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NYC Psychotherapist Blog

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Showing posts with label performance anxiety. Show all posts
Showing posts with label performance anxiety. Show all posts

Friday, May 26, 2023

How to Stop People Pleasing So You Can Reduce Your Anxiety and Increase Your Pleasure in the Bedroom

People pleasing, which is also known by the term "fawning," is often a trauma response (see my article: Trauma and the Fawn Response: People Pleasing to Avoid or Diffuse Conflict).

People who focus on pleasing others, to the detriment of their own emotional needs, often don't even realize they're doing it because it's such an ingrained trauma response from early in their life. 

How to Stop People Pleasing to Reduce Your Sexual Anxiety

They learned to focus on other people's needs to ward off conflict in family dynamics and to try to shore up dysfunctional family dynamics (see my article: Adult Children of Dysfunctional Families and People Pleasing).

As children, these people would extend themselves emotionally beyond what they were developmentally capable of doing, but they tried to do it anyway (see my article: Children's Roles in Dysfunctional Families).

A key component of the people pleasing involves feeling unlovable.  

Examples of Children Who Who Were People Pleasers 
The list below includes just a few examples of children who were people pleasers and who over-functioned in their family.

Children who were people pleasers in their family often:
  • Believed they had to take on the family problems in order to be liked or loved
  • Believed the family wouldn't survive unless they became people pleasers
  • Became overachievers and the family hero in an effort to please depressed, anxious or traumatized parents
  • Became pseudo-independent (i.e., they believed, erroneously, that they didn't need help or emotional support because they could take care of themselves--even though they were children
  • Sacrificed their own emotional needs for their parents and other family members
    • Agreed to do things they didn't want to do and lost touch with what they wanted and needed
    And so on.

    People Pleasing Children Become People Pleasing Adults
    Unfortunately, people pleasing (or fawning) doesn't stop when children become adults, and these behaviors often carry over into sexual activities so that sex becomes solely performative rather than being pleasurable to them.

    How to Stop People Pleasing to Reduce Your Sexual Anxiety

    Usually people with this problem are so hyper-focused on their partner's pleasure that they don't pay attention to their own sexual pleasure.  

    This creates performance anxiety because they're worried about whether they're pleasing their partner.  The result is that they can become cut off from their own emotions and bodily sensations so they don't enjoy sex (see my article: What is Sexual Anxiety?).

    Sexual People Pleasing and Performance Anxiety
    Sexual people pleasing often occurs when people are willing to do whatever they think their partner might like--even if it's not what they want or it has a detrimental effect for them--so their sexual partner will like or love them.  

    This creates performance anxiety for both men and women which can result in:
    • Worry or fear before, during or after sex
    • Negative thoughts or emotions about sex
    • Spectatoring (self consciously monitoring and critiquing their own behavior in bed)
    • Unrealistic expectations related to sex, especially with regard to their own sexual "performance"
    • Erectile dysfunction
    • Anorgasmia (delayed, infrequent, less intense or absence of sexual orgasms)
    How to Overcome People Pleasing in the Bedroom
    Depending upon the specific problems involved, overcoming sexual people pleasing often involves different interventions, including medical treatment to deal with possible physical problems or rule out medical issues, trauma therapy and sex therapy.
    • Medical Issues: If there is a physical component to the sexual problem, like painful sex or erectile dysfunction, possible medical problems should be ruled out first.  For instance, many women assume that painful sex is solely the result of anxiety.  However, although anxiety might be an important part of the problem, it's also possible that there might be medical issues that contribute to the problem--like pelvic floor problems, which must be diagnosed by a medical doctor and often requires the assistance of a physical therapist who is a pelvic floor specialist.
    Seeking Medical Help to Rule Out Physical Problems
    • Trauma Therapy: Since people pleasing is often a longstanding problem that originated in childhood, there is often unresolved trauma that needs to be worked through in trauma therapy. A mind-body oriented therapy, like EMDR therapySomatic Experiencing , AEDP and Parts Work/Ego States Therapy is often helpful to bring about increased bodily awareness and work through trauma.  See my articles:
    • Sex Therapy: Sex therapy is a form of talk therapy for individual adults and couples with no physical exam, nudity or sex during therapy sessions. Performance anxiety is a common issue that sex therapists help clients to overcome.  See my articles:
    How to Overcome Your Fear of Getting Help
    If you feel fearful and ashamed to get help for trauma-related sexual problems, recognize that you're not alone.  Many people have similar problems.  In fact, these problems are common.

    You can start by finding a licensed mental health professional who addresses both trauma and sex therapy.  Therapists who specialize in both areas can be difficult to find, but you can use a therapist directory to locate someone in your area.

    Getting Help From a Sex Therapist Who Specializes in Trauma

    If you're already in therapy, you can find an adjunct therapist who specializes in trauma and sex therapy to collaborate with your therapist so you get the help you need.

    Make sure the therapist is a licensed mental health professional, which is different from a coach or mentor.

    Start by asking for a consultation so you can get a sense of whether you feel comfortable with a therapist (see my article: How to Choose a Psychotherapist).

    Be aware that it can take time to develop a therapeutic relationship with a therapist, so be patient.

    Once you have worked through your trauma-related sexual problems, you can lead a more fulfilling life.

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

    I am a sex positive therapist who works with individual adults and couples.

    As a trauma and sex therapist, I have helped many individuals and couples to overcome trauma-related sexual problems.

    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, December 30, 2017

    EMDR Therapy For Performance Enhancement

    Many clients start psychotherapy because they want to enhance their performance in their career or in their personal life.  Although EMDR therapy is generally known for resolving psychological trauma, since it was developed by Francine Shapiro, Ph.D. in the 1980s EMDR has been used in many other areas, including anxiety reduction, overcoming phobias, and performance enhancement (see my articles: What is EMDR Therapy? and What is Adjunctive EMDR?).

    EMDR Therapy For Performance Enhancement

    Executives, actors, writers, singers, athletes, artists and people in many other situations seek help from EMDR therapists to overcome their performance anxiety and their related negative beliefs that are getting in the way of their success.

    The following fictional vignette illustrates how EMDR therapy is used for performance enhancement:

    Fictional Vignette: EMDR Therapy For Performance Enhancement:

    Tom
    When Tom's director told him that he was promoting him to an executive level position with a significant increase in salary, Tom was thrilled.  He worked hard for this promotion, and he was happy that he was being recognized by his director.

    Then, his director told Tom that part of the new responsibilities would be to give presentations to the board of directors, and Tom felt a sinking feeling in the pit of his stomach.

    While Tom really wanted the promotion, he dreaded giving presentations--especially to the board of directors.  He suffered with a lifelong dread of public speaking.  Even when he was in high school and he was asked to address his teachers and fellow students, he stammered and trembled on stage.

    Giving his presentation in high school was one of the most humiliating experiences of his life. After that experience, he avoided public speaking.  Even in college, he managed to get through without having to do a presentation.  But now he knew that there was too much at stake for his career and he wanted to overcome his fear of public speaking.

    A close friend, Jim, told Tom that his son, who was a college basketball player, was seeing an EMDR therapist for performance enhancement.  His son tended to "choke" in a big game, which made him feel ashamed and discouraged.

    Jim told Tom that the EMDR therapist helped his son to overcome his performance anxiety and build his self confidence, which helped to enhance his performance.  He recommended that Tom find an EMDR therapist to deal with his anxiety about public speaking.

    Tom had never heard of EMDR therapy before, but he looked it up online and saw all the positive research about EMDR's effectiveness, so he contacted an EMDR therapist to begin therapy.

    During the first several sessions, Tom's EMDR therapist obtained information about Tom's family history and helped him to develop internal resources.

    Then, they were ready to begin processing Tom's fear of public speaking.  His therapist asked Tom to recall his memory of speaking in the auditorium in high school.  After Tom accessed the memory, she asked him several questions, including what his negative belief is about himself as it is related to that memory.

    Tom thought about it and said, "I feel powerless when I have to speak in front of an audience."  He told his therapist that he wanted to feel confident and in control when he does public speaking.

    Then, Tom and his EMDR therapist began the desensitization phase of EMDR.  While they were doing EMDR, they discovered that there were several other earlier memories that were related to the memory they were working on so, over time, they processed these underlying memories as well.

    When Tom no longer felt anxious about his memories, they worked on the current situation and a future situation until Tom no longer felt anxious about speaking in front of the board of directors.

    When his therapist checked with Tom to find out if he felt confident and in control about public speaking, Tom said he was very surprised that he actually did feel confident and in control.

    The proof came a few months later when, in his new executive position, Tom had to go before the board of directors to do his first presentation to them.

    Before the presentation, Tom was surprised to notice that he wasn't at all nervous.  He felt confident that he was the top expert in his company for the topic he would be presenting, so there was no one else who knew more about it than he did.

    EMDR Therapy For Performance Enhancement

    During his presentation, Tom felt confident and in control.  He also saw his director standing in the back of the room smiling and nodding at him, which made him feel even more confident.

    Afterwards, the chief executive officer thanked Tom for an informative presentation and told him that he hoped it would be the first of many.

    Conclusion
    EMDR therapy was originally developed to help clients to overcome psychological trauma.  However, since it was first developed, EMDR therapy has been found to be highly effective for other types of problems, including performance enhancement.

    The fictional vignette presented above represents one way that clients react to EMDR therapy for performance enhancement.  Of course, everyone is different and will have their own idiosyncratic responses.

    Getting Help in Therapy
    If you're struggling with a problem related to performance anxiety--whether it relates to career issues, taking steps to improve your health or whatever anxiety might be getting in your way of success--you could benefit from EMDR therapy.

    The complexity of the anxiety-related problem will be different for each person.  Some people can overcome their performance anxiety in a relatively short time.  Other people have more complicated problems that have roots that go beyond the current situation and would need more time doing EMDR.

    Rather than struggling on your own, you could benefit from working with a licensed mental health professional who is an EMDR therapist.

    Overcoming your performance anxiety can open up a new world for you.

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

    I work with individual adults and couples.

    I have helped clients to free themselves from their performance anxiety so they could go on to achieve success in their fields.

    I also work as an adjunct psychotherapist for clients who want EMDR, clinical hypnosis or Somatic Experience and who want to remain with their primary 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.