Getting Help in Therapy For Anxiety

It's not unusual to experience stress during the normal course of our lives. Normal stress occurs in every day life and can actually help us to be more effective and productive at times. However, compared to mild stress, an anxiety disorder such as generalized anxiety, panic disorder, obsessive compulsive disorder, phobias or post-traumatic stress disorder can cause us to feel significant and debilitating distress. Without help, these anxiety disorders can interfere with our relationships and our every day activities (see my articles: Self Help Tips For Coping With Anxiety and What is the Difference Between Fear and Anxiety?).

Getting Help in Therapy for Anxiety

Common Forms of Anxiety

The following list includes some of the most common forms of anxiety:

• Generalized anxiety disorder: Generalized anxiety disorder occurs when a person worries excessively and has a feeling of foreboding and dread that bad things are going to happen. He or she might be worrying excessively about issues like money, health, or his or her relationship. These worries are often not related to a particular circumstance in the present, and they are recurring and persistent. These worries are also intense enough to interfere with a person's relationships and daily activities. He or she might have problems concentrating or sleeping. Generalized anxiety might affect appetite. These persistent worries might interfere with a person's ability to communicate or relate to others because he or she is so consumed with anxiety.

• Panic disorder: People with panic disorder often feel a sudden feeling of dread. Their heart might start racing. They might also start sweating profusely. The actual panic might only last a few minutes, but the person with panic disorder often worries about when the next panic will occur. Often, people with panic disorder start to avoid the situations, places or people that they associate with their panic. Without treatment, the people, places and situations that they avoid can increase until, in severe cases, they are too afraid to go outside (see my article: Tips For Coping With Panic Disorder).

• Phobias: Phobias are irrational fears of various things: fear of heights, fear of animals, fear of being in enclosed places, fear of flying, and so on. Similar to people with panic disorder, people who suffer with phobias often try to avoid the situations and things that they fear. This is not always possible, so when they are forced to deal with their phobia, their phobic reaction often turns into panic (see my article: What Are Phobias?).

• Obsessive-compulsive disorder (OCD): People who suffer with OCD engage in certain obsessive thoughts or compulsive activities. These obsessive thoughts and compulsive activities are unwanted, but the person with OCD feels compelled to do them when they feel anxious. For many people, these thoughts or activities become ritualized, so that they might have to do things in a certain order or a certain way or a certain number of times. OCD can also involve an excessive fear of germs or contamination, excessive checking (e.g., checking that the door is locked several times in a row or checking many times in a row that the gas is turned off, etc). OCD can also involve excessive hand washing.

• Post-traumatic stress disorder (PTSD): People who experience overwhelming trauma, possibly due to a natural disaster, a crime, a combat situation, an accident or other emotionally overwhelming events, can develop PTSD. We often associate PTSD with soldiers in war. Originally, PTSD during combat was called "shell shock." However, we now know that PTSD can develop outside of combat situations. People who develop PTSD might not experience any symptoms for months or even years after the event. Anything that reminds them of the traumatic event might cause them to feel like they're reliving the original traumatic event. They might feel panic or intense fear whenever they are confronted with reminders. For instance, if someone gets into a severe car accident, after he recovers from the accident, he might be too afraid to drive again. Or, even if he is able to get behind the wheel again, he might experience feelings of terror and dread if he has to drive to the same place where the accident occurred. Without help, PTSD can be a severe and debilitating disorder that can seriously affect a person's life as he or she relives the incident emotionally and tries to avoid anything that brings up these feelings again (see my article: Postttraumatic Growth).

Getting Help for Anxiety Disorders:
Anxiety disorders are not the same as normal stress and every day anxiety. Left untreated, anxiety disorders often have serious adverse effects on people's lives. It's not unusual for a fear that begins about a particular situation or event to generalize to other areas, causing tremendous disruption to a person's life.

For instance, if a person has an untreated fear of being in an elevator because it is an enclosed space, this fear often generalizes to fear of being on a train or plane or in a small room. Since we now know more about the mind-body connection, we also know that untreated anxiety disorders can often lead to medical problems. We also know that some people with anxiety disorders turn to drinking excessively, abusing drugs, gambling, sexual addiction, and other addictions as a maladaptive way of coping.

How I Treat Anxiety Disorders:
As a licensed psychotherapist in New York City, I use a variety of psychotherapeutic treatment modalities to treat anxiety disorders, including psychodynamic psychotherapy, EMDR (Eye Movement Desensitization and Reprocessing), clinical hypnosis (also known as hypnotherapy), Somatic Experiencing, Ego States work (also known as Parts Work) and AEDP.

Each therapy is tailored to the needs of the individual client.

After the initial evaluation, I work collaboratively with the client to come up with the treatment plan that is best for him/her/them.

If you think you might be suffering with an anxiety, it's important to know that you're not alone and you can get help from a licensed mental health professional.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who has helped many clients to overcome anxiety disorders (see my article: What is a Trauma Therapist?).

I work with individual adults and couples.

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

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

Overcoming Anticipatory Anxiety

In a prior article, How to Stop Worrying, I addressed a concern that many chronic worriers have.  In this article, I'm addressing a specific type of worrying, which is called anticipatory anxiety.

Overcoming Anticipatory Anxiety

Many people struggle with anticipatory anxiety, which is worrying about something in advance of it occurring.

The thing that you're worried about is something that may or may not occur at some point in the future.

Anticipatory anxiety isn't an anxiety disorder.  It's part of different types of anxiety disorders, including generalized anxiety, panic attacks, posttraumatic stress disorder (PTSD) and other forms of anxiety.

What Are the Symptoms of Anticipatory Anxiety?
Symptoms can include:

• excessive worrying
• insomnia
• muscle aches
• nausea
• headaches
• hyperventilation
• feelings of dread
• overeating
• gastrointestinal problems
• panic attacks

When, Why and How Does Anticipatory Anxiety Occur?
Anticipatory anxiety can occur at any time and for many people it's a chronic condition.

Anticipatory anxiety can include worrying in advance of anything being wrong about money, job loss, problems in a relationship or any other event or situation that hasn't occurred yet.

The fact that it hasn't occurred yet is key--it is the anticipation that something bad will happen.  It's not necessarily based on anything objective that is going on now.

Anticipatory anxiety can occur based on your past, including early childhood experiences.

For instance, if you grew up in a home that was chaotic where your parents were constantly worried about real and imagined problems, you can grow up feeling that the world isn't a safe place and, generally, anything that can go wrong will go wrong in your life as an adult.  This can develop into generalized anxiety disorder.

Many people who suffer with anticipatory anxiety are unaware that they have become accustomed to this habitual way of worrying.  Their habit of worrying has become automatic.

If you had significant trauma that has resulted in your developing posttraumatic stress disorder (PTSD), you might respond to many events or situations in your life as if they will result in catastrophe (see my article:  Are You Catastrophizing?)

There is no differentiation between traumatic events and normal non-traumatic life events.

How to Overcome Anticipatory Anxiety?
Here are some tips that might be helpful to you:

• Rather than allowing your thoughts to run away with you, make a conscious effort to step back from worrying and question whether the things you're worrying about are likely to happen.
• Ask yourself if you're okay now (as opposed to your worries about the future).
• Think about all the other times when you worried about something and things turned out well.
• Distract yourself from your worries by focusing on something else.
• Talk to a friend or loved one to get a better perspective.

Getting Help in Therapy
The tips outlined above work for some people.

Many other people, who try to deal with their anticipatory anxiety on their own find that they need the help of a professional mental health professional, especially if their problems are longstanding and ingrained.

A licensed psychotherapist can help you to get to the root of the problem that causes you to have anticipatory anxiety.

Rather than suffering on your own, with the help of a licensed therapist, you can overcome this problem so you can lead a more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

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

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

EMDR Therapy: When Talk Therapy Isn't Enough

Many people who come to talk therapy with problems find relief and healing by talking to a licensed psychotherapist in either psychodynamic psychotherapy, cognitive behavioral treatment (CBT) and other forms of regular talk therapy. They gain insight into their problems and learn to change their thinking and behavior so that they lead happier lives.

EMDR: When Talk Therapy Isn't Enough

However, for many clients in psychotherapy, regular talk therapy only goes so far and it doesn't alleviate their problems. These clients might gain an intellectual understanding of their problems and maybe, if they're in psychodynamic psychotherapy, they even learn to understand the underlying issues that caused the problems in the first place. Under the best of circumstances, they might even be able to make some changes, but the underlying problems remain and continue to get triggered in new situations. In other words, these clients are not really healed. Often this is not a reflection on the psychotherapist's skills or the client's willingness to change. It often has more to do with the limitations of talk therapy with certain problems, especially if there is trauma involved.

What is Trauma?
When we talk about trauma, it's important to know that not all trauma is the same. Like most emotional problems, it's a matter of degree. The various types of trauma are on a large spectrum from smaller trauma to bigger trauma.

Trauma doesn't have to be posttraumatic stress disorder (PTSD), like when a soldier is traumatized at war or when a client has been raped or sexually abused, to be considered traumatic. Trauma also includes less severe problems like getting into a car accident where you are not hurt physically but afterwards you're too afraid to drive again. Or, maybe you were in an airplane where there was a lot of turbulence and, even though you were not physically injured, you now have a fear of flying.

Another example of a form of trauma that doesn't involve PTSD but which can adversely affect you is if you're too afraid to get involved in romantic relationships because you were so humiliated as a child that you have low self esteem.

What all of these examples of trauma have in common is that they have had a negative impact and have caused impairment to everyday functioning.

When regular talk therapy is not enough, EMDR (Eye Movement, Desensitization and Reprocessing) as well as clinical hypnosis (also known as hypnotherapy) are often much more effective in healing both small and big trauma. In this post I'll focus on EMDR.

What is EMDR Therapy?
In one of my earlier posts, I defined EMDR (see the May 31, 2009 post). To understand EMDR, it's important to know that our experiences are stored in memory networks in our brains. These memory networks are made up of thoughts, images, emotions and body sensations related to each particular experience. As we form new memories, they are organized in related memory networks around the earliest memories.

So, for instance, if a child is bitten by a dog, a memory is formed in his memory network around this experience that would include the bodily sensations of being bitten, the emotional fear, the sound of the dog barking, the image of the dog lunging at him, the image of blood on his leg, the image of his mother yelling at the dog to get away as she came running towards him, and even the scents that were around him.

As he gets older, he might not have a conscious awareness of this memory, especially if he was too young to talk when he was bitten by the dog, but that first memory is still stored in his memory network. When he's older, if he hears a dog barking, it would probably trigger the emotions and sensations associated with that earlier memory, and he would be afraid. Or if he sees a dog, even a friendly one, that earlier memory will be triggered with all of the associated fears. He might not have a conscious memory of that first experience, but as an adult, when he gets triggered by new situations, he would feel an inexplicable fear ("Why am I so afraid of this dog? He's not doing anything to me"). So, even though there might not be an explicit memory of that ealier experience that he can recall, what's actually happening is that the earlier experience gets triggered in his brain and he experiences all of the same fears that he experienced when he was bitten.

In the example above, since the earliest experience has not been processed, it forms a blockage in the memory network so that the traumatic experience remains in the network waiting to be triggered under certain circumstances.

How Does EMDR Help?
EMDR helps clients to process unresolved emotional issues, whether they're related to a single incident or to ongoing problems where emotional needs were not met. A trained EMDR therapist helps clients to process unresolved emotional issues using a method called Bilateral Stimulation (BLS).

EMDR Therapy: When Talk Therapy Isn't Enough

There are several forms of BLS that could involve alternating right-left eye movements, tapping, listening to music using head phones where the sound of the music moves back and forth from the right to left ear, and other methods. When these alternating right-left visual, tactile, or audio techniques are used along with the EMDR protocol, they help clients to process and resolve these experiences on a level that regular talk therapy often cannot do.

EMDR is used all over the world for all types of trauma. It is one of the most researched forms of psychotherapy that has been shown to be effective for many different types of trauma and unresolved emotional issues. Not only is it usually more effective, but it often works faster than traditional psychotherapy.

Getting Help in EMDR Therapy

If you've found that regular talk therapy has not been enough to help you with your problems, you might want to consider EMDR (see my article: What is a Trauma Therapist?).

About Me
I'm a licensed New York City psychotherapist, hypnotherapist, and  EMDR therapist.  

I have helped many clients overcome longstanding emotional issues that did not respond to regular talk therapy using EMDR and clinical hypnosis.

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 article:  EMDR Self Help Book

Overcoming Trauma With EMDR Therapy: When the Past is in the Present

Many psychotherapy clients ask me why they continue to feel so bad about a trauma that occurred many years ago.  Most people assume that "the past is in the past." But when you have unresolved trauma, the past is definitely in the present and can get triggered by present day circumstances.  I provided an example of this phenomenon in my prior blog article, EMDR - Overcome Trauma That Keeps You Feeling Stuck and in Emotional Pain.

Overcoming Trauma With EMDR Therapy

Let's explore this further to try to understand how traumatic memories from the past can get triggered in your current life.

A Veteran With PTSD Can Get Triggered By a Loud Noise
The example that's often given is of a veteran who comes home from combat with post-traumatic stress disorder (PTSD) and gets triggered by a loud noise, like the sound of a car back firing.

The loud noise triggers a trauma response.  Depending upon the severity of the veteran's PTSD, he or she could have a range of responses from a mild startle response to diving for cover as if he or she is still on the battle field.

The Body Reacts Before the Mind in Dangerous Situations
The interesting thing is that when a person reacts to the trauma, his or her body reacts first before the mind reacts.

This is true not only for traumatized veterans who are reacting to memories that get triggered, but also for everyone who is in a potentially dangerous situation whether it's in the past or the present.

Having the body react first before the mind when you're actually in current danger can be very useful.

For instance, if you're in the woods and a bear begins to run after you, your body will react first by pumping adrenaline through out your body and usually your legs will start running before your mind even has time to process the thought, "Oh no!  A bear is running after me!"


If you had to wait for your rational mind to react first before your body reacted by running, you might end up as the bear's lunch.  That's why, under circumstances of present danger, it's better for your body to react first because your body knows what to do--run like the wind!

"Is It a Stick or a Snake?"
Another example of the body reacting before the mind is one I remember hearing from Nancy Napier, LMFT in Somatic Experiencing trauma training.

The example is this:  Imagine yourself hiking in the woods when your eye catches something in your path and your body has an automatic response of jumping back.  Only after your body has reacted will your mind ask the question, "Is this a stick or a snake?"

There might be only a microsecond between your body reacting and your mind asking the question, but it's definitely more efficient and safer for the body to react first, especially if it really is a poisonous snake.  Then again, if you realize that it's really just a stick, you're relieved and you can keep walking.

Your Body and Mind Still React, Even When It's a Memory of the Traumatic Event and Not Actual Current Danger
When what you're feeling is the memory of a traumatic event, as opposed to being in actual danger in the present moment, your body will still react when it's triggered by a current event.

Depending upon the severity of your reaction, you could react with a fight, flight, or freeze reaction.  There would be a build up of adrenaline.  You might find yourself shaking and your heart pounding, but since you're not in actual danger at the moment, you won't be discharging this mobilized energy by running--the pent up energy will stay in the body.

If you're constantly being triggered in the present by traumatic memories, you can see how this isn't useful the way it is when you're confronted by a bear or the possibility of poisonous snake in the present moment and you would use that energy to flee.

When you react as if there is present danger when there's none and this happens over and over again, it can be exhausting on a physical and emotional level.  It can compromise your immune system and cause health problems.

There Are Many Different Types of Events That Can Cause PTSD
The example I gave above of the combat veteran, who gets triggered by a loud noise, is the classic example of PTSD.

But there are many different situations, aside from combat trauma, that can cause PTSD, including emotional abuse, physical or sexual abuse, car accidents, getting robbed or mugged, natural disaster, terrorism, and any other emotionally overwhelming event.

What is An Emotionally Overwhelming Event?
What is an emotionally overwhelming event?  It depends on the individual.

Two people can go through the same event and one person might develop a traumatic response and the other might not, depending upon many factors, including personal history, personality, and other factors.

An Overwhelming Event From Your Past Doesn't Have to Cause Full Blown PTSD to Get Triggered in the Present
What many people don't realize is that the overwhelming event doesn't have to cause PTSD in order to get triggered later on.  You don't have to meet the full diagnostic criteria for PTSD to have a traumatic response and get emotionally triggered.

There is what is known in trauma work as "Big T" and "Smaller T" trauma, which I explained in a prior blog article: EMDR and "Big T" and "Smaller T" Trauma.

When You Get Emotionally Triggered By a Memory, It Can Feel Like You're "Going Crazy"
Sometimes, the person who is feeling emotionally triggered might not even realize that they're being triggered by a memory of a traumatic event.  This can make the person feel like they're "going crazy."

So, when I work with clients who are confused by their emotional reactions, I educate them about how past memories can trigger emotional reactions in the present.

It's usually reassuring to clients to know that they're have a common reaction to the memory of an overwhelming event.

Getting Help
EMDR is a safe and effective form of trauma therapy when it is used by a skilled therapist.  

Rather than continuing to be triggered by past memories, you owe it to yourself to get help from an experienced EMDR therapist to resolve your trauma.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

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

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

Overcoming Emotional Trauma and Developing Resilience

During the course of a lifetime, everyone goes through hard times.  Unfortunately, emotional suffering is part of life and we can't expect to avoid it.  It's how you respond to these times that can make a big difference in the quality of your life.  Responding with resilience can help you get through difficult times and increase your self confidence.

Overcoming Emotional Trauma and Developing Resilience

Trauma Can Affect Your Ability to be Resilient

Unfortunately, people who have trauma in their lives can find it very difficult to respond with resilience.  Of course, there are always exceptional people that we hear or read about who have gone through a lot of trauma who seem to maintain their resilience.  They can be inspiring, but if you're someone who has been traumatized and you're not as resilient because of your experiences, hearing about these exceptional people can also cause you to feel badly about yourself, feeling like  you don't measure up to them.

Many people who have had multiple experiences with trauma feel hopeless and helpless in the face of new adversity.  This is a common experience for people with multiple traumas.  No amount of telling them to be resilient will change this.  After a while, many of them feel that bad times are all that they can expect, which is unfortunate and, often, a distortion.  

Unresolved Trauma Can be Triggered by New Difficult Experiences

People who have suffered trauma that keeps them feeling beaten down need to work through their trauma in psychotherapy.  If the trauma is not worked through, they are vulnerable to being triggered by new events because new events can trigger old trauma.  

Often, when we think of being triggered, we think of the example of the war veteran who is triggered by a loud noise, which takes him or her back emotionally to the battlefield.  But there are all kinds of triggers, aside from the ones that veterans experience with noise, that can trigger old trauma.  Potential triggers can be loss, including loss of a loved one, loss of a job, loss of a pet, and so on;  physical or emotional abuse; a medical problem; a car accident; a major life change, etc.

Overcoming Emotional Trauma and Developing Resilience: Coping with Unresolved Trauma

Trauma, by nature, is an emotionally overwhelming experience that hasn't been "metabolized" by the mind.  So, it remains in its "unmetabolized," untreated form just under the surface and it's there to be potentially triggered by new difficult events.

What might be traumatic to one person might not be traumatic to someone else for a variety of reasons, including personal history, environment, learned attitudes, and a person's inherent ability to deal with overwhelming events or experiences.  It's not about being "weak" or "strong."  

Trauma, Compassion and Self Compassion

Recognizing that it's not about "weakness" requires self compassion as well as compassion for others.       I once met someone who was a retired Marine who had gone through a series of traumatic events while in the military and afterwards in civilian life.  He never got treatment, and he berated himself severely whenever he cried about his experiences, saying, "I'm a Marine.  I should be able to handle this."  Possibly, this was part of his training in the Marines, but it was only making matters worse until he got psychological treatment to overcome his trauma.

Getting Help in Therapy:  You Can't "Tough it Out"

This is why it's so important to get psychological help when you experience trauma. Trying to "tough it out" doesn't help.  In fact, it can make things a lot worse because you might "disown" and suppress your traumatic feelings rather than acknowledge them and get help.  Suppressing these feelings, even if you can for a while, doesn't make them go away.  They're still there to be triggered in ways that you might not expect or want.  They can also develop into physical problems, like migraines, irritable bowel syndrome, body aches and other physical manifestations.

Overcoming Emotional Trauma and Developing Resilience: Getting Help in Therapy

I've worked with many clients over the years who have experienced trauma, including PTSD (posttraumatic stress disorder).  My experience has been that talk therapy can be helpful, but Somatic Experience, hypnotherapy and EMDR are more effective in overcoming trauma and developing a greater sense of resilience.

There's no magic bullet when it comes to working through trauma, but these treatment modalities take into account the connection between the mind and the body, not just the mind.  I have nothing against psychodynamic psychotherapy.  In fact, my original training is in psychoanalysis and psychodynamic itreatment.  I also use cognitive behavioral therapy for some clients.  But when it comes to trauma, I find the mind-body oriented psychotherapies to be most effective.

If you think you might have PTSD or trauma symptoms, you owe it to yourself to get help.  I will provide websites below so you can find licensed mental health professionals to help you.  My personal recommendation is that you find someone who has a mental health license.  There are many people who do hypnosis and Somatic Experiencing who are not clinicians.  

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  I work with individual adults and couples.  I've helped many clients 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.

Resources:

Somatic Experiencing:  Somatic Experiencing Treatment

Clinical Hypnosis:  American Society of Clinical Hypnosis

EMDR:  EMDR Treatment

EMDR Self Help Book: Getting Past Your Past

Getting Past Your Past - by Francine Shapiro, Ph.D.
Francine Shapiro, Ph.D., the psychologist who developed EMDR (Eye Movement Desensitization and Reprocessing), has a new book called Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy.  This is an excellent book for people who want to develop better coping skills (see my articles: What is EMDR? and EMDR: When Talk Therapy is not Enough).

EMDR Self Help Book: Getting Past Your Past

EMDR for Trauma and PTSD
As you might already know, Francine Shapiro developed EMDR in the mid-1980s for people suffering with PTSD (posttraumatic stress disorder) and trauma.  

Since that time, EMDR has helped thousands of people all over the world to overcome trauma, including war veterans, people who have been raped or sexually abused, people who have been physically abused, and many other people who have been unable to overcome trauma in traditional talk therapy.

EMDR as Effective Treatment for Trauma
As a psychotherapist who uses EMDR with clients who have experienced trauma, I know how effective EMDR can be.  I especially like that Dr. Shapiro has written her new book, where she teaches coping skills, in an accessible way for the lay public.

When clients come to see me in my NYC psychotherapy practice, I teach clients many of these same EMDR coping strategies as part of the resourcing (i.e., developing coping skills) phase of EMDR treatment, so  I know how effective they are.

Learning EMDR Self Help Techniques
Now, with Dr. Shapiro's new self help book, people can learn to use some of these EMDR techniques on their own.  

Many of these EMDR techniques are also effective even if you're anxious or under a lot of stress and not suffering with trauma.  While using these self help techniques won't resolve trauma, they can help you to calm down and get through the day, which can be such a relief.

To find out more about EMDR, go to:  The EMDR Professional Organization.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist. 

I work with individual adults and couples.

I have advanced training in EMDR and I have used EMDR successfully to help many clients overcome traumatic incidents in their lives.

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

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

Overcoming Emotional Trauma with Somatic Experiencing Therapy

As a psychotherapist in New York City, I see many clients who are seeking help to overcome emotional trauma. Many of these clients have already tried conventional talk therapy, but they've experienced little if any relief from that treatment, and they're interested in experiencing a mind-body oriented psychotherapy, like Somatic Experiencing, EMDR or clinical hypnosis.

Overcoming Emotional Trauma With Somatic Experiencing

Emotional Trauma is Stored in the Body
Conventional talk therapy often helps clients to become intellectually insightful about their trauma. However, in many cases, it doesn't help clients to heal from the trauma, which is why I prefer using mind-body oriented treatment modalities, like Somatic Experiencing, clinical hypnosis or EMDR, which I have found much more effective in helping clients to heal.

In prior blog posts, I've described Somatic Experiencing in detail, so I won't focus on that here. For anyone interested in finding out more basic information about Somatic Experiencing, I recommend Peter Levine's books, Waking the Tiger - Transforming Overwhelming Experiences and In an Unspoken Voice as well as the Somatic Experiencing website: Somatic Experiencing Trauma Institute.

Feeling Cut Off from the Body Due to Emotional Trauma

In this blog post, I want to focus on a common problem that traumatized clients have when they begin treatment, which is feeling cut off or dissociated from their bodies. The degree to which a client might feel cut off varies. Some clients, depending upon the depth of the trauma, might feel significantly out of touch with sensory experiences in their bodies most of the time. Other clients might feel out of touch with sensory exeriences at times and with. only certain parts of their bodies.

Dissociation Can Go Unnoticed in Traditional Talk Therapy

Very often, in traditional talk therapy, this dissociation goes unnoticed, especially for very intellectualized clients who can talk intellectually about their problems with the therapist, but who might be emotionally and physically cut off from their trauma. If the therapist is not trained to notice what's happening physically in clients, this dissociation is often not apparent to them.

 A client can go through years of conventional therapy in this state, gain intellectual insight, but not still not overcome the trauma. At the conclusion of what the therapist perceives as a "success" therapy, the client is often left wondering why he or she still feels as traumatized at the end of treatment as he or she did at the beginning. Some clients end up blaming themselves for this, which could be a life long pattern due to a history of trauma.

Somatic Experiencing as a Gentle and Effective Therapy

So, if traumatized clients are often, to some degree, dissociated from their emotions and their bodies, you might wonder how they could participate in Somatic Experiencing.

The answer is that, initially, for clients who are significantly out of touch with their emotions and physical sensations, the Somatic Experiencing therapist helps them to start getting these experiences back "online." There are Somatic Experiencing techniques that gently and safely help clients to overcome their dissociation.

As an example, one technique that Somatic Experiencing therapists use is helping clients to become more aware of tension in their muscles.

 For people who are cut off from the sensory experiences of their bodies, they often don't realize how tense their muscles are. 

Their muscles have become like body armor without their even realizing it. Helping clients to learn how to relax their bodies is one way to begin the process of reacquainting them with their bodies and gradually bringing various parts of their bodies back "on line" again.

Often, the parts of the body that are dissociated are the parts that "hold" all or part of the emotional trauma. Somatic Experiencing is a gentle and safe way to help clients to reintegrate emotionally and physically.

 The Somatic Experiencing therapist is observing and tracking what's happening for the client on an emotional and physical level. Before any work is begun, the therapist ensures that the client has the internal emotional resources for doing the work. If not, the therapist works with the client to develop those skills.

My original training after graduate school was in psychoanalysis and psychodynamic psychotherapy. 

Early on, when clients with significant trauma came to me, I found that psychodynamic therapy had its shortcomings in helping clients overcome trauma, which is why trained in various mind-body oriented treatment modalities, like clinical hypnosis, Somatic Experiencing, and EMDR.

 I still use psychodynamic psychotherapy with some clients, but I now use it in a much more dynamic and contemporary way.

Getting Help in Therapy

If you are seeking to overcome trauma, you could benefit from attending treatment with a Somatic Experiencing (SE) therapist. 

About Me

I am a licensed New York City psychotherapist. 

I provide psychotherapy services, including Somatic Experiencing, clinical hypnosis, EMDR and contemporary talk therapy to individuals 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 article:  Overcoming Childhood Trauma that Affects Your Adult Relationships

What is EMDR Therapy?

EMDR (Eye Movement Desensitization and Reprocessing) therapy is a form of psychotherapy that was developed by psychologist, Francine Shapiro, in the 1980s (see my article: Experiential Therapy, Like EMDR, Can Achieve Emotional Breakthroughs).

What is EMDR Therapy?

What is EMDR Therapy?

EMDR was originally developed to treat posttraumatic stress disorder (PTSD). Since that time, EMDR has been used successfully for many other issues, including stress, insomnia, performance anxiety, performance enhancement, abuse, substance abuse, sexual addiction and many other issues (see my article: How EMDR Therapy Works: EMDR and the Brain).

Why is EMDR Therapy More Effective Than Regular Talk Therapy?

EMDR Tends to Work Faster Than Talk Therapy for Trauma: 

Generally speaking, EMDR tends to work faster for trauma than most talk therapies. Among other things, much depends on the skill of the therapist as well as the rapport between therapist and client. Also, most clients will require a period of time where the EMDR therapist helps clients to develop internal resources and coping skills before the actual EMDR processing begins (see my article: EMDR Therapy: When Talk Therapy Isn't Enough).

EMDR Uses a 3-Pronged Approach: Past, Present, Future: 

EMDR uses a three-pronged protocol: working with the client's past, present and future. EMDR processes old memories, creating new links with adaptive functioning.

Current problems are targeted and desensitized and past and future events are integrated to assist clients in healthy functioning. 

There has been quite a bit of research on the success of EMDR and the treatment of trauma and PTSD. However, no one is completely sure as to how or why EMDR works. It is believed that part of its success is due to the fact that EMDR uses Rapid Eye Movement (REM) as its basis.

EMDR helps process negative memories and emotions. It helps the brain to successfully process these experiences.

Getting Help in EMDR Therapy

If you have been unable to work through your history of trauma, you could benefit from working with an EMDR therapist.

Once you are free from the effects of your traumatic history, you can live a more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

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

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

How EMDR Works: Overcoming Emotional Trauma

What is Adjunctive EMDR Therapy?