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Showing posts with label trauma. Show all posts
Showing posts with label trauma. Show all posts

Friday, May 22, 2026

Cinema Therapy: How Can Watching Movies Improve Your Mental Health?

Watching movies with complex characters can be beneficial to your mental health. The practice known as cinema therapy (also known as movie therapy) is a growing therapeutic technique which uses the narrative arc and depth of films to foster psychological growth.

Cinematherapy Can Improve Your Mental Health

When you engage in multi-layered, three-dimensional characters, rather than flat, predictable archetypes, it stimulates specific cognitive and emotional processes that can directly support well being.

Watching complex characters can benefit your mental health through several key mechanisms:

Safe Emotional Distance and Projection
Discussing or processing your own personal pain can sometimes make you feel vulnerable  under certain circumstances. In cinema therapy complex characters in a movie provide an emotional buffer that includes:
  • Safe Exploration: You can project your own fears, unvoiced struggles or internal conflicts onto a character.
Cinematherapy Can Improve Your Mental Health
  • Objective Detachment: This allows you to process intense themes, including grieftrauma or confusion, with enough distance to evaluate them objectively without flooding your nervous system.
Catharsis and Emotional Regulation
Bottled up feelings can lead to anxiety and pent up stress.  Complex stories act as an emotional pressure valve:
  • Controlled Release: Watching a character face existential dilemmas or deep emotional pain provides a structured container that invites you to laugh, cry or feel anger in a safe way.
  • Neurochemical Reset: This cathartic release can trigger a drop in cortisol and an increase in dopamine which can lower physical and emotional tension.
Cognitive Flexibility and Shattering Binary Thinking
Flat characters teach us to view the world in black-and-white terms (good vs evil). Complex, morally ambiguous characters force your brain to stretch:
  • Brain Activation: Neuroimaging studies show that watching complex characters activates the parts of the brain that handle perspective-taking and the management of cognitive conflict.
  • Nuanced Realism: Seeing a character who is deeply flawed yet capable of profound kindness helps you to reject harsh, binary judgments about yourself and others, which builds tolerance for life's natural ambiguities.
Building Inner Resources and Resilience
When characters navigate complicated psychological terrain, they model coping mechanisms and self discovery:
Cinematherapy Can Improve Your Mental Health
  • Active Reflection: It inspires post-viewing reflection, which is the mental integration that happens after watching the movie. It can help you to apply the character's breakthroughs and gained wisdom to your own life.
Universal Experiences and Reduced Isolation
A core part of many mental health problems is that you feel alone with your experience and that no one else has ever experienced what is happening to you, so watching movies with complex characters helps you to realize you're not alone:
Cinematherapy Can Improve Your Mental Health
  • The Power of Shared Humanity: Seeing those hidden, complicated parts of yourself reflected on the screen helps you to realize that many problems are universal. This can help you to realize that your struggles are a normal part of being a human being.
How Does a Psychotherapist Use Cinema Therapy in Therapy Sessions?
A psychotherapist uses cinema therapy (or movie therapy) as an emotional bridge to help clients to discuss personal issues. 

The therapist uses a structured framework where clients watch the movie, discuss the movie and process their own real-life experiences which are similar to what the characters dealt with in the film.

How Therapists Use Cinematherapy With Clients

Talking about fictional characters can feel less threatening than if clients talk directly about their problems. 

The therapist will often ask questions like, "Why do you think the main character made that choice?" or "What would you have done in this character's place if you had the same dilemma?"

The therapist can also explore with clients what it was like to watch the movie and to realize they aren't the only ones who have these types of problems. 

They also ask questions like "Would you have handled this problem in the same way or in a different way?"

After clients have processed their thoughts and feelings about the movie with the therapist, the therapist can also ask what it was like to discuss the movie with her. This is called metaprocessing.

This can help clients to open up to discuss their own problems and reflect on their therapeutic relationship with the therapist.

What Kind of Movies Can Help to Improve Your Mental Health
There are so many movies that can be beneficial.

Here is one example that can be beneficial for individuals and couples to watch:

The Before Trilogy: The Before Trilogy is a highly acclaimed series of three romantic dramas by Richard Linklater and starring Ethan Hawke and Julie Delpy. The three films in the trilogy are:
  • Before Sunrise (1995)
  • Before Sunset (2004)
  • Before Midnight (2013)
The trilogy follows the evolving relationship between an American man named Jesse and a French woman named Celine. This series, which was filmed in real time over several years, is famous for its naturalistic conversation-driven format.

What Can You Learn From Watching the Before Trilogy? (No spoilers)
The Before Trilogy teaches that long term relationships require active continuous choices rather than relying only on romantic fate:
  • Love changes over time
  • Communication predicts survival of the relationship
  • Love requires constant effort
  • Time can alter your perspective
When I assign this trilogy to watch over a period of a few weeks, I use the films to help the client reflect on their personal struggles and how the characters in the movie dealt with similar struggles.

If I assign it to a couple, I ask them to watch the movies and discuss it afterward in terms of the characters and the dilemmas the characters faced in an effort to stimulate deeper communication between them and a deeper understanding of their relationship.

Conclusion
Cinema therapy is an expressive therapeutic modality where a mental health professional assigns a certain movies to help clients process emotions, gain new perspectives and heal. Therapists can also use TV programs or other types of videos.

Cinema therapy works by using carefully selected movies as a "third person" tool to mirror real-life struggles, encourage empathy and prompt breakthroughs.

It can be beneficial for individual adult clients or couples.

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


















Wednesday, May 20, 2026

How Can IFS Parts Work Therapy Help You Discover Your True Self?

In prior articles, I have been discussing how an individual's social media self can create confusion between the carefully curated self and the True Self.

Discovering Your True Self in IFS Parts Work Therapy 

If you haven't read those articles, here are the links:
Confusion About the Real You
Aside from social media, there are many ways you can get confused about your True Self.

Confusion about the True Self often occurs when external pressure, mental habits, or trauma disconnect you from your core feelings, values and desires:
  • Social Masking (Persona Confusion)
    • The Problem: Confusing your public role with your personal identity
    • The Cause: Over-identifying with a job title, social status or family role
    • The Result: Feeling empty when you step away from a specific role
  • People Pleasing (Fawn Response)
    • The Problem: Adopting the opinions or desires of others to feel safe or liked
    • The Cause: Chronic seeking of external validation or childhood conditioning
    • The Result: An inability to identify your own preferences when you are on your own
  • Internalization of Parental and/or Societal Values
    • The Problem: Mistaking internalized voices of your parents or society for your own
    • The Cause: Growing up in a rigid, judgmental or dogmatic environment
    • The Result: Pursuing goals you don't really care about, which can result in burnout, anxiety or depression
  • Over-Identification With Your Passing Thoughts and Emotions
    • The Problem: Believing you are your passing moods, anxiety or critical thoughts
    • The Cause: Lack of mindfulness or psychological detachment
    • The Result: A chaotic sense of identity that changes with shifting thoughts and emotions
  • Trauma-Based Emotional Numbing
    • The Problem: Numbing or disconnection from your body and emotional core
    • The Cause: Survival strategies developed to survive overwhelming past experiences 
    • The Result: Feeling like a detached observer of your own life rather than a participant
  • The "Ego Ideal" Narrative
    • The Problem: A preference for an idealized, "perfect" version of who you think you should be
    • The Cause: Perfectionism and a refusal to accept your own flaws
    • The Result: Rejecting your actual traits, talents and limitations
How Can IFS Parts Work Therapy Help You to Discover Your True Self?
IFS stands for Internal Family Systems (see my article: How Does IFS Therapy Help You to Understand Yourself?).

Discovering Your True Self in IFS Parts Work Therapy

IFS is considered an Experiential Therapy that is different from traditional talk therapy (see my articles: Why Experiential Therapy is More Effective Than Traditional Talk Therapy).

IFS can help you to discover your True Self (also known as Core Self in IFS) by identifying the protective "parts" of your personality that act as a shield to "protect" you from seeing yourself as you truly are in real life.

Understanding the IFS Parts Work Therapy Framework
In IFS "parts" are metaphors for internal aspects that make up your inner world.

IFS views your mind as having subpersonalities (or parts) that are, ideally, led by your Core Self with Core Self being the authentic essence who you are (see below).

With regard to the protector parts, you can think of them as defense mechanisms whose aim is to protect you, but who can get in the way of knowing your True Self (see my article: What Are the Similarities and Differences Between IFS and Contemporary Psychodynamic Psychotherapy?).

Core Self (also called "Self" in IFS): Your true essence characterized by the 8 Cs of IFS:
  • Compassion:A warm, caring non-judgmental attitude toward yourself and others.
Discovering Your Tue Self in IFS Parts Work Therapy
  • Curiosity: A desire to understand your thoughts and emotions (as well as the thoughts and emotions of others) which replaces judgment with an open, inquiring mindset
  • Clarity: The ability to perceive situations, thoughts and emotions without distortion or mental fog
  • Confidence: An internal sense of trust and capability rather than arrogance or a need to depend solely on external validation
  • Courage: The inner strength to face difficult emotions, take risks and navigate vulnerable truths
The parts include:
  • Managers: Proactive parts of you that protect you in the same way that defense mechanisms do.
  • Firefighters: Reactive parts that act out when the manager parts aren't enough. Firefighters act out when you feel judged, rejected, ignored or experience other triggers. Examples of firefighter reactions might include drinking, drugging, gambling and other compulsive and impulsive maladaptive behaviors as a way to blunt emotional pain.
  • Exiles: Hidden parts of yourself that hold pain and trauma, loneliness, feelings of inadequacy and other painful feelings. 
How Can IFS Parts Work Help You to Discover Your True Self?
With regard to confusing your social media self with your True Self:
  • Identifies the "Influencer" Manager Part: IFS helps you notice the specific part of your mind that curates your social media feed. This part strives for perfection, edits your life and seeks mostly external validation to protect you from criticism and other unpleasant feelings.
  • Uncovers the Vulnerable Exile: Behind the polished online persona is usually an exiled part that feels lonely, invisible and "not enough". Your curated self on social media exists to prevent you from feeling this deep pain that is held by the exile part, but it comes at the expense of recognizing your True Self.
  • Fosters "Unblending": In IFS Parts Work Therapy, you learn to step back from the anxious, image-conscious parts. This process is called "unblending" and it allows your authentic self, also known as your Core Self (or True Self) to emerge.
  • Transitions From Only External Validation to Connection: Everyone needs external validation from time to time, but there are some people who rely mostly on external validation from social media. Once you unblend from your manager parts in IFS Therapy, your Core Self can offer validation to your hurt or traumatized exile parts. This reduces your reliance on "likes", comments, views and shares on social media.
What Steps Can You Take on Your Own?
If you don't have access to an IFS therapist, there are some steps you can take on your own:
  • Notice the Impulse: When you feel an urgent need to post on social media, ask yourself, "Which part of me is driving this?"
  • Extend Compassion: Don't get angry or judgmental with your image-conscious part. Acknowledge that it is just trying to protect you from rejection, hurt and emotional pain and extend compassion to it (see my article: Compassionate Self Acceptance).
  • Check Your Energy: Notice if your online sharing comes from a place within you of anxiety, which is a part, or a place of calm and genuine connection (Core Self or True Self).
Conclusion
One short article can't give a complete picture of IFS, but I hope this article provides a sense of how IFS can help you discover and understand the various parts of your inner world.

Getting Help in IFS Therapy
IFS Therapy can help you to discover your True Self and distinguish your core identity from your protective and wounded inner parts.

Rather than struggling on your own, seek help from an IFS therapist so you can lead a more fulfilled life.

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














Monday, May 4, 2026

Coping With the Death of an Abusive Parent

One of the most complicated experiences of grief is coping with the death of a parent who abused you.

This is especially true if there were times when this parent was kind and caring and, at other times, abusive or just abusive most of the time, which can create confusion for the child being abused. And that confusion often continues into adulthood.

Coping With the Death of an Abusive Parent

In a prior article, Unresolved Trauma: Coping With a Passive Parent Who Didn't Protect You From Abuse, I wrote about an example of this issue in the vignette in that article.

Under these circumstances, it's common to feel a mixture of feelings including relief, sadness, grief, guilt and shame.

Since the parent who abused you is dead and if they didn't express remorse, this means that they can no longer express their remorse and ask for forgiveness. For many adult children, this is its own form of loss.

How to Process Your Emotions While Coping With the Death of An Abusive Parent
  • Acknowledge All Your Feelings: It's important to acknowledge all of the mixed feelings you might have towards your dead parent--all the messy feelings like relief, grief, sadness, anger, resentment, guilt and shame.
Coping With the Death of an Abusive Parent
  • Be Aware of Your Personal Survival Strategy: Whether your brain and body are numbing or your mind is overanalyzing, recognize that these are your coping strategies for the moment. Grounding techniques and breathing exercises can help you to stay relatively calm. Exercise, even walking, can help you to release some of this "stuck" energy.
  • Grieve For the Lost Potential: You might find yourself grieving for the parent you wish you had and deserved to have in addition to any grief you might feel for your actual parent.
Why is Grieving Under These Circumstances So Complicated?
  • Biological Paradox: Your brain's attachment system, which seeks connection, and your threat system, which detects danger, are both activated simultaneously. This can lead to internal chaos for you.
  • If There Was No Reconciliation: Death removes any chance for the parent to understand, acknowledge and make amends for the abuse. You are left with many unresolved and complicated feelings that you need to work out on your own or, preferably, with the help of a licensed mental health professional who has an expertie in this area.
  • Fragmented Memories: It's not unusual for a parent to be warm and loving at one point and threatening and abusive at other times. This can make it very difficult to understand who this parent was to you and how you feel about them. If the abuse occurred when you were young, you might even experience this parent almost as if they are two different people in your life.
  • Lack of Validation: Other people might praise your deceased parent at a funeral or memorial service which can feel isolating because it doesn't match your reality. Even close relatives who might know your parent's abusive nature might tell you, "Don't speak ill of the dead" which can also make you feel alone and lonely in your experience.
What Can You Do to Heal?
  • Validate All Your Feelings: Accept that it is normal and common to feel many contradictory feelings at the same time. 
  • Prioritize Your Peace of Mind: You are not obligated to place your deceased parent who abused you on a pedestal, nor are you obligated to attend their funeral if it will compromise your peace of mind. Others might not understand or agree, but you have to do what is right for you.
  • Externalize Your Emotional Pain: Writing a no-holds-barred letter, which you do not send, or writing in your journal can help you to express all your contradictory feelings and begin to process any unfinished business between you and your deceased parent.
  • Get Help in Trauma Therapy: Grief counselors often don't have specialized training in how to deal with complex grief like this. Working with a trauma therapist, a licensed mental health professional who is trained in complex trauma, can help you to work through your mixed feelings and overcome the unresolved trauma. There are various modalities of trauma therapy including:
    • EMDR (Eye Movement Desensitization and Reprocessing)
    • AEDP (Accelerated Experiential Dynamic Psychotherapy)
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.

As a Trauma 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 business hours or email me.

Also See My Articles:










Friday, May 1, 2026

Unresolved Trauma: Coping With Resentment For a Passive Parent Who Didn't Protect You From Abuse

Coping with resentment towards a passive parent for their role in childhood abuse or neglect is usually a difficult process (see my article: Letting Go of Resentment).

Coping With Resentment For a Passive Parent

When you were younger, you might have seen this parent as the "safer parent" or the "nice parent" as compared to the parent who was mistreating you.  However, as an adult, you might come to the realization that the parent you thought was safer or nicer didn't protect you from the parent who mistreated you.

Coping With Resentment For the Parent Who Didn't Protect You
Resentment is often a signal that your boundaries were violated and your need for safety was ignored.

Shifting from a child's view to an adult view often includes:
  • Allowing the Pedestal to Fall: Shifting from idealizing the passive parent to a realistic understanding of their complex role is a first step in recognizing and coping with your anger and resentment. While it's understandable that, as a child, you might have seen the passive parent as the "good one" compared to the abusive parent, now that you're an adult, you can develop a more mature understanding of why they prioritized the abusive parent's comfort over your well-being. There can be many complex reasons for their passivity, but being aware of this parent's role in your mistreatment is essential to your healing.
  • Understanding Responsibility vs Blame: There is a difference between blaming versus responsibility. The passive parent had a responsibility for your safety and well-being when you were a child. This is often a trap that many traumatized individuals get stuck in because they want to be empathetic towards the passive parent and yet they feel resentment towards them.
  • Considering the Passive Parent's Humanity: At some point, as an adult, when you have worked through some of your resentment, as part of your healing, you can consider that your passive parent wasn't infallible. Acknowledging your passive parent's flaws, including their own fear, conditioning and their possible unresolved trauma, can help you to see them as a flawed peer.
What Steps Can You Take As An Adult to Deal With Your Resentment?
  • Validate Your Reality: Your feelings of resentment and betrayal are real and valid. In many instances, the passive parent tends to minimize your experience in order to keep the peace with the mistreating parent. This might involve the passive parent telling you as an adult, "This happened a long time ago. Why don't you let it go?" or "You turned out alright so why are you still resentful about this?" Rather than allowing the passive parent to minimize your experience, you don't have to participate in the gaslighting as you reclaim your power (see my article: Self Validation).
  • Set Firm Boundaries: Boundaries are for your own well-being. They are not meant to hurt your parents. Start by affirming your right to be treated with respect and prioritize your healing and personal growth (see my article: How to Set Boundaries Without Guilt).
  • Learn to Stop Self Abandoning: In situations like these, many adult children learn to abandon their own needs to placate the passive parent, so it's important not to self abandon (see my article: What is Self Abandonment?).
  • Expect the Possibility of Resistance: If you have changed your role with the passive parent, you might encounter resistance in terms of being described as someone who has been "brainwashed" or, from their point of view, they might say you are unnecessarily resentful. Try to remain calm and firm in your stance.
  • Consider Their Limitations: You cannot force the passive parent to change or leave their situation. Each of you must make your own decisions. You also need to prioritize your well-being.
Clinical Vignette
The following clinical vignette illustrates the complexities involved in terms of coping with resentment towards a passive parent and how trauma therapy can help with unresolved trauma:

Ann
As an adult, Ann revealed to her mother that had her father touched her inappropriately multiple times when Ann was 10 years old. In response, her mother remained silent for a long time. Then she said, "You're 25 years old. These things happened a long time ago. Why can't you just let it go?" 

Coping With Resentment For a Passive Parent

Ann was stunned. When she could find her voice, she told her mother that the of sexual abuse by her father was traumatic and, as an adult, it impacted her sexual relationship with her boyfriend as well as her prior relationships with other men.

Ann's mother looked uncomfortable, "You know your father was drinking at the time. He probably didn't even know what he was doing. Now that he's dead, let him rest in peace."

Suddenly it dawned on Ann that her mother might have known about the sexual abuse when Ann was a child and her mother didn't stop it, "Did you know what he was doing to me?"

Her mother left the room quickly and Ann realized that her mother did know and she didn't protect her.  Ann felt enraged and followed her mother into the living room, "You knew, didn't you?"

Her mother looked upset, "You don't understand what it was like. When your father got drunk, he would threaten me. I was terrified that if I confronted him, he would hit me. And I wasn't working so I had no money. What was I supposed to do? Where was I supposed to go?"

"So you didn't do anything!" Ann shouted at her, "You just let him do it!"

"You were so young. I thought you wouldn't remember what happened when you got older" her mother responded.

Ann was speechless and she froze in the moment. But when she reconnected with her body, she left her mother's home and drove back to her apartment (see my article: Understanding the Freeze Response Related to Trauma).

On the way home, Ann was in tears. She recalled, as a child, hearing her parents arguing when he was drunk. At the time, she thought of her mother as an angel and her father as a devil.

Now she realized that, as a child, she had idealized her mother. But, as an adult, she now realized that her mother didn't protect her or try to get help to make the abuse stop--even though she knew about the abuse.

After several months of trauma therapy, Ann became aware that of just how angry she was that  her mother didn't take responsibility to protect her from her father.

She told her therapist that, when she was 15, a few months prior to her father's death, she confronted her father about the abuse. Her father told her he couldn't remember what he did when he got drunk and said, "Let's just put this behind us."

Her therapist used a combination of EMDR Therapy and Parts Work Therapy (IFS) to help Ann work through the unresolved trauma including Ann's feelings of resentment and betrayal towards each of her parents.

She and her boyfriend, Mike, also attended sex therapy to work on their relationship. Initially, when they first met, their sex life was good, but as their relationship became more emotionally intimate and Ann felt more emotionally vulnerable, Ann would freeze whenever Mike touched her.

During her treatment, Ann's trauma therapist and her sex therapist collaborated for the benefit of Ann and Mike's therapy.

Eventually, Ann's mother began her own individual therapy to deal with her role as the passive parent.

After a year in her own therapy, Ann's mother told her that she was ashamed that she didn't try to protect Ann and she apologized. She realized she needed to take responsibility for not doing her part to stop the abuse. She had profound regret and shame and she wanted to work towards reconciling her relationship with Ann (see my article: Understanding the Barriers to Reconciliation in Families).

Her mother also revealed to Ann that she had also been sexually abused as a child by her father and, in hindsight, she realized that her own experience complicated her feelings about her husband abusing Ann. She said she didn't want to make excuses. She just wanted Ann to understand.

Ann had a lot of mixed feelings towards her mother, but she wanted to forgive her. She also had mixed feelings about father because there were times when he was sober when Ann was a child that he was mostly a kind and loving father. 

She continued to work in trauma therapy to reconcile her feelings towards each of her parents. Since her father died, Ann had no way to reconcile with him directly, but she realized that adult children continue to have an internal relationship with their parents even after they are gone.

In the meantime, Ann and Mike continued to work on their relationship in sex therapy so that Ann could separate her traumatic experiences with her father from her sexual experiences with Mike.

Conclusion
The first step in these situations is to look at your childhood history with adult eyes.

Get Help in Trauma Therapy

Each person has to decide whether they are willing to reconcile with their parents or not. 

Some people decide that what happened when they were a child was unforgivable and others try to reconcile with one or both parents. 

Others decide to maintain a superficial relationship as opposed to being completely estranged (see my article: Family Estrangements: Understanding the Barriers to Reconcilation).

There is no right or wrong decision. There is only the decision that is right for you as an individual.

Trauma therapy can help you to free yourself from your traumatic history so you can live a 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.

As a trauma 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.















 

Wednesday, April 29, 2026

The Cycle of Perfectionism, Procrastination and Paralysis

In my prior article, Intergenerational Trauma: What is the Link Between Perfectionism and Unresolved Trauma?, I looked at perfectionism through the lens of trauma that is passed on from one generation to the next.

The Connection Between Perfectionism, Procrastination and Paralysis
In the current article, I'm discussing the cycle of perfectionismprocrastination and paralysis (also known as avoidance).

Cycle of Perfectionism, Procrastination and Paralysis

Perfectionism, procrastination and paralysis form a cycle where an obsession with perfection is the driver leading to avoidance (procrastination) and ultimately resulting in inaction (paralysis).

This self-sabotaging loop occurs because impossible standards create anxiety which makes starting or finishing tasks feel overwhelming and risky (see my article: Overcoming Self-Sabotaging Behavior).

Understanding the Cycle of Fear
  • Perfectionism (The Driver): Striving for impossible results, setting impossibly high standards and using all-or-nothing thinking.
  • Procrastination (The Behavior): Delaying work or some other action because of a fear that the outcome won't meet the impossibly high standards. This inaction or avoidance can be disguised as "waiting for the right time".
  • Paralysis (The Result): Becoming stuck and unable to start or finish a task, project or other commitment due to the pressure of wanting it to be "perfect".
How to Break the Cycle
  • Be Aware: "Done is Better Than Perfect": Focus on starting and completing tasks rather than making them "perfect".
  • Break Down Tasks: Divide tasks into more manageable and less intimidating parts.
  • Set Time Limits: Limit the time you spend "polishing" and trying to make something "perfect".
  • Practice Self Compassion: Work towards calming down your inner critic and accept that mistakes are inevitable and part of the learning process (see my article: Making Friends With Your Inner Critic).
  • Work on Underlying Issues: The cycle of perfectionism, procrastination and paralysis often develops at an early age related to unresolved psychological trauma. Working through these underlying issues with a licensed mental health professional can help you to get to the underlying issues and resolution to the problem.
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates the cycle discussed above and how psychotherapy can help.

Jean
Ever since she was a child, Jean approached all tasks and projects with a lot of anxiety. Her parents made her do her homework over and over again until they assessed it was "perfect" (excellent penmanship, no erasures, etc).

When she got to college, Jean had problems getting her papers in on time because her need to make everything "perfect" would cause her to either rewrite her papers many times before she could turn them in or her fear of the papers being less than "perfect" caused her to procrastinate and get the papers in late. There were times when she felt so anxious that she wasn't able to even start the papers.

Cycle of Perfectionism, Procrastination and Paralysis

One of Jean's professors, who recognized that Jean was intelligent and hard working, suggested that Jean get help in therapy to overcome these problems.

Working in trauma therapy, Jean gained insight into the origin of her problem and used the tools and strategies her therapist provided to get her papers in on time.

As part of her therapy, her therapist, who used Internal Family Systems Parts Work Therapy (IFS), helped Jean to work through these issues by getting her inner critic to soften and step aside so she could complete her tasks. Jean also learned to strengthen her Core Self so she was no longer influenced by the parts of herself that strove for "perfection".

Get Help in Therapy
If self help techniques haven't helped you to overcome perfectionism, seek help from a qualified mental health professional.

Get Help in Therapy

Overcoming the root cause of your problem can help you to work through these issues so you can lead 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.

As a Trauma Therapist, I have helped 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.








Tuesday, April 28, 2026

Intergenerational Trauma: What is the Link Between Perfectionism and Unresolved Trauma?

In my prior article, How a Parent's Unresolved Trauma Can Affect Their Child, I started a discussion about the potential impact for children of parents with unsolved trauma (see my article: What is Intergenerational Trauma?).


The Link Between Perfectionism and Unresolved Trauma

I'm continuing this discussion in the current article by focusing on one aspect this issue,  which is perfectionism (see my article: Overcoming Perfectionism).

Estimates vary as to what percentage of children of traumatized parents develop perfectionism, but the current estimate as of the date of this article is 25-30%.

What is the Link Between Perfectionism and Intergenerational Trauma?
Trauma-related perfectionism is passed down through biological and environmental pathways:
  • Parental Modeling: Children often internalize the harsh, self critical inner voices of parents who use perfectionism to cope with unresolved trauma.
  • Epigenetic Predisposition: Chronic stress and trauma in parents can influence gene expressions related to anxiety and chronic stress, potentially exposing children to perfectionistic tendencies.  
Signs of Trauma-Based Perfectionism
Unlike healthy striving for excellence, trauma-based perfectionism is driven by fear and shame

This includes:
The Procrastination Paradox
  • Procrastination Paradox: Avoiding tasks entirely because the fear of doing them imperfectly is paralyzing
  • Chronic Self Criticism: A persistent internal dialog that equates mistakes with being "bad" or at risk for abandonment
Support the Healing Process
If your child is experiencing perfectionistic tendencies related to intergenerational trauma, healing begins with you:
  • Create a Nonjudgmental Space: Create an environment in your home where mistakes are welcomed and met with curiosity instead of judgment.
Create a Nonjudgmental Environment
  • Practice Compassion: Help your child to distinguish their worth from their achievements.
  • Get Support For Yourself in Trauma Therapy: Healing begins with you. If you have unresolved trauma, get help in trauma therapy so you can become a parental model of mental health. Trauma therapy modalities include:
  • Get Help For Your Child: Seek help from a licensed mental health professional who does trauma-informed therapy for children. Therapist directories like Psychology Today can provide you with referrals to psychotherapists who work with children in your area.
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.

As a trauma 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 business hours or email me.

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