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NYC Psychotherapist Blog

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Showing posts with label psychotherapist. Show all posts
Showing posts with label psychotherapist. Show all posts

Thursday, March 26, 2026

Relationships: How Does Avoidance Push Ambivalence Underground?

Avoidance drives ambivalence underground by forcing intense internal conflicts into unconscious states of denial and behavioral withdrawal (see my article: Changing Maladaptive Behavior That Don't Work For You: Avoidance).


Avoidance Pushes Ambivalence Underground

When one or both partners in a relationship avoids dealing with their problems, they enter into a stalemate where the problems aren't addressed and internal conflicts grow. This can lead to increased emotioanl disconnection in the relationship.

How Does Avoidance Push Ambivalence Underground?
  • Creating Internal Stalemate: When love or closeness threatens an individual's sense of self, their nervous system forces a move toward emotional isolation. This pushes the internal conflict into a hidden, often unspoken state, creating intense emotions that keep looping.
  • Using Distractions and Substitutes: People who tend to avoid often create intense, externalized activities, including workaholism, spending an excessive amount of time on hobbies or shallow outside connections to fulfill emotional needs without facing the vulnerability of their relationship.
Avoidance Pushes Ambivalence Undergrouond
  • Reinterpreting Intimacy as Danger: By treating emotional intimacy as a threat to their safety or autonomy, the desire for closeness is pushed underground by a default survival reflex which creates emotional distance.
  • Boundary Setting Disguised as Vagueness: Instead of discussing the conflict directly, people who use avoidance often use vague statements like "I need more time" or "I'm not ready yet". This often hides the deeper inner conflict.
  • Panic Can Overwhelm Love: By the time the conflict rises to the surface, the individual's actions are motivated by panic rather than love and this masks their true wants and needs.
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates how avoidance pushes ambivalence underground and how therapy can help:

Jack
Jack met Linda when both of them were in their mid-30s. They both felt drawn to each other  immediately. 

Several months into their relationship, Jack's apartment lease was about to expire and Linda suggested that he move in with her. 

Initially, Jack agreed and then, as the date to move in with Linda got closer, he became increasingly anxious.  Linda tried to talk to Jack about his anxiety, but he put her off by saying, "I think it's too soon to move in together. I need more time to think about it." 

Avoidance Pushes Ambivalence Underground

Instead of moving in, Jack extended his lease for several more months to give himself time. In the meantime, Linda experienced her own anxiety about what Jack's ambivalence meant for their relationship.

Eventually, Jack moved in with Linda, but they spent less time together than when they were dating and living apart. He would spend long hours at the office and, when he was home, he spent much of his free time playing video games. 

When Linda tried to talk to Jack about his emotional distance, she felt she was getting nowhere because he made excuses. 

A few months after they moved in together, Linda told him that she was feeling increasingly lonely since he was either distracted with work or playing video games. She reminded him that she had told him early on in their relationship that she wanted to get married and have children and she was worried that their relationship was stagnating and time was passing.

Jack told her that he wasn't ready to consider marriage and he was nowhere near ready to think about children, "I feel like you're pressuring me when you know I'm not ready. I need time."

At that point, Linda gave Jack an ultimatum: Either they go to couples therapy to deal with their problems or she would leave him. 

Not wanting to lose Linda, Jack agreed to attend couples therapy, but his ambivalence continued to play out in couples therapy: He would make excuses not to go or find other reasons to avoid their sessions.

When the couples therapist confronted Jack with his ambivalence, he felt like he wanted to leave therapy rather than deal with his internal conflicts. But he knew if he stopped going to couples therapy altogether, he would lose Linda.

Over time, as the couples therapist got to know Linda and Jack better and understood their family histories, she pointed out the negative cycle that Jack and Linda were stuck in. She also pointed out how Jack's parents' marriage affected him: His father felt engulfed by his mother's emotional needs and he would find ways to avoid spending time with her.

As Jack became aware of the impact of his parents' relationship and the behaviors he was repeating in his own relationship, he knew he didn't want to make the same mistakes his parents made and he became more committed to working on his relationship in couples therapy.

Linda and Jack both learned tools and strategies to dig deeper into their unconscious motivations and how these motivations played out in their relationship.

Over time, Jack gradually became much less fearful of emotional intimacy and more committed to his relationship with Linda.  He allowed himself to be more emotionally present and vulnerable so that he was ready to make a commitment to get married. 

Several months after they got married, Linda became pregnant and she and Jack looked forward to raising a child together.

Conclusion
Avoidance pushes ambivalence underground by forcing internal conflicts into unconscious states of denial and withdrawal.

Avoidance Pushes Ambivalence Underground

The person who uses ambivalence to avoid these internal conflicts often doesn't realize they are using avoidance to push down ambivalence because this is an unconscious process.

When this occurs in a relationship, the other partner can feel like they are being strung along and then they need to make their own decisions.

Emotionally Focused Couples Therapy can help couples to see the negative cycle they are stuck in and provide them with ways to get out of the stalemate if they choose to get out.

In situations like this, the person who feels they are being strung along will often tell their partner to get help in individual therapy, but this is a relationship problem so it needs to be addressed by both individuals in couples therapy.

Getting Help in Couples Therapy
If you and your partner feel stuck in patterns that are causing problems in your relationship, you could benefit from working with a licensed mental health professional who has an expertise in working with couples.

Get Help in Couples Therapy

Rather than struggling on your own, seek help from an experienced couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT couples therapist, Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

Over the years, I have 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:




















 

Sunday, March 22, 2026

Overcoming Self Sabotaging Behavior in Your Relationship

Becoming aware of self sabotaging behavior in a relationship can help you to break destructive patterns that create problems for you and your partner (see my article: Overcoming Recurring Patterns of Self Sabotaging Behavior).

What is Self Sabotaging Behavior in Relationships?
Self sabotaging behavior in relationships can be conscious or unconscious behavior that stem from fear of abandonmentlow self esteemunresolved trauma and other related problems.

Self Sabotaging Behavior in a Relationship

This destructive behavior often acts as a defense mechanism to avoid emotional pain.  

What Does Self Sabotaging Behavior in a Relationship Look Like?
The following are examples of self sabotaging behavior in a relationship:
  • Creating Conflict and Drama: Picking fights over small issues, being very critical or finding faults with a partner to cause problems
  • Withdrawing and Stonewalling: Distancing, shutting down emotionally or exiting conversations when intimacy or conflicts arise. Note: Many individuals who have an avoidant attachment style withdraw because they are overwhelmed and they need time to recoup. This is different from withdrawing to intentionally distance yourself from your partner (see my article: Improve Communication in Your Relationship By Eliminating the 4 Horsemen of the Apocalypse).
  • Testing Loyalty: Setting up tests to see how much your partner cares about you. This often leads to a self fulfilling prophecy of abandonment when the tests are unreasonable.
  • Insecurity and Jealousy: Projecting insecurities, excessive monitoring or comparing current partners unfavorably to past partners (see my article: Jealousy Isn't Love).
  • Ending a Relationship Prematurely: Ending a relationship before it can end on its own. This often occurs out of fear of a future rejection by the partner.
  • Holding Onto Grudges and Resentment: Refusing to let go of past minor disagreements or mistakes so there is no repair between you and your partner. Instead of actively repairing the problem between you, you avoid dealing with it so that, over time, there is a pile-up of grudges and resentment which causes emotional disconnection between you and your partner or the relationship ends from the weight of the resentments (see my article: The Unspoken Rift: Resentment, Emotional Distance and Loneliness in Relationships).
What Causes Self Sabotaging Behavior in Relationships?
  • Fear of Abandonment or Rejection: Pushing your partner away to avoid an anticipated future rejection--even in cases where this fear is a distortion
Self Sabotaging Behavior in a Relationship

  • Fear of Emotional Vulnerability: Lacking trust or experiencing a fear of taking the risk to open up emotionally. Since being vulnerable is an essential part of a healthy relationship, this fear can ruin a relationship (see my article: Vulnerability as a Pathway to Emotional and Sexual Intimacy)
  • Low Self Esteem:  A feeling that you don't deserve to be in a healthy, loving relationship
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates self sabotaging behavior in a relationship:

Jane
When Jane met Alan, she realized she liked him a lot and she wanted to get to know him better.

Three months later, they both agreed they had fallen in love and they wanted to be exclusive so they stopped dating other people.

Initially, Jane enjoyed her time with Alan and she could foresee a long term relationship and even marriage.  But, as they got closer, her old fears and insecurities made her feel very anxious and fearful in the relationship. 

One of her biggest fears was she anticipated that Alan would realize that she wasn't good enough for him and he would leave her (see my article: Overcoming the Fear That Others Won't Like You If They Got to Know the "Real You").

She talked to Alan about this and he tried to reassure her that he loved her and he wanted to be with her, but no amount of reassurance helped to alleviate Jane's fears.

Self Sabotaging Behavior in a Relationship

When Jane became overwhelmed with her fear that Alan would leave her, she would break up with him. Initially, she felt relieved because she was no longer dreading being abandoned. But soon afterward, she regretted breaking up with him and she would feel desperate to rekindle their relationship.

After they got back together again, Jane's fear and insecurity would come up again. She knew she didn't want to break up with Alan, but she found the emotional vulnerability of being in the relationship to be overwhelming. 

At the time, she didn't realize that she would pick arguments with him over insignificant things as a way of creating emotional distance. But when they started couples therapy, the couples therapist helped them to see the negative cycle in their relationship and Jane realized she was picking fights with Alan out of fear.

In addition to couples therapy, Jane attended her own individual trauma therapy to deal with the underlying trauma that was the cause of her self sabotaging behavior.

Over time, Jane was able to work through her unresolved childhood trauma which created her fear of abandonment and insecurity. She and Alan also learned to work as a team to prevent the negative cycle in their relationship with the help of their couples therapist.

Overcoming Self Sabotaging Behavior in Your Relationship
  • Recognize Patterns and Triggers: To recognize patterns and triggers requires self awareness and a willingness to change. 
  • Develop Open Communication: Instead of engaging in passive aggressive or other unhealthy behavior, create open and vulnerable communication with your partner. 
Overcoming Self Sabotaging Behavior in a Relationship
  • Build Self Esteem: Work on developing your self esteem to accept love and accept being in a healthy relationship without fear and reactive behavior.
  • Work on Unresolved Personal Trauma in Trauma Therapy: Since the root cause of self sabotaging behavior usually stems from unresolved childhood trauma, work on these issues in trauma therapy so that you no longer get triggered in your relationship.
Get Help in Couples Therapy
  • Work on Relationship Issues in Couples Therapy: A couples therapist who practices Emotionally Focused Therapy (EFT) can help you and your partner to identify and prevent and a negative cycle in your relationship.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work (IFS and Ego States Therapy) and Certified Sex Therapist.

I have 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 busness hours or email me.















Friday, March 20, 2026

Overcoming Recurring Patterns of Self Sabotaging Behavior

Becoming aware of your recurring self sabotaging behavior requires a willingness to explore your patterns with self compassion.

What is Self Sabotaging Behavior?
Self sabotaging behavior often begins with unconscious thoughts and emotions that create roadblocks to your personal growth, well-being, goals and success (see my article: Making the Unconscious Conscious).

Overcoming Recurring Patterns of Self Sabotage

Self sabotaging behavior usually involves a conflict between what you want and your unconscious fears or insecurity.

What Causes Self Sabotaging Behavior?
The root of self sabotaging behavior often begins in early childhood. This might include early messages from parents that you're not good enough or you're unlovable. 

These traumatic messages usually get internalized at a deep unconscious level so that, as an adult, you might not recognize the origin of your self sabotaging behavior (see my article: Overcoming Trauma: You're Not Defined By Your History).

Overcoming Recurring Patterns of Self Sabotage

Growing up in a chaotic, unpredictable environment can create a fear of change so that you remain stuck in unhealthy ways of being (see my article: How Does Shame Develop at an Early Age?).

In addition, you might equate what is familiar to you, including self sabotaging behavior, as "safety" even if you are aware that it's unhealthy. In other words, you might prefer what is known, including unhealthy behavior, to what is unknown, including trying to develop healthier ways of coping.

Self sabotaging behavior is often triggered by stressful situations. 

When you have little to no awareness about what triggers your behavior, your pattern continues because, instead of exploring what triggered the behavior, you fall into the trap of continuing to enact the same self destructive patterns (see my article: What is Self Abandonment?).

What Are Examples of Self Sabotaging Behavior?
The following are a few examples of self sabotaging behavior:
  • Procrastination: Delaying tasks to avoid potential failure or judgment including self judgment (see my article: Overcoming Procrastination)
Overcoming Recurring Patterns of Self Sabotage
  • Escapism: Using unhealthy coping skills to avoid dealing with uncomfortable emotions. These unhealthy coping skills might include excessive drinking, illicit drugs, compulsive gambling, overspending and other attempts to escape
  • Relationship Sabotage: Pushing people away, avoiding vulnerability or creating conflict in a relationship as a way to create emotional distance
  • Negative Self Talk: Self criticism which erodes your self esteem
  • Remaining Stuck in Unhealthy Familiar Patterns : Refusing to try new things because what is familiar feels "safer" even if it is self destructive
How to Overcome Recurring Patterns of Self Sabotaging Behavior
  • Awareness: In order to change any kind of unhealthy pattern of behavior, you must first become aware of the pattern. This means that, instead of blaming others or "bad luck", you need to look at how you are contributing to your problems. Self compassion is an important part of this step because if your awareness triggers self criticism, you can get stuck in a loop of unhealthy behavior. This involves taking a step back and looking for recurring patterns of behavior. For instance, if you have problems with relationship sabotage, you become aware of your contribution to recurring problems in relationships.
Overcoming Recurring Patterns of Self Sabotage
  • Identify Triggers and Recurring Patterns: Track your actions to identify your triggers and recurring patterns. For instance, you might realize in hindsight that a pattern of procrastination starts with your fear of failure. You can do this by journaling about your thoughts, emotions and behavior, including recurring unhealthy patterns. After you have identified the patterns, write about how you want to handle these situations.
  • Set Manageable Goals: Since feeling overwhelmed can trigger avoidance behavior, break down big tasks into smaller parts to reduce the likelihood of feeling overwhelmed.
  • Learn to Be in the Present Moment: Develop healthy habits, like practicing breathing exercises and mindfulness, to be in the present moment rather than allowing your thoughts to project too far into the future. 
Get Help in Therapy
Recurring patterns of ingrained self sabotaging behavior can be difficult to identify and even more challenging to change on your own because these patterns often start at a young age before you realize it.

Get Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in helping clients to change self sabotaging behavior.

Once you have freed yourself from these unhealthy behaviors, you can live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples (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.

Also See My Article:









Tuesday, March 17, 2026

Coping With the In-Between State of Change

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

Coping With the In-Between State of Change

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

What Are Liminal Spaces in Your Personal Life?
This in-between state is also known as a liminal space.

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

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

Coping With the In-Between State of Change

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

Some examples include:
  • Graduating high school but not yet starting college
  • Leaving an old job and not yet starting a new job
  • Letting go of an old identity but not yet establishing a new identity 
  • Being in the process of moving from an old home and traveling to a new one
  • Retiring for a job and not feeling comfortable yet in a new life as a retired person
  • Being in the process of making a decision where the status quo no longer fits but you don't yet know what will be next
  • Leaving an old relationship and not knowing what comes next 
  • Grieving the death of a loved one
How Personal Liminal Space Can Affect Your Mental Health
Most of the time a personal liminal space isn't inherently negative or dangerous. 

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

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

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

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

How to Cope With Liminal Spaces in Your Personal Life
Everyone experiences transitions in life. There's no way to avoid it.

Assuming that your basic needs are taken care of during a transitional time, you can learn a new way to cope with transitory periods in your life:
  • Learn to Accept the In-Between State of Change: Since everyone experiences times when they are in liminal space, rather than trying to resist or deny it, learn to accept this time. Acceptance doesn't mean you like it or you will react to it in a passive way. It just means that you acknowledge that it is happening. Even though it might feel scary and uncertain and you might not be able to control the circumstances, you can control your own thoughts and reactions. For instance, you can't control the death of loved one, but you can find healthy ways to grieve the loss (see my articles: Awareness and Acceptance and Grieving and Healing From Losses).
Accept What You Can and Can't Control
  • Create Routines: Creating routines can help to give you a sense of security and stability. For instance, if you have lost a job or you retired, rather than having a lot of unstructured time, create routines for sleeping and waking up, make time for hobbies, get regular exercise or go for walks in nature, etc. (see my article: Starting the Day With a Positive Intention).

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

Practice Mindfulness: Be Here Now
  • Practice Mindfulness: Much of the distress of being in a transitional state comes from catastrophizing about what might happen. In retrospect, you might discover that many of your fears didn't materialize. So, to stay calm, take a pause and bring your attention to the present moment. Bring your attention to your body to focus on your breathe. If that feels too challenging, choose a color (let's say blue) and count how many things around you are the color blue. This helps you to orient yourself to your present time and place rather than worrying about what might or might not happen in the future (see my article: Being in the Present Moment).
The Hero's Journey
  • Express Yourself in Creative Ways: Much of the current literature and entertainment come from "The Hero's Journey", which the American mythologist, Joseph Campbell, wrote about in his book, The Hero of a Thousand Faces. He identified as a pattern in mythology, both ancient tales and modern stories, where the protagonist travels from the "Known World" to the "Unknown World", faces challenges along the way, meets helpers and returns transformed. The creator of Star Wars, George Lukas, was influenced by "The Hero's Journey". You can also reframe a time of being in an in-between space as being on a journey from the "Known World" to the "Unknown World" and how you will be transformed along the way. You can do this by writing, storytelling or drawing.
Get Help in Therapy
  • Get Help in Therapy: If you're having a difficult time coping on your own, you could benefit from working with a licensed mental health professional who can help you to cope with this difficult time. A skilled psychotherapist can help you to feel emotionally supported and to learn new skills and strategies to cope. So, rather than struggling on your own, seek help so you can live a more fulfilling life.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

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

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

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

Also See My Articles:









Saturday, March 14, 2026

How Does Imagery and Imagination Enhance Psychotherapy?

I have been using imagery and imagination in therapy with my clients for many years (see my article: Using the Imagination as a Powerful Tool For Change).

Imagery and Imagination in Psychotherapy

The Imaginal Realm: Working With Visual Mental Imagery
I recently attended an advanced AEDP (Accelerated Experiential Dynamic Psychotherapy) seminar called "Imaginal Realm: Working With Visual Mental Imagery in AEDP" which was a deep dive into using imagery and imagination (see my article: What is AEDP?).

When I refer to "imagery", I'm not only referring to visual imagery. Aside from visual imagery, many people get non-visual imagery in sessions. 

For instance, some clients get mental representations through sound (hearing music in their mind), scents that can trigger old memories, kinesthetic experiences (feeling movement), tactile experiences, and an embodied or felt sense of conceptual/verbal imagery such as thinking of concepts or having an internal dialog.

During therapy sessions, I sometimes get visual images in my imagination or a song comes to mind. Over the years, I have learned to appreciate these experiences as messages from my unconscious mind because they often tell me what is going on for the client or what is going on between the client and me.

It's not unusual for me to have an image, song or a word in mind and then a few seconds later the client mentions the same image, song or word (see my articles: Synchronicities - Part 1 and Part 2).

Over time, I have learned that these experiences occur when I feel especially attuned to the client. Other therapists, especially therapists who are experiential therapists like me, have told me that they have similar experiences in therapy (see my article: The Psychotherapy Session: A Unique Intersubjective Experience).

The Use of Metaphors in Psychotherapy
Over the years, I have heard clients use many metaphors unprompted by me, including: 
  • "It's like searching for the Holy Grail."
  • "I'm no longer jumping into the vortex of other people's drama."
  • "I feel like I'm trapped in a cage."
  • "I'm no longer putting up walls."
  • "I walked on eggshells with my ex."
  • "I'm drowning in paperwork."
  • "I keep hitting my head against a wall."
  • "He swept me off my feet."
  • "A weight has been lifted off my shoulders."
Metaphors are beneficial in therapy because they can:
  • Enhance clients' communication by allowing them to express feelings they might otherwise have a hard time articulating
  • Deepen insights that can lead to a reframing of a problem, a relationship or an idea
  • Bypass rational defenses offering a way to talk about sensitive subjects and break rigid and unhealthy thought patterns
  • Strengthen the therapeutic alliance between client and therapist
How Imagery and Imagination Enhance Psychotherapy
Imagery and imagination can enhance therapy by engaging the emotional brain. This allows clients to access and process unconscious emotions.

It also helps clients to make behavioral changes through mental rehearsal.

Imagery and Imagination in Psychotherapy

An example of how to use mental rehearsal is a client who wants to become more confident to give presentations at work. This client can vividly imagine their "Future Self", who can exist at any time in the future. They can imagine a self who has all the confidence, qualities and skills they would like to have (see my article: Experiencing Your Future Self).

Using imagination in this way can strengthen neural pathways and prepare the brain for success.

Clients can also see and feel themselves walking into the presentation room feeling prepared and confident, speaking with passion and receiving applause after the presentation. They might even imagine their boss coming over and praising the presentation. 

AEDP Portrayals
One of the main components in AEDP is doing "portrayals" in therapy sessions.

AEDP portrayals are active experiential and imaginative enactments in the therapy session.

To set up doing a portrayal an AEDP therapist prepares the client prior to doing the portrayal by:
  • Establishing Safety and a Therapeutic Alliance: The therapist establishes an attuned connection with the client to ensure the client feels safe and to prevent them from feeling overwhelmed.
  • Identifying the Core Material: In collaboration with the client, the therapist identifies a memory or a part of the client's self that still has an emotional charge.
  • Inviting Immersion (The Setup): The therapist invites the client to slow down, close their eyes and visualize the scene using as many sensory details as possible (sight, sound, body sensations and so on).
  • Role Playing (Doing the Portrayal): The therapist guides the client to talk to the imagined person or part of themself by expressing vulnerable or assertive feelings they couldn't express in the past. This might involve imagining talking to a frightened younger part of themself, talking to a parent in a memory from the past, confronting someone who abused them and so on.
There are different types of AEDP portrayals including:
  • Reparative Portrayals: An example might be a client imagining a new outcome to a painful scene in their life. In this type of portrayal the client can offer themself what might have been needed and lacking in real life to repair emotional damage.
  • Internal Parts Work (intra-relational portrayals): Having a dialog with different aspects of themself to resolve internal conflict (similar to Parts Work Therapy/IFS).
Imagery and Imagination: Internal Parts of Self
  • Relational Attachment Portrayals: Reenacting relationships to process emotions to attachment figures (e.g., parents, siblings, a ex-lover, etc). 
  • Feared Portrayals: Actively engaging with a threatening figure from real life or from a dream to process the emotional impact, reduce shame and anxiety, and to feel empowered.
  • Longed-For Portrayals: The client imagines receiving the love, emotional support or validation they desired but never received from a significant person in their life.
  • Moment-to-Moment Tracking: Moment-to-moment tracking is an essential part of AEDP whether the interaction involves a portrayal or a conversation between the client  and the therapist in session. This involves the therapist staying closely attuned to the client's facial expressions, movements, emotions and defenses. The therapist also monitors her own mental, emotional, imaginal and bodily sensations.
  • Metaprocessing After a Portrayal: The client and therapist process the experience together afterward to help the client to integrate the experience by building a bridge between the client's right brain and left brain. Among other things, the therapist explores with the client what it was like to do the portrayal and, specifically, what it was like for the client to do the portrayal with the therapist. The focus is on what might have changed for the client or what was transformative about the experience. Processing helps the client to hold onto and integrate positive experiences (see my article: How Are Emotions Processed in AEDP?).
Using Imagery and Imagination on Your Own
Aside from the use of imagery and imagination in therapy, athletes  also use mental rehearsal, including visualization, to imagine a successful performance, including overcoming potential obstacles they might encounter. This can help them to build confidence, improve focus and enhance performance.

You can also use your imagination in creative ways on your own to have fun and, if you like, achieve goals.  There are endless ways to use your imagination on your own including:
  • Using Creative Visualization For a Hoped-For Outcome: This can involve imagining a hoped-for outcome in your personal life, career or in any other part of your life.
Imagery and Imagination: Hoped-For Outcome
  • Imagining "What If" Problem Solving: When you encounter an obstacle, including an internal obstacle, you can imagine "What if there were no limits?" and visualize different solutions, including solutions that might seem unattainable at first but might spark a new perspective.
  • Using the "Lightstream" Technique: If you're dealing with stress, you can imagine a soothing, healing light flowing through your body to alleviate stress or physical discomfort.
Future Articles
Using imagery and imagination is one of my favorite topics, so I'll write more about it in future articles.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience helping individual adults and couples.

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

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


Also See My Articles: