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.

What is Hypervigilance and How is it Related to Unresolved Psychological Trauma?

Hypervigilance is a heightened state of awareness that allows humans to sense threats in their environment.

Hypervigilance and Psychological Trauma

People who are in a perpetual state of hypervigilance feel like they are constantly under a threat.  The part of the human brain that manages emotions, the amygdala, is in overdrive.

What Causes Hypervigilance?

This article focuses on psychological trauma. However, there are other potential mental and physical causes of hypervigilance including:

• Anxiety
  

• Panic Attacks
  

• Depression
  

• Dementia

• Adrenal Disorders

• Fibromyalgia 

Hypervigilance and Unresolved Childhood Trauma

Children who grow up in a dysfunctional family where parents might be unpredictable, violent, abusing substances, physically abusive or neglectful learn to be hypervigilant as an unconscious survival strategy. They learn to sense their parents' shifting moods so they can be ready at all times to protect their safety.

Hypervigilance and Unresolved Childhood Trauma

Without help in therapy, these traumatized children usually grow up to be traumatized adults and they continue to be hypervigilant in their surroundings.

Examples of Hypervigilance in Adults

• Hypervigilance to Their Surroundings: People who grew up in an abusive family or who experienced abusive relationships as an adult might have a strong startle response reflex where they are startled by the slightest sound or movement.

• Hypervigilance to Other People's Thoughts, Feelings and Behavior: People who experience hypervigilance might be very observant of other people's thoughts, feelings, behavior and body language for any signs of change or potential danger.

• Hypervigilance of Their Own Body: People who experience serious medical problems or who have someone close to them who have experienced serious medical problems are often hypervigilant of their own body. A minor experience of pain might be perceived as a catastrophic disease.

Hypervigilance and Catastrophizinglo

• Hypervigilance and Catastrophizing: People who are hypervigilant tend to create negative narratives in their mind which can spin out of control. Small things, like a friend not responding to a text immediately, can develop into a catastrophic story where the friend has died. Even when things are going well, people who are hypervigilant might find it difficult to enjoy happy times because they are always waiting for the other shoe to drop (see my article: Are You Catastrophizing?).

• Hypervigilance and Insecurities: Since hypervigilance is mostly about preventing or avoiding potential threats, people who are hypervigilant might attempt to ward off threats by people pleasing or fawning. They might struggle with regulating their emotions or trusting others. They might have problems letting their guard down so they can relax or they might be fearful they will say or do the "wrong thing" (see my article: Trauma and the Fawn Response

• Hypervigilance and Avoidant Behavior: People who struggle with hypervigilance can be avoidant in ways that are detrimental to themselves and others. They might avoid people, places and things they fear. This can cause problems in their personal life as well as their career. For instance, if they experience minor turbulence on a plane trip, they might avoid ever getting on a plane again--even if it means they won't see close friends or family members or they might lose a job that involves travel. Another example is if someone is in a minor car accident where no one was hurt, they might avoid driving again--even if it means they can't visit people close to them or go to work.  A third example: If someone goes through a bad breakup, they might avoid dating or getting into another relationship. In other words, many other people, who don't experience hypervigilance, might be hesitant after having a bad relationship experience, but they learn to cope and they don't avoid.  In contrast, the person who is hypervigilant takes it to an extreme because it's their way of protecting themselves. However, in the process, they don't learn to cope or overcome their fears. They remain stuck (see my article: What is Avoidant Behavior?).

What is the Potential Physical and Psychological Impact of Hypervigilance?

People who experience hypervigilance might experience some or all of the following characteristics:

• Chronic Stress: A constant flood of cortisol and adrenaline is exhausting and can cause medical, emotional and psychological problems.

Hypervigilance and Relationship Problems

• Relationship Problems: While people who experience hypervigilance might be more aware of potential red flags in a relationship, they might also have problems getting close or trusting even in a healthy situation. They might be overly sensitive or emotionally overreactive to a partner's comments. Some people might avoid getting involved in relationships at all because o they fear getting hurt (see my article: How Trauma Can Affect Your Ability to Be Emotionally Vulnerable in a Romantic Relationship).

Hypervigilance, Loneliness and Isolaton

• Loneliness and Isolation: A fear of making friends or seeking romantic relationships due to fear of getting hurt, can lead to isolation and loneliness (see my article: Loneliness and Social Isolation).

How to Cope With Hypervigilance

Here are some interventions that might be helpful to you:

• Grounding Exercises: You can learn to calm yourself with breathing exercises, mindfulness meditation and journaling.

Coping with Hypervigilance By Meditating

• Limiting or Eliminating Coffee, Alcohol or Other Substances: If you notice you feel worse after drinking coffee or alcohol, consider either limiting your intake or eliminating these substances.

• Seeking Help in Trauma Therapy: If you work with a trauma therapist, you can learn to: 

• Identify your triggers

• Learn to overcome your triggers

• Be able to differentiate your feelings from objective reality (see my article: Discovering Your Thoughts and Feelings Aren't Facts)

• Work through the psychological trauma underlying your hypervigilance so you are free from your traumatic history

Getting Help in Trauma Therapy

Trauma therapy includes various types of therapy that were developed specifically to help people to overcome trauma. 

These include:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing Therapy)

• Somatic Experiencing
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Hypnotherapy
  

• Parts Work Therapy (including Internal Family Systems Therapy and Ego States Therapy)

When you work with a skilled trauma therapist, you can overcome hypervigilance and unresolved psychological trauma.

Getting Help in Trauma Therapy

Rather than struggling nn your own, seek help from a licensed mental health professional who is a trauma therapist so you can lead a more fulfilling life.

About Me

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

I work with individual adults and couples (see my article: What is a Trauma Therapist?).

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

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

Also See My Articles:

8 Tips For Coping With Triggers

What is the Difference Between Trauma and PTSD (Posttraumatic Stress Disorder)

What is Trauma-Related Dissociation?

Relationships: Navigating Changes in Your Relationship as New Parents

Becoming new parents can be joyous and wonderful, but it can also be challenging to your relationship which can make you feel guilty.

Navigating Changes in Your Relationship as New Parents

The Challenges of Being New Parents

Some of the challenges of being a new parents are fairly well known:

• Being sleep deprived especially during the first few months

• Feeling irritable due to sleep deprivation

• Experiencing poor concentration due to lack of sleep

• Experiencing increased stress and anxiety (see my article: Recognizing the Signs That You're Under Too Much Stress)

• Losing patience with your partner and yourself

• Feeling anxious about being a new parent (see my article: Self Help Tips For Dealing With Anxiety)

• Feeling like you are not a "good enough" parent

• Experiencing postpartum depression

Postpartum Depression

• Feeling jealous that your partner pays more attention to the baby than to you

• Feeling like you are neglecting yourself (see my article: Is Self Care Selfish?)

• Feeling like you and your partner are neglecting your needs as a couple

• Feeling the need to take a break from parenting

• Realizing you and your partner have different parenting styles

• Feeling like you have lost control of your life, your relationship and your household

• Not feeling like a sexual being (see my article: What is Sexual Desire Discrepancy?)

• Feeling less physically attractive

• Feeling less sexually attracted to your partner (see my article: What is Attraction?)

• Having less sex in your relationship (see my article: Have You and Your Partner Stopped Having Sex?).

• Listening to seemingly endless advice and childrearing stories from relatives and friends

• Coping with visits from relatives and friends when you're exhausted (see my article: Coping With Difficult In-Laws).

• Re-experiencing traumatic memories from your own childhood

Awareness and Acceptance That Your Relationship Has Changed

Before you had the baby, the two of you probably had more time to do whatever you wanted to do or to just relax at home.

The two of you could focus on yourself as individuals and your relationship as a couple. 

Before you had the baby, you probably knew your lives would change and you both would need to adjust, but knowing it and actually experiencing the changes are two different things.

Now, in addition to being a couple, you're both parents and parenting will take up most of your time and energy. You don't have as much time to nurture your relationship as you did before the baby because the baby's needs are the priority. 

In the past, when two or three generations lived close by, new parents had more help, but things have changed in recent years and many new parents don't have close relatives who can help. So, all the responsibilities of taking care of a baby fall on the new parents, which adds to their stress and anxiety.

All of these factors and more can have a negative impact on your relationship as you both realize how much your life has changed.

How to Navigate the Change to Your Relationship as New Parents

• Cultivate awareness and acceptance that your life and your relationship have changed (see my article: Change, Awareness and Acceptance).

• Find ways to practice self care even if these practices are small (see my article: Finding Time for Self Care).

• Approach these new life changes as a team (see my article: Improving Your Relationship By Practicing Teamwork).

• Develop open communication about how you feel about your new role as a parent and feelings it might bring up about your relationship.

• Make time for each other, even in small ways. This can help you to maintain an emotional connection with each other.

• Share responsibilities for the baby and other household responsibilities fairly (see my article: Sharing the Mental Load).

• Reassess the need to shift responsibilities from time to time so neither of you feel resentful.

• Be patient with yourself and each other as you both navigate these changes.

• Get help from a licensed mental health professional if the changes have put a strain on your relationship.

Getting Help in Couples Therapy

Adding another commitment to your schedule might feel like the last thing you want to do with all your new responsibilities, but if your relationship is suffering due to all the new changes that parenthood brings, you could benefit from seeing a couples therapist to salvage your relationship.

A skilled couples therapist can help you to adjust to the changes to your relationship so you can approach the changes as a team.

Rather than waiting until your relationship problems get worse, seek help early so you can have a more fulfilling relationship.

About Me

I am a licensed New York City 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.

 

Improving Your Relationship By Practicing Teamwork

Practicing teamwork in your relationship is essential to developing and maintaining relationships (see my article: Relationships: Are You Pulling Together or Pulling Apart?).

Improving Your Relationship By Practicing Teamwork

To practice teamwork, it's important for both you and your partner to feel you have each other's backs and you will tackle whatever issues come up together.

Focusing on being a team means you each give up some control and the need to be right all the time. It also means that you learn to compromise.

How to Practice Teamwork to Improve Your Relationship

The following dynamics are important to working together as a team in your relationship:

• A Willingness to Start By Looking at How You Might Be Contributing to Problems in the Relationship: Before you can become a team, you need to be aware of dynamics in your relationship that are not working. Instead of pointing your finger at your partner, focus on yourself first and think about how you might be able to change to improve your relationship. This means letting go of keeping score of your partner's mistakes and making a commitment to make changes in your attitude and behavior.

Improving Your Relationship By Practicing Teamwork

• Trusting You Have Each Other's Backs and You're Willing to Compromise: You are two different people so, naturally, you're not going to feel the same way about everything, but when it comes to resolving problems, you can agree to work as a team to come up with a compromise. You're not focused on getting your way. Instead your focus is on coming up with the best possible compromise that you both can live with.  This means you might not get everything you want, but your focus is on strengthening your relationship. If there are current trust issues, you're willing to work on these issues to strengthen your relationship (see my article: How to Build Trust and Connection in Your Relationship).

Improving Your Relationship By Practicing Teamwork

• Coming Together to Focus on the Problem Instead of Blaming Each Other: When you approach problems as a team, you avoid blaming each other for the problems and, instead, you focus on the problems together. It means you and your partner approach difficult situations together to come up with potential solutions or compromises. This might include:

• Money issues (see my article: Arguing About Money)

• Family problems (see my article: What to Do If Your Partner and Your Parents Don't Get Along)

• Career changes
  

• Stress (see my article: Recognizing Signs That You Are Under Too Much Stress

• Emotional pressures

• Other issues

• Communicating in An Open, Honest and Respectful Manner: This includes: 

• Active listening to your partner's perspective--even if it's different from your own

• Taking turns speaking without interrupting, judging or criticizing each other

Improving Your Relationship By Practicing Teamwork

• Being clear about your own hopes and dreams for the relationship--even if it's different from your partner's hopes and dreams

• Emotionally validating each other's feelings--even if you disagree with your partner's perspective (see my article: How to Use Emotional Validation in Your Relationship)

• Establishing Common Goals (see my article: 10 Relationshp Goals That Can Make Your Relationship Stronger)

• Developing Clear Expectations: Once you have established common goals for the relationship, you need to discuss how you will accomplish these goals and get clear about each other's expectations with regard to each of your roles and responsibilities to avoid confusion and resentment.

• Celebrating Your Successes: When you have successfully taken a step towards accomplishing your goals, recognize and celebrate this success together.

Improving Your Relationship By Practicing Teamwork

• Providing Emotional Support to Each Other: Practicing teamwork includes being each other's source of emotional support. You are each other's "rock" in good and challenging times (see my article: What Do You Need to Feel Closer to Your Partner?).

• Expressing Your Appreciation For Each Other: It's easy to take each other for granted especially if you have been together for a while. Take the time to express your appreciation to each other so you each feel valued and loved (see my article: The Importance of Expressing Gratitude To Your Partner).

• Making Time For Each Other: Scheduling quality time to spend together to have fun. This includes time for emotional and sexual intimacy (see my article: Try a Little Playfulness).

• Repairing Ruptures Between the Two of You Sooner Rather Than Later: When arguments or conflicts arise and you know you made a mistake or hurt your partner, be willing to apologize to repair the rupture between the two of you as quickly as possible. Certain ruptures might take a while to repair, but the sooner you address them, the more likely you will be to repair whatever hurt or angry feelings there might be without the growing resentment that often develops over time (see my articles: How to Deal With Resentment in Your Relationship and Stages of Forgiveness).

• Get Help in Couples Therapy: If you are unable to come together as a team, you could benefit from getting help in couples therapy to work on these issues. A skilled couples therapist can help you so you can have a more 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), Somatic Experiencing and Sex Therapist.

I have over 20 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:

What Do Couples Talk About in Couples Therapy?

Common Misconceptions About Sex Therapy

What Are Common Issues Discussed in Sex Therapy?

 

Why Are Close Friendships Important?

According to a 2021 American Perspectives Survey, Americans tend to have fewer close friends in recent years than they did in years past (see my article: Overcoming Loneliness and Social Isolation).

The survey also found that Americans talk to friends less often and rely on friends less for emotional support than they did in the past (see my article: Emotional Support From Your Family of Choice).

Close Friends Are Important For Your Overall Well-Being

According to the survey, there are reasons for this, including:

• Americans are more mobile than they were before so this makes it difficult to maintain friendships with the consistency that these relationships need.

• Americans are working and traveling more for work which doesn't leave time to develop and foster friendships.

• American parents are spending more time with their children than previous generations so this doesn't allow much time for friendships.

Why Are Close Friendships Important to Your Mental Health?

Close friendships can improve mental health because friendships:

• Reduce Loneliness and Social Isolation: Spending time with friends can help prevent loneliness and social isolation which can have mental health benefits.

• Provide Emotional Support: Friends can help with getting through difficult times and to cope with anxiety, depression, stress and major changes.

Close Friends Are Important For Your Overall Well-Being

• Improve Self Esteem: Positive interactions with friends can improve self esteem.

• Foster a Sense of Belonging: Close friends can increase feelings of belonging and community which can help with feeling connected and supported (see my article: The Need For Emotional Connection and a Sense of Belonging).

• Increase Happiness and Satisfaction with Life: Close friends can contribute to overall happiness and satisfaction with life.

• Help With Personal Growth: Friendships can challenge you to learn, grow and become a better version of yourself.

• Provide a Sense of Purpose: Close friendship can contribute to a sense of meaning and purpose in life (see my articles: A Search For a Meaningful Life and Living a Meaningful Life).

Why Are Close Friendship Important for Your Physical Health?

Close friendships can improve your physical health benefits because friendships can:

• Improve Cardiovascular Health: Having supportive friends can contribute to having healthier blood pressure and reduce the risk of cardiovascular problems.

Close Friendships Are Important to Your Overall Well-Being

• Enhance Immune Functions: Social support from friends can potentially enhance immune functions which reduce the risk of illness.

• Help Increase Life Expectancy: Studies have indicated that people with strong social connections tend to live longer.

Future Articles:

I'll continue to explore the importance of friendships in future articles.

About Me

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

I have over 20 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.

Why Do People Go to Therapy?

When I was 18 years old, I sought help in therapy to deal with certain issues I was struggling with at the time. 

I'll never forget our family doctor's response when I told him that I started therapy: "Why are you going to therapy? Do you think you're a movie star?" 

Why Do People Go to Therapy?

I knew he was trying to make light of a subject that made him feel uncomfortable but, even back then, as a teenager, I realized his response was unenlightened and behind the times. 

I would like to think people are better informed now, but I still hear from clients in my psychotherapy private practice that their friends and family respond negatively when they hear about therapy: 

"Why are you going to therapy?" 

"Therapy is for crazy people. You're not crazy"

"You must be weak if you going to therapy" and so on 

    

        See my articles below about common misconceptions about therapy.

So, after hearing these remarks many times, I thought it would be worthwhile to write about the reasons why people go to therapy. I'm hoping this article can help to normalize the therapy process.

Why Do People Attend Psychotherapy?

People attend therapy for a variety of reasons including but not limited to:

• Personal Growth: Many people seek help in therapy to develop self awareness and self reflective capacity. Self reflective capacity is the ability to examine, analyze and evaluate your thoughts, feelings and behavior.  This includes the capacity to reflect on your inner emotional and psychological world to understand the ways you feel, think and behave. This allows you to make changes in the way you see yourself and how you interact with others (see my article: The Growth Mindset vs the Fixed Mindset).

Going to Therapy For Personal Growth

• A Negative Mood on Most Days: Many people, who experience anxiety and/or depression or who feel unmotivated or overwhelmed by their emotions, seek help in therapy to overcome these problems (see my article: What is the Connection Between Anxiety and Depression?).

• Major Life Changes: Major life changes can exciting. They can also be confusing, anxiety-inducing and overwhelming. People who have difficulty coping with major changes and want strategies to make life transitions easier seek help in therapy (see my articles: Coping With Major Changes in Your Life and Coping With Midlife Transitions).

• Unresolved Trauma: Unresolved trauma often has a negative impact on day-to-day interactions with loved ones or colleagues. Getting help in trauma therapy can help to overcome trauma. Note: Trauma can be a one-time event or it can occur over time such as unresolved childhood abuse or neglect.

                      See my articles:

• What is Childhood Emotional Neglect?

• How Trauma Therapy Can Help You to Overcome Trauma

Going to Therapy to Overcome Trauma

• Relationship Issues: People who seek individual therapy or couples therapy to work on relationship issues often find they benefit from therapy and they have more fulfilling relationships. Also, some couples want to work on having an amicable separation or divorce or help on how to co-parent in a healthy way ,

• See my article: What is EFT Therapy For Couples Therapy?

Going to Therapy For Relationship Problems

• Low Self Esteem: Problems with low self esteem can have a negative impact on all areas of life. People who attend therapy can develop a healthy sense of self (see my article: What is Low Self Esteem?).

• Sexual Problems: Individual clients and people in relationships benefit from seeking help in sex therapy to overcome sexual problems.

                See my articles: 

• What is Sex Therapy? and What Are Common Issues Discussed in Sex Therapy?

• Family Problems: One of the most common reasons why people seek help in therapy is to deal with past or current family issues (see my article: Healing Mother-Daughter Relationships).

• Grief: Even though grief is a common experience for everyone at some point, grief can be overwhelming especially if people don't know how to grieve or they experience complicated grief.

Going to Therapy For Grief Work

• Career or Work-Related Problems: Work relationships can be similar to a dysfunctional family. Many therapy clients benefit from developing an ability to deal with difficult work relationships, changes at work or career transitions (see my articles: Coping With a Difficult Boss and Balancing Your Personal Life and Your Career).

Going to Therapy For Work-Life Balance

• Problems with Managing Emotions: Many people, who never learned the skills involved with managing emotions, benefit from learning these skills in therapy (see my article: Developing Skills to Manage Your Emotions in Experiential Therapy).

Going to Therapy to Manage Emotions

• Problems Managing Stress: Everyone experiences stress. However, people who feel overwhelmed by stress and who might not have the skills to manage their stress can benefit from seeking help in therapy to develop these skils (see my article: Stress Management: Are You Experiencing Chronic Stress and Unaware of It?).

Common Misconceptions About Therapy

Generally, people are better informed about psychotherapy than in the past, but there is still a stigma among people who don't understand therapy.

I have included links below for the most common misconceptions about therapy:

Common Myths About Therapy: Going to Therapy Means You're "Weak"

Therapy is All Talk and No Action

Common Misconceptions About Sex Therapy

Getting Help in Therapy

People seek help in therapy for many different reasons.

Getting Help in Therapy

Whether you're considering therapy for your personal growth or you have problems you have been unable to cope with on your own, you could benefit from working with a skilled psychotherapist.

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

About Me

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

With over 20 years of experience, I have helped many individual adults and couples (see my article: What is a Trauma Therapist?).

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

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