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NYC Psychotherapist Blog

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Showing posts with label mourning. Show all posts
Showing posts with label mourning. Show all posts

Friday, March 13, 2026

Grieving For a Parent Who Wasn't There For You

Grief for a deceased parent isn't always related to how close you were.

Grieving For a Parent Who Wasn't There For You

In fact, grief related to the loss of a parent you weren't close to can be even more intense than grief for a nurturing parent because it often involves grieving for what  you hoped for and never got (see links for my articles about grief below).

For adults who have lost a parent under these circumstances, part of the grief is knowing that the warm loving relationship you might have wished for can never be experienced after your parent died. The death can bring a painful finality to your wish and wash away any hopes you might have had to improve the relationship.

Clinical Vignette:
The following clinical vignette is a composite of many different cases with all identifying information removed:

Alex
Alex was in his mid-30s when he received a phone call from his stepmother, a woman he had never met, telling Alex that his father had terminal cancer. She told him that his father was in hospice and he wasn't expected to live more than a few days.

Before Alex could respond, his stepmother put his father on the phone to say a few words. It was clear to Alex that his father was heavily medicated and Alex didn't know what to say. His father asked for Alex's forgiveness for walking out on Alex and Alex's mother more than 30 years ago. He said he regretted not ever contacting Alex after he walked out on them.

Alex was shocked and confused. He didn't want to reject his father's dying wish, so he told his father that he forgave him. Then, his stepmother got back on the phone and told Alex that his father was too weak to talk any more. Before she hung up,she told Alex she would keep him apprised.

Not knowing what else to do, Alex sat for several minutes to take in what had just happened. When he was a child, he would ask his mother where his father had gone and his mother would tell him that his father was away on a business trip. But as weeks turned into months and years, Alex realized his father wasn't returning and he never asked his mother about it again because he didn't want to upset her.

Alex buried his feelings about his father and tried not to think about him. But there were times in his life when Alex felt sad that his father wasn't there for him, like when he graduated high school, when he graduated college, when he got married and when he had his first child. But during those times he didn't allow himself to dwell on those thoughts.

By the next day, Alex thought he might want to go visit his father before his father passed away, but then he received another call from his stepmother that his father died that night. She said she planned to have a memorial service in a few months and invited Alex to attend and meet his half brother, Jack.

A wave of profound sadness came over Alex. His wife attempted to soothe him, but Alex was too confused, anxious and angry to talk about it. He never even knew he had a half brother.

His wife said to him, "But you haven't seen your father in so many years and you don't even remember him. So, why do you feel sad?"

Alex couldn't explain why he felt so many mixed emotions, but after weeks passed and he didn't feel any better, he got help in therapy.

Grieving For a Parent Who Wasn't There For You

His therapist helped Alex explore his feelings and he realized that, even though he didn't allow himself to dwell on being abandoned by his father, he always had a wish that he and his father would reunite and they would develop a strong father-son relationship. But now that his father was dead, the reconciliation was impossible and this made him feel deeply sad.

His therapist helped Alex to grieve the abandonment and the loss of a relationship he wished for but now would never have. He also worked on his anger about his father asking him as he was dying to forgive him because, even though Alex said he forgave him, he wasn't sure how he felt.

As Alex continued to work on these issues in therapy, he realized how much he had stuffed his feelings from the time he was young because there was no one to help him with his complicated feelings about being abandoned and never seeing his father again. He believed his mother did the best she could, but she wasn't emotionally equipped to help him when he was a child.

After his father's death, when he spoke to his mother, he realized her memories of that time were different from his. She believed she had sat him down, talked to him and comforted him after his father left. When he told her what he remembered, she denied it, so Alex dropped the subject.

The memorial service was several months away and Alex had mixed feelings about going. Part of him wanted to go to meet his half brother and to find out more about his father, but another part of him didn't want to go. Even though he knew logically that none of this was his half brother's fault, he felt hurt and angry that his half brother had the relationship with his father that Alex wanted.

Then one day Alex received a call from his half brother, Jack, and they talked for over an hour. Jack said he could only imagine how difficult it must have been for Alex to get the call from Jack's mother after so many years. He also hoped they could meet and get to know each other.

Over time, they developed a relationship and Alex decided to go to the memorial service.

It took Alex a while to sort out his feelings about his father and his anger about the way his mother lied to him when his father left. But he also felt relieved to release the emotions in therapy--emotions he had suppressed for so many years.

Over time, Alex worked out his grief in therapy and maintained a relationship with Jack.

Getting Help in Therapy
Grieving for a deceased parent is difficult and it can be that much more difficult when a parent hasn't been there for you.

Getting Help in Therapy

Rather than trying to deal with these complicated emotions on your own, seek help from a licensed mental health professional who has experience helping clients with grief and loss.

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 am an experienced psychotherapist who has helped many 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











Saturday, May 10, 2025

How to Cope With Pregnancy Loss When You and Your Partner Have Different Feelings About the Loss

Couples often discover that they might differ in their feelings about a pregnancy loss (see my articles:  Coping With Pregnancy Loss and Allowing Room For Grief).

You might understand how you and your partner feel different about many areas in your life, including different feelings about friends, family members, in-laws, religion, politics and other areas.

Coping With Pregnancy Loss

But when you and your partner differ on your feelings about pregnancy loss, this can put a strain on the relationship, especially if each of you feels you're dealing with it in the "right way" and your partner is dealing with it in the "wrong way".

If you both have a hard time talking to each other about the way you feel, the loss can erode the relationship and, possibly, push you apart.

You might feel frustrated, angry and sad if:
  • One of you wants to talk about the loss and other doesn't.
  • Your partner experiences the loss in a different way from the way you do.
Coping With Pregnancy Loss
  • You feel alone because your partner doesn't understand how you feel or they might not want to talk about it.
  • Your partner expresses feeling alone because you don't feel the same way they do.
  • Your partner wants to "move on" to start making plans for the future including wanting to try again to get pregnant and you're not ready.
Coping With Pregnancy Loss
  • Your partner doesn't seem to think your feelings are as important as theirs.
  • You might think your feelings are more important than your partner's feelings or vice versa.
  • One or both of you feel you're either overreacting or under-reacting to the loss.
  • Your partner doesn't feel  the pregnancy loss was really a loss at all, but you feel devastated by it (or vice versa).
  • You feel your partner is getting all the attention from loved ones and you feel your feelings are being minimized or vice versa.
  • You feel so upset about the loss that you're unable to be emotionally supportive of your partner.
  • You feel the miscarriage was your fault and you have let down your partner.
  • You feel so guilty and ashamed about the miscarriage that you feel too upset to talk about it.
Clinical Vignette
The following clinical vignette is a composite of many different cases with all identifying information omitted to protect confidentiality:

Donna and Jack
Donna and Jack, who were both in their mid-30s, were married three years when Donna had a miscarriage during the ninth week of the pregnancy.

Coping With Pregnancy Loss

They had been trying to get pregnant for two years and they were both elated when Donna found out she was pregnant. 

But several weeks later, Donna felt cramping which was similar to menstrual cramps. She also had lower back pain. Suddenly she noticed that she had vaginal bleeding and she realized she was having a miscarriage.

Jack rushed Donna to the hospital in their car and their worst fears were confirmed. The emergency room doctor was empathetic and tried to reassure them that miscarriages occur about 10-20% of the time. He also told them that she should see her OB-GYN.

Donna's OB-GYN reiterated what the ER doctor told them. He offered to refer them for counseling to deal with the loss, but neither of them was ready to speak with a counselor at that point.

They avoided telling their families for a few days because Donna was sure her family would blame her for the miscarriage and Jack thought his family would feel uncomfortable talking about the miscarriage.

Coping With Pregnancy Loss

During that time, Donna tried to think about what she might have done that could have caused the miscarriage. Despite reassurances from her OB-GYN that she had done nothing to cause the miscarriage, Dona felt guilty and ashamed. She felt like she had let Jack down--despite Jack telling her that he didn't blame her and she shouldn't blame herself.

A few weeks later, they told their families about the miscarriage and both families reacted as they feared they might. Donna's mother told her that she must have done something to cause the miscarriage, which was hurtful to Donna, and Jack's family barely said a word about it. His mother came every few days to check in with them and to bring food, but neither of Jack's parents could bring themselves to talk about it.

A month later, Jack told Donna that he couldn't tolerate feeling sad about the miscarriage any more and he felt they should "move on" and try to get pregnant again. He knew Donna was still very sad, but he hoped that getting pregnant again would help Donna to feel better.

But Donna felt she couldn't even consider getting pregnant again so quickly. She feared she would have another miscarriage--even though her OB-GYN assured her that there was no reason why she shouldn't be able to have a baby.

Donna wanted to be able to talk to Jack about the loss, but Jack told her that he didn't think he could talk about it any more, "Donna, I don't know what else to say about the miscarriage. I feel sad too, but I need to feel we're moving ahead and creating a future together. Why wouldn't you want that too?"

Donna became angry and frustrated with Jack's response. She couldn't understand why he couldn't just be there for her without focusing on the future, "Besides, I can't even think about having sex at this point. I just don't feel sexual."

They decided to see a couples therapist who was also a sex therapist. Their therapist normalized that it's not unusual for two people to feel differently about a miscarriage or about any loss.  

She focused on getting them each to listen and validate each other's feelings.  She helped them to communicate with each other about how they were each feeling instead of focusing on the "right" or "wrong" way to feel.

When she encouraged them to create a ritual together to remember the loss, Donna suggested that they light candles for a week while they sat together in front of the candles to memorialize the loss. This worked out well for Jack because he felt he didn't have the words to talk about the loss outside the couples therapy session.

When they returned to their couples therapy session a week later, Donna said she was feeling somewhat calmer. She was still sad, but she didn't feel angry and frustrated with Jack. She said they sat together holding hands in front of the candles and she felt emotionally supported by Jack.

Jack said he felt less pressure to come up with what he wanted to say about the miscarriage. He also indicated that he felt a lot more empathy for Donna when they sat together in this way.

This was a turning point in their loss and, gradually, Donna was able to begin thinking about the possibility of trying to get pregnant again. She still wasn't in the mood to have sex, but Jack was patient.

Their couples therapist was also a sex therapist so they worked on reviving their physical intimacy together until they both felt ready to reconnect sexually. 

Initially, they focused on reconnecting emotionally and enjoying the sexual intimacy before they tried to get pregnant again.

How to Deal With Pregnancy Loss Together When You Each Have Different Feelings
  • Accept You Both Have Different Feelings: It's normal for two people to feel and react differently to a loss. Also, two people can have different times when they grieve. Some people grieve immediately and others grieve in a few months (see my article: The Many Layers of Grief).
  • Listen and Talk to Each Other: Even if you don't feel the same way your partner feels, allow your partner to tell you how they feel. If they can't talk about it, maybe they can write down their feelings. Be emotionally supportive of each other (see my article: Writing About Grief).
  • Find Ways to Memorialize Your Loss: You and your partner can find ways to memorialize your loss together in whatever way is meaningful to you including lighting candles together or finding other meaningful rituals you can do together (see my article: The Power of Personal Rituals).
Get Help in Therapy
If you and your partner are unable to talk to each other about the loss, seek help in therapy. 

A skilled therapist, who has experience helping couples deal with pregnancy loss, can help you both to grieve in whatever way is meaningful to each of you.

Get Help in Therapy For Pregnancy Loss

Rather than struggling on your own and allowing the loss to erode your relationship, seek help from a licensed mental health professional so you can heal together.

Also see my other articles about grief:


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

With over 20 years of experience, I have helped many individual adults and couples to work through their grief.

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, January 27, 2025

Reconnecting With Deceased Loved Ones in Your Dreams

Having dreams about deceased loved ones is a common experience for many people (see my article: Common Reactions to the Loss of a Loved One).  

Reconnected With Deceased Loved Ones in Dreams

Some people believe loved ones come to them in dreams to reconnect or to impart an important message.  

Others believe these dreams come from a place deep inside them as a way to remember and mourn their loss.

Whatever you believe, these dreams can be an important part of your healing process as way to come to terms with your loss. 

A Child's Recurring Dreams About a Deceased Father
When I was a child, I had recurring dreams about my father, who died suddenly (see my article: Grief in Waiting After the Death of a Parent).

Reconnecting With Deceased Loves Ones in Dreams

Each dream was slightly different, but there were certain recurring themes. 

One recurring theme was that I would be shocked to see my father appear suddenly in front of me.  I would be happy to see him, but I would also feel confused and I would say to him, "But I thought you were dead..."

In some of the dreams he would tell me he had just gone away and now he was back, and in other dreams he would acknowledge that he was dead. 

Whichever response I received would confuse me: How could he be dead and still be standing in front of me?

Then, at some point, I would tell my father I wanted to let my mother know he was back. But when I turned around, he was gone and I felt the painful loss again.

Many clients tell me how real these dreams feel to them and I know this from my own experience. 

Each person comes to their own understanding of the meaning of their dreams. 

Looking back now, I believe these dreams were a way for my unconscious mind to work through the loss when my conscious mind couldn't make sense of it (see my article: Making the Unconscious Conscious).

In other words, my unconscious mind helped with the healing process. 

Many years later, when I was ready, a skilled psychotherapist helped me with a deeper level of working through the grief (see my article: The Many Layers of Grief).

Dreams About a Deceased Psychotherapist
Over the years I've had dreams about a psychotherapist who was important in my healing process as a young adult.

In some of those dreams, I talked to the therapist about current issues in my life.  

In those dreams it was as if he were still very much alive and I was having a therapy session to talk over a problem. 

I usually wake up feeling a little wistful but also refreshed.

After I wake up, I allow myself to enjoy the experience of the dream without analyzing the meaning--at least not at first.

For me, allowing myself to linger in the experience of this reconnection with someone who was so important to me during my youth is more meaningful (initially) than an analyzing the dream.  There's always time for that later, if I want it.

Conclusion
There are many ways to grieve and work through the loss of a loved one including healing through dreams (see my articles: Writing About Your Mother After Her Death).

Although not all dreams about deceased loved ones are healing, the ones that are can help with the grief and mourning process.

It doesn't matter whether you believe your loved one actually came to you or you believe the dream was your unconscious mind's way of helping you to deal with the loss.  Either belief can help in the healing process.

Recalling, writing down and talking about these dreams with trusted friends and family can help you to cope with loss.

Although dreams can be healing, sometimes grief is too difficult to work through on your own and therapy can help.

Getting Help in Therapy
Time alone doesn't heal all wounds (see my article: Time Doesn't Heal All Wounds).

Grief work in therapy can help you to move through the mourning process at a pace that feels right for you.

Getting Help in Therapy

Rather than struggling on your own, seek help from a skilled psychotherapist who does grief work with clients.

Working through grief can help you to heal from the pain and live a more fulfilling life.

Also See My Other Articles About Grief:





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

With over 20 years of experience, I have helped many individuals and couples to heal.

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, December 2, 2024

The Many Layers of Grief

There is no right or wrong way to grieve. Everyone grieves in their own way and in their own time (see my article:  Common Reactions to the Loss of a Loved One).

The Many Layers of Grief

The 5 Stages of Grief
The idea that there are stages of grief was developed by Swiss-American psychiatrist Dr. Elizabeth Kubler-Ross in the late 1960s. 

According to Kubler-Ross, these stages are:
  • Denial
  • Anger
  • Bargaining
  • Depression 
  • Acceptance
Although these stages are usually thought to be linear, they often occur in no particular order and they're often reoccurring. 

For instance, if someone experiences anger first, they might experience denial, depression and bargaining and a certain level of acceptance

But over time this same person will probably re-experience these stages in no particular order on certain anniversaries (e.g, birthdays, anniversaries of their loved one's death and holidays).

In addition, acceptance has many layers to it. There is the initial acceptance that the death has occurred, but over time acceptance can deepen as the meaning of this loss also deepens.

The Many Layers of Grief
In addition to the 5 Stages of Grief, people often experience grief in waves and in layers.

Anyone who has ever grieved for the loss of a loved one is aware that grief comes in waves. Weeks, months and years after the loss you might experience a wave of grief come over you for no apparent reason that you're aware of at the time.

The Many Layers of Grief

The concept that there can be layers of grief over time isn't commonly recognized.  The layers, which often go with the stages, are usually experienced from surface to depth.  

In other words, even if you go through all five stages several times and in a different order or in a combination of stages each time, you might go through these stages in more profound ways each time from surface to depth.

Although this is understandable when the loss is close, people are often surprised to go through many layers of grief even when they were estranged from the person who died or the death was of a relative they never knew (see my article: (see my article: Mourning the Death of a Father You Have Never Known).

Clinical Vignette
The following clinical vignette illustrates how grief can come in layers over time for an estranged family member:

Sara
When Sara received the phone call from the police that her estranged older sister, June, was found dead from an overdose of heroin hundreds of miles away, she was shocked at first. She and her sister had estranged for over 20 years (see my article: Family Estrangements: Understanding the Barriers to Reconciliation).

Growing up Sara wasn't close to June. By the time Sara was five years old, her older sister had already quit high school to move in with a boyfriend that no one in the family liked, so Sara never saw her sister again.

As friends and family members heard about the June's death, they reached out to Sara to express their condolences (see my article: Expressing Condolences in a Caring and Tactful Way).

In response to their concern, Sara told them that she didn't have a sense of loss because she and June weren't close. She said she was just glad that June wasn't suffering anymore.

After Sara and her husband arranged for June's burial, they resumed their daily activities as if nothing had happened. But over time June's feelings changed. She noticed that her level of acceptance of June's death evolved over time.

As time passed and she went through what was left of June's personal belongings, Sara felt waves of sadness to be missing the sister she had never really known. 

Going through one of June's picture albums, Sara was surprised to discover that June kept pictures of her when she was a baby. It was at that point that Sara realized, even though June was someone she never really knew, she was important to June in ways she had never known.

The Many Layers of Grief

After discovering the pictures of herself, Sara made an effort to find out more about her sister. 

With much effort, she was able to find people in the area where June lived who knew her. She discovered that, before her life took a precipitous decline, June liked to draw portraits, including portraits of Sara when she was a baby.

She also discovered that up until June began abusing heroin, she loved to cook and she often invited friends and neighbors to her home for a meal, including people who were much less fortunate than her.

No one who knew June in the past was sure why her life took such a turn for the worse because she isolated herself in her final years. 

But some former friends believed her life got worse after she began a relationship with a man who introduced her to heroin. They surmised that after he left June, she kept to herself and her heroin use got worse until the day she overdosed.

As she discovered more about her sister, Sara was surprised to feel a depth of grief for June she would have never anticipated. 

Soon after that, she began therapy to deal with her loss.

People who are estranged from family members for a long time and people who have never known certain relatives are often surprised by the many layers of grief they feel.

Grieving in Your Own Way
We're hardwired for attachment in order to survive as babies. We're not hardwired for grief.

Grief is a topic that makes many people feel uncomfortable. In fact, many people try to avoid feeling emotions related to grief. 

The Many Layers of Grief

Those who aren't grieving often express surprise when people who have experienced a loss are continuing to grieve. 

Many make unkind remarks like, "You're still sad about your loss? How can this be when it's been over a year?" or "You just need to get out there and meet someone new."

As I mentioned at the beginning of this article, there's no one right or wrong way to grieve so if you're grieving, you'll go through it in your own time and in your own way, but it's important to make room for all your feelings.  

Certain rituals in various cultures are meant to help those who are grieving to acknowledge their feelings and come together with other people for emotional support (see my article: The Power of Creating Rituals).

The Many Layers of Grief

But after everyone has gone home and returned to their lives, you'll probably realize your life has changed in unanticipated ways after your loss.  

You might return to work and other routines but, just like any other profound experience, grief can change you.

Aside from experiencing the loss, you might also discover that, over time, grief can give you a new appreciation for love and 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 and I have helped many clients to work through grief in their own way.

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, April 14, 2018

Overcoming Your Fear of Allowing Yourself to Feel Your Sadness

Many people have a fear of allowing themselves to feel their sadness.  Their fear is if they allow themselves to feel sadness or grief that they will drown in it, so they use various defense mechanisms to avoid feeling sadness or grief, which prolongs their discomfort (see my articles: Grief in WaitingCoping With GriefDiscovering that Sadness is Hidden Underneath Your Anger, and Allowing Yourself to Experience Your Emotions in a Healthy Way).

Overcoming Your Fear of Allowing Yourself to Feel Your Sadness

Usually people who fear feeling sadness or other feelings that cause them discomfort had experiences as young children where left alone with their emotions, so they were forced to soothe themselves with the limited capacities available to them as children (see my article: Overcoming Your Fear of So-Called "Negative Emotions").

Sometimes, this is related to experiences of childhood abuse and/or neglect where one or both parents were either emotionally unavailable to soothe them or where the parents were the perpetrators of the children's emotional distress (see my article: What is Childhood Emotional Neglect?).

In other cases, the parents weren't dealing with their own emotional discomfort and, as a result, they didn't know how to soothe themselves or their children.  Often, this becomes an intergenerational pattern unless people get help in therapy to cope with their fears of experiencing uncomfortable feelings (see my article: Intergenerational Family Dynamics).

People who fear dealing with sadness or other emotions that are uncomfortable for them usually don't seek out help in psychotherapy for the same reason why they don't allow themselves to feel their full range of their feelings--fear of being overwhelmed by their emotions.  Instead, they might keep themselves distracted and "busy" to ward off uncomfortable emotions (see my article: Are You Constantly "Keeping Busy" to Avoid Uncomfortable Feelings?).

The various forms of trauma therapy, including Somatic Experiencing and other experiential forms of psychotherapy, can be helpful to these clients because the work is titrated to the needs of the client after the psychotherapist assesses the client's ability to tolerate emotions that are uncomfortable to him or to her (see my article: Experiential Psychotherapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Fictional Clinical Vignette: Overcoming the Fear of Allowing Yourself to Feel Your Sadness
The following fictional vignette illustrates how a trauma therapy, like Somatic Experiencing, can help a client to gradually develop the capacity to tolerate sadness so that the problem can be worked through and resolved:

Gene
Gene decided to begin psychotherapy after his medical doctor ruled out any medical cause for his headaches.  Since all tests were negative with regard to a physical cause to his problems, his doctor explained the mind-body connection and how psychological problems can create physical symptoms if these psychological problems are not dealt with and resolved.  The doctor recommended that Gene attend psychotherapy to deal with the underlying emotional reasons for the headaches.

Gene was reluctant to attend psychotherapy, but he also didn't want to continue to have headaches or develop other physical ailments, so he contacted a psychotherapist for a consultation.  During the consultation, Gene told the psychotherapist, "I don't believe in psychotherapy, but my doctor recommended that I begin therapy, so I'm willing to try it."

When his psychotherapist asked Gene about his family history, Gene, who was in his late 30s, said he didn't have clear memories of his childhood.  He provided basic information that he was the oldest of three children and grew up with both his parents in New York City.

He said he remembered that when he was a child, he spent most of his time alone because his parents were preoccupied with their own lives.  He also mentioned that he was not close to his parents or his young brother and sister.  They all lived in the same household, but they were each living a separate life (see my article: Disengaged Families).

With regard to his current relationship with his family, he only saw them a couple of times a year on holidays when Gene and his siblings visited his parents, who now lived in Florida.  He said that family relationships were strained, and he was always glad when he was on his way back to New York.

Gene told his therapist that he had been in one romantic relationship when he was in his late 20s.  He said it ended after a year because his then-girlfriend told him that she didn't feel he was emotionally available to her.  He said that, after the initial stage of passion and excitement in the relationship, he didn't want as much emotional intimacy as his girlfriend did.  He said, vaguely, that he thought they just "grew apart," but he didn't really understand what she meant when she said he was emotionally unavailable.

He also said that, although he dated "here and there," he didn't especially miss being in a relationship because he thought a relationship would demand more from him than he could handle.  He would see friends occasionally, but he spent most of his time alone, which is what he preferred.  Overall, he considered himself to be "a loner" (see my article: Seeing Yourself as a "Loner" vs. Experiencing the Shame of Feeling That You Don't Belong).

As his psychotherapist listened to Gene talk about himself, she could see how tense and uncomfortable he was feeling.  Towards the end of the consultation, she asked him how it was for him to talk about himself and history.  Gene thought about it for a moment, and then he said he wasn't sure how he felt about it but, in general, he never felt comfortable talking about himself.

She explained to Gene that she tended to work experientially and she developed treatment plans in collaboration with each client depending upon their needs.  She also told him that she worked in a way that respected each client's capacity to tolerate dealing the emotions that came up regarding his or her presenting problem.  Then, she provided Gene with basic psychoeducation about experiential psychotherapy (see my article: Why Experiential Psychotherapy is More Effective to Overcome Trauma Than Talk Therapy Alone).

His psychotherapist could tell that Gene was cutting off emotions that were uncomfortable for him and that he probably spent a lot of his childhood using the defense mechanism of dissociation in order to deal with his aloneness and lack of emotional support, which is why he had so few memories from childhood.

When Gene came to his next psychotherapy session, he asked his therapist what he needed to do to "fix things" so he didn't continue to get headaches.  His psychotherapist told him that she would need to get to know him better to assess the problem, and he would need to see if he felt comfortable enough with her to do the work.  She explained that the therapeutic alliance between the therapist and the client takes a while to build, and there would need to be a therapeutic alliance before they did any in depth psychological work.

In other words, there was no "quick fix" for his problems (see my article: Beyond the "Band Aid" Approach to Psychotherapy).

Gene was displeased with this answer.  He wasn't accustomed to the idea of an emotional process and that there would be a process in therapy where he and his psychotherapist would need to develop a relationship.  He thought it would be similar to going to the doctor where he would receive either medication or a shot to deal with his problems.

So, his psychotherapist provided him with more information about the psychotherapy process and how, if there was a good fit between the client and the psychotherapist, the client would learn to trust the therapist over time.  In the meantime, they could continue to explore the timing of his headaches and if these headaches coincided with something that was going on in his life.

At first, Gene said that he didn't see the connection between his headaches and anything that was going on his life.  So, his therapist asked him if he remembered what was going on when his headaches started.

Initially, Gene said he didn't remember anything in particular.  But then, he remembered that his headaches started after his maternal uncle died last year, but he didn't see the connection between his uncle's death and his headaches.  When his therapist asked Gene how he felt about the loss of his maternal uncle, Gene was confused by this question.  So, she asked him specifically how he grieved for the loss.

Gene still didn't understand what his therapist meant by "grieved."  He said he wasn't aware that he did anything in particular other than going to the funeral and paying his respects to his aunt and cousins, which was something that was "expected" of him.  He said he wasn't aware that there was anything more to do about his uncle's death.

His psychotherapist provided Gene with psychoeducation about the rituals that many people perform in order to grieve this kind of loss, but Gene still didn't understand.  He said that, although he cared for his uncle and they were close at times when he was a child, he went to the funeral out of sense of obligation to his aunt and cousins.

As they explored Gene's reaction to his uncle's death, it became apparent to his psychotherapist that Gene was defending himself against his uncomfortable feelings about the loss.  As she watched Gene fold his arms across his chest and look away with barely any eye contact, she could see that he was defending against feeling his sadness.

At one point, as he was talking about the loss of his uncle, Gene became irritated and told the psychotherapist that he didn't see how talking about his uncle's death was going to help him to get over his headaches.  He thought this was a waste of time.

His psychotherapist asked Gene what he was experiencing in that moment, and he said he was feeling annoyed.  Then, she asked him if it would be tolerable for him to stay with that feeling for a moment to see what happened next.  Gene didn't see how this would be helpful, but he agreed to try it.

After a minute, Gene said he was surprised that, as he focused on his feeling, he felt his annoyance starting to dissipate.  His therapist explained to Gene that, often when a person focuses on an emotion, it changes because emotions tend to come and go.

She also explained that each person has a particular capacity to deal with uncomfortable emotions.  She called it their "window of tolerance" (see my article: Expanding Your Window of Tolerance in Psychotherapy So You Can Overcome Emotional Problems).

As they continued to work together, Gene was beginning to discover that he had a narrow window of tolerance, which was why it was so difficult for him to relate to emotions that made him feel uncomfortable, especially sadness.

Over time, Gene also discovered that he was warding off much of his sadness for his uncle's death because he was afraid that he would drown in his sadness if he allowed himself to feel it.  Using Somatic Experiencing, his psychotherapist helped Gene to experience his sadness in a manageable way, rather than dwelling on it for a long period of time in therapy.

Gradually, Gene began to develop a greater capacity to tolerate sadness and he allowed himself to grieve in his psychotherapy sessions.  Having his psychotherapist there to help him with his sadness and grief was an experience that he had never known before because he grew up in an environment where he was alone with his feelings almost all of the time.

As Gene mourned the loss of his uncle, his headaches dissipated.  He realized that when he was warding off his sadness in the past, he was placing himself and his body under a lot of stress, which is what was causing the headaches.

He also realized that, prior to allowing himself to feel his sadness and grief, he feared that his emotions would be overwhelming and he would drown in his emotions.  But, with the help of his psychotherapist and the titration of his emotional experiences so that they were manageable, he was able to cope with whatever came up for him emotionally.

As he opened up to experiencing his emotions more, Gene also realized that he was feeling lonely, but he had not allowed himself to experience that feeling until this point in his therapy.  The loneliness and his increased openness to other people allowed Gene to open up to connecting emotionally with women and the possibility of finding a relationship.

Conclusion
When people shut down emotions that are uncomfortable for them (whether it's sadness, anger or any other emotion), they usually don't realize that this is what they're doing because they're often out of touch with their emotions in general.

Fear of experiencing uncomfortable emotions usually begins at a young age when the child is overwhelmed by emotions that aren't mediated by his parents.  Since children need their parents to help them to cope with uncomfortable emotions, they don't develop the emotional capacity to deal with these emotions, and this continues into adulthood where they have a fear of uncomfortable emotions.

Getting Help in Therapy
Experiential therapy, like Somatic Experiencing, is usually much more helpful to overcome fear of allowing yourself to feel uncomfortable emotions.  The problem with not allowing yourself to experience uncomfortable emotions is that these emotions remain and continue to come up from time to time and get in the way of connecting emotionally with yourself and others.

It usually takes more and more effort to  avoid these feelings, which can develop into physical symptoms, like headaches, irritable bowel syndrome (IBS), stomach problems, and other medical issues.

A skilled experiential psychotherapist will help the client to begin experiencing uncomfortable emotions in a manageable way a little at a time.  During that process, the therapist helps the client to develop and expand their window of tolerance so s/he has a greater capacity over time to experience and eventually let go of these emotions (see my article: How to Choose a Psychotherapist).

If you think you might be avoiding emotions that are uncomfortable for you, you owe it to yourself to get help from a skilled psychotherapist who uses experiential psychotherapy.

Once you have expanded your window of tolerance for experiencing uncomfortable emotions, you might be surprised that you can experience and let go of these emotions over time.

With a greater capacity to feel a range of emotions, you can live a more fulfilling life.

About Me
I am a licensed NYC experiential psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples, and I have helped many clients to expand their window of tolerance so they can overcome their fear of their emotions and live a fuller 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.