The Potential Long Lasting Impact of Trauma

While it's important for everyone to be able to speak up when they are being touched inappropriately, it's mostly a problem for women which I'm addressing in this article.

Why Do Some Women Have Problems Speaking Up When They Are Touched Inappropriately?

There can be many individual reasons why women don't speak up, but the main reasons are fear retaliation, fear of escalation and social conditioning that prioritizes social conditioning being polite over taking care of oneself.

Speaking Up

In addition, internalized shame and guilt and the societal stigma that often blames the victim instead of holding the perpetrator accountable (e.g., "Look what she was wearing. What did she expect?").

Many women also fear that they will not be believed or they will be seen as overreacting. 

All of these issues create barriers to women speaking up when someone is touching them inappropriately.

In addition, many women experience an internal freeze response where they feel immobilized by the shock of what is happening to them.

Clinical Vignette

The following clinical vignette illustrates these issues and how therapy can help:

Ina

When Ina was 20, she came home from college to visit her family during a holiday break.

Her parents invited family friends, Jack and Betty, over for dinner. This was a couple that Ina had known since she was a young child.

After dinner, while everyone else was in the kitchen, Ina was alone with Jack. She noticed Jack starring at her breasts. At first, she thought she imagining it--until he walked over to her and grabbed her breast.

Shocked and speechless, Ina stood frozen there after Jack walked away not knowing what to say or do.  She never would have imagined that Jack would ever touch her inappropriately.

After she got over the initial shock, she couldn't decide what to do when the everyone else came back into the dinning room. So, not knowing what to do, she did nothing, but she didn't feel good about it.

When she was a young child, her parents would leave her with a neighbor, Don, next door who was also a family friend.  Most of the time, Don played with her and told her stories, but sometimes he undressed her and touched her all over her body. 

During those times when Don touched her, Ina froze. When she got the courage to tell her mother about it, her mother didn't believe her. She told Ina that she must be imagining things (see my article: Overcoming Childhood Sexual Abuse).

It wasn't until her parents heard from another neighbor that Don molested another child  their that they realized he was a child molester. So, they stopped allowing Don to babysit for them, but they never confronted Don or reported the incident to the police.

After the incident with Jack, when Ina went back to college, she felt so confused and angry about the incident that she sought counseling at the college counseling office. 

The counselor validated Ina's experience and recommended a trauma therapist off campus who had experience helping clients to work through trauma.

Using a combination of trauma therapies, EMDR and IFS, the trauma therapist helped Ina to work through the recent incident and the childhood incidents (see my article: Combining EMDR Therapy and IFS Parts Work Therapy).

The work was neither quick nor easy, but Ina felt empowered by it and she felt she could assert herself if it ever happened again (see my article: How Can Trauma Therapy Help You With Unresolved Trauma?).

Ina also had a talk with her parents about what happened with Jack as well as the childhood incidents with Don. Her parents expressed shock about Jack and remorse, regret for not believing her when she was a child as well as regret for not realizing that Jack was capable of sexual assault.

Over time, Ina and her parents gradually worked to repair their relationship.

Tips That Might Be Helpful:

Every situation will be different but, in general, the following tips might be helpful depending upon your particular situation:

• Establish Distance: If someone is touching you inappropriately, move away from the person immediately. If you are in a crowded place, like a subway, try to create a physical barrier with the other person by using a bag or another person. 

Speaking Up

• Speak Up in a Loud Tone: Silence often encourages harassers. Use a firm, loud voice to say things like, "Stop touching me!" or "Don't touch me!" This draws attention to the incident and can shame the person into stopping.

• Be Direct and Firm: Avoid being polite if you feel unsafe. Use clear commands like, "Remove your hand immediately!" or "I don't know you. Get away from me!"

• Seek Help From Others: If you are in a public place, alert others by saying, "This man is touching me without my permission." You can also ask for help from a specific person, like a subway conductor, police officer or, if you are outside, from a shopkeeper.

• Report the Incident: If the incident occurs at work, report the incident to the HR department. Document the time, date and details of what happened. There are also laws from the NYC Human Rights Department and City, State or Federal EEOC that are designed to protect you.

• Reconsider a Relationship If Your Partner Doesn't Respect Your Boundaries: Healthy relationships require respect for personal boundaries. If your partner doesn't respect your "no", it's a troubling sign and a reason to seek support or to end the relationship.

• Recognize That Prior Trauma Might Cause You to Freeze, So Get Help in Trauma Therapy: As in the example above, prior unresolved trauma can create a freeze response so don't be hard on yourself. Get help in trauma therapy so you can process unresolved trauma. 

Conclusion

Problems with speaking up when someone is touching them is mostly a problem for women due to the reasons mentioned above.

Worldwide approximately 30% of women are subjected to sexual assault and this number might under estimate the problem.

Men Are also Subject to Sexual Assault

According to the latest statistics, approximately 3% of men are subjected to sexual assaulted, so this is not exclusively a problem for women.

If you have been sexually assaulted, you are not alone. 

You can contact the National Sexual Assault Hotline: 1-800-656-HOPE (4673).

Get Help in Therapy

Being touched inappropriately in any situation is a violation of your personal boundary.

Getting Help in Therapy

If you are struggling with issues related to being inappropriately touched in the past or in your current life, you can benefit from working with a licensed mental health professional.

About Me

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

As a trauma therapist, 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.

Relationships: Coping With Implicit Betrayals

What Are Implicit Betrayals?

Implicit betrayals in relationships refers to subtle, non-physical violations of trust that break unspoken expectations in a relationship. 

Unlike affairs, implicit betrayals are often dismissed or rationalized, but they can be just as damaging to a emotional intimacy and traumatic in a relationship.

Coping With Implicit Betrayals

What Are Examples of Implicit Betrayals?

• Emotional Affairs: Forming a deep intimate or romantic connection with someone else and hiding it from the partner (see my article: Are You Having an Emotional Affair?).

• Contempt and Disrespect: Humiliating a partner in front of others including eye rolling, using sarcasm or mocking a partner (see my articles: Improve Communication By Eliminating the "4 Horsemen of the Apocalypse" and Belittling Behavior).

Coping With Implicit Betrayals

• Withholding Affection or Stonewalling: Consistently refusing to communicate, withholding affection or shutting down during a conflict in order to exert control (see my article: Are You a Stonewaller?)

• Gaslighting: Manipulating a partner into questioning their own memory, perception or sanity as a way to avoid accountability (see my article: The Silent Treatment and Gaslighting as Forms of Emotional and Psychological Abuse)

• Disengagement: When a partner stops caring, stops trying and emotionally leaves a relationship without actually physically leaving the relationship (see my article: What is Quiet Quiting in a Relationship?)

• Conditional Commitment: Acting as if you're only in the relationship until someone "better" comes along or frequently threatening to leave a relationship during arguments

Coping With Implicit Betrayal

• Siding With a Third Party: Siding with a third party, like a mother, mother-in-law, friend or another relative, against the partner

• Financial Infidelity: Keeping secret accounts, hiding debt or making big purchases and hiding it from a partner (see my article: What is Financial Infidelity?).

• Neglect and Selfishness: Consistently prioritizing hobbies, work or friends over a partner 

• Broken Promises: Failing to follow through on promises or commitments which erodes trust (see my article: Broken Promises: Surviving Infidelity)

• Lying By Omission: Purposely hiding information to avoid conflict or hide a secret life (see my article: When Trust Breaks Down: Lies of Omission)

• Digital Infidelity: Engaging in romantic or sexual chats, virtual relationships or intense, hidden messages on social media without the other partner's agreement

What to Do If You Discover an Implicit Betrayal?

Discovering an implicit betrayal can be as damaging and traumatic as discovering a physical affair.

Since these types of betrayals are often involve a "gray" areas or unspoken rules, healing requires a high levels of transparency and intentional communication:

• Acknowledge the Trauma: Recognize and acknowledge that feelings of anger, sadness, confusion and shame are valid. 

• Prioritize Stabilization: Before making any long term decisions about the relationship, prioritize your immediate physical and emotional health: regular sleep, eating nutritious meals and calming your nervous system with breathing and grounding exercises.

Coping With Implicit Betrayal

• Avoid Self Blame: Practice self compassion rather than completely blaming yourself or feeling less worthy for a partner's implicit betrayal.

• Establish Safety Over Trust: Rebuilding trust can take months or years, but establishing safety can occur immediately through total transparency:

• Transparency: The betraying partner offers unprompted access to electronics, location sharing, financial records or in any area where trust was betrayed.

• Honesty: All questions should be answered without defensiveness, minimization or shifting the blame onto the other partner.

• Set Clear Boundaries: Define what is acceptable behavior. This could include no contact with with specific people, shared calendars and designated times to talk about the betrayal so it doesn't consume all of your time together (see my article: Setting Boundaries in a Relationship).

Coping With Implicit Betrayal

• Communicate Using "I" Statements: When discussing the betrayal, use non-accusatory language. For instance, say "I felt invisible to you when you shared your feelings with the other person instead of coming to me" vs. "You betrayed me".

• Evaluate the Future of the Relationship: Ask yourself these important questions to decide whether to stay or go:

• Is my partner taking responsibility without making excuses?
• Was it a one-time occurence or has it been a pattern of behavior?
• Does my partner show genuine remorse and a willingness to do the hard work involved with repairing the relationship?
• Am I staying because I want to or because I'm afraid to leave?

Get Help in Therapy

Implicit betrayals can be difficult to negotiate on your own.

Individual therapy or couples therapy can help you to work through these difficult issues. In many cases, it can be beneficial for each person to start with individual therapy and then continue in couples therapy. 

Get Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional so you can deal with the trauma of an implicit betrayal and live a happier, more meaningful 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 helped many individual adults and couples over the years.

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

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

Relationships: Overcoming Fear of Commitment

Why do certain people have a fear of making a commitment in a relationship--even after the couple has been together for a while? (see my article: Are You Dating Someone Who Has a Fear of Commitment?).

Overcoming a Fear of Commitment

While the reasons for fear of commitment are as varied as the individuals who have this fear, there are often certain psychological issues:

• Fear of Losing Independence: For instance, some people fear that making a commitment to move in with a partner or to get married automatically means losing their autonomy to engage in their hobbies, spend time with friends or other activities they enjoy without their partner.

Overcoming Fear of Commitment

• Fear of Being Controlled: If an individual isn't in a relationship with someone who is controlling, a fear of being controlled or "smothered" often stems from childhood experiences. Talking about commitment can trigger a fight-or-flight response to avoid the fear of being controlled or dominated again.

• Avoidant Attachment Style: An avoidant attachment style, like any attachment style, is on a continuum. Some individuals with an avoidant attachment style feel they would rather be alone to protect themselves from the emotional vulnerability involved with being in a committed relationship.

• Fear of Rejection or Abandonment: Some people avoid making a commitment because they fear their partner will eventually leave them. By remaining uncommitted, they protect themselves from the pain of a potential breakup (see my article: Fear of Abandonment Can Occur Even in a Healthy, Stable Relationship).

Overcoming Fear of Commitment

• Unresolved Trauma From Childhood or Prior Relationships: Experiences like witnessing parents' unhappy marriage as a child, being cheated on by a prior partner, a messy divorce or other similar unresolved traumatic situations can leave deep emotional wounds. These individuals might associate making a commitment with pain and loss (see my article: Reacting to the Present Based on Your Traumatic Past).

• The Paradox of Choice: Individuals who use dating apps often feel they have endless choices. Some people hesitate to make a commitment because they fear they might be missing out on a "better match" which can lead to "decision paralysis."

Overcoming Your Fear of Making a Commitment

• Identify Underlying Fears: If you have a fear of making a commitment, especially if you have encountered this fear many times with individuals you care about in healthy relationships, you can start by identifying your underlying fears.

Overcoming a Fear of Commitment

• Challenge Your Thoughts About "What If" Scenarios: Take an objective look at your "what if" fears and ask yourself how likely these scenarios will occur. Separate out your fears from the past from your current situation (see my article: Feeling Aren't Facts).

• Don't Project Too Far Into the Future: Instead of wondering whether or not you'll be happy 15 years from now, focus on the present.

• Establish Autonomy in Your Relationship: A healthy relationship allows for shared time together as well as independent time to pursue other interests.

• Accept Imperfection: Nothing is perfect. As long as there aren't dealbreakers (e.g., one of you wants to have children and the other doesn't), accept that no relationship is perfect. Focus on teamwork with your partner.

• Take Small Manageable Steps: Check in with yourself and your partner after a few dates. If you both want to continue dating, check in after a couple of months, six months, a year and two years to assess how you each feel (see my article: Making Changes One Step at a Time).

Getting Help in Therapy

• Get Help in Therapy: If the self help steps above aren't working for you, you could benefit from working with a licensed mental health professional to explore the underlying unconscious issues that you might not see on your own. Depending upon the problems involved, either individual therapy or couples therapy could be helpful rather than struggling on your own.

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 helped many individual adults and couples over the years in person and online.

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.

Overcoming Self Sabotaging Behavior in Your Relationship

Becoming aware of self sabotaging behavior in a relationship can help you to break destructive patterns that create problems for you and your partner (see my article: Overcoming Recurring Patterns of Self Sabotaging Behavior).

What is Self Sabotaging Behavior in Relationships?

Self sabotaging behavior in relationships can be conscious or unconscious behavior that stem from fear of abandonment, low self esteem, unresolved trauma and other related problems.

Self Sabotaging Behavior in a Relationship

This destructive behavior often acts as a defense mechanism to avoid emotional pain.  

What Does Self Sabotaging Behavior in a Relationship Look Like?

The following are examples of self sabotaging behavior in a relationship:

• Creating Conflict and Drama: Picking fights over small issues, being very critical or finding faults with a partner to cause problems

• Withdrawing and Stonewalling: Distancing, shutting down emotionally or exiting conversations when intimacy or conflicts arise. Note: Many individuals who have an avoidant attachment style withdraw because they are overwhelmed and they need time to recoup. This is different from withdrawing to intentionally distance yourself from your partner (see my article: Improve Communication in Your Relationship By Eliminating the 4 Horsemen of the Apocalypse).

• Testing Loyalty: Setting up tests to see how much your partner cares about you. This often leads to a self fulfilling prophecy of abandonment when the tests are unreasonable.

• Insecurity and Jealousy: Projecting insecurities, excessive monitoring or comparing current partners unfavorably to past partners (see my article: Jealousy Isn't Love).

• Ending a Relationship Prematurely: Ending a relationship before it can end on its own. This often occurs out of fear of a future rejection by the partner.

• Holding Onto Grudges and Resentment: Refusing to let go of past minor disagreements or mistakes so there is no repair between you and your partner. Instead of actively repairing the problem between you, you avoid dealing with it so that, over time, there is a pile-up of grudges and resentment which causes emotional disconnection between you and your partner or the relationship ends from the weight of the resentments (see my article: The Unspoken Rift: Resentment, Emotional Distance and Loneliness in Relationships).

What Causes Self Sabotaging Behavior in Relationships?

• Fear of Abandonment or Rejection: Pushing your partner away to avoid an anticipated future rejection--even in cases where this fear is a distortion

Self Sabotaging Behavior in a Relationship

• Fear of Emotional Vulnerability: Lacking trust or experiencing a fear of taking the risk to open up emotionally. Since being vulnerable is an essential part of a healthy relationship, this fear can ruin a relationship (see my article: Vulnerability as a Pathway to Emotional and Sexual Intimacy)

• Low Self Esteem:  A feeling that you don't deserve to be in a healthy, loving relationship

• Unrealistic Expectations: Holding your partner to unrealistic or impossible standards (see my article: Your Partner Can't Meet All Your Needs).

Clinical Vignette

The following clinical vignette, which is a composite of many cases, illustrates self sabotaging behavior in a relationship:

Jane

When Jane met Alan, she realized she liked him a lot and she wanted to get to know him better.

Three months later, they both agreed they had fallen in love and they wanted to be exclusive so they stopped dating other people.

Initially, Jane enjoyed her time with Alan and she could foresee a long term relationship and even marriage.  But, as they got closer, her old fears and insecurities made her feel very anxious and fearful in the relationship. 

One of her biggest fears was she anticipated that Alan would realize that she wasn't good enough for him and he would leave her (see my article: Overcoming the Fear That Others Won't Like You If They Got to Know the "Real You").

She talked to Alan about this and he tried to reassure her that he loved her and he wanted to be with her, but no amount of reassurance helped to alleviate Jane's fears.

Self Sabotaging Behavior in a Relationship

When Jane became overwhelmed with her fear that Alan would leave her, she would break up with him. Initially, she felt relieved because she was no longer dreading being abandoned. But soon afterward, she regretted breaking up with him and she would feel desperate to rekindle their relationship.

After they got back together again, Jane's fear and insecurity would come up again. She knew she didn't want to break up with Alan, but she found the emotional vulnerability of being in the relationship to be overwhelming. 

At the time, she didn't realize that she would pick arguments with him over insignificant things as a way of creating emotional distance. But when they started couples therapy, the couples therapist helped them to see the negative cycle in their relationship and Jane realized she was picking fights with Alan out of fear.

In addition to couples therapy, Jane attended her own individual trauma therapy to deal with the underlying trauma that was the cause of her self sabotaging behavior.

Over time, Jane was able to work through her unresolved childhood trauma which created her fear of abandonment and insecurity. She and Alan also learned to work as a team to prevent the negative cycle in their relationship with the help of their couples therapist.

Overcoming Self Sabotaging Behavior in Your Relationship

• Recognize Patterns and Triggers: To recognize patterns and triggers requires self awareness and a willingness to change. 

• Develop Open Communication: Instead of engaging in passive aggressive or other unhealthy behavior, create open and vulnerable communication with your partner. 

Overcoming Self Sabotaging Behavior in a Relationship

• Build Self Esteem: Work on developing your self esteem to accept love and accept being in a healthy relationship without fear and reactive behavior.

• Work on Unresolved Personal Trauma in Trauma Therapy: Since the root cause of self sabotaging behavior usually stems from unresolved childhood trauma, work on these issues in trauma therapy so that you no longer get triggered in your relationship.

Get Help in Couples Therapy

• Work on Relationship Issues in Couples Therapy: A couples therapist who practices Emotionally Focused Therapy (EFT) can help you and your partner to identify and prevent and a negative cycle in your relationship.

About Me

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

I have helped many individual adults and couples.

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

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

Overcoming Recurring Patterns of Self Sabotaging Behavior

Becoming aware of your recurring self sabotaging behavior requires a willingness to explore your patterns with self compassion.

What is Self Sabotaging Behavior?

Self sabotaging behavior often begins with unconscious thoughts and emotions that create roadblocks to your personal growth, well-being, goals and success (see my article: Making the Unconscious Conscious).

Overcoming Recurring Patterns of Self Sabotage

Self sabotaging behavior usually involves a conflict between what you want and your unconscious fears or insecurity.

What Causes Self Sabotaging Behavior?

The root of self sabotaging behavior often begins in early childhood. This might include early messages from parents that you're not good enough or you're unlovable. 

These traumatic messages usually get internalized at a deep unconscious level so that, as an adult, you might not recognize the origin of your self sabotaging behavior (see my article: Overcoming Trauma: You're Not Defined By Your History).

Overcoming Recurring Patterns of Self Sabotage

Growing up in a chaotic, unpredictable environment can create a fear of change so that you remain stuck in unhealthy ways of being (see my article: How Does Shame Develop at an Early Age?).

In addition, you might equate what is familiar to you, including self sabotaging behavior, as "safety" even if you are aware that it's unhealthy. In other words, you might prefer what is known, including unhealthy behavior, to what is unknown, including trying to develop healthier ways of coping.

Self sabotaging behavior is often triggered by stressful situations. 

When you have little to no awareness about what triggers your behavior, your pattern continues because, instead of exploring what triggered the behavior, you fall into the trap of continuing to enact the same self destructive patterns (see my article: What is Self Abandonment?).

What Are Examples of Self Sabotaging Behavior?

The following are a few examples of self sabotaging behavior:

• Procrastination: Delaying tasks to avoid potential failure or judgment including self judgment (see my article: Overcoming Procrastination)

• Perfectionism: Setting unrealistic standards which causes stagnation (see my article: Overcoming Perfectionism)

Overcoming Recurring Patterns of Self Sabotage

• Escapism: Using unhealthy coping skills to avoid dealing with uncomfortable emotions. These unhealthy coping skills might include excessive drinking, illicit drugs, compulsive gambling, overspending and other attempts to escape

• Relationship Sabotage: Pushing people away, avoiding vulnerability or creating conflict in a relationship as a way to create emotional distance

• Negative Self Talk: Self criticism which erodes your self esteem

• Avoiding New Opportunities: Ignoring or withdrawing from new challenges or opportunities for growth (see my article: Opening Up to New Possibilities in Your Life)

• Remaining Stuck in Unhealthy Familiar Patterns : Refusing to try new things because what is familiar feels "safer" even if it is self destructive

How to Overcome Recurring Patterns of Self Sabotaging Behavior

• Awareness: In order to change any kind of unhealthy pattern of behavior, you must first become aware of the pattern. This means that, instead of blaming others or "bad luck", you need to look at how you are contributing to your problems. Self compassion is an important part of this step because if your awareness triggers self criticism, you can get stuck in a loop of unhealthy behavior. This involves taking a step back and looking for recurring patterns of behavior. For instance, if you have problems with relationship sabotage, you become aware of your contribution to recurring problems in relationships.

Overcoming Recurring Patterns of Self Sabotage

• Identify Triggers and Recurring Patterns: Track your actions to identify your triggers and recurring patterns. For instance, you might realize in hindsight that a pattern of procrastination starts with your fear of failure. You can do this by journaling about your thoughts, emotions and behavior, including recurring unhealthy patterns. After you have identified the patterns, write about how you want to handle these situations.

• Challenge Your Negative Thoughts: Replace negative thoughts with realistic positive thoughts (see my article: Overcoming Habitual Negative Thoughts).

• Set Manageable Goals: Since feeling overwhelmed can trigger avoidance behavior, break down big tasks into smaller parts to reduce the likelihood of feeling overwhelmed.

• Learn to Be in the Present Moment: Develop healthy habits, like practicing breathing exercises and mindfulness, to be in the present moment rather than allowing your thoughts to project too far into the future. 

Get Help in Therapy

Recurring patterns of ingrained self sabotaging behavior can be difficult to identify and even more challenging to change on your own because these patterns often start at a young age before you realize it.

Get Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in helping clients to change self sabotaging behavior.

Once you have freed yourself from these unhealthy behaviors, 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 helping 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 Article:

Overcoming Self Sabotaging Behavior 

What is Dual Awareness in Psychotherapy?

The concept of dual awareness is essential in psychotherapy, especially when working on unresolved trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma?).

Dual Awareness in Trauma Therapy

What is Dual Awareness in Trauma Therapy?

The ability to maintain dual awareness is especially important when processing traumatic memories in trauma therapy (see my article: Healing in Trauma Therapy).

Dual awareness is the ability to process traumatic memories while remaining grounded in the safety of the here-and-now.

Dual Awareness in Trauma Therapy

In other words, clients need to balance two realities: the here-and-now as well as the traumatic memory that is being worked in therapy. That means they are aware that, even though they are discussing a traumatic memory, they are safe with their therapist (see my article: Why Establishing Safety is So Important in Trauma Therapy).

Before doing any processing in trauma therapy, it's important for the trauma therapist to prepare clients for the work by ensuring clients have internal and external resources or coping skills, including the ability to remain present and embodied (see my article: Developing Coping Strategies in Trauma Therapy).

To remain embodied means maintaining a conscious connection to their emotions and bodily experiences while processing traumatic emotions (see my article: What is Somatic Awareness?).

Key Concepts of Dual Awareness:

Prior to processing traumatic memories, their therapist helps prepare clients to:

• Balance Two Realities: Clients acknowledge feeling certain emotions related to past traumatic memories at the same time that they know they are safe in the moment with their therapist. 

• Develop an Observing Self: Clients learn to develop an observing self who witnesses their internal experiences (thoughts, emotions, bodily sensations) while processing memories from the past. This observing self can go by many names including Core Self, Adult Self, Higher Self or whatever name is meaningful to clients. Because they have developed a part of themselves that can witness their experiences, they don't feel overwhelmed. This also helps to prevent retraumatization.

Therapeutic Techniques: Trauma therapists often use various techniques to help clients to balance processing past memories with remaining grounded in the present moment. 

Some of these techniques include:

• Pendulation which was developed in Somatic Experiencing Therapy, where the therapist helps clients to shift their awareness from a traumatic memory or experience to a calm or neutral experience or to their Core Self/Adult Self as a way to work on these memories in manageable segments so clients don't become overwhelmed.

• Imaginal Interweaves: Prior to choosing a traumatic memory to work on, clients choose people from their past or present life who would be emotionally supportive. While working on the memory, clients imagine these individuals are accompanying them on their healing journey to undo feelings of aloneness. These people might include a favorite relative, a best friend from the past or the present, a loving teacher and so on. If clients can't imagine anyone they know, they can also choose a person they don't know personally, like a character from a movie or a book, that they can imagine being with them in an emotionally supportive role. In some circumstances, clients might choose someone who they imagine could have intervened directly, like a protective or powerful person who would have protected them when they were younger.  In reality, clients know there might not have been anyone in the original traumatic memory that helped them, but dual awareness allows them to imagine and have a felt sense of being helped or protected.

Dual Awareness in Trauma Therapy

• Breathing Exercises: Being able to pause the work and take a cleansing breath can help the trauma work to remain manageable and tolerable. Clients can also use breathing exercises between sessions.

• Containment: Containment can include clients imagining they can put the traumatic memory away in a box of their choosing at the end of the session. Some clients like to imagine that their therapist keeps the box for them or that they keep the box themselves in a safe place until the next time they work on the memory.

• Learning How to Manage and Reduce Triggers : A trigger is a person, place or thing that causes an unexpected intense reaction related to an experience from the past (see my article: 8 Tips For Coping With Triggers).

What Are the Different Types of Trauma Therapy?

There are different types of trauma therapy including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Somatic Experiencing

• Parts Work Therapy (IFS and Ego States Therapy)

Getting Help in Trauma Therapy

Trauma therapy can help you to process traumatic memories so they no longer affect you in your current life.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist so you can live a more meaningful life free from your traumatic history.

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.

Also See My Articles:

What is a Trauma Therapist? 

Overcoming Trauma: You're Not Defined By What Happened to You 

What is Complex Trauma?