How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Emotionally Safe?

In my prior article, Recognizing When You're Safe or Unsafe in Your Interpersonal Relationships, I discussed basic issues about feeling emotionally safe based on your nervous system (Polyvagal Theory), personal history and other relevant factors.

In the current article I'm discussing how trauma can affect your ability to know whether you feel emotionally safe.

Unresolved Trauma and Emotional Safety

Unresolved trauma can have a profound effect on your mind and body. It can also impair your ability to know whether you're safe or not.

What is Psychological Trauma?

Before I discuss the impact of trauma, let's first define trauma.

You can experience trauma emotionally, psychologically and physically due to a distressing event (or events) that overwhelm your ability to cope.

The event can be a single incident like a natural disaster, a robbery, an assault or other types of one-time events (see my article: What is Shock Trauma?).

Trauma can also be ongoing events such as recurrent abuse in a relationship. It can also be related to repeated traumatic events in childhood trauma, also known as developmental trauma.

You can also be impacted by the chronic stress related to trauma on a physical level including:

• Sleep problems
• Chronic pain
• Hypervigilance
• Cardiovascular issues
• Weakened immune system
• Digestive problems
• Inflammatory disorders such as Type 2 diabetes, asthma, arthritis and so on

How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Safe?

Unresolved trauma can affect your ability to sense safety by keeping you in a constant state of high alert (also known as hypervigilance). This can make it difficult to interpret safe situations from dangerous situations.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also create dissociation where you feel emotionally and psychologically numb. 

Dissociation might have been an effective survival strategy if you were overwhelmed by distressing events when you were a child because it kept you from being completely overwhelmed. However, as an adult, dissociation can have a negative impact on your ability to trust your own judgment or trust other people.

Being either hypervigilant or emotionally numb (dissociated) can impair your ability to know if certain situations are safe or unsafe.

In general, you might have problems connecting with others and forming healthy relationships because you might interpret safe situations as unsafe and unsafe situations as safe.

You might have extreme emotional reactions to relatively small stressors, not react to big stressors or you might have difficulty finding a middle ground.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also impair your ability to deal with conflict. Whereas most people don't like conflict, you might not be able to avoid certain conflicts in your relationships. 

So, if you can't deal with conflict, you might resort to people pleasing (also known as fawning) to avoid conflict and keep the peace--even if it comes at the expense of your  psychological, emotional or physical well-being.

Clinical Vignette

The following clinical vignette is a composite of many different cases to protect confidentiality:

Anna

As an only child, Anna grew up in a family where she experienced emotional abuse, neglect and sexual abuse by her father.  

Unresolved Trauma and Emotional Safety

The sexual abuse began when she was 10 years old. At the time, her mother was in and out of the hospital due to serious chronic health problems. 

During those long stretches of time when her mother was away, her father, who had alcohol problems, would get drunk and come into her room late at night when Anna was sleeping. She would awaken suddenly to discover her father fondling her breasts.  

Not knowing how to respond, Anna froze and her father told her that if she told anyone else that he touched her, she would take her away by Child Welfare and they would make live with strangers in a foster care home.

Anna was frightened and confused by her father's inappropriate touching, but she was even more afraid of being forced to live with strangers, so she didn't tell anyone what was happening at home.

Her teacher noticed that Anna was withdrawn and she spoke to Anna after class to ask her if there was a problem at home. In response, Anna denied any problems at home because she was afraid. After that, Anna's teacher called her home and Anna's father told the teacher that Anna was feeling sad due to the mother's hospitalization.

The father continued to sexually abuse Anna for several months whenever he got drunk. After the first experience, Anna was hypervigilant at night, especially when she heard her father's footsteps approaching her room.  After a while, Anna pretended to be asleep and she numbed herself while her father was touching her. 

After Anna's maternal aunt came to stay with Anna and her father, her father no longer visited her at night.  

As a child, Anna never told anyone about the sexual abuse because she was too afraid. But when she began dating in college, she didn't know how to discern safe situations from unsafe situations.

Her lack of discernment created problems for her because she would sometimes put herself at potential risk by going into the cars of young men she didn't know because she thought she could trust them. In one incident, she was almost sexually assaulted, but her friends, who were nearby, heard Anna yelling and they rushed over to get her out of the car.

In another situation, she was too afraid to accept an invitation to go for a walk with another young man, John, because she didn't know whether or not she could trust him.  Later on, she spoke with her friends, who knew John well, and they told they didn't think she needed to worry.

Over time, Anna continued to see John and she realized she could trust him. Getting to the point where she could trust him wasn't easy. But after they got into a relationship and they talked about being sexual, Anna felt an overwhelming fear of sex. 

Initially, she didn't understand what her fear was about, but she knew she needed help, so she sought out a licensed mental health professional.

Unresolved Trauma and Emotional Safety

After her therapist did a thorough family history, Anna revealed the childhood sexual abuse. It was the first time she had ever told anyone.

Her therapist helped Anna to understand the connection between the sexual abuse and her inability to discern whether she was safe or not in interpersonal relationships. She also helped her to understand the connection between her fear of sex and the abuse.

Using a combination of EMDR therapy and IFS Parts Work therapy, her therapist helped Anna to work through her unresolved trauma.

EMDR and IFS are both safe and effective types of trauma therapy which were developed to help clients to work through unresolved trauma.

Unresolved Trauma and Emotional Safety

The work was neither quick nor easy but, gradually, over time Anna began to feel unburdened by her trauma. She also learned in her trauma therapy how to detect internal and external cues to discern safe situations from possibly unsafe situations.

Over time, Anna and John were able to have pleasurable sex as she worked through her trauma. 

Getting Help in Trauma Therapy

Unresolved trauma can impair your ability to know whether you're safe. It can also have a negative impact on your interpersonal relationships.

Getting Help in Trauma Therapy

Trauma therapy, including EMDR, Parts Work therapy, AEDP, Somatic Experiencing and other types of trauma therapy can help you to work through unresolved trauma in a safe and effective way.

If you feel unresolved trauma has had a negative impact in your life, seek help from a licensed mental health professional who has advanced trauma therapy training and skills.

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.

As a trauma therapist, I have helped many individual adult 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.

Recognizing When You Feel Safe or Unsafe in Your Interpersonal Relationships

Recognizing when you feel safe or unsafe in interpersonal situations is important to your health, mental health and overall well-being.

Feeling Safe in Your Relationship

What is the Polyvagal Theory?

Before I provide suggestions on how to know if you're safe or unsafe, I would like to discuss the Polyvagal Theory as it relates to this topic. 

Understanding the basics of the Polyvagal Theory can also help you to understand your mental health, physical health, how you react when you feel safe and how you react when you feel unsafe.

Polyvagal theory, which was developed by Dr. Stephen Porges, emphasizes the role of the autonomic nervous system, especially the vagus nerve, in regulating our health, mental health and overall well-being.

The theory describes physiological/psychological states underlying daily behavior, including physical and emotional challenges.

The theory helps us to understand how psychological safety, co-regulation, and connection are essential to our physical and psychological existence.

How is the Polyvagal Theory Related to the Nervous System?

The theory describes how the nervous system responses to danger: Fight, flight or freeze.

The following descriptions provide a look at the three states of the nervous system:

• Safe (Social Engagement): When you feel safe, your nervous system is calm and relaxed. You can connect with others, feel your emotions and be yourself because you're not experiencing a threat.

• Mobilization (Fight or Flight): When your nervous system detects danger in your environment, either a physical or psychological danger, it activates the fight or flight response. Your heart rate and breathing increase and adrenaline is released to prepare you to either fight the threat or escape from it.

• Immobilization: If fight or flight isn't a viable option, your nervous system moves into the immobilization or freeze response. This is a survival strategy where the body automatically shuts down, the heart and blood pressure drop and you might feel numb or disconnected. This is the "play dead" response seen in animals as their last survival response when they are faced with overwhelming danger.

In addition, over time, the Polyvagal Theory was updated to include the fawn and appeasement response.

The description I have provided above for the Polyvagal Theory is very basic. For more information and an easy way to understand the Polyvagal Theory, listen to Polyvagal Theory Made Simple by Claire Weston.

Your Nervous System Acts Like Your "Personal Surveillance System"

Your nervous system acts like your "personal surveillance system" asking the question: "Am I safe?"

When you're interacting with others, if you feel safe and calm, your social engagement system is activated because you're not experiencing a threat in the environment.

If you feel threatened either psychologically or physically, your system goes into a mobilization state while you're trying to figure out if you will need to fight or escape.  

Feeling Unsafe in Fight or Flight Response

If you can't fight because the danger is too overwhelming, your body is activated to run before you're even aware of it consciously. For instance, if you're walking down a dark street and you encounter a threatening group of people who make dangerous gestures towards you, you know you're outnumbered so all you can do is run.

Feeling Unsafe and Immobilized 

Using the same example, if you can't fight or run from the danger, your body will go into the immobilization state. This is an involuntary survival tactic when there is no escape. The immobilization state can be seen in the animal world when, for instance, a deer "plays dead" when it is about to be attacked by a tiger. This is the deer's last ditch effort to survive. The tiger will often lose interest in the deer once it "plays dead" because it prefers live prey and it knows instinctively that, if the deer is dead, dead meat might be diseased.

The immobilization response in humans allows the system to conserve energy. The numbing effect of the immobilization response can also create a decrease in the perception of pain, which can be helpful if an attack can't be avoided.

Once again, it's important to remember that this immobilization response is a survival response--it's not a conscious decision. 

How is the Immobilization Response Related to Trauma?

The immobilization response is also associated with overwhelming or traumatic events.

The following example is a composite of many cases to protect confidentiality:

Jane

One day when Jane was in the company break room, her coworker, Jim, approached her to ask her out for a date.

Since Jane wasn't interested in Jim, she looked away and told him she was too busy to go out.  

She was about to leave the break room when Jim, who was annoyed, cornered her in an aggressive way and said, "What do you mean? You don't ever have time to go out with me? Why don't you like me?"

In that moment, Jane, who had a childhood history of sexual abuse,  automatically froze. She was completely numb and dissociated because Jim's aggressive response triggered how she felt when her father abused her.  She was so numb that she couldn't think much less call out for help (see my articles: Why is Past Trauma Affecting You Now? and What is Trauma-Related Dissociation?).

A few seconds later, their supervisor came into the break room and realized what was happening. He told Jim to go back to his office. Then, he helped Jane to calm down. 

Afterwards, the supervisor and Jane reported the incident to human resources. Since human resources had prior similar complaints about Jim, he was terminated.

Over time, Jane realized she needed help to overcome the original abuse by her father, so she sought help in trauma therapy (see my article: How Can Trauma Therapy Help You to Overcome Trauma?).

People who don't understand the immobilization response or who have never been in a similar situation will often question why someone like Jane didn't either stand up for herself or push past Jim. But someone in Jane's situation can't fight or escape because her nervous system shut down due to prior unresolved trauma.

How to Recognize When You Feel Safe or Unsafe in Your Interpersonal Relationships

If you want to assess whether you feel safe or unsafe in your personal relationships, you can pay attention to your internal state:

Assess Your Internal State

• Do you feel calm?

• Do you have an embodied felt sense of being safe or unsafe?

An Embodied Feeling of Calm and Safety

• Do you feel comfortable being somewhat vulnerable when it's appropriate to do so?

• Do you feel comfortable setting limits or saying "no" without expecting repercussions from the other person or feeling guilty or ashamed?

Assess Their Attitude, Behavior and Physical Cues

• Do they respect your boundaries, including your personal space and time without trying to control you?

• Do they respect your thoughts and feelings or do they try to invalidate you if they don't agree?

• Are they attentive when you speak? Do they engage in active listening? Are they there for you in good times and bad?

Active Listening

• Do their actions match their words? Are they emotionally reliable? Do they follow through with their commitments?

• Do they encourage you? Do they celebrate your successes? Do they support you when you have challenges?

• Do they handle disagreements calmly and maturely so you don't have to worry about your personal safety either on an emotional or physical level?

• What does their body language tell you about their emotional state? Pay attention to vocal tone, eye contact, posture and facial expressions because their body language can indicate whether you are safe or not.

In a future article I'll discuss why many traumatized individuals have problems detecting whether they are safe in their interpersonal relationships.

Getting Help in Therapy

If you have been struggling with unresolved problems, you could benefit from working with a licensed mental health professional who has an expertise in helping clients with these  types of problems.

Getting Help in Therapy

Rather than struggling on your own, seek help from a licensed psychotherapist so you can resolve your problems and lead a more meaningful life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapies), Somatic Experiencing and Certified Sex Therapist.

For over 25 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 Article: What Are Glimmers and How Do They Give You a Sense of Ease, Safety and Joy?

How Glimmers Give You a Sense of Ease, Safety and Joy

What Are Glimmers?

The term "glimmer" was coined in 2018 by Deb Dana, LCSW as part of her work on the applications of the polyvagal theory to regarding psychological trauma.

Glimmers Give You a Momentary Sense of Ease, Safety and Joy

A lot of people are familiar with trauma triggers (see my article: Coping With Trauma: Becoming Aware of Triggers), but fewer people are familiar with the terms "glimmers".

A glimmer is the opposite of a trauma trigger. A glimmer is an internal or external cue that gives you a sense of ease, safety or joy.

According to Deb Dana, LCSW, glimmers are gentle, yet powerful, ways that your nervous system finds moments of being okay--that might mean, as mentioned above, being calm, feeling at ease or feeling joy.

She indicates that glimmers happen all the time, but if you're not accustomed to noticing glimmers, you can miss them (see my article: Seeing Small Wonders All Around Us If We Take the Time to Notice).

So, it's important to develop the ability to find glimmers, notice them, feel them and celebrate them--even if it's just for a moment.

According to Deb Dana, when you begin to notice glimmers, you naturally look for more. 

She also indicates that glimmers are not toxic positivity or about "counting your blessings".  Instead, they're reminders that the human nervous system is built to hold both suffering and, at the same time. to notice moments of goodness. 

What is the Difference Between Trauma Triggers and Glimmers?

Trauma triggers are sensory reminders that cause you to feel unsafe because they are reminders of previous experiences of unresolved trauma.

Glimmers Give You a Sense of Ease, Safety and Joy

Glimmers are the opposite of triggers, as mentioned above. 

Glimmers are also sensory cues, but they are sensory cues that make you feel calm, connected, safe, peaceful and possibly joyful.

What Are Examples of Common Glimmers?

Here are some common glimmers that you might experience:

• Enjoying the warmth of the sun
• Seeing a sunrise or a sunset
• Stargazing
• Enjoying the smell of fresh cut grass
• Walking in nature   
• Sipping your favorite coffee or tea

Glimmers Give You a Sense of Ease, Safety and Joy

• Enjoying the breeze off the ocean
• Petting your dog or cat
• Seeing a rainbow
• Listening to soothing music
• Enjoying the taste of your favorite food
• Giving or getting a hug
• Receiving a smile
• Seeing a butterfly
• The internal sensation of feeling at peace with yourself and in peaceful surroundings

How Are Glimmers Beneficial to You?

When you have unresolved trauma, your body can be looking, consciously or unconsciously, for signs of possible danger--real or imagined.

When you're constantly on guard for danger, glimmers can be momentary internal or external cues that allow you to feel joy, connected and safe.

Glimmers Give You a Sense of Ease, Safety and Joy

If you have been unable to recognize glimmers in the past and you're beginning to recognize glimmers now, you might be experiencing the early stage of recovering from trauma because, possibly, your body isn't as on guard as it used to be.

Even if you have just a moment of enjoying a glimmer, that's a moment when you're not hypervigilant or on guard waiting for danger to occur.

How Can Glimmers Support Your Healing From Psychological Trauma?
Here are some of the ways glimmers can support your healing from psychological trauma:

• Regulating Your Nervous System: Glimmers can help to regulate your nervous system by counteracting the hyperarousal from triggers related to trauma.

• Providing You With a Sense of Safety: By appreciating glimmers, you can let your "survival brain" know that. you are safe and this can reduce fear and anxiety.

• Building Resilience: Appreciating glimmers can strengthen your nervous system's ability to cope with stress, including the stress of overcoming unresolved trauma in therapy. Glimmers can also makes it easier to deal with other challenging situations (see my article: Resilience: Coping With Life's Inevitable Ups and Downs).

Glimmers Give You a Sense of Ease, Safety and Joy

• Cultivating Optimism: Noticing glimmers can help you to shift your mindset from negative experiences to positive moments. This can also help you to internalize a positive outlook--even if it's for the moment.

• Developing Increased Self Awareness: Glimmers can help to promote increased self awareness and personal growth (see my article: What is Self Reflective Awareness and Why Is It Important to You?).

• Promoting Emotional Healing: Noticing and appreciating glimmers on a regular basis can help to boost your mood, reduce depression and anxiety and improve your overall mental health.

How to Develop Your Awareness of Glimmers

Here are some suggestions that can help you to develop your awareness of glimmers:

• Use Your Senses: Notice what you see, hear, smell, sense/tactile and taste in the environment around you.

• Practice Mindfulness: Take time to be in the present moment (see my article: The Mind-Body Connection: Mindfulness Meditation).

Glimmers Give You a Sense of Ease, Safety and Joy

• Keep a Gratitude Journal: Notice, appreciate and write about the small things around you that bring you joy in a gratitude journal (see my article: Keeping a Gratitude Journal).

• Engage in Activities That You Enjoy: Spend time in nature, play your favorite music, dance, pursue your hobbies and engage in other activities that you enjoy.

• Curate Your Social Media: Unfollow accounts that trigger your trauma and you and follow accounts that are uplifting.

Conclusion

Glimmers can help you to improve your mental health.  

If you're working on unresolved trauma in therapy, glimmers can help you to experience moments of joy, calm and ease while. you're in trauma therapy.

Recognizing Glimmers During Trauma Therapy

As a trauma therapist, I recommend appreciating glimmers to my clients (see my article: What is a Trauma Therapist?).

Anyone can learn to develop the skills of noticing and appreciating glimmers. It just takes practice and as you begin to notice them, continuing to recognize and appreciate glimmers can get easier over time.

About Me

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

I have over 20 years of experiencing 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.

How Women Can Be More Assertive About Getting Their Sexual Needs Met

In her book, Sex Talks, Sex Therapist Vanessa Marin discusses the problems many people have talking about sex and how to overcome these difficulties (see my articles: How to Talk to Your Partner About Sex - Part 1 and Part 2).

How Women Can Be More Assertive About Sexual Needs Met

Even though many women are more assertive now about getting their sexual needs met as compared to the past, there are still many more who either don't know what they want or don't feel entitled to ask for it. They were never taught how to talk about sex--much less be able to ask for what they want sexually (see my article: Finding Your Sexual Voice).

Many people--both women and men--still feel a lot of shame and guilt when it comes to talking about sex (see my article: Exploring Your Sexual Fantasies Without Guilt or Shame).

And many people believe that if you're in a relationship with someone, you don't need to talk about sex--they think their partner should just know what they need.  Needless to say, this often doesn't work.

How to Be More Assertive About Getting Your Sexual Needs Met

If you find yourself struggling to talk about your sexual needs in your relationship, here are some tips that might work for you:

• Identify and Write Down Your Sexual Thoughts: If you can't bring yourself to talk about sex, keep an erotic journal that's just for you.  Start paying attention to your sexual thoughts--no matter how insignificant they might feel to you. And if you're not having thoughts about sex, take some time to write about pleasurable sexual experiences you have had in the past--whether they're with your current partner or not (make sure you keep this journal private).  This will help you to develop a sexual awareness before you even attempt to talk to your partner.

Keeping an Erotic Journal

• Know Your Sexual Values: If you're not sure what your sexual values are, take time to think about this and do some writing to clarify your thoughts. If you need to feel an emotional connection with someone before you have sex, you can tell your partner and if they judge you, that's important information about whether you want to engage in sex with someone who doesn't respect your values. Likewise, if you see sex as a casual recreational activity, that's also your right and your partner needs to know that. You also need to respect your partner's sexual values, which is different from just going along with something that you don't want. You can respect someone's values at the same time that you tell them that their values don't match yours.  No one needs to convince or pressure anyone into doing anything they don't want to do (see my article: Living Authentically Aligned With Your Values).

Know Your Sexual Values

• Talk to Your Partner About General Sexual Topics If You're Too Uncomfortable Talking About Yourself: If, after you write down your thoughts in your erotic journal you're still not comfortable talking about what you want, talk to your partner about about sex in general. For instance, you could suggest that you and your partner watch a TV series about sex--like the Goop series on Netflix, Sex Love & Goop--where couples work with sex coaches and other sex experts on their sexual problems. It's usually easier to talk about sex when it's about other people on a TV program instead of talking about your own sexual experiences.  Or you and your partner can listen to a good podcast about sex, like the podcast that's hosted by Sex Researcher Justin Lehmiller on the Sex and Psychology podcast (he always has great guests and the podcasts are interesting and fun). Talking about a TV series or a podcast can help you to get started without the emotional vulnerability that people often feel when they talk about themselves.  This can help you to ease your way into eventually talking about your sex life with your partner. 

• Don't Be Critical of Your Partner: It's important that when you start talking about sex that you don't start out being critical. That will only make your partner feel defensive, possibly shut down the conversation, and make it difficult to bring it up again.  This is a suggestion from Sex Therapist Vanessa Marin in her book, Sex Talks: It's better to try to find something to compliment your partner about and then make a suggestion of what else you want. Start by validating your partner instead of launching into criticism. So, for instance, you might say, "I love how you kiss my neck and I'd also like you to ________ ." You can fill in the blank based on what you want (see my article: Improve Communication in Your Relationship By Avoiding the 4 Horsemen of the Apocalypse).

• Know Your Sexual Boundaries and Don't Do Anything You Don't Want to Do: Women often feel they have to appease their partner by engaging in sexual acts they don't want to do. This includes women who experience pain during sexual intercourse who don't tell their partner and just grit their teeth and bear it. If you're having pain during intercourse, that's a problem and you need to address it with a sex positive gynecologist (and no, not all gynecologists are sex positive enough to understand and discuss sexual pain without being critical). Sexual pain can be caused by many different problems, so find a gynecologist who is knowledgeable and comfortable talking about it. After the gynecologist has diagnosed the problem, s/he might refer you to a physical therapist who is a pelvic floor specialist.  But being able to speak up about what you do and don't want isn't just related to pain. It could be related to engaging in a sexual act that isn't safe or anything else related to sex (see my article: What is a Healthy Sexual Relationship?).

Know Your Sexual Boundaries

• Know What Feels Safe to You and What Doesn't: For instance, if a partner you don't know well asks you to have intercourse without a condom because he doesn't want to wear one, know that you have a right to set a boundary with that person for your health and well-being. Too many women acquiesce to men about condom use and end up with a sexually transmitted infection or become pregnant (or both).  Likewise, if your partner is mostly focused on his own pleasure and not yours, you have a right to say your sexual needs count too.  Don't settle for less (see my article: What is Sexual Health?).

Know What Feels Safe to You

• Know the Difference Between Assertiveness and Aggressiveness: Women often confuse being assertive with being aggressive, especially if they're not used to looking out for their own needs--whether it's sexual needs, emotional needs or any other needs.  When you're assertive, you're expressing your needs in an open, direct way without being disrespectful to the other person. You're not being critical or condescending. 

• Make "I" Statements Instead of Accusatory Statements: Part of being assertive is speaking from your own experience.  Instead of saying, "You're trying to pressure me into doing something I don't want," say, "If you insist on having sex without a condom, I don't want to have sex because I don't want to get pregnant or get a sexually transmitted infection" (or whatever the issue is).

• Avoid Risky Situations: Being impaired by alcohol or drugs makes it difficult to use good judgment or to think clearly about what you do and don't want. Misuse of substances can also embolden someone to force you to do things you don't want sexually, so avoid putting yourself in these kinds of risky situations, especially if you don't know your partner well (see my article: Can Hookups Be Safer and More Sexually Satisfying For Women?).

Getting Help in Sex Therapy

Sex is often difficult for people to talk about--even within long term relationships.

Getting Help in Sex Therapy

If you're having a hard time talking to your partner about sex, consider seeing a licensed mental health professional who is trained as a sex therapist to work out the emotional blocks that are getting in your way (see my article: What is Sex Therapy?).

Many individual adults and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?

Sex therapy is a form of talk therapy for individuals and couples. There are no physical exams, nudity or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Rather than struggling on your own, seek help from a skilled sex therapist so you can have a more fulfilling sex life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex 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 Josephine Ferraro, LCSW - NYC Psychotherapist.