric disorders and medical conditions including:
• Depression

• Anxiety

• Posttraumatic stress disorder (PTSD)

• Adverse childhood experiences (trauma)

• Autism

• ADHD

• Eating Disorders

• Parkinson's

• Stroke

• Dementia

• Multiple Sclerosis

• Inflammatory Bowel Syndrome (IBS)

• Diabetes 

• Asthma

• Hypertension and cardiovascular disorders

• Chronic pain

• Fibromyalgia 

• Hormonal abnormalities

• Substance abuse, which is linked to an inability to process emotions

About 10-13% of the population has this personality trait with more men experiencing it than women.

People with alexithymia have a hard time understanding and expressing their emotions. This affects the way they relate to others. As a result, relationships often suffer because their limited ability to express their emotions stifles communicate with others (see below:Understanding How Alexithymia Affects Relationships).

People with alexithymia also have difficulty sensing the physical sensations that accompany their emotions (see my article: Learning to Sense Emotions in Your Body).

Understanding the Genetic Component of Alexithymia

Studies indicate that there is a genetic component to alexithymia. One study found there is a higher degree of alexithymia among first-degree relatives.

Understanding the Environmental Component of Alexithymia

People who have experienced childhood abuse or neglect can develop alexithymia and have difficulty processing their emotions. Brain injuries can also contribute to alexithymia.

Understanding How Alexithymia Affects Relationships

It can be difficult to form and maintain emotional bonds for individuals who have alexithymia. 

People who have alexithymia tend to focus externally rather than on their internal state. 

Partners might feel ignored, abandoned or unloved due to their partner's low emotional responsiveness. This can make it difficult to communicate effectively and resolve conflicts. Partners can feel that they are with someone who is "robotic" which can lead to a superficial or distant relationship. 

In addition, since people with alexithymia also have problems reading other people's emotions, their partners might feel they are uncaring--even when the person with alexithymia cares deeply for them.

The partner can feel like they're alone because the person with alexithymia can have a hard time providing emotional support or emotional validation

With regard to sex, emotional detachment related to alexithymia often leads to a decline in sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

How to Address Alexithymia

Alexithymia can create a barrier to traditional psychotherapy because, as previously mentioned, individuals with alexithymia have difficulty experiencing, identifying, understanding and expressing their emotions.

Coping With Alexithymia

Emotional difficulties often present as physical complaints rather than emotional distress. 

Somatic oriented therapy, like Somatic Experiencing and other Experiential Therapies that focus on sensations in the body can help.  

Helping clients to develop somatic awareness can be helpful, 

Experiential therapists can ask clients, "What are you sensing in your body right now?" instead of "What are you feeling?"

A mindfulness practice can also help clients to develop somatic awareness related to emotions.

What Are the Therapeutic Goals For Alexithymia?

There is no "quick fix" for alexithymia since it's a personality trait and not a curable disease.

While there is no "cure" for alexithymia, it also doesn't have to be a lifelong problem.

Psychotherapy for alexithymia needs to have a bottom up approach (see my article: What is the Difference Between Top Down and Bottom Up Approaches to Therapy?).

The therapeutic goals include:

• Building the capacity to accurately perceive internal body sensations (also known as interoceptive awareness) and connect these sensations to emotions.

• Affective education which can help to connect physical sensations to emotions. For example, a tightness in the chest can be linked to anxiety (see my article: How to Use the Wheel of Emotion).

• Shifting from external-oriented thinking to recognizing inner emotional experiences.

• An experiential bottom up approach can be effective in improving emotional processing.

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.