Can You Heal From Your Trauma Without Psychotherapy? Part 2

In my last article,  Can You Heal From Your Trauma Without Psychotherapy - Part 1, I began with a very qualified "yes" to this question.

Healing From Trauma

Part 1 of this topic focused on the barriers to finding a therapist which often forces people who want therapy to deal with their trauma on their own. 

In the current article, I'll discuss the types of self-help interventions you can use on your own to heal from trauma and some of the challenges involved in trying to heal certain types of trauma on your own.

Generally speaking, you can try to heal on your own with one-time traumatic events that are mildly disturbing--although what is mildly disturbing to one person is severely disturbing to someone else. As a result, you have to know yourself well without being in denial about how you're affected by your unresolved trauma.

Healing From Trauma on Your Own Without Psychotherapy

Under certain circumstances, which I'll discuss in this article, individuals do heal from trauma on their own without psychotherapy.

Healing From Trauma

Many individuals who have a natural resilience, a strong support network and self-directed coping strategies have healed on their own from mildly disturbing traumatic events.

I'll discuss the limitations and risks in the next section of this article.

With the exception of complex trauma, chronic trauma, depression, panic attacks, severe flashbacks, substance abuse or debilitating anxiety and other related conditions, many individuals can heal from trauma without therapy.

Another exception is if a one-time traumatic event occurs and you have a history of complex trauma. Under these circumstances, the one-time event can exacerbate long-standing complex trauma, so it's not advisable to try heal on your own. You need professional help.

Whether or not you can heal from trauma on your own depends on certain personal factors including (but not limited to):

• The severity of your trauma
• The duration of your trauma
• The frequency of your trauma
• Your internal resources and coping skills
• Your personal access to a safe environment

It's not unusual for individuals who experience trauma to underestimate the severity, duration and frequency of their trauma, so you have to be objectively honest with yourself.

In addition, if someone is accustomed to living in an unsafe environment, they might have a blind spot about their current circumstances because it's familiar and seems "normal" to them. So, once again, you need to be objectively honest with yourself, which can be challenging.

When Is It Possible to Heal Independently?

Since trauma affects the brain's survival wiring and nervous system, the possibility of healing independently requires a combination of emotional, mental and physical strategies:

• Somatic and Nervous System Regulation: Trauma traps the body in a continuous state of fight, flight or freeze. Individuals who have unresolved trauma often benefit from physical practices like trauma-informed yoga, breathwork and rhythmic movement to signal to their nervous system that they are safe now. 

Healing From Trauma

• Structured Self Reflection: Tools such as expressive writing or structured journaling allow individuals with trauma to safely externalize their overwhelming feelings, identify trauma triggers and track behavior problems without immediate judgment. 

• Relational Safety: Healing from trauma rarely, if ever, occurs in isolation. Building trusted relationships with safe friends, family members or peer support groups help build a sense of shared belonging and mutual trust.

• Psychoeducation: Reading evidence-basesd literature on trauma recovery can empower individuals to understand their emotional flashbacks and dismantle self-blame objectively. Although developing insight into your trauma isn't the same as working through it, psychoeducation is a good first step.

What Are the Risks and Limitations to Healing Independently?

While self healing is possible, trying to navigate healing from trauma entirely on your own has distinct challenges that should be carefully considered:

• Risk of Retraumatization: This is a very important consideration. The unchecked excavation of deeply repressed, distressing traumatic memories without professional stabilization from a mental health professional can inadvertently reinforce neural pathways of fear, anxiety, panic and amplification of panic and anxiety. 

• Blind Spots: An individual's psychological defense mechanisms, including dissociation and emotional numbing, can hide underlying trauma responses. This makes identifying a trauma response very difficult to identify and resolve on your own.

• Symptom Severity: Self-directed methods to healing trauma are generally more effective for localized, single-event trauma (e.g., a one-time argument with a loved one when the relationship is normally healthy, a close call with a car accident where the accident never occurred and other similar one-time events). Complex trauma, chronic trauma, persistent panic attacks, severe flashbacks, substance abuse and depression are among the conditions that shouldn't be handled independently. Under those circumstances, a qualified mental health professional is required.

• Avoid Reliving Instead of Revisiting the Trauma: Retelling your trauma, whether you do it on your own or you talk with a therapist who isn't a qualified trauma therapist, will be retraumatizing instead of healing.

Healing From Complex Trauma

Complex trauma stems from chronic, repeated interpersonal violations such as childhood abuse and neglect and other similar conditions.

Complex trauma fundamentally alters your brain structure, your nervous system and relational trust.

Trauma therapy remains the gold standard for complex trauma.

Why is Self-Healing Not Advisable For Complex Trauma?

Here are some of the major reasons:

• The "Window of Tolerance" Danger: Healing complex trauma requires processing traumatic memories without tipping into panic or shutting down with dissociation. Without a trauma therapist to help you monitor your "window of tolerance", processing deep trauma on your own can lead to unintended retraumatization (see my article: Expanding Your Window of Tolerance to Overcome Emotional Problems).

• The Relational Wound: Complex trauma is usually caused by people. Since the hurt happened in a relationship, true rewiring of your attachment system and relational trust requires a safe, consistent relationship--the type of relationship you have with a skilled trauma therapist.

• Nervous System Hijacking: Trauma lives in the trauma-focused and emotional parts of the brain and body--not just in the logical part of your brain. It is extremely difficult (if not impossible) for you to talk yourself or think yourself out of an automatic biological panic without professional help.

When Self Help is Not Enough

Self-guided healing is more likely to work for mild symptoms and establishing baseline stability.

As previously mentioned, professional help is needed if you have complex trauma, panic attacks, depression, substance abuse problems, flashbacks, relationship problems, debilitating anxiety or other symptoms that affect your daily functioning.

Before You Try to Heal Your Trauma On Your Own, Consult a Professional: If you are considering whether or not to try to heal without therapy or you want to make sure you'll be safe on your own, have a consultation with a licensed mental health professional who is a trauma therapist. 

A skilled trauma therapist can assess whether you can safely try to heal on your own or if you need professional help.

Getting Help in Trauma Therapy

If you decide to pursue trauma therapy with a licensed mental health professional, you have various choices with regard to trauma therapy modalities:

The Top Down Approach to Trauma Therapy

The top down approach to trauma therapy includes cognitive behavioral therapy (CBT) which challenges your distorted thoughts and beliefs related to your trauma. The problem with CBT, in my professional opinion, is that it usually leaves out the mind-body connection and it often doesn't go deep enough.

Trauma Therapy: Top Down and Bottom Up Approaches

The Bottom Up Approach to Trauma Therapy

I recommend the Bottom Up approach to trauma therapy, which are also known as Experiential Therapies (see my article: What is the Difference Between Top Down and Bottom Up Therapies?

Experiential Therapy tends to be more effective for processing trauma than traditional talk therapy like CBT (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma?).

Experiential Therapies are mind-body oriented therapy that get to the root of the problem by focusing on the mind-body connection (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Bottom up Experiential therapies include:

• Somatic Experiencing Therapy (SE)

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Somatic IFS Therapy (Somatic Internal Family Systems Therapy)

• EMDR (Eye Movement Desensitization and Reprocessing Therapy)

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS/Parts Work Therapy, Emotionally Focused Therapy for couples, 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.

I offer a free 10-15 phone call before I sent up a first appointment.

You can call me at (917) 742-2624 during business hours or email me to make an appointment.

Also See My Articles:

How Does Somatic Experiencing Process Emotions? 

Experiential Therapy, Like EMDR, Helps to Achieve Emotional Breakthroughs

Combining EMDR and IFS Somatic Parts Work Therapy 

How Does AEDP Heal Trauma? 

What is Somatic Resonance and Why Is It Healing?

What is Somatic IFS Therapy?

I've written prior articles about IFS (Internal Family Systems) therapy, a gentle evidence based trauma therapy, in the past (see links for articles at this end of this article).

What is Somatic IFS Therapy?

Somatic IFS therapy is an integrative approach that combines the "parts work" of traditional IFS with body-centered somatic therapy.

Somatic IFS Therapy

Somatic IFS was developed by IFS trainer, Susan McConnell, who also wrote the book, Somatic Internal Family Systems.

This modality is based on the premise that psychological wounds, trauma and subpersonalities (parts) don't just live in the mind--they are physically stored in the nervous system, tissues and postures.

Somatic IFS Therapy as Mind-Body Parts Work

Traditional IFS sees the human psyche as a system of distinct subpersonalities (e.g., inner children, managers and protectors) led by a compassionate Core Self. 

Although traditional IFS does use the mind-body connection, it relies mostly on cognitive dialog to interact with these parts. Somatic IFS really emphasizes the body in this dialog.

The basic assumptions of Somatic IFS include:

• Parts Are Embodied: An anxious protector might manifest as a tight jaw or restricted breathing. Similarly, a deeply wounded exile (wounded part of oneself) might show up as chronic fatigue or a collapsed posture.

• The Core Self is Embodied: Genuine healing comes from an embodied Core Self where a person doesn't just think from a place of curiosity and compassion--they feel physically grounded and safe within their own skin.

What Are the 5 Core Practices of Somatic IFS Therapy?

Somatic IFS uses five distinct structured practices to bridge the gap between mind and body:

• Somatic Awareness: The foundational step in Somatic IFS is from having a body to being a body--noticing physical sensations, interoceptive cues and internal stories (see my article: The Mind-Body Connection: What is Somatic Awareness?)

Somatic IFS Therapy

• Conscious Breathing: Somatic IFS uses specific breathwork techniques to regulate the nervous system, soothe hyperactive parts and safely access buried emotional pain (these parts are called "exiles" in IFS).

• Radical Resonance: Somatic IFS develops awareness of the energetic relational space between the client and the therapist. This allows the IFS therapist's regulated nervous system to help co-regulate the client. 

• Mindful Movement: Somatic IFS invites micro-movements, which are changes in posture or expressive stretching to let a nonverbal part of the client express itself physically its needs, incomplete survival defenses or release physically burdens held by the parts.

• Attuned Touch: Somatic IFS therapy encourages the client to comfort wounded parts through touch/grounding hand placement. This also allows the client to use their hand to facilitate a felt sense of safety.

Somatic IFS Therapy and the Nervous System

Somatic IFS is effective for conditions rooted in the nervous system because it goes beyond intellectual analysis and intellectual insight. 

Somatic IFS is used for posttraumatic stress disorder (PTSD), chronic trauma, anxiety, complex trauma, preveral trauma and other nervou system related mind-body oriented problems.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, Somatic Experiencing, EFT therapist (for couples) 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.

Also See My Articles:

IFS Therapy is a Gentle Evidence-Based Trauma Therapy 

What is the Connection Between IFS Therapy and Neural Networks? 

How IFS Therapy Can Help With Anxiety

 

IFS-Informed EMDR: What Are the Benefits of Integrating EMDR and IFS Parts Work Therapy?

Combining EMDR (Eye Movement Desensitization and Reprocessing) and IFS (Internal Family Systems) Parts Work Therapy creates a powerful synergistic approach for recovering from trauma. 

Integrating EMDR and IFS Parts Work Therapy

See my articles about EMDR and IFS: 

What is EMDR Therapy?

IFS Parts Work Therapy is a Gentle Evidence Based Trauma Therapy

How Are EMDR and IFS Therapies Integrated For Trauma Processing?

EMDR therapy uses accelerated processing to target traumatic memories while IFS provides a gentle nonpathologizing framework that honors the many aspects of the client's personality (also known as "parts").

Integrating EMDR and IFS Parts Work Therapy

Blending EMDR and IFS is called IFS-informed EMDR. The integration of these two therapies helps trauma therapists to navigate dissociation, resistance and processing blocks for clients with unresolved psychological trauma.

Phases 1 and 2: History Taking, Treatment Planning and Preparation: Whereas traditional EMDR focuses on identifying target memories and teaching basic grounding skills, integrating IFS shifts the focus to mapping the client's internal system and establishing foundational safety:

• Parts Mapping: The trauma therapist maps out the client's psychological protective system. These protective parts are known as Managers and Firefighters. The wounded parts of the client, which hold the client's trauma history, are known as Exiles.

IFS Mapping

• Identifying Negative Beliefs as Parts: Instead of treating negative beliefs as just thoughts, the therapist treats negative beliefs, like I'm unlovable" or "I'm powerless", as protective parts which are trying to protect the client from future harm. 

• Cultivating Core Self Energy: The therapist ensures the client can access their Core Self. The Core Self is characterized by compassion, curiosity and other similar qualities. Core Self acts as the client's primary internal resource before trauma processing begins (see my article: Understanding Your Core Self and Parts in IFS Therapy).

Phases 3 and 4: Assessment and Reprocessing: This is where the synergy of integrating EMDR and IFS takes place. Instead of framing the client's "resistance" as a problem, the therapist understands the protective nature of resistant parts and uses IFS Parts Work to clear the path for EMDR's bilateral stimulation:

• Securing Protector's Consent: The client's protector part's permission is essential so, before using EMDR's bilateral stimulation on a traumatic memory, the therapist will check with the protective part guarding the memory. She will ask, "Is it okay if we look at this memory today? Would you be willing to step aside?"

Integrating EMDR and IFS Parts Work Therapy

• Handling Looping and Blocks: If processing stalls or the client dissociates, the therapist recognizes that a protector part has stepped in to block the intensity of the processing. If so, the therapist will introduce an IFS-informed cognitive interweave, "Can the part that is blocking the processing let us know what it is worried would happen if we keep going?" 

• Maintaining Functional Dual Attention: Dual attention means the client keeps one foot in the present moment (Core Self energy) while simultaneously witnessing the Exile's trauma during the bilateral stimulation (see my article: What is Dual Awareness in Psychotherapy?).

Phases 5 and 6: Installation and Body Scan: Once a memory has been desensitized, the focus shifts to internal alignment and somatic integration:

• Inviting the Parts to "Try On" Positive Beliefs: Instead of installing a positive belief globally (as would be done in traditional EMDR), the therapist will check out how individual parts of the client receive it. She will ask if the protective parts feel safe adopting a positive belief like "I am lovable" or "I feel empowered". 

Integrating EMDR and IFS Parts Work Therapy

• Somatic "Befriending": During the body scan, if any residual tension is detected, the therapist will treat this physical sensation as a part. She will help the client to bring curiosity to this area of the body to see what emotional burden it is holding.

Phase 7 and 8: Closure and Re-evaluation: These final phases ensure the internal system remains stable and cohesive between sessions:

• Systemic Inclusion: Before closing an incomplete session, a trauma therapist explicitly checks back in with the protector parts that stepped aside. She will acknowledge their hard work, thank them for their cooperation and ensure they feel safe returning to their roles until the next session. 

• Assessing Systemic Shifts: At the start of the next session, the therapist will evaluate the client's inner world to see how the client's parts reacted to the last session. She will also check to see if new protectors have emerged or if old ones feel lighter. 

What Are the Benefits of Integrating EMDR and IFS Parts Work Therapy?

Integrating EMDR and IFS combines the rapid processing of EMDR and the gentle framework of IFS. This hybrid approach, which is called IFS-Informed EMDR, addresses the limitations of each modality when used alone. 

IFS-Informed EMDR offers several distinct clinical advantages including:

• Reducing Dissociation and Emotional Flooding: Traditional EMDR can sometimes overwhelm certain clients with complex trauma. This overwhelm can lead to dissociation. The IFS benefit is that the therapist does not push beyond the client's defenses, which are seen as "parts". By identifying and gaining permission from protective parts before starting bilateral stimulation, the pacing of the therapy matches the client's internal threshold which prevents sudden decompensation (see my article: What is Complex Trauma?).

Integrating EMDR and IFS Parts Work Therapy

• Overcoming Treatment Blocks and Looping: In traditional EMDR, processing can stall ("loop") when the client's unconscious mind resists going to the traumatic memory. By using IFS, instead of viewing resistance as a hindrance, the therapist sees the protector part as doing its job. The therapist will pause the processing to hear the protector's fears (e.g., "If I let go of this fear, I'll be at risk for being traumatized again"). Hearing the protector's fears can unblock the processing without triggering internal conflict for the client.

• Providing an Internal Attachment Figure: Traditional EMDR relies heavily on the therapist as the external source of safety and containment during processing. IFS cultivates the client's Core Self energy of compassion and curiosity to act as the primary healing agent. The client's Core Self becomes the internal attachment figure that holds, validates and "re-parents" the wounded child part (known as the Exile) during trauma processing.

• Maximizing Safety For Complex PTSD: Clients with complex developmental trauma often lack a single, clear target memory to process which makes traditional EMDR therapy difficult to initiate. The IFS mapping provides a clear internal landscape because therapists can target the relationship between the parts or focus on the negative core beliefs held by a specific part. This offers a structured roadmap for clients with fragmented trauma histories.

• Enhancing Post-Session Integration: After an intense EMDR session, clients can sometimes experience a backslash from internal defenses that feel blindsided by the rapid changes. Integrating IFS involves explicitly thanking the protectors and checking back in with the internal system before ending the session. This ensures that the whole system feels respected which drastically reduces the possibility of a post session backlash.

Conclusion

Integrating EMDR therapy and IFS Parts Work Therapy combines the best aspects of both trauma therapies including the rapid processing of EMDR and the gentle non-pathologizing aspects of IFS.

Get Help in IFS-Informed EMDR Therapy

Whereas traditional talk therapy is a top-down approach, both EMDR and IFS are bottom up approaches (see my article: What is the "Top Down" and "Bottom Up" Approaches to Trauma Therapy?).

Get Help in IFS-Informed EMDR Therapy

If traditional talk therapy hasn't been effective in helping you to heal from trauma, you could benefit from working with a licensed mental health professional who integrates the best aspects of EMDR and IFS.

Rather than struggling on your own, seek help with this integrated approach so you can work through trauma and live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, IFS Parts Work, AEDP, 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.

Also See My Articles:

Combining EMDR and IFS to Overcome Emotional Blocks 

EMDR Therapy - When Traditional Talk Therapy Isn't Enough 

How Are Emotions Processed in EMDR? 

What Are Imaginal Interweaves in EMDR?

What is the Connection Between IFS and Neural Networks?

Getting Help in Trauma Therapy: What Are Traumatic Memories?

People who seek help in trauma therapy often want to know how traumatic memories differ from standard memories.

What Are Traumatic Memories?

Let's start by defining traumatic memories.

Traumatic Memories

Traumatic memories are vivid, deeply distressing recollections of overwhelming or life threatening experiences.

Unlike regular autobiographical memories, the brain processes and stores traumatic memories as a separate cognitive entity as compared to standard past narratives.

How Are Traumatic Memories Different From Standard Memories?

Ordinary memories function like a cohesive story with a clear beginning, middle and end. However, when a traumatic event occurs, the brain's survival mechanisms alter how the information is stored in the brain:

• Lack of Narrative Structure: Traumatic memories are often highly fragmented, disorganized or temporarily missing from conscious recollection.

• Sensory-Heavy Integration: Traumatic memories are often intensely loaded with sensory data. You might remember a specific smell, a sharp sound, a visual fragment, but you might lose track of the timeline or context.

• The Current Experience: A standard unpleasant memory is recalled as a past experience. However, certain traumatic memories feel like they are happening now rather than being something that occurred in the past. When this occurs, you can feel like you're being emotionally hijacked in the moment--even though it's a memory from the past (see my article: What is Emotional Hijacking?).

How Do Traumatic Memories Manifest?

Because traumatic memories are often stored dynamically in the nervous system, they can surface in certain distinct ways:

• Intrusive Flashbacks: You might have intrusive flashbacks where you have a sudden, involuntary re-experiencing of the event triggered by everyday sights, sounds or smells that are similar to the original trauma.

Traumatic Memories

• Somatic/Bodily Memories: The body can retain physical tension, chronic pain, a racing heart or gastrointestinal distress when you are triggered. This can occur even if you are not consciously thinking about the trauma. 

• Emotional Flashbacks: You might experience a sudden emotional wave of intense fear, helplessness, anger, shame or despair that feels completely disproportionate to your current safe surroundings (see my article: What Are Emotional Flashbacks?).

• Nightmares: Repetitive, disturbing dreams can replay certain aspects of the traumatic event.

How Can You Heal From Traumatic Memories?

Traumatic memories are often "stuck" in a raw, "unmetabolized" state and traditional talk therapy usually isn't sufficient to process these memories.

Trauma therapies are specifically designed to help the brain move the fragments out of survival mode and integrate them into standard autobiographical memory. 

Common evidence-based trauma therapy include:

• EMDR (Eye Movement Desensitization and Reprocessing): EMDR uses bilateral stimulation to help with processing traumatic memories so these memories lose their charge (see my article: How Does EMDR Therapy Work?).

Traumatic Memories

• SE (Somatic Experiencing): SE focuses on releasing the traumatic energy trapped in the nervous system (see my article: What is Somatic Experiencing?).

Traumatic Memories

• IFS (Internal Family Systems Parts Work Therapy): Traumatic memories are healed by establishing a compassionate internal relationship between your Core Self and the wounded parts of your psyche. This gentle, non-pathologizing approach treats trauma as a system of protective and wounded internal parts of you (see my article: What is Internal Family Systems (IFS) Parts Work Therapy?).

Traumatic Memories

• AEDP (Accelerated Experiential Dynamic Psychotherapy): AEDP heals traumatic memories by processing overwhelming emotions within a safe therapeutic relationship to rewire the brain's trauma response (see my article: What is AEDP and How Does It Heal Trauma?).

Get Help in Trauma Therapy

If you are experiencing emotional trauma, waiting to get help in trauma therapy can cause the trauma to become more entrenched. This can lead to more severe psychological, physical and relational complications over time.

Get Help in Trauma Therapy

Rather than waiting or struggling on your own, seek help from a licensed mental health professional who is a trauma therapist so you can overcome your trauma and live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), IFS, 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.

Also See My Articles:

Reacting to Your Present Circumstances Based on Your Traumatic Past

What is Complex Trauma? 

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

How Can Unresolved Trauma Affect Your Relationship? 

 

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 perfectionism, procrastination 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.

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.  

• Parentified Roles: Children who are forced to take on adult responsibilities or care for a parent's emotional needs may use perfectionism to fulfill these overwhelming obligations (see my article: What is Parentification and Why Is It Traumatic?).

Signs of Trauma-Based Perfectionism

Unlike healthy striving for excellence, trauma-based perfectionism is driven by fear and shame. 

This includes:

• All-or-Nothing Thinking: Viewing any minor mistake as a total failure or proof of inherent unworthiness (see my article: Overcoming All-or-Nothing Thinking).

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:

• Parts Work Therapy (IFS and Ego States Therapy)
  

• Accelerated Experiential Dynamic Psychotherapy (AEDP)
  

• Eye Movement Desensitization and Reprocessing (EMDR)

• Somatic Experiencing (SE)
  

• 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.

Also See My Articles:

How Trauma Therapy Can Help You to Overcome Unresolved Trauma

The Potential Long Lasting Impact of Trauma 

How a Parent's Unresolved Trauma Can Affect a Child 

You Are Not Defined By What Happened to You