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NYC Psychotherapist Blog

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Showing posts with label therapist. Show all posts
Showing posts with label therapist. Show all posts

Monday, August 24, 2026

Mismatched Desire is a Relationship Problem--Not An Individual Problem

Mismatched desires in a relationship problem between both people--not just a problem for the individual with lower desire (see my article: What is Desire Discrepancy?).

Desire Discrepancy is a Relationship Problem

So, why do many individuals "send" their partner to sex therapy instead of joining them to resolve the relationship problem? 

The "Identified Patient" Dynamic
There can be many reasons why a partner might not want to join their partner in sex therapy, including sexual shame. But one of the main reasons is because Partner A, the one with the higher desire, tries to convince Partner B, the one with the lower desire, that something is wrong with Partner B and B should go so the therapist can "fix" them.

As a certified sex therapist, I see this so often in my New York private practice and I know that most of the time there is a misunderstanding about why they're having sexual problems.

Desire Discrepancy is a Relationship Problem

Partner A, the one with the stronger sexual desire, pathologizes Partner B's normal desire so that Partner B feels like they're "broken" and needs to be "fixed". 

Often this pathologizing is unintentional. More often, it's a misunderstanding about how sexual desire works and that there can be either spontaneous or responsive sexual desire which are both normal.

Clinical Vignette
The following clinical vignette is a composite of many different cases:

Janet and Mark
When Janet contacted a sex therapist, she said her husband, Mark, told her she should make an appointment for herself because she didn't want to have sex as often as he did.

The sex therapist told Janet that desire discrepancy (also known as mismatched libido), is a common problem in relationships and it's a relationship problem--not an individual problem---because it's a dynamic between two people.

Janet thought her husband would probably join her after the first appointment, so she saw the therapist on her own the first time.

During the first appointment, the sex therapist told Janet that it's normal and common for two people to have different levels of desire--just like they would have different levels of desire for certain foods and other activities. She told Janet there is no such thing as a "normal level of desire."

After the first appointment, Janet went home and told Mark about what the sex therapist said. He scoffed and told her to see another therapist. So, Janet began therapy with a therapist who had no knowledge or training in sex therapy, but she agreed to see Janet individually.

Janet wanted to please her husband so she was happy to be able to tell him that she would go for therapy and he could stay home. Over time, Janet went to therapy and talked about the problem, but nothing changed. The therapist listened quietly and provided no feedback.

After a few weeks, Janet realized that this therapist was working outside her area of expertise and stopped seeing her.

When she approached her husband again about seeing the sex therapist, he refused. He told her to go see someone else, but whenever Janet called a certified sex therapist, she was told that this is a relationship problem and both people need to be in the therapy.

This went on for a while and Mark was complaining more than ever because Janet didn't want to have sex as often as he did. So, Janet decided to do her own research and she discovered that the first therapist was correct--both she and her husband needed to be in sex therapy together.

After several years passed with Mark being increasingly dissatisfied, he decided to join Janet in seeing the original sex therapist and they began to make progress.

Why Do Some People Refuse to Participate in Couples Therapy For Relationship Problems?
It's always been interesting to me that most people wouldn't tell a medical doctor how to treat their medical issues, but many people insist they know how a therapist should treat relational and sexual problems.

Since a lot of people think that therapy is "just talking", they think they know how it should work. They don't understand that therapy, especially couples sexual therapy, is a specialized treatment that is performed by licensed mental health professionals who have gone for advanced postgraduate training. Also, there are specific interventions that are not about "just talking."

Couples sex therapy is not the only therapy where people tend to designate an "identified patient" as the one who is to "blame" for having a problem. 

Families often scapegoat a certain family member as the one who has all the problems when, in reality, the one who is designated as the scapegoat might be the healthiest one--and the problems in the family are systemic family problems--not the problem of one individual.

Let's look at some of the problems involved in the vignette with Janet and Mark:

The "Identified Patient" Dynamic in More Detail
  • Pathologizing Lower Desire: If the issue is desire discrepancy, the partner with lower desire is often incorrectly labeled as the one with the medical or psychological problem. In the vignette above, Mark incorrectly labeled Janet as the problem.
Desire Discrepancy is a Relationship Problem
  • Ignoring the Loop: Mark saw Janet's lower desire as being an isolated malfunction. So, he completely overlooked how his behavior, communication style and refusal to split chores acted as a sexual brake for Janet.
  • Outsourcing the Problem: Mark hoped a professional would "fix" Janet's behavior so their sexual relationship would change to his preferred baseline of sexual activity so he didn't have to make any personal changes. 
Fear and Vulnerability Avoidance
Couples therapy, including couples sex therapy, acts as a mirror and many individuals are very uncomfortable looking at what the mirror reveals about them:
  • Fear of Judgment: Mark worried that a sex therapist would criticize his sexual performance, technique or emotional maturity. This kept him out of therapy.
  • Shame Around Rejection: For Mark, admitting that his wife doesn't want him sexually as much as he wants her was deeply painful. By pushing Janet into individual therapy, he pretended the issue was an abstract medical problem.
  • Emotional Exposure: Mark was conditioned to hide emotional vulnerability. Attending therapy involves discussing deep fears, inadequacies and failures, which can feel incredibly threatening.
Misunderstanding Sex Therapy
There is an incorrect common assumption that sex therapy is only about the physical mechanics of sex rather than about emotional connection:
  • The "Instruction Manual" Myth: Mark believed that the sex therapist would provide Janet with tools, exercises or psychological "tricks" to boost her physical arousal, but this isn't how sex therapy works.
Desire Discrepancy is a Relationship Problem
  • Missing the Emotional Link: Mark failed to recognize that for many women (and many men too), sexual desire is linked to emotional intimacy, safety and mutual respect outside the bedroom.
Control and Power Dynamics
For many people, including Mark, refusing to attend couples sex therapy is a way to maintain control over the narrative of the relationship:
  • Protecting an Ego: By remaining outside the therapy sessions, Mark ensured that his habits and contributions to the sexual problems weren't analyzed. He never had to look at that his ways of initiating sex and that what he did sexually with Janet wasn't satisfying to her. No one wants sex that isn't satisfying to them.
  • Dictating Terms: By sending Janet to therapy, Mark positioned himself as the "healthy" partner and Janet as the "deficient" partner--the one who had sole responsibility for their sexual happiness.
Moving Forward
Once Mark came to couples sex therapy with Janet, they both benefited from learning how to talk about sex, finding out what they each liked and disliked and understanding how each of their personal histories contributed to their problems.

Conclusion
Sex therapy is for adult individuals and couples.

There are times when individual sex therapy can be beneficial in helping an individual to overcome problems like sexual shame or other personal issues. But when the problem involves a dynamic in the relationship, both people need to attend.

Get Help in Couples Sex Therapy
Although it might feel challenging to join your partner in couples sex therapy, the consequences of remaining outside the sessions and sending your partner for relational issues, like desire discrepancy, is a much more challenging issue to face when the problem continues for months and maybe even years.

Desire Discrepancy is a Relationship Problem

Like most problems, the sooner you address them, the less complicated they tend to be to resolve. 

Rather than waiting until the problem becomes worse, get help from a licensed mental health professional who is a certified sex therapist.

Working on your problem together can bring you closer emotionally and sexually so you can have a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, EFT Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a 10-15 minute phone call prior to setting up an appointment.

You can reach me at (917) 742-2624 or by email for an in person or online appointment.

Also See My Articles:




















Thursday, August 20, 2026

Intent vs Impact: Understanding the Difference Between What You Meant and How Your Partner Actually Experienced It

The gap between intent and impact is one of the most common triggers for relationship conflict. While you might judge yourself by your internal motivation, your partner probably judges you by external actions and words.

What Are the Definitions of Intent and Impact?
Your Intent: Your internal motivation, purpose or meaning behind an action. It is completely invisible to your partner unless you explicitly state it.

Relationships: Intent vs Impact

Impact on Your Partner: The emotional reality of how your actions land on your partner. It is shaped by their unique perspective, emotional history and attachment needs.

Common Examples of Gaps Between Intent and Impact
  • Your Intent (Internal): Gently teasing them about a quirky habit to spark playful connection
  • Impact on Your Partner (External): Feeling mocked, torn down or insecure about their flaws
  • Your Intent (Internal): Looking at your phone to gently decompress after a long stressful day
  • Impact on Your Partner (External): Feeling ignored, rejected or lonely during a moment they wanted to connect with you and share
  • Your Intent (Internal): Staying late at the office to make a work deadline and provide your relationship with financial stability
  • Impact on Your Partner (External): Feeling deprioritized and abandoned during dinner
Why Does Prioritizing Intent Over Impact Cause Ruptures?
When a partner says, "You hurt my feelings", the usual defensive reaction is usually, "That's not what I meant!" or "You're taking it the wrong way!"

This approach actively damages the relationship because defending your intent invalidates their impact (see my article: What is Emotional Validation and Why Is It Such An Important Relationship Skill?).

To your partner, it sounds like an excuse that ignores and rewrites their emotional reality. 

When you prioritize your intention over their emotional pain, you communicate that being "right" is more important than their emotional safety.

How to Successfully Bridge the Gap Between Intent and Impact
To resolve the conflict, you must separate the clumsiness of the action from the goodness of the intent or motive:
  • Acknowledge and Validate the Impact First: Before you tell your partner what you meant, acknowledge their emotional wound. Use statements like, "I can see that my comment really hurt you and I'm sorry for causing you to feel that way."
Relationships: Intent vs Impact
  • Separate Intent From Impact: Once your partner feels emotionally safe and heard, gently introduce your original motivation without using it as an excuse, "My goal was to help fix the problem, but I see how that felt dismissive instead of supportive."
  • Stay Curious and Not Defensive: Ask your partner open-ended questions like, "Can you tell me more about how that made you feel like that so I don't do it again in the future?"
  • Adjust Future Behavior: True relational repair requires adapting your actions to match your intention. If your intent is love, your impact must eventually reflect love.
Get Help in Couples Therapy
Problems between intent and impact are common for many couples.

If the two of you have been unable to work out these issues on your own, you could benefit from working with a couples therapist who uses Emotionally Focused Therapy (EFT) For Couples).

Working with a skilled couples therapist can help you to learn new skills and develop a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Couples Therapist, IFS, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute phone call before setting up an appointment.

You can reach me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:


















Monday, August 17, 2026

Why Psychotherapists Should Attend Their Own Personal Therapy

When I was a psychotherapist in training at a New York City psychoanalytic institute in 1996, I was required to be in my own analysis three times a week. 

In addition to taking classes, attending three supervision sessions per week and seeing clients at the psychotherapy center, being in my own analysis seemed like it would be a daunting process. But it turned out to be one of the best things I have ever done for myself.

Why Therapists Should Attend Their Own Therapy

All of us in our first year of training felt like impostors when we began working with clients, so it helped to have a safe place with seasoned analysts who had already been through the process and could help us through it (see my article: Hello Impostor Syndrome My Old Friend).

As I soon discovered, attending analysis three times a week for four years in training had many therapeutic and educational benefits. 

The frequency provided emotional and psychological continuity. In addition, it allowed me to go deeper into my personal history and minimized intellectualization that comes from merely "chatting" in therapy. 

It also allowed me to get first-hand experience of the psychotherapy process as opposed to only learning about it in classes or with the clients I saw at the psychotherapy center.

Intensive therapy also helped to eliminate potential blind spots

In addition, intensive therapy got to potential unconscious biases and helped to prevent projection of my own unresolved problems onto clients.

I was also fortunate that my training program provided relatively low-cost analysis with an excellent choice of experienced analysts.

Why Should Psychotherapists Attend Their Own Therapy?
Well-trained psychotherapists attend their own therapy because practitioner's minds and emotional health are their primary tools in treating clients.

Research indicates that approximately 75-84% of licensed mental health practitioners have undergone their own personal therapy at some point in their careers.

Clinical training teaches clinicians how to analyze clients' problems, but personal therapy teaches them how to be in the client's place.

The American Psychological Association identifies critical reasons why well-trained therapists actively participate in their own therapy including:

Managing Countertransference and Blind Spots:
  • Spotting Triggers: Without their own therapy, psychotherapists own unresolved history can get triggered by a client's trauma.
  • Eliminating Bias: As mentioned before, personal therapy uncovers hidden psychological blind spots that might impact a clinician's ability to work objectively with clients.
  • Protecting Boundaries: Processing inner conflicts helps prevent therapists from projecting their own emotional needs onto vulnerable clients.
Experiencing the Client's Perspective
  • Building Empathy: Being in the role of the client helps therapists to understand how intimidating, vulnerable and brave it is for clients to share their deepest emotions (see my article: Why is Empathy Important in Psychotherapy?).
  • Learning Mastercraft: Attending therapy allows therapists to experience how a senior clinician handles complex emotions in real-time.
  • Refining Technique: Observing and experiencing a senior clinician provides a live demonstration of how abstract psychological theories function in actual practice.
Combating Burnout and Vicarious Trauma
  • Processing Heavy Stories: Listening to clients' stories about grief, trauma and loss can take a psychological toll, so personal therapy provides support.
  • Preventing Compassion Fatigue: Therapy offers a necessary release so clinicians don't absorb the chronic stress of their caseload.
  • Modeling Self Care: Practicing clinicians must actively utilize the same self-care tools they recommend for their clients and senior clinicians can model this.
Normalizing Mental Health
Conclusion
Since my four year psychoanalytic training from 1996-2000, I have gone on to learn other advanced psychotherapy modalities including EMDR, AEDP, IFS, Somatic Experiencing, Emotionally Focused Therapy for Couples as well as becoming a certified sex therapist.

I believe that all therapists in training, whether their training program requires personal therapy or not, benefit from attending their own personal therapy.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Couples Therapist, IFS, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute phone call before setting up an appointment.

I offer in-person therapy in my NYC Greenwich Village office as well as online therapy.

You can reach me at (917) 742-2624 during business hours or you can email me.





















Thursday, August 13, 2026

What Role Does Clinical Intuition Play in Accelerated Experiential Dynamic Psychotherapy (AEDP)?

Accelerated Experiential Dynamic Psychotherapy is a type of Experiential Therapy (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?).

Clinical intuition is an important aspect of all Experiential Therapy.

AEDP was developed by New York psychologist, Diana Fosha (see my articles: What is AEDP and How Does It Heal?- Part 1 and Part 2).

AEDP and Clinical Intuition

In AEDP, intuition acts as an important mechanism bridging the gap between intellectual theory and deep emotional healing.

AEDP privileges right-brain-to-right brain emotional connection over traditional left-brain analytic talking.

What Role Does Clinical Intuition Play in AEDP?

1. Therapist-Led Clinical Intuition: 
In AEDP, clinical intuition is defined as a direct, immediate and embodied knowing. It's not a random guess. 

AEDP and Clinical Intuition

Clinical intuition in AEDP is a highly sophisticated, unconscious pattern recognition developed from deep clinical experience:
  • Moments of Rapid Clinical Intuition: Also known by the metaphor of the "blink effect", the AEDP therapist senses somatic and relational shifts between her and the client. This process bypasses left-brain reasoning. It allows the therapist to know the what, when and how to intervene in the moment with the client.
  • Right-Brain Attunement: The AEDP therapist uses right-brain receptiveness to register the client's micro-expressions, shifts in vocal tone, and non-verbal somatic cues.  
  • Deciding on Interventions: This intuitive state tells the AEDP therapist whether to offer comfort, share authentic self disclosure or challenge a defense.
2. Contemplative Presence
A therapist's intuition is maximized through what AEDP calls "contemplative presence". This requires a specific state of mind and body:
  • Micro-Tracking: The AEDP therapist mentally tracks the client's verbal and non-verbal communication while simultaneously tracking her own internal emotional and embodied responses.
AEDP and Clinical Intuition
  • Mind Emptying: The therapist empties her mind to remain completely open to whatever happens in the here-and-now.
  • Mindful Awareness: The therapist roots her body with mindful breathing and physical presence to clear a space for intuitive insights.
3. Awakening the Client's Inner Knowing
The AEDP therapist helps client's to tap into their own intuition:
  • Trauma and chronic distress often causes clients to disconnect from their bodies and second-guess their feelings. 
AEDP and Clinical Intuition
  • By asking somatic awareness questions like, "Where do you feel that in your body?", the therapist co-regulates the client's anxiety and other emotions that might be getting in the way of their knowing what they are feeling.
  • This allows the clients to access their innate drive to heal, which AEDP calls "transformance". With this process, clients regain their own intuitive sense of what feels healthy, authentic or "off" in their choices and relationships.
Summary of Differences Between AEDP and Traditional Talk Therapy
Accelerated Experiential Dynamic Psychotherapy and traditional talk therapy have important fundamental differences:

Dimension
  • Traditional Talk Therapy: Left-brain: Intellectual insight, rational analysis and narrative focus
  • AEDP: Right brain: Intuitive focus, somatic tracking and emotional resonance
Therapist's Stance
  • Traditional Talk Therapy: Neutral, observant, objective and technique-driven
  • AEDP: Explicitly engaged, emotionally authentic and intuitively responsive
Sequence of Healing
Getting Help in AEDP Therapy
Instead of struggling on your own, you could benefit from working with an AEDP therapist.

When you work through unresolved problems, you can lead a more fulfilling life.

About Me
I am a licensed New York psychotherapist who integrates many different types of Experiential Therapies to help clients to heal from trauma and emotional distress, including: 
  • AEDP
  • IFS
  • EMDR, 
  • Somatic Experiencing, 
  • EFT for Couples
  • Hypnotherapy
I am also a Certified Sex Therapist for individual adults and couples.

I have helped many individual adults and couples over the years.

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

I provide a 10-15 minute phone call prior to setting up the first appointment.

You can reach me at (917) 742-2624 during business hours or email me.

Also See My Articles:


























Wednesday, August 12, 2026

What Lessons Can We Learn From the Greek Myth About Tantalus?

If you have been reading my blog, you probably realize that I really love Greek mythology and the Homeric tales (see links to article below).

What is the Myth of Tantalus?
The myth of Tantalus is a famous myth about a Greek king who abused his relationships with the gods of Mount Olympus which resulted in his eternal punishment in Tartarus.

Lessons to Be Learned From Myth About Tantalus

His story is the direct origin of the word "tantalize" which describes the torture of being teased with something you can see but you can never reach or touch.

Before he lost favor with the gods, Tantalus was the demigod son of Zeus. Early on, he was favored by the gods and invited to dine with them on Mount Olympus. However, Tantalus had excessive pride and arrogance as well as being overly confident in himself and his hubris led to his downfall.

Tantalus betrayed the gods through a series of escalating crimes:

Tantalus' Crimes
  • Stealing Immortality: He stole the food of the gods, nectar and ambrosia, to give to mortals so they could become immortal.
  • Betraying Secrets: He gossiped and betrayed sacred secrets that he learned while dining on Olympus.
  • The Ultimate Sin: To test whether the gods really knew everything, Tantalus murdered his own son, Pelops, chopped him up, cooked him into a stew and served it to the gods at a banquet.
Most of the gods immediately recognized that the stew had human flesh and refused to eat it--except Demeter, who was so upset and distracted by the loss of her daughter, Persephone, that she ate part of it.

Zeus Punishes Tantalus

Enraged by Tantalus' actions, Zeus cast him into the deep abyss of Tartarus where he was forced to stand in a pool of fresh water up to his neck. Whenever he bent down to drink the water, he was unable to drink even one drop because the water receded into the earth leaving him always parched.

Another part of his punishment was that delicious fruit hung over his head, but whenever he reached up to take a piece, a strong wind blew the branches just out of his grasp.

In some versions of the myth, a huge stone was balanced precariously over his head which left him in a constant state of terror of being crushed.

In the aftermath of Tantalus' punishment, the gods revived his son, but the actions of Tantalus cast a shadow and a curse on future generations in his descendants, known as the House of Atreus. One of his descendants was Agamemnon who is an important character in the Homeric tales, The Iliad and The Odyssey.

What Can We Learn From the Greek Myth About Tantalus?
The myth of Tantalus serves as a powerful psychological and moral allegory. It offers three important lessons about human behavior and ethics:

1. Beware of Hubris
  • The Lesson: Privilege does not place you above moral laws.
  • The Context: Tantalus was welcomed as a peer among the gods, but he allowed his status to breed destructive arrogance.
  • Modern Parallel: Powerful leaders or individuals who believe their status exempts them from the laws often face catastrophic downfalls.
2. Guard Against Insatiable Craving
  • The Lesson: Tracing endless validation or greed can create permanent psychological torment.
  • The Context: Tantalus' punishment mirrors his life of endless, ungrateful wanting.
  • Modern Parallel: The "hedonic treadmill", where achieving a goal only causes someone to immediately obsess over the next desire, will only lead to perpetual dissatisfaction.
3. Trust and Boundaries Are Sacred
  • The Lesson: Betraying core relationships and foundational ethics destroys your future.
  • The Context: Tantalus betrayed the ultimate Greek law of hospitality, Xenia, by stealing from his hosts. He also betrayed the ultimate law of nature by sacrificing his own child for a petty test.
  • Modern Parallel: Breaking fundamental trust in relationships and communities can trigger a toxic chain reaction that damages families for generations.
What is the Connection to Modern Psychology?
The myth of Tantalus connects deeply to modern psychology, particularly in how it illustrates the problems with constant craving and chronic dissatisfaction.

Modern psychology uses the myth of Tantalus to explain the human mind:

The Hedonic Treadmill
  • The Concept: Humans quickly return to a relatively stable level of happiness despite major positive or negative consequences in their life.


Hedonic Treadmill
  • The Connection: Just like Tantalus reaching for fruit that immediately blew away, people often chase a promotion, a luxury item or status because they believe it will bring them permanent satisfaction. But once they get what they want, the thrill vanishes and leaves them craving more (see my article: Why Chasing Happiness Doesn't Work).
The Psychology of Craving
  • The Concept: Modern neuroscience distinguishes "wanting" (craving) from "liking" (pleasure).
  • The Connection: Tantalus represents unadulterated craving without the possibility of pleasure. In situations like this, the brain is trapped in a state of intense, agonizing craving, but once a person gets what he craves, it does not bring pleasure. Instead, it creates a self-perpetuating loop of torment.
4. Frustration Aggression Theory
  • The Concept: Psychological distress escalates rapidly when a highly anticipated goal is blocked just before completion.
  • The Connection: Tantalus isn't just starving--he's tantalized. The psychological torture comes from proximity. Modern studies reveal that being so close to a reward and losing it triggers much more anger and stress than being nowhere near it at all.
5. Intergenerational Trauma
  • The Concept: Unresolved trauma, toxic behaviors and psychological patterns in parents are often passed down to damage future generations (see my article: What is Intergenerational Trauma?).
  • The Connection: Tantalus sacrificed his son. This horrific act sparked a curse that plagued his children and grandchildren (the House of Atreus) for generations. Psychotherapists see this as an early literary representation of how familial abuse perpetuates itself until someone actively breaks the cycle and gets help in therapy.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS Parts Work, EFT couples therapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute phone call before setting up a first appointment.

You can reach me at (917) 742-2624 during business hours or you can email me.
 

Also See My Articles:
















 

Tuesday, August 11, 2026

What is the Step-By-Step IFS Therapy Process?

In my last article, Healing Perfectionism With IFS Therapy, I began a discussion about perfectionism and IFS therapy.

In the current article, I'm discussing the step-by-step process of IFS healing perfectionism.

Although I'm focusing on perfectionism, the IFS process for healing is the same for other problems including anxiety, depression and trauma as well as other mental health issues.

Healing Perfectionism With IFS Therapy

Instead of trying to force you to eliminate parts of yourself, IFS helps you to understand, communicate with and untangle these parts. 

This allows your Core Self, which is also known as your true self, to lead a life with compassion and balance (see my article: How Does IFS Therapy Help You to Discover Your True Self?).

How Does IFS Therapy Help With Perfectionism?
As I have mentioned in my prior article, IFS is an gentle, evidence-based therapy that is effective for overcoming most mental health issues.

IFS Therapy and Perfectionism

From the IFS therapy perspective, perfectionism is driven by certain parts of the personality that include three different categories:
  • Proactive Protectors ("Managers"): These protectors include the perfectionist and inner critic parts. The perfectionist part sets unreasonably high standards and the inner critic micromanages your behavior. Their goal is to ensure that you behave flawlessly so you never have to experience failure or judgment. The overall goal of proactive parts is to protect you from your wounded inner child (see below).
  • Reactive Protectors ("Firefighters"): When the proactive protectors inevitably fail to live up to the "perfect" standards and the wounded parts of yourself get triggered, the firefighters, who are reactive protectors, step in to numb the pain. This might include sudden procrastination, drinking or drugging excessively, constant scrolling on your phone and so on--anything that numbs the pain. The reactive part's goal is also to protect the wounded inner child (see below).
  • The Vulnerable Wounded Inner Child ("Exile"): This is the hidden part of your personality that carries the emotional wounds from the past. This part carries feelings of inadequacy, shame or the belief that you are only lovable when you succeed. The proactive and reactive parts work relentless to keep this wounded part buried so you don't feel the emotional pain. 
How Do These Parts Develop?
These parts don't just develop out of nowhere.

Childhood Wounded Parts 

They develop as survival strategies in response to your childhood, environment or cultural conditioning.

According to Dr. Richard Schwartz, who developed IFS therapy, parts are naturally healthy before they take on the burden of survival strategies. 

As I will explain below, the goal of IFS therapy is to help these parts to let go of their rigid, exhausting roles so they can take on new healthy roles.

What is the Step-By-Step Healing Process in IFS For Perfectionism?
IFS therapy has a step-by-step healing process:
  • Stepping Back From Your Perfectionist and Inner Critic Parts: This is called "unblending" in IFS. From an IFS perspective, when you are "blended" or enmeshed with these parts, you believe that they are your entire identity instead of just a part of you. An IFS trained therapist can help you to create space between your Core Self, also known as your true identity, and your protective parts. This space allows you to observe these parts rather than being consumed by them.
  • Discovering the Positive Intent of the Perfectionist and Inner Critic Parts: IFS therapy operates from the premise that there are "no bad parts", which means that every part has a positive intention. So, instead of fighting with the perfectionist and inner critic parts, you can approach them with curiosity and compassion. With the help of your IFS therapist, you learn to have an internal dialogue with these parts and ask them what they think would happen if they stopped pushing you. The perfectionist and inner critic parts frequently respond that they are afraid if they didn't push you, you would get hurt again by being abandoned or rejected as you were in the past. In other words, the parts are trying to protect you in the only way they know how--by demanding perfection and criticizing you when, inevitably, you don't achieve perfection--because there's no such thing as perfection.
  • Accessing the Calm and Compassionate Core Self: By experiencing a separation from these parts, you can gain access to your calm and compassionate Core Self. When you treat the parts with calm and compassion, instead of frustration and anger. Then, their protective grip usually begins to soften--if not immediately, then over time.
  • Healing the Underlying Emotional Wound ("The Unburdening Process"): Once the perfectionist and inner critic parts trust that your Core Self can handle things, they allow you and your IFS therapist to safely access the wounded part of yourself. At that point, your Core Self can comfort the inner young wounded child part, witness its past pain, and help it to release ("unburden") the deeply held belief that its worth depends on being perfect. 
  • Assigning New Roles to the Perfectionist and Inner Critic Parts: In IFS therapy, healing these parts doesn't mean losing your drive or ambition. It means that once the underlying fear is resolved, the perfectionist and critical parts are freed from their exhausting "guard duty" (also known as defenses). At that point, they can transition into healthy new roles, such as being a detail-oriented ally, an organizer or a source of joyful creativity without ruling your sense of self worth.
Get Help in IFS Therapy
As previously mentioned, IFS therapy is a gentle, evidence based therapy.

Get Help in IFS Therapy

If you have been unable to resolve your problems on your own, you could benefit from working with an IFS therapist to have a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, Somatic Experiencing, EFT couples therapist and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute phone call before setting up an appointment.

You can reach me at (917) 742-2624 during business hours or  email me.

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