Why Medication Alone Can't Solve Most Psychological Problems

Many people who are taking medication ask why medication alone isn't solving their psychological problems (see my article: Medication Alone Isn't As Effective as Psychotherapy).

Medication Alone Can't Solve Most Psychological Problems

Why Can't Medication Solve Most Psychological Problems?

There are times when medication might be necessary and helpful to deal with the symptoms of a psychological problem. However, when medication is needed, a better approach to consider is combining medication with psychotherapy.

Here's why:

• Medication Targets Symptoms, But It Can't Get to the Root Cause of Your Problem: Whereas psychotherapy can get to the root cause of your problem, medication  alone can help to alleviate symptoms while you're on the medication. Medication doesn't address the underlying causes of your problem. For instance, if you choose to take medication for anxiety or depression, your symptoms might improve, but it doesn't address the underlying psychological and emotional factors involved so problem isn't resolved. 

Medication Alone Can't Solve Most Psychological Problems

• Medication Doesn't Teach You Tools, Strategies or Coping Skills: Medication might reduce your symptoms, but it doesn't help you to change negative thoughts or to improve emotional regulation. It doesn't help you to develop the necessary coping skills and internal resources. It also doesn't help you to work through unresolved trauma. Psychotherapy can help you with these issues and more (see my article: Developing Internal Resources and Coping Skills).

• Medication Doesn't Provide Provide Psychological Interventions: Psychological issues require psychological interventions. For instance, unlike psychotherapy, medication alone doesn't address the following issues or a variety other psychological problems:

• Grief

• Poor communication skills

• Dysfunctional relationship patterns

• Unresolved trauma

• Medication Doesn't Help You to Develop Internal Resources: Psychotherapy can help you to develop the necessary internal resources and coping skills related to your problem. In many cases, when you have developed these internal resources, it's possible you won't be as reliant on medication or you might not need it (always consult with your psychiatrist before you reduce or stop your medication). Medication is usually for symptom reduction. While medication can reduce symptoms, psychotherapy can help you to develop the following skills and internal resources and more:

• Develop self reflective capacity

• Develop a personal growth mindset

• Develop personal resilience

Conclusion

Medication can be a tool for managing symptoms and creating stability, but psychotherapy addresses the underlying issues at the root of your problem, helps you to develop coping skills and promotes positive change.

For many psychological issues, the combination of psychotherapy and medication can be effective. 

Always consult with a mental health professional who has the necessary expertise about this.

Getting Help in Therapy

If you have been struggling with unresolved problems, you could benefit from working with a skilled psychotherapist who can help you to develop the tools and strategies to overcome your problem.

Getting Help in Therapy

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

Note: Never reduce or stop medication without consulting with your psychiatrist.

About Me

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

I am also work with individual adults and couples (see my article: What is a Trauma Therapist?).

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

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

4 Ways Unresolved Trauma Can Have a Negative Impact on You and Your Relationship

There are many ways unresolved trauma can create problems for you and your relationship, especially unresolved childhood trauma (see my article: How Unresolved Trauma Can Affect Your Ability to Be in a Relationship).

Unresolved Trauma Can Affect You and Your Relationship

4 Ways Unresolved Trauma Can Have a Negative Impact on You and Your Relationship

In this article, I'm focusing specifically on the following four problems:

• Developing Rigid Negative Beliefs About Yourself and Relationships

• Choosing an Unhealthy Partner

• Getting Triggered During Conflicts with Your Partner

• Staying in an Unhealthy Relationship Too Long

1. Developing Rigid Negative Beliefs About Yourself and Relationships

Your early childhood experiences have an important impact on your beliefs about yourself and about relationships in general.

If you grew up in a dysfunctional family where life was chaotic and you felt unlovable and emotionally invalidated, you might have formed rigid and negative beliefs about yourself and relationships, including:

• "I don't deserve a loving partner."
• "No one will find me lovable."
• "All men are cheaters."
• "Women can't be trusted."
• "Men only want sex."

And so on.

You might also have a strong fear of rejection and abandonment based on your early experiences. In addition, you might even anticipate rejection and abandonment where these problems doesn't exist.

These rigid negative beliefs make it difficult to trust anyone so even though you might want to have a partner, you might also dread getting into a relationship (see my article: An Emotional Dilemma: Wanting and Dreading Love).

2. Choosing an Unhealthy Partner

If you don't know what a healthy relationship looks like because you grew up in a dysfunctional family, you might not know how to choose someone who is right for you.

Consciously, you might tell yourself you want a relationship that's different from what you experienced growing up, but unconsciously you might gravitate towards partners who feel familiar to you. If what's familiar is dysfunction, that might be what you're drawn to when you're meeting a potential partner.

On an unconscious level, you might also be drawn to people who aren't interested in you because these types of situations activate a familiar longing in you from your childhood (see my article: Letting Go of an Unhealthy Relationship: Unrequited Love).

3. Getting Triggered During Conflicts in Your Relationship

If you have unresolved trauma, you can get easily triggered during an argument with your partner.  

Unresolved Trauma Can Get Triggered During Arguments

In the moment, you might not realize that you're stuck in a trauma response because you don't realize your unresolved trauma is getting triggered or, even if you're aware of it, you could find it hard to distinguish between your current emotions from past experiences (see my article: Overcoming Trauma: Learning to Separate Past Traumatic Experiences From Now).

Even if you're in a healthy relationship, your old emotional wounds can get triggered from unresolved trauma. This can create a trauma response including:

• Fight: 
• Getting into a confrontation with your partner
• Blaming your partner for your problems, 
• Expressing criticism, contempt, defensiveness or stonewalling (see my article: How to Improve Communication in Your Relationship By Eliminating the 4 Horsemen of the Apocalypse).

• Flight: 
• Avoiding problems
• Acting impulsively to ward off unpleasant emotions
• Running away from intimate or emotional situations (see my article: How is Emotional Avoidance Related to Unresolved Trauma?).

• Freeze: 
• Feeling helpless or hopeless
• Feeling unable to act
• Disconnecting emotionally from your partner (see my article: Overcoming the Freeze Response Related to Unresolved Trauma).

• Fawn: 
• Engaging in people-pleasing behavior with your partner to ward off your unpleasant feelings to the detriment of your emotional needs (see my article: Trauma and the Fawn Response).

4. Staying in an Unhealthy Relationship Too Long

People who have unresolved trauma often develop an unhealthy tolerance for emotional abuse because it's familiar to them from their childhood and they don't realize they're in an unhealthy relationship (see my article: Should You Stay or Should You Leave Your Relationship?).

Even if you realize you're in an unhealthy relationship, you might feel this is all that you deserve and it's the best you can do because you feel so unworthy.  This is related to negative beliefs about yourself mentioned above.

You might also leave an unhealthy relationship, but you enter into a succession of unhealthy relationships after that because you haven't done the necessary psychological work to overcome your history of trauma that creates relationship problems for you.

Getting Help in Trauma Therapy

Trauma therapy is different from regular talk therapy.

Getting Help in Trauma Therapy

Regular talk therapy where you talk about your trauma, but you don't actually process the trauma with specific trauma therapy interventions, isn't as effective as Experiential Therapies like EMDR Therapy (Eye Movement Desensitization and Reprocessing), Somatic Experiencing or AEDP (Accelerated Experiential Dynamic Psychotherapy).

See my article: Why Experiential Therapy is More Effective Than Talk Therapy to Overcome Trauma.

Instead of struggling on your own, you could benefit from working with a trauma therapist to overcome trauma that keeps you stuck. 

A skilled trauma therapist can help you to overcome trauma so you can lead a more fulfilling life (see my article: What is a Trauma Therapist?).

About Me

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

As a trauma therapist, I have helped many individual adults and couples to overcome trauma.

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.

How Unresolved Trauma Affects How You Feel About Yourself

Psychological trauma often has a negative impact on how you feel about yourself.  In trauma therapy, like EMDR, the psychotherapist explores the negative beliefs that developed for the client as a result of trauma (see my articles: How EMDR Works: EMDR and the Brain and Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

How Unresolved Trauma Affects How You Feel About Yourself

These beliefs often remain unconscious before the client seeks help in psychotherapy.  But these negative beliefs often get enacted in other areas of the client's life without his or her realizing it before therapy.

Depending upon the kind of trauma and the lasting impact, these negative beliefs might include feeling unlovable, unworthy, powerless, weak and so on.  This is especially true if there weren't people who intervened at the time of the trauma on the traumatized person's behalf.

Fictional Clinical Vignette: How Trauma Affects How You feel About Yourself
The following fictional vignette, which is similar to many actual therapy cases, illustrates how trauma can have a negative lasting impact on self perception:

Nina
After she experienced herself as being helpless in a situation at work where she was being sexually harassed, Nina sought help in psychotherapy.

Nina explained to her psychotherapist that she had always done well in college and in her prior jobs.  She was able to negotiate whatever challenges presented themselves in all her prior educational and career endeavors.

However, in her new position as a director, she felt undermined by a manager, Alan, who felt that he should have been the one promoted into the new position--not Nina.  Not only did Alan voice his anger about her getting the promotion when he felt he was better qualified, but he also tried to belittle her by making comments with sexual innuendos when no one else was around.

Nina told her therapist that she ignored him at first but, over time, Alan's sexual comments were more brazen and hostile.  She knew he was trying to intimidate her, and she thought about reporting him to her executive director and the human resources department, but she was afraid that no one would believe her because it would be her word against his, and Alan was generally well liked.

At the same time, Nina knew that she needed to do something because Alan's remarks were becoming more outrageous, and it was getting to the point where she dreaded going to work and encountering him alone in the pantry or on the elevator.  She was losing sleep over it, and over time, this problem was taking up more and more of her thoughts.  It was also interfering with her work.

The psychotherapist explored Nina's background and discovered that Nina was sexually abused from the time she was five until she was 18 by a paternal uncle, who was much loved by the family.  The sexual abuse included making sexual comments to her, kissing her on the mouth and fondling her breasts (see my article: Overcoming the Psychological Effects of Sexual Abuse).

With much trepidation, when Nina was seven, told her mother about the uncle's inappropriate behavior. But her mother refused to believe her.  Not only didn't she believe Nina, but she punished her because the mother believed that Nina was lying.

As a result, the sexual abuse continued whenever the uncle found an opportunity to be alone with Nina (similar to her situation at work with Alan), and Nina felt that, somehow, she was at fault for what her uncle was doing.

The only reason the abuse stopped was that Nina went away to college.  Determined to put the sexual abuse out of her mind, she focused on her college work and excelled in her studies.  After college, she shared an apartment with friends, and she never attended family events where she knew her paternal uncle would be there.

Until Alan began sexually harassing her, Nina thought that she had overcome her history of sexual abuse.  But she realized that she was feeling just as powerless in her current situation as she felt when she was a child.

Her psychotherapist recommended that Nina could take the situation at work one step at a time, so if Nina was too afraid to file a formal complaint with her human resources department, she could speak with her human resource manager informally to find out her rights.

Her therapist also told Nina that it appeared that her earlier trauma of feeling powerless was triggering feelings of powerlessness in her current situation.  She explained to Nina that she had an unresolved trauma that was complicating her current situation, and she recommended that they use EMDR therapy to help Nina to resolve the original trauma involving the sexual abuse with her uncle as well as the fact that her mother didn't believe or support her when she told her mother about the abuse (see my article: EMDR Therapy - When Talk Therapy Isn't Enough).

Nina took practical steps to speak with the human resource (HR) manager about what would happen if she filed a sexual harassment complaint.  To her surprise and relief, the HR manager told Nina that she was already conducting an investigation and, based on a complaint from a few other women in Nina's department, she was about to contact Nina to ask her if she was being harassed.

Since Nina had come to her on her own, the HR manager asked her specifically about her experiences with Alan, and Nina was able to tell her about the sexual comments that he made to her.  A few weeks later, based on several women coming forward to complain about Alan's behavior, he was terminated.

At the same time, Nina and her psychotherapist did EMDR therapy to work on the many years of sexual abuse that she experienced by her uncle.  They also worked on how betrayed Nina felt that her mother thought she was lying.

Nina was somewhat surprised that, after all the years that had gone by, she could still be triggered into feeling powerless in her situation at work.

Their work with EMDR therapy was neither quick nor easy but, her therapist explained, EMDR therapy tends to be faster and more effective than regular talk therapy with unresolved trauma.

Over time, Nina was able to work through the unresolved trauma so that it was no longer affecting her.  She no longer felt powerless in relation to her memory of the abuse or in her current life.

In fact, when another male colleague tried to sexually harass her, Nina put him in his place and told him in no uncertain terms that if he did not stop, she would report him.  Startled by her assertiveness, the colleague seemed intimidated by Nina.  He apologized for his behavior, and he stopped making inappropriate comments.

Feeling Empowered After Resolving Prior Trauma

Afterward, Nina felt she had handled the situation well, and she told her psychotherapist that she felt good about herself.

Shortly after that, Nina had a long talk with her mother about the sexual abuse that occurred when Nina was child.  Her mother believed her this time.  She apologized and they began to work on improving their relationship.  Her mother also forbid the uncle from coming to any more family events.  With Nina's permission, her mother also told other family members so that they would be aware of his behavior and prevent any other children from being abused.

Conclusion
This brief fictional vignette illustrates that, even when a client thinks that s/he had suppressed the negative emotions associated with an early trauma, these feelings can get triggered in a current situation.

The unresolved trauma remains unmetabolized just under the surface, and it can remain there for many years until it gets triggered again.

Trauma therapy, like EMDR therapy, can help clients to overcome traumatic experiences in a more effective way than regular talk therapy.

Getting Help in Therapy
If you are struggling with unresolved trauma, you owe it to yourself to get help in trauma therapy (see my article: The Benefits of Psychotherapy).

A skilled trauma therapist can help you to overcome unresolved trauma so you can free yourself from your history and lead a more fulfilling life (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article:  How to Choose a Psychotherapist).

As a trauma therapist, I work with individual adults and couples, and I have helped many clients to overcome unresolved trauma.  

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.