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NYC Psychotherapist Blog

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Showing posts with label shame. Show all posts
Showing posts with label shame. Show all posts

Tuesday, March 3, 2026

Relationships: How Toxic Shame Makes Communication Challenging

Toxic shame can make communication very challenging in a relationship, so I'm exploring this issue and providing tips on how you can deal with this toxic shame.

What is Toxic Shame?
Before we delve into communication issues, let's start by defining toxic shame.

Toxic Shame in Relationships

Toxic shame is different from healthy shame.

Whereas healthy shame is usually a passing, situational emotion, toxic shame is a chronic, deep-seated belief of being unworthy, unlovable, flawed or bad (see my article: What is the Difference Between Healthy Shame and Toxic Shame?).
  • Internalization: Toxic shame is an internalized experience--usually internalized during childhood. It affects your identity ("I am bad" or "I am unlovable" or "I am stupid"). Healthy shame isn't about your identity--it's about your behavior ("I did something bad" or "I said something wrong").
  • Duration: Toxic shame is chronic and pervasive and healthy shame is temporary and dissipates after a while.
  • Purpose: While healthy shame motivates positive change, moral development and repairing relationships, toxic shame causes "emotional paralysis", defensiveness, self sabotage and social withdrawal.
  • Origin: Toxic shame usually develops in childhood due to abuse, emotional neglect, severe criticism or other types of trauma. Toxic shame creates a belief that love must be "earned" (e.g., good grades in school and in other performative ways).
How Does Toxic Shame Create Communication Problems?
Toxic shame creates deep insecurity which makes it challenging to communicate.

Here are the main communication issues related to toxic shame:
  • Defensiveness: Toxic shame makes individuals highly sensitive to perceived criticism. This can create a situation where even neutral comments can be heard as personal insults, which leads to defensiveness.
Toxic Shame in Relationships
  • Distorted Perception: Toxic shame acts like a filter. This can make it difficult for individuals to accept love or believe they are worthy, which causes them to misunderstand or ignore their partner's positive expressions of affection.
  • Emotional Withdrawing and Stonewalling: Toxic shame causes individuals to protect themselves from vulnerability by shutting down, withdrawing emotionally and/or physically, which can cause the other partner to feel lonely and abandoned (see my article: Are You a Stonewaller?).
  • Anger and Aggression: Toxic shame can manifest as anger or aggression where one partner responds to vulnerability or conflict by lashing out, blaming or engaging in contemptuous behavior to deflect from feelings of inadequacy.
Toxic Shame and Perfectionism
  • Perfectionism and Masking: An intense feeling of being "found out" as being inadequate can lead to hiding true feelings, maintaining a "perfect" facade and avoiding honest and open conversations about fears and insecurities.
How to Communicate With a Partner Who Has Toxic Shame
Julie Menanno, LMFT, an Emotionally Focused Therapist for couples discusses communication problems in her book, Secure Love.

As Ms. Menanno indicates, communicating with a partner who has toxic shame requires a "safe space" (see my article: Creating a Safe Haven For Each Other).

Here are some suggestions that can be helpful if you have a partner who experiences toxic shame:
  • Validate Before Solving: Listen to your partner's emotional experience first without immediately jumping into a problem solving mode. Recognize that your partner might be acting out of toxic shame and pressure, so try not to take their words personally (see my article: What is Validation and Why Is It Such a Powerful Relationship Skill?).
  • Use "I" Statements: Use "I" statements to express your feelings to avoid putting your partner on the defensive. An example would be: "I feel lonely when we don't talk for a few days" instead of "You always ignore me".
Teamwork in a Relationship
  • Work Together on the Problem as a Team: Instead of attacking your partner, attack the problem together. Instead of saying "You did this wrong", say "I know this is a tough situation for both of us." Approach the problem in the spirit of teamwork to deal with it.
  • Provide Reassurance: Since toxic shame can make your partner feel unworthy, remind your partner of your love and commitment.  
  • Create Safe Openings: If your partner shuts down, create a safe opening by saying, "I notice you're distant. I care about you and I want to understand."
  • Avoid "Why" Questions: Why questions like "Why did you do that?" can sound accusatory and trigger defensive reactions.
  • Prioritize Your Own Safety: If your partner is causing you harm, it's important to prioritize your own safety. Don't isolate. Talk to trusted loved ones and get support.
Getting Help in EFT Couples Therapy
If you and your partner have been unable to resolve problems between you, you could benefit from working with a licensed mental health professional who is an EFT couples therapist (see my article: What is Emotionally Focused Therapy For Couples?.)

Getting Help in EFT Couples Therapy

Rather than struggling on your own, seek professional help so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Emotionally Focused Therapist (EFT) for Couples, 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.





















 




Tuesday, February 24, 2026

Managing Emotions: What is the Life Cycle of an Emotion?

Many people struggle with allowing themselves to experience their emotions. 

The Life Cycle of Emotions

This is often because they were taught at a young age, either directly or indirectly, that certain emotions need to be controlled or suppressed--especially emotions like sadness, griefshame or other uncomfortable emotions (see my article: Overcoming Trauma: You're Not Defined By What Happened to You).

The Life Cycle of Emotions
In therapy people learn that emotions are like waves. 

They have a life cycle: They ascend, peak and subside. 

Driven by a neurochemical release, this often occurs in as little as 90 seconds (see my article: Developing Emotional Regulation Skills).

Emotions Are Like Waves

An emotion often starts with a trigger, intensifies as the brain processes the emotion and peaks when physiological sensations (e.g., heart rate) are most intense. Then the emotion will subside as the body processes the neurochemical surge.

Let's break this down further to understand the life cycle of emotions:
  • The Rise: An event triggers a reaction which causes a surge of neurochemicals in the brain. The feeling begins as a sensation in the body. This might include a tightness in the chest, a flash of heat or the sensation of a drop in the stomach. 
  • The Peak: Usually within as little as 90 seconds the emotion reaches its maximum intensity. At that point, the "reptilian brain", which is the oldest part of the brain, can take over and trigger the fight, flight or freeze response. This often causes an inability to think straight.
  • The Fall: If the emotion is not stimulated again by further thought, the chemicals dissipate from the blood and the sensation subsides.
How Do Emotions Get Prolonged?
While the natural physiological wave of an emotion is short, emotional experiences can last for hours or days if you "feed" them

This happens by replaying a story in your mind, ruminating about it, and overanalyzing it, which creates another 90 second loop and another and another.

How to Manage the Wave of an Emotion
  • Label the Emotion: Acknowledge the emotion ("I feel angry" or "I feel sad") to reduce its power.
Breathe Through the Emotion
  • Breathe Through the Emotion: Stay present with the physical sensations without trying to fight it or suppress it (see my article: Square Breathing).
  • Let It Go: Allow the emotion to pass naturally instead of feeding the emotions.
Conclusion
Knowing about the life cycle of emotions is essential for improving mental health, developing emotional intelligence and developing a better relationship with yourself and others.

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 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.








Friday, February 20, 2026

How Does Shame Impact Relationships?

Shame can lead to destructive behavior in relationships (see my article: Self Acceptance as the Antidote to Shame).

How Shame Impacts Relationships

Shame often causes partners to present a false self in their relationship (see my article: Becoming Your True Self).

How Does Shame Impact Relationships?
Shame often shows up as unconscious self protective behavior driven by fear of being seen as flawed or unlovable.

Here are some of the ways shame impacts relationships:
  • Emotional Withdrawal and Distancing: A partner might shut down emotionally or physically, go silent, pull away to hide feelings of inadequacy which creates barriers to intimacy.
How Shame Impacts Couples
  • Perfectionism and People Pleasing: A partner might try to earn love by trying to be "perfect", which causes them to abandon their own emotional needs in order to please their partner and avoid rejection (see my articles: People Pleasing and What is Self Abandonment?).
  • Self Sabotage: Shame can make a partner believe they are unworthy of love which can cause them to create conflict or push their partner away (see my article: Overcoming Self Sabotaging Behavior).
  • Defensiveness: Shame can make a partner defensive, blame their partner or refuse to take responsibility for their actions (see my article: How to Change Defensive Behavior).
  • Physical Signs: Shame can be expressed through body language such as tension, hunched posture, blushing or refusing to make eye contact.
  • Controlling Behavior: A partner can behave in a domineering way to hide their feelings of inadequacy (see my article: Controlling Behavior).
How to Overcome a Negative Cycle of Shame in a Relationship
Here are some of the essential strategies for overcoming shame in a relationship:
Overcoming the Negative Cycle
  • Identify Triggers: Identifying each partner's triggers will help each person to be aware and try to avoid triggering and retriggering each other. Being aware of triggers can also help partners to identify and prevent the negative cycle in their relationship.
  • Practice Compassion: Compassion, including self compassion, can help you to feel empathy for yourself and your partner.
  • Own Your Mistakes: When you own your mistakes, instead of becoming defensive, you and your partner are more likely to be able to repair ruptures without creating long lasting resentment (see my article: Having the Courage to Admit to Your Mistakes).
Create Emotional Safety in Your Relationship
  • Replace Shame With Connection: Share your vulnerable feelings with your partner. Instead of being judgmental with your partner, become curious. Create a relationship where you both feel seen, heard and valued. Aside from communicating verbally, rebuild closeness through shared activities like physical touch, hobbies or going for a walk.
Seek Help in EFT Couples Therapy
  • Seek Professional Help: If you and your partner feel stuck, seek help from a licensed mental health professional who is an Emotionally Focused couples therapist (EFT). An EFT therapist can help you to overcome the negative cycle in your relationship that keeps you from having a fulfilling relationship (see my article: What is Emotionally Focused Therapy For Couples?).
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS/Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

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

To learn 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.






Wednesday, February 18, 2026

Self Acceptance as the Antidote to Shame

Shame is a painful emotion which is part of a deep sense of being flawed, unworthy and unlovable (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

Self Acceptance as the Antidote to Shame

Shame often stems from early childhood experiences of trauma including abuse and emotional neglect (see my article: What is the Difference Between Childhood Abuse and Neglect?).

Shame is feeling bad about who you are as opposed to guilt which is feeling bad about something you did (see my article: Understanding the Difference Between Guilt and Shame).

Core Concepts About Shame
  • Childhood/Developmental Trauma: Abuse, neglect and punitive parenting often leads to long lasting feelings of inadequacy.
  • The Internal Critic: Negative messages from parents and other authority figures are internalized. This creates the internal critic which devalues the individual and makes them feel ashamed of themself (see my article: Making Friends With Your Internal Critic).
Self Acceptance as the Antidote to Shame
  • Cultural Expectations: An inability to meet cultural, societal or religious expectations can create feelings of shame.
  • Fear of Disconnection: Shame is a response to the fear of being rejected by others. 
How is Self Acceptance an Antidote to Shame?
Self acceptance is an antidote to shame because it can dismantle a harsh inner critic as well as feelings of isolation and inadequacy.

By developing self acceptance you can overcome the toxic effects of shame.

Self Acceptance as the Antidote to Shame

You can also develop emotional resilience to develop a kinder, more loving relationship with yourself.

How to Develop Self Acceptance
There are many ways you can develop self acceptance including:
  • Journaling to increase your self awareness and self compassion
Self Acceptance as the Antidote to Shame
  • Develop an external perspective: Ask yourself what your best friend would say about you
Getting Help in Therapy
If self help strategies aren't working for you, consider getting help from a licensed mental health professional who is trained as a trauma therapist.

Self Acceptance as the Antidote to Shame

By working through unresolved trauma related to your feelings of shame, you can free yourself of your traumatic history 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 as a trauma therapist 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.









Tuesday, February 3, 2026

How Avoidance of 1ntimacy Turns Into Emotional Distance in Relationships

One of the most common reasons why couples seek help in couples therapy is due to lack of emotional and sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

Sexual Avoidance Turns Into Emotional Distance

Why Do Couples Avoid Emotional and Sexual Intimacy?
Emotional and sexual avoidance is a complex issue with many possible causes including relational and psychological issues.

Sexual avoidance creates relationship distance by transforming lack of sexual avoidance into emotional detachment. 

Sexual Avoidance Turns Into Emotional Distance

Sexual avoidance is rarely just about sex. It often involves relational, emotional, psychological and behavioral factors. For some couples, it can include physical and medical factors.

Sexual avoidance and emotional distance often stem from one or both partners feeling the need to protect themselves from against vulnerability and pressure. 


Sexual Avoidance Turns Into Emotional Distance

This can set up a cycle where an avoidant partner pulls away and the other partner feels rejected, anxious and lonely.

Here are some of the most common reasons for sexual avoidance and emotional distance:

Relational Issues:
Emotional and Psychological Issues:

Unresolved trauma for one or both partners including:
  • A history of sexual assault
  • Anxiety including
Physical or Medical Conditions
  • Chronic pain
  • Cardiovascular problems
  • Diabetes
  • Hormonal imbalances including low testosterone
Behavioral Patterns
  • An obsessive avoidance of sexual intimacy
  • A tendency to detach emotionally or feel unsafe with closeness
Getting Help in Sex Therapy
Sex therapy is a form of talk therapy where individuals or couples seek help (see my article:    What is Sex Therapy?).

Getting Help in Sex Therapy

Sex therapy does not include any nudity or sex during therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Individuals and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Reasons Why Individuals and Couples Seek Help in Sex Therapy?).

Not all couples therapists have training as sex therapists so it's important to ask whether or not a couples therapist is a certified sex therapist.

Rather than struggling on your own, seek help from a licensed mental health professional who ia a certified sex therapist.

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 working 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.

Also See My Articles:











Thursday, January 8, 2026

Why Do People Suppress Their Emotions?

Many people have a difficult time experiencing certain emotions in a healthy way so they suppress their emotions, which has health and mental health consequences.

Emotional Suppression

Which Emotions Are Commonly Suppressed?
The following emotions are the ones that are commonly suppressed among people who feel they need to hide these emotions:
  • Anger: Anger is often perceived as being aggressive or out of control (even for people who are experiencing anger in a controlled way). Frustration and rage, which are part of anger, are often suppressed (see my article: Fear of Anger is Often Coupled With Guilt and Shame).
  • Sadness or Grief: Crying or showing sadness or grief is often discouraged in our society, especially for men. This often leads to emotional suppression.
Why Do People Suppress Emotions?

Emotional Suppression
  • Social Conditioning: As mentioned above, many people are taught to be "tough" or polite which leads to hiding emotions which are perceived as negative.
  • Fear of Judgment: People who suppress certain emotions often fear that they will be judged or criticized for expressing certain emotions, so they suppress these emotions rather than expressing them.
  • Maladaptive Coping Mechanism: People who suppress certain emotions hide these emotions as a maladaptive coping strategy to avoid discomfort or situations they feel would be overwhelming for them (see my article: Avoidance as a Maladaptive Coping Strategy).
What Are the Consequences of Emotional Suppression?
The most common consequences of emotional suppression include:
Emotional Suppression
  • Emotions Resurface More Intensely: People who suppress their emotions often discover that these emotions resurface in a more intense way. They are also more at risk, compared to people who can express their emotions in a healthy way, for alcoholism, drug abuse and other impulsive or compulsive way
Get Help in Therapy
If you tend to suppress emotions that make you feel uncomfortable, you could benefit from getting help from a licensed mental health professional.

Get Help in Therapy

Learning to express your emotions in a healthy way can help you to be more self aware, reduce anxiety and stress, improve health and mental health and develop healthier relationships (see my article: Learning How to Express Your Emotions in a Healthy Way).

Rather than struggling on your own, seek help from a licensed psychotherapist so you can live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States), Somatic Experiencing and a 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.

Also See My Article:













 

Sunday, December 7, 2025

What is the Connection Between Secrets and Shame?

Secrets and shame are connected in many ways:
  • Shame often drives keeping secrets.
  • Keeping secrets creates more shame.
The Connection Between Secrets and Shame
  • Shame and secret keeping often create an ongoing cycle of:
    • Isolation
    • Rumination
    • Anxiety
    • Guilt
    • Negative self judgment
    • Feelings of worthlessness
    • Depression
How is Keeping Secrets Different From Maintaining Privacy?
While secrecy is often about concealing information due to shame or fear, maintaining privacy is about setting boundaries and choosing what information to share. 

Privacy usually doesn't involve shame or fear (see my article: Privacy vs Secrecy in a Relationship).

The Connection Between Secrets and Shame

A person who maintains privacy limits access to their life in terms of what they want to share, to whom and how much they want to share or not share.

The motivation for maintaining privacy is autonomy and personal space. An example of this is if a young child asks a parent how much money they earn and the parent knows the child can't handle this information in a responsible way, the parent might keep this information private until the child is mature enough to be responsible with it.

A person who maintains secrets is actively hiding something they feel ashamed about. Their motivation is to conceal something, avoid judgment or other negative consequences. An example of this is a husband who keeps a secret from his wife about gambling away his paycheck.

How Do Secrets Affect Relationships?
As previously mentioned, keeping secrets creates shame and shame can create secrets (see my article: Why Do People in Relationships Keep Secrets?).
  • Fear of Being Judged as Having Flaws: People who keep secrets from loved ones often experience fear and shame that their loved ones will see them as flawed if they knew certain things about them. This might include their mental health status, financial struggles, addiction or similar issues.
The Connection Between Secrets and Shame
  • Inauthentic and Emotionally Distant Relationships: Keeping secrets involves presenting an inauthentic self to loved ones. People who hide certain aspects of their life have to pick and choose what to tell their loved ones and keep track of what they have already told them. These secrets create emotional distance. Over time, as an individual continues to keep secrets, even if the other partner doesn't know what the secrets are, the emotional distance widens to the point where it can damage the relationship beyond repair.
  • Betrayal and Mistrust: If the secret is discovered, the partner who discovers the secret feels betrayed and mistrusts for their partner. In many cases, depending upon the secret and the couple involved, a secret can ruin a relationship (see my article: Common Relationship Problems After Infidelity).
Clinical Vignette
The following clinical case is a composite of many cases with all personal information changed to protect confidentiality:

Jim
A big part of Jim's job was frequent travel around the country. He often had secret affairs while he was away and he never told his wife, Linda, about them because he considered them harmless. At the time, his attitude was: What she doesn't know won't hurt her.

Jim also liked the way he felt when he was able to attract women and have sex with them (see my article: The Connection Between Infidelity and the Need to Feel Desirable).

During a one week business trip to California, Jim met Tina at a hotel bar and they spent a few nights together. He told Tina he was married and he had no intention of leaving his wife. He said they could have fun together while he was in California, but their time together would never amount to more than that.

The Connection Between Secrecy and Shame

A month later Jim heard from Tina that she was pregnant with his child and she planned to have the baby. He told Tina that he wanted nothing to do with her or the child. He tried to convince her to have an abortion, but she insisted she would have the child. She also told him that, unless he gave her a large sum of money, she would contact his wife and tell her about the child.

Shocked and upset, Jim didn't know what to do. In the past, he had many affairs and there were never any consequences. After getting the call from Tina, he felt angry with himself for not using a condom and believing her that she was on a birth control pill. 

Jim didn't want to hurt Linda. He also feared that Linda would leave him if she found out about the affair and the pregnancy.  He felt deeply ashamed and, after thinking about it, he decided to ignore Tina's calls and keep the secret from Linda.

Although Linda didn't know his secret, she sensed something was off between her and Jim. She asked him numerous times if there was something wrong because she sensed he was emotionally distant from her. 

Jim denied there was anything wrong. Inwardly, his felt increasingly ashamed. He felt so awful that he thought he didn't deserve Linda. He developed anxiety, insomnia and ruminating thoughts about the end of his marriage.

A few months later, when Jim came home, he found Linda sitting on the couch looking very upset. His worst fears were confirmed when Linda told him she received a call from Tina about the affair and the pregnancy.  She told Jim she wanted to know the truth.

After much hesitation, Jim admitted that he had an affair and he heard from Tina that she was pregnant. He said that without a paternity test to confirm the baby was his, he wasn't sure if he was the father, but he feared that the baby might be his.

At Linda's request, Jim moved into a hotel. Linda said she needed time to think about whether she wanted to remain in the marriage. Although he had opportunities to have sexual affairs while he was at the hotel, he felt so depressed that he rejected women who approached him.

A month later, Linda said she wanted to attend couples therapy to see if their relationship could be salvaged. 

During couples therapy Jim admitted to having numerous affairs which he now regretted. He expressed sincere remorse. He also admitted he had been selfish and he now realized he put their relationship at risk. In response, Linda expressed her anger, hurt, disappointment and sense of betrayal.

Soon after that, Jim entered into his own individual therapy to understand the underlying reasons for why he cheated, to make changes and to try to save his marriage. 

Subsequently, a paternity test revealed that Jim wasn't the father of the baby. Linda decided to stay in couples therapy with Jim to see if they could repair their relationship and if she could regain trust in him.  She told him that she wasn't promising him anything but, after investing 20 years in their marriage, she wanted to give it a try (see my article: Rebuilding Trust After an Affair).

Conclusion
Secrets and shame are connected in an ongoing destructive cycle.

Keeping secrets is different from maintaining privacy for the reasons mentioned above.

Getting Help in Therapy
If you have been struggling with secrets, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

Being able to talk about a long-held secret can provide you with a sense of relief. 

Although a psychotherapist can't tell you what to do, she can help you to sort out how the secret has been affecting you and your loved ones so that you can make decisions about what to do and how to change.

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

Also See My Articles: