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?

The Challenges of the "Sandwich Generation": Raising Children and Taking Care of Elderly Parents

The "sandwich generation" refers to adults who are raising their own children while taking care of elderly parents at the same time.  It's called the "sandwich generation" because these individuals are caught between their responsibilities for their children and their aging parents.

Raising Children and Taking Care of Elderly Parents

What Are the Challenges Faced By the "Sandwich Generation"?

Here are the most common challenges for individuals trying to balance their roles as caregivers for their children and their elder parents:

• Stress and Emotional Toll: Juggling these two major caregiving roles can lead to high levels of stress, exhaustion and feeling overwhelmed.

• Role Reversal: The role reversal of taking care of parents can be emotionally challenging, especially as parents' health declines.

• Time Constraints: These individuals spend a good deal of time balancing their responsibilities for their children and their parents which can leave little time personal time (see my article: Self Care For Caregivers).

• Financial Strain: The cost of taking care of children and elderly parents can create a significant financial burden.

How to Cope With the Challenges

• Get Organized: Keep track of appointments, medications and finances to address stress and confusion.

Raising Children and Taking Care of Elderly Parents

• Don't Forget Self Care: Try to find time for self care. Make sure you get enough rest, eat healthy meals and get exercise at a level that is appropriate for you.  Also, try to find time to do activities you enjoy (see my article: Learning to Balance Taking Care of Your Own Needs and the Needs of Your Loved Ones).

• Communicate Openly With Family Members: If you (or you and your partner) are bearing the brunt of taking care of elderly parents, have an honest conversation with family members about your feelings and needs.

• Seek and Accept Help: After you have had an honest and open talk with family members, delegate certain tasks to them when possible. If that's not possible, ask them if they can help financially so you can hire a home attendant (see the clinical vignette below).

• Set Boundaries: Learn to say "no" to additional responsibilities and try to avoid taking on too much (see my article: Setting Boundaries Without Guilt).

• Look For Small Joys: Try to find moments of joy and connection with your loved ones--even in the midst in all you have to do. 

Clinical Vignette

The following clinical vignette, which is a composite of many cases, illustrates how to deal with some of the challenges of being part of the "sandwich generation":

Dina

As the oldest of three daughters, Dina took in her elderly parents when they could no longer live on their own.  At the same time, she and her husband, Tom, were raising their two teenage sons.

When Dina was growing up, she was expected to take on responsibilities, as compared as the oldest child and her two younger sisters took on none.  Her parents expected her to do many of the household chores while her sisters were allowed to go out with their friends.

When she graduated high school, Dina attended an out of state college to get away from her family responsibilities and, after she graduated, she got an apartment with her former college roommates.

Years later, after Dina got married and she had children, she continued to help her parents, but after they could no longer live on their own, she felt obligated to take them in. 

Raising Children and Taking Care of Elderly Parents

Before her parents came to live with Dina and Tom, Tom urged Dina to talk to her sisters about helping out more. Tom had always been generous in helping Dina's parents, but he could foresee the toll it was going to take on each of them. Dina was so accustomed to taking on responsibilities as the oldest child that she didn't question whether her sisters should help and she didn't want to talk to them about it.

Their teenage sons helped out when they could, but they were busy with school, their friends, applying to college and sports, and Dina didn't want to rely on them or deprive them of what they needed and wanted to do.

Within a few months, Dina and Tom felt overwhelmed taking care of her parents. Dina wasn't sleeping well and she had very little appetite. She also stopped her usual self care routines--meditation and yoga practices because she didn't have time. She also stopped seeing her close friends. 

Tom also curtailed his outings with friends because he was trying to do as much as he could to help Dina. He was also concerned about his elderly parents who were independent at that point, but he didn't know when they would also need help.

One day when Tom came home from the grocery store, he found Dina in their bedroom sobbing. She looked stressed and worn out. When she saw him, she tried to dry her tears and act like she was alright, but Tom knew Dina had reached her limit.

Tom sat next to Dina and put his arm around her, "We need to talk to your sisters. I know what you're going to say--that as the oldest you've always been the one to take on all the responsibilities, but we can't keep going on like this."

At first, Dina insisted she could continue to take care of her parents, but she knew Tom was right, so they talked about how to approach her sisters.  

A week later, Dina's sisters, Paula and Meg, came over for lunch on a Saturday. At that hour, their parents were upstairs napping. 

Dina felt anxious and guilty. She felt she was abducating her responsibilities. She also anticipated that Paula and Meg wouldn't respond well to her asking them to help.

When Dina told her sisters that she was completely overwhelmed with taking care of their parents, she had to endure her sisters' silence and discomfort. Both sisters looked off in the distance and appeared annoyed.

Tom supported Dina in the conversation and told them that they needed to help.  Paula and Meg responded with many excuses about why they didn't have the time and couldn't help. Soon after that, they both left in a hurry.

Dina felt angry, resentful and sad after they left. She and Tom talked about what they could do next and they decided to have another meeting with Paula and Meg, but this time they would include a third party, a geriatric care manager, there to mediate their discussion.

Initially, Paula and Meg continued to make excuses for not helping at all. While they spoke, the geriatric care manager listened carefully and empathized with them.  Then, she tried to find a compromise where they could offer financial help so Dina and Tom could hire a home attendant for help.

Dina's sisters were so relieved that they didn't have to take their parents in that they readily agreed to offer financial help so Dina and Tom could have more time for themselves.  After that, Dina and Tom felt a lot less stressed because they had help and more time to themselves.

A few months later, Dina's parents decided they would prefer to live in an assisted living facility, so Dina and Tom went with them to see several facilities until they found one they liked and could afford.

After this experience, Dina realized she was so conditioned since childhood to take on most of the responsibilities and she had not learned to take care of herself.  

Once her parents were situated in the assisted living facility, she began therapy to work on this.  Her therapist helped Dina to feel entitled to take care of herself. Dina also worked through the sadness, anger and resentment she had been unaware of for most of her life.  

Conclusion

Being in the dual role of taking raising children and taking care of elderly parents is stressful and emotionally draining for most people.

Without even realizing it, you might be repeating lifelong patterns of doing too much and not taking care of yourself, as discussed in the vignette above.

In certain situations, there might be ways to help alleviate the stress if other family members are willing to help.  If not, you might be able to use the services of a geriatric care manager or someone who is outside the situation who can mediate family discussions to see if there is a compromise.

If you're able, you could benefit from working with a licensed mental health professional who can help you to cope with the stress and emotional toll. She can also help you to overcome old behavioral patterns that keep you stuck.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR,AEDP, EFT (for couples), IFS, Somatic Experiencing and Certified 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 email me.

Relationships: You Can't "Fix" Your Partner. Focus on Yourself Instead

Many people believe they can change partner into being the person they want them to be. They believe that love alone will change their partner into being the partner they want. But trying to "fix" your partner is usually doomed to failure if they don't want to change.

You Can't "Fix" Your Partner

Why You Can't Change Your Partner If They Don't Want to Change

• Change Must Be Internally Motivated: Your partner needs to have internal motivation to change for lasting change to occur. They might change temporarily to appease you, but for lasting change to occur, they need to be internally motivated.

• Deep-seated Behavior is Difficult to Change: Behavior which is rooted in the past isn't easily changed just because you want your partner to change.

• Your Pressure Can Create Resentment: You might think you can "fix" your partner, but your partner might resent you for it, which makes change even harder.

• Love Isn't a Motivator For Change: If you're telling your partner they would change if they loved you, you're not understanding how change occurs. They can't do it for you--no matter how much they love you. They need to want to do it for themself.

What Can You Do Instead of Pressuring Your Partner to Change?

• Change Your Own "Dance Steps": Instead of focusing on changing your partner, focus on changing yourself. The late Sue Johnson, Ph.D., who developed Emotion Focused Therapy (EFT) For Couples, talked about the "EFT Tango" as a metaphor for the dance that couples do as part of the structured interventions that couples do together. She advised clients to change their own "dance steps" regardless of what the other partner does. When you change your own "dance steps", you change the dynamic in your relationship. This opens up a space for your partner to change--if they want to change.

• Communicate Your Needs Clearly: Express your needs in a clear and vulnerable way. Expressing your needs is more effective than criticizing or nagging your partner.
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• Set Boundaries: Be clear on what you will and will not put up with, especially if your partner's behavior is hurtful to you (see my article: Setting Boundaries in Your Relationship).

• Offer Support; Instead of criticizing or pressuring, offer your support for whatever change your partner is willing to make. Offering encouragement is different from trying to force change.

• Manage Your Expectations: Once you accept that you can't change your partner's behavior, you might experience a reduction in your resentment. This doesn't mean you have to put up with hurtful behavior. Instead, it means that you realize your partner has to want to change and until they do, you can't "fix" them.

• Decide If the Relationship Is Right For You: If you find yourself constantly wanting your partner to change, this could be a sign that you and your partner have different values and the relationship isn't right for you. You have to decide whether your partner's behavior is a dealbreaker for you.

Clinical Vignette

The following clinical vignette illustrates the dynamics mentioned above. As always, this vignette is a composite of many different cases to protect confidentiality:

Agnes and Bill:

Five years into their marriage, Agnes realized Bill's drinking had increased over time.  He would often come home from a stressful day of work and spend the night drinking.

You Can't "Fix" Your Partner

When Agnes complained to Bill, she felt he was giving her lip service to stop drinking, but he continued to get drunk every night. No amount of nagging and complaining stopped his behavior. She told him that if he loved her, he would change, but this didn't work either--even though she knew he loved her very much.

When she realized she couldn't change Bill, Agnes decided to get support in her own individual therapy. Over time, Agnes realized in therapy that she couldn't change Bill's behavior because he didn't want to stop drinking, so she worked on improving her own life. She began working out at the gym, seeing friends more often and developing new hobbies.

After a while, Bill felt increasingly lonely as he watched Agnes' life flourish. Since he wanted to save his marriage and his doctor told him that his drinking had increased his blood pressure problems, he considered cutting back on alcohol. But when he realized he couldn't cut back on his own, he sought help in his own therapy with a therapist who was knowledgeable about alcoholism.

Gradually, Bill learned new coping skills and strategies in his individual therapy and he was able to stop drinking. 

When they were both ready, Bill and Agnes began couples therapy to improve their relationship. They both learned new tools so they could have a more meaningful relationship.

Conclusion

You can't change your partner unless they are internally motivated to change.

Instead of focusing on trying to "fix" your partner, focus on yourself.

Individual therapy can help you to focus on yourself and, eventually, to decide whether you want to remain in your relationship.

Get Help in Therapy

Rather than focusing on "fixing" your partner, get help in individual therapy to work on yourself.

Get Help in Therapy

Individual therapy can help you to develop the tools and strategies you need to feel more confident and make major decisions.

If your partner is willing, you can both participate in couples therapy to work on your relationship. 

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work, Somatic Experiencing and Certified 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 email me.

How to Cope With Parents Who Are Trying to Guilt Trip You As An Adult

Parents who try to guilt trip you into doing what they want are usually emotionally immature. Rather than trying to placate them, you need to find healthy ways of dealing with their behavior.

What is Guilt Tripping?

Guilt tripping is when someone tries to manipulate you to control your behavior.

Coping With Guilt Tripping Parents

Aside from wanting to control your behavior, guilt tripping violates your boundaries.

What Are the Signs of Guilt Tripping?

• They Become Passive Aggressive: Instead of being outwardly aggressive, they make passive aggressive or sarcastic comments like, "Well, I guess if you can't come over this Sunday, I'll have to spend the day alone" (passive aggressive) or "Oh sure, don't worry about me, but I won't be around forever" (see my article: Coping With Family Members' Passive Aggressive Comments).

• They Try to Gaslight You: They might try to twist your words or distort the truth to make you question your intentions and behavior, "I don't know why you would rather be with your friends than come here to visit your father and me. Your friends won't always be there for you like we have been" or "You're the reason why your dad and I are unhappy."

• They Give You the Silent Treatment and Become Emotionally Distant: They stop communicating with you and ignore your calls, email and text. This is a form of emotional abuse to punish, gain power over and manipulate.

Coping With Guilt Tripping Parents

• They Remind You About Your Past Mistakes: This is another form of manipulation to try to make you feel like you owe them something. For example: "You're going out with your boyfriend instead of coming to see me? You always make bad relationship choices. Remember, I was who was there for you when you were hurt and upset about your last relationship."

• They Make Negative Comparisons: They might compare you to a sibling, another family member or a friend, "Your sister always comes over every Sunday, but you only come every two weeks."

• They Try to Make You Think It's All Your Fault: They won't take responsibility for their own actions. Instead, they blame you, "Your mother and I have tried to do everything to improve our relationship with you, but you just do things to make it worse."

How to Cope With Parents Who Are Trying to Guilt Trip You

Understand the impact guilt Tripping is having on you: Some people are very good at guilt tripping until they get you to feel the way they want you to feel and do what they want you to do.

Signs Your Parents Guilt Tripping is Affecting You

Recognize the signs that you're being affected by your parents' guilt tripping:

• You Feel Obligated to Them: You feel like you "owe" your parents--even when you know their demands are unreasonable.

Coping With Guilt Tripping Parents

• You Over-justify Your Actions: You keep defending or explaining your actions to your parents.

• You Feel Like Nothing You Do is Good Enough For Your Parents: You might feel like no matter how hard you try, nothing you do is ever good enough for your parents and you'll never be able to please them.

How to Cope With Parents Who Are Trying to Guilt Trip You

• Shift Your Perspective and Be Aware That You're Not Responsible For Your Parents' Feelings: If you're not actively trying to hurt your parents, you're not responsible if they feel hurt or angry that you're not doing what they want you to do. For instance, if you already have plans with a friend and your parents want you to come over on the same day, you have a right to stick with your plans and not try to appease your parents because they tell you you're making them feel hurt. 

• Set Clear Boundaries With Your Parents: Although it can be challenging, you might need to set boundaries with your parents. Let them know what is and isn't acceptable (see my article: Setting Boundaries With Family Members).

Coping With Guilt Tripping Parents

• Prioritize Your Needs: If your parents have been successful at guilt tripping you, you might feel like your needs are insignificant compared to theirs. Be aware you're doing this and make an agreement with yourself to prioritize your own needs.

• Validate Their Feelings: If you detect they have underlying feelings that they're not expressing, validate their feelings. For example, if they try to make you feel guilty about not coming to see them and you detect that their underlying feeling is that they miss you and want to spend time with you, validate that. At the same time, don't give up on your plans to appease them. Instead, you can suggest another day when you can get together with them (if you want to spend time with them).

Coping With Guilt Tripping Parents

• Get Emotional Support From Supportive Friends: Talk to trusted friends who will be emotionally supportive. If you feel apprehensive about talking with your parents and setting boundaries with them, you can "bookend" that conversation by talking to a trusted friend before and after your conversation with your parents. You might even arrange to have these bookended conversation with your friends in advance. 

Get Help in Therapy

The impact of guilt tripping can be traumatic.

Get Help in Therapy

Among other things, lifelong guilt tripping can make you susceptible to getting into a relationship with a partner who also tries to manipulate you with guilt and you might not even be aware of it because it seems "normal" to you.

A skilled mental health professional, who is a trauma specialist, can help you to heal from trauma so you can live a more fulfilling life.

About Me

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

I work with individual adults and couples.

As a Trauma Therapist, one of my specialties is helping 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.

You Can't Understand Your "Yeses" If You Don't Understand Your "Nos" and "Maybes"

For you to truly understand what you're agreeing to, you also need to understand what you're declining and what you're not sure about.  

This is true for all areas of your life whether it involves your loved ones, your work or other areas of your life.

Understanding Your "Yeses", "Nos" and "Maybes"

How Can You Learn to Understand Your "Yeses", "Nos" and "Maybes"?

Here are some tips:

• Develop Self Awareness: To really know what you want, you need to develop a deeper understanding of yourself using your self reflective capacity. Before you say "Yes" to someone think about how you might be saying "No" to other choices and excluding other possibilities. So, for instance, before you say "Yes" to being in an exclusive relationship with someone, think about whether you're ready to give up seeing other people and what this might be like. Reflect on what the tradeoffs are in making one choice versus making another (see my article: What is Self Reflective Capacity and Why Is It Important to You?)

Understanding Your "Yeses", "Nos" and "Maybes"

• Prioritize What's Important to You: Instead of spreading yourself thin by people pleasing and agreeing to do things you don't want to do, prioritize what's most important to you. For instance, if you're in a relationship with someone who wants to spend all their free time with you but you know you need some time for yourself, you need to honor what you need and communicate this to your partner. If possible, try to find a compromise without neglecting your needs (see my article: Time Apart vs Time Together).

Understanding Your "Yeses", "Nos" and "Maybes"

• Boundary Setting, Self Respect and Self Care: Know how to set boundaries with others for your own well-being. This is related to prioritizing what's important to you. This involves being assertive in a tactful way in order to respect your own needs and take care of yourself (see my article: Self Care Is Not Selfish).

How Can This Be Challenging For You?

Understanding your 'yeses", "nos" and "maybes" and following through with what you need might be challenging for you because you never learned to do it and maybe you were even taught that taking care of yourself in this way is selfish--even though it's not.

Clinical Vignette

The following clinical vignette illustrates the challenges involved with understanding what you really want and how Experiential Therapy can help:

Jane

Jane, who was in her early 30s, was raised to believe she should always put others first before herself, so she would agree to do things she didn't really want to do and she would often feel exhausted afterwards.

She would say "Yes" to anyone in her life who asked her to do a favor or to spend time with them or to listen endlessly to her friend's ongoing crises (see my article: Are You Overwhelmed By Your Friends' Problems?).

When she got romantically involved with John and they became sexual, Jane wasn't sure what she liked and what she didn't like sexually so she agreed to everything John wanted, but then she felt bad about herself afterwards because she wasn't sure if she wanted to do what she did.

One day John told her he sensed that she didn't enjoy performing oral sex on him--even though she did it and she didn't complain. He told her he didn't want her to just comply--he wanted her to want to do it and, if she didn't, he wanted her to tell him. But at that point, Jane didn't know how to respond to him because she had little awareness of what she liked and what she didn't.

Understanding Your "Yeses", "Nos" and "Maybes"

Jane realized she had little self awareness about what she liked and she didn't know how to develop self awareness. So, she sought help in Experiential Therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

Her therapist helped Jane to understand the connection between her family background and her current problems (see my article: Why Is Family History Important in Psychotherapy?).

Her parents, who were well intentioned, lived their lives in a way where they were always giving to others and expected very little for themselves ,and they raised Jane and her siblings in this way.

Her therapist taught Jane how to use mind-body oriented techniques, like mindfulness meditation to get to be in the present moment and to get to know herself. She also encouraged Jane to use a journal to reflect on her thoughts and emotions (see my article: Experiential Therapy and the Minid-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Experiential Therapy includes: 

• EMDR Therapy

• Parts Work Therapy

• AEDP

Jane's work in Experiential Therapy was neither quick nor easy, but she stuck with it because she realized she was developing a deeper connection with herself and getting to know herself better.

Gradually, Jane began to understand her "yeses", her "nos" and her "maybes". She also learned to be assertive in a tactful and caring way with the people in her life.

Getting to know herself sexually was the most challenging for Jane because she had conflicted feelings about pleasure and solo pleasure.

Over time, she was able to overcome her guilt and shame about sex, and she developed a healthy relationship with her own body which allowed her to discover what she enjoyed.

Her therapist, who was an Experiential therapist as well as a sex therapist, helped Jane to consider many sexual possibilities by introducing Jane to a "Yes, No, Maybe" list of sexual activities. 

Jane used the list, which had on scale from 1-5, to discover what appealed to her, what she didn didn't like and what she wasn't sure about (see my article: What Are Common Issues Discussed in Sex Therapy?)

When Jane told John that she didn't enjoy oral sex, but she did enjoy other sexual activities, she was surprised that he was so understanding. This allowed her to open up and get curious emotionally and sexually with John so their relationship developed in new and exciting ways.

Conclusion

You can't understand your "yeses" if you don't know your "nos" and "maybes".

Developing self awareness is the first step in getting to know yourself better and being able to communicate with others.

People pleasing often poses an obstacle to getting to know and take care of yourself and to being able to communicate honestly with others.

When you can prioritize your own needs and set healthy boundaries with others, you will be on your way to respecting your needs, taking care of yourself and being genuine with others.

Getting Help in Experiential Therapy

Being able to understand and assert your needs can be challenging for a variety of reasons, including an upbringing focused on always prioritizing the needs of others. 

Experiential Therapy, which focuses on the mind-body connection, is uniquely suited for helping clients to get to attune to themselves and to interact in a healthy way with others.

If you have been struggling with understanding your needs and setting boundaries with others, you could benefit from working with an Experiential Therapist.

Getting Help in Experiential Therapy

A skilled Experiential Therapist can help you to develop increased self awareness through a mind-body oriented approach, prioritize your needs and set healthy boundaries.

Rather than struggling on your own, seek help from a licensed mental health professional who is a Experiential Therapist.

About Me

I am a licensed New York Experiential Therapist.

I am an EMDR, AEDP, Somatic Experiencing, Parts Work, EFT (couples therapist) and Certified 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 email me.