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NYC Psychotherapist Blog

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

Sunday, March 1, 2026

How Are Emotions Processed in Internal Family Systems (IFS) Parts Work Therapy?

I have been focusing on how emotions are processed in different types of therapies (see links below for prior articles).

What is Parts Work Therapy
IFS, which stands for Internal Family Systems, was developed by Richard Schwartz as a form of trauma therapy in the 1980s.
Processing Emotions in Parts Work

Prior to IFS, Ego States Therapy, which is another form of parts work therapy, was developed by psychiatrists John and Helen Watkins in the 1970s, so IFS wasn't the first type of parts work. 

Ego States Therapy is a psychodynamic approach which is used to resolve inner conflicts, trauma and improve emotional regulation by fostering communication and harmony between the different parts of a person's personality.

I learned Ego States Therapy while I was learning how to do hypnotherapy in 2011 and when I learned IFS a few years later, I saw the similarities between Ego States Therapy and IFS immediately.

Ego States Therapy and IFS have the following similarities:
  • The personality is perceived as consisting of separate subparts rather than perceiving the personality as a single, unified whole. Subparts are a part of everyone's personality. This is different from multiple personality disorder.
  • Both Ego States Therapy and IFS strive to help the various parts of the personality to work together. The goal is not to get rid of any parts because there are no bad parts. All parts have good intentions even if the intentions aren't apparent at first.
  • Both types of parts work are effective for trauma, PTSD and resolving inner conflict.
  • Ego States Therapy uses guided imagery and sometimes hypnotherapy to identify and communicate with specific parts, also known as Ego States. IFS uses somatic awareness to identify and communicate with parts.
How Does IFS Parts Work Process Emotions?
Similar to Ego States Therapy, IFS identifies specific parts using compassionate curiosity through the Core Self, which is also known as the Self, Adult Self or Higher Self (see my article: Discovering Your Core Self in IFS Parts Work Therapy).

Here are the key stages of emotional processing in IFS:
  • Identifying "Trailheads": Emotional triggers or intense feelings (anger, fear, sadness and so on) are recognized as "trailheads". In other words, they are recognized as gateways to understanding a part.
  • Unblending and Self Compassion: Instead of being overtaken by an emotion, you learn to separate from it. This separation or externalization allows for your calm and compassionate Core Self to observe and connect with the emotion without judgment. This is similar to mindfulness where you learn to observe your experiences.
Processing Emotions in Parts Work: Befriending Parts
  • Befriending Protective Parts: Before accessing deeply painful emotions, IFS focuses on understanding "managers" (proactive protector parts) and "firefighter" parts (reactive, numbing parts). You learn that these protective parts, which would be identified as defense mechanisms in psychodynamic or psychoanalytic therapy, have positive intentions of protecting you, such as preventing future harm.
  • Witnessing the Unburdened Exiles: Once you have developed a trusting relationship with the protective parts, they can allow the Core Self to access the wounded, vulnerable "exile" parts which hold the trauma. The Core Self listens to and observes the exile's story and helps them to release the painful emotions or limiting beliefs they carry. This is called unburdening the exiles.
The 6 Fs of IFS
To process emotions, IFS often uses a structured process to engage with the parts:
  • Find: Locate/sense the emotion/part in the body.
  • Focus: Bring your attention to it.
  • Flesh Out: Get to know the parts (images, sensations, memories).
  • Befriend the Part: Listen to and understand the part's intention.
  • Fears: Listen to and understand what the part fears if it stops doing what it's doing. For example, a protector part might be afraid when you ask the part to step aside because it fears letting go of control. This is similar to how defense mechanisms work. For instance, you might unconsciously protect yourself with denial about a problem and letting go of that denial can make you afraid. So, whether you conceive of it as a part or a defense mechanism, you have to gain its trust so it feels safe enough to let go.
Through the IFS or Ego States Therapy process, emotions are no longer suppressed or acted out impulsively. Instead, emotions are validated and released. This leads to healing and internal integration which is an essential part of mental health.

Emotional Blocks in Parts Work
After reading the summary above, it would be easy to think that processing emotions in Parts Work, either IFS or Ego States Therapy, is simple, but this isn't always the case (see my article: Working With Emotional Blocks).

Just like in any other therapy, you can experience emotional blocks that get in the way of processing emotions. For instance, in attempting to feel compassion, you might access a critical part instead that gets in the way and needs to be worked with before you can access self compassion. This critical part is often a protector part and it also functions as an emotional block.

In addition, the mind can resist what's unfamiliar. So, if your familiar experience is to berate yourself because you internalized that experience at a young age, you have accessed a protector part that is difficult to let go of because it has become a longstanding part of you.

Although it might not sound like it's protective, all parts have good intentions so it's important to find out what the intention is when a part blocks progress. Then, you can form a trusting relationship with the part so it will eventually let go of criticizing and judging you.

Conclusion
IFS and Ego States Therapy are two of several types of trauma therapies.

The trauma therapist assesses each client to determine which type of trauma therapy--whether it's EMDR, AEDP, Somatic Experiencing, Parts Work or a combination of these modalities is for a particular client. 

Getting Help in Trauma Therapy
If you have unresolved trauma that you have been unable to work through on your own, you could benefit from working with a licensed mental health professional who is a trauma therapist (see my article: What is a Trauma Therapist?).

Getting Help in Trauma Therapy

Freeing yourself from unresolved trauma can help you to 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.

As a trauma therapist, I have over 25 years of experience helping individual adults and couples.

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

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

Also See My Articles:
































 

Saturday, February 28, 2026

How Are Emotions Processed in EMDR Therapy?

EMDR stands for Eye Movement Desensitization and Reprocessing (see my article: How EMDR Therapy Works: EMDR and the Brain).

How Are Emotions Processed in EMDR Therapy?

EMDR was developed by Dr. Francine Shapiro in the 1980s as an alternative to traditional talk therapy to heal psychological trauma. 

EMDR is one of several types experiential therapies, including AEDP (Accelerated Experiential Dynamic Psychotherapy) IFS (Internal Family Systems) Parts Work and Somatic Experiencing, that were developed by trauma therapists help clients to overcome trauma (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma).

The cornerstone of EMDR is the Adaptive Information Processing (AIP) system which is a theory about how the brain stores memories and that the brain stores regular memories and traumatic memories in a different way.

While normal memories are stored by strengthening connections between neurons, traumatic memories aren't stored in a cohesive way. Instead, traumatic memories are stored with fragmented, sensory and emotional imprints due to the hyperactivation of the amygdala and inhibition in the hippocampus in the brain.

The unprocessed nature of traumatic memories can cause flashbacks and triggers.

Prolonged trauma can lead to structural changes in the brain with a reduction in neuroplasticity, but the reduction can be repaired by EMDR therapy and other trauma therapies.

How Are Emotions Processed in EMDR Therapy?
Emotions related to traumatic memories are processed in EMDR therapy using bilateral stimulation (BLS) which can be either eye movements, bilateral tones or tapping, to stimulate the brain while the client focuses on the traumatic memory (see my article: What is Bilateral Stimulation?).

EMDR Therapy Using Tappers For BLS

This technique is similar to REM (Rapid Eye Movement), which is a crucial stage of sleep associated with dreaming and increased brain activity.

Bilateral stimulation helps the brain to "metabolize" the unprocessed traumatic memories by  reducing their emotional charge and replacing negative self beliefs with positive, adaptive beliefs.

Prior to processing traumatic memories with EMDR, an EMDR therapist assesses whether EMDR is the appropriate therapy for a particular client. 

If so, she obtains a client's history, helps the client to develop the necessary internal resources and coping skills to do the trauma work and evaluates whether the client is ready to process the trauma. 

Some clients, who have a significant history of ongoing trauma might need an extended period of resource development before they can process traumatic memories (see my article: Developing Internal Resources and Coping Skills).

What Are the Key Aspects of EMDR Therapy?
Here is a breakdown of the eight phases of EMDR therapy.

If the therapist assesses that EMDR therapy is appropriate for a client, there are eight phases to EMDR which vary in length depending upon each client's needs:
  • Phase 1: History Taking and Treatment Planning: The therapist obtains the client's history, as mentioned above. She identifies the traumatic memories and creates a treatment plan in collaboration with the client. During this stage, the therapist helps the client to identify the "touchstone" memory, which is the earliest memory related to the trigger the client is experiencing. For instance, if the client seeks EMDR therapy to deal with a difficult boss who humiliates the client in staff meetings, the touchstone memory might be memories of being humiliated by a critical father. The earlier memories would each have their own eight stages for processing. The therapist tries to find a touchstone memory which will have generalizable effects meaning that working with a one or a few of these memories is healing to the other similar memories. If these earlier touchstone memories aren't processed, the client is likely to get triggered again with another current situation that has similar elements to the touchstone memory. The mechanism for identifying the touchstone memory is the Float Back technique which is also known as the Affect Bridge in hypnotherapy (also known as clinical hypnosis).
An EMDR Therapist Writing Down the Client's History
  • Phase 2: Preparation: The therapist explains the process, establishes safety for the client, and teaches the client coping skills (also known as internal resources) to manage emotional stress during trauma sessions and between sessions (see my article: Why is Establishing Safety So Important in Trauma Therapy?).
  • Phase 3: Assessment: The therapist activates the traumatic memory that she and the client have chosen to work on by identifying specific images, the client's negative self beliefs, emotions and physical sensations related to the trauma. This is also known as setting up the EMDR protocol.
  • Phase 4: Desensitization: Bilateral stimulation (eye movements, taps or tones) is used to reduce the distress associated with the memory. When clients have experienced ongoing trauma, such as developmental trauma during childhood, there can be many memories to process using the eight stages for each memory. For instance, if a client experienced extensive physical abuse as a child as well as bullying in elementary school and date rape in adolescence, each one of those experiences would need to be processed.
  • Phase 5: Installation: A positive belief, which is identified by the client, is strengthened to replace the negative belief associated with a particular traumatic memory.
  • Phase 6: Body Scan: The client checks for any remaining tension in the body linked to the traumatic memory. If there is tension in the body associated to the memory, the therapist uses bilateral stimulation until the tension dissipates.
  • Phase 7: Closure: After each EMDR session, the therapist uses stabilization techniques, which might include debriefing/talking about the experience or a meditation, to ensure the client feels secure at the end of a session.
  • Phase 8: Reevaluation: The therapist assesses the client's progress, determines the success of the treatment and plans the next step of the therapy in collaboration with the client.
What Are Emotional Blocks?
Emotional blocks are unconscious barriers to processing traumatic memories.

Overcoming Emotional Blocks in EMDR Therapy

An emotional block can occur at any phase of the EMDR processing.

I have been doing EMDR therapy regularly since 2006 and, unless a client comes with an uncomplicated one-time traumatic event, there will be emotional blocks during processing.

The emotional block can take many forms. One common example is the belief, "I don't deserve to feel better". 

When a therapist and client encounter an emotional block, to use a metaphor, it's like encountering a tree that has fallen across a train track. The train can't go any further until the tree, which is blocking the train track, is removed.

Similarly, EMDR processing won't go any further until the emotional block is removed. 

When a client and I encounter an emotional block in EMDR processing of a memory, I find it's useful and efficient to conceptualize the block as a part of a client. It might be a very young part (or inner child) or another part the client has internalized. 

Whatever the block might be, I have found that working with the part using Parts Work can help to soften or remove the block so that the part allows the processing to continue (see my article: Trauma Therapy: Combining EMDR Therapy and Parts Work to Overcome Emotional Blocks).

Another way to think about an emotional block is to think of it as a defense mechanism that was a survival strategy at one point (usually when the client was younger) but no longer is adaptive.

It's not unusual for there to be several emotional blocks along the way during EMDR processing and each one needs to be addressed before EMDR processing can continue.

Conclusion
EMDR therapy is one of several types of trauma therapies.

The trauma therapist assesses each client to determine which type of trauma therapy--whether it's EMDR, AEDP, Somatic Experiencing, Parts Work or a combination of these modalities is for a particular client. 

Getting Help in Trauma Therapy
If you feel stuck with unresolved trauma, you could benefit from working with a licensed mental health professional who is a trauma therapist.

Getting Help in Trauma Therapy

Freeing yourself from your trauma history can help you to 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.

As a trauma therapist, I have over 25 years of experience helping individual adults and couples.

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

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

Also See My Articles:
























Monday, December 29, 2025

The Problem With Emophilia: Falling In Love Too Hard and Too Fast

Emophilia means falling in love too hard and too fast (see my article: Falling In Love With the Fantasy Rather Than the Reality).

Falling In Love Too Hard and Too Fast

People with emophilia prioritize the exhilarating feeling of falling in love over the practical evaluation of a partner which often sabotages long term relationship success.

What Are the Problems With Emophilia?
The problem with emophilia is that it can lead to:
  • Risky behavior
  • Poor relationship choices
  • Potential exploitation by a partner
  • Heartbreak
People who have problems with emophilia often overlook red flags because they rush into relationships without knowing the other person. 

This also puts them at risk for getting involved with partners who have Dark Triad personality traits including:
  • Narcissism
  • Machiavellianism 
  • Psychopathy
The impulsivity of emophilia results in unhealthy patterns, power imbalances and repeated cycles of intense highs followed by heartbreak as opposed to a stable, healthy connection.

Emophilia often overlaps with an anxious attachment style because these people seek intense attachments to feel whole or avoid rejection. 

Key Issues of Emophilia:
  • Ignoring Red Flags: The intense rush of feelings overshadows the warning signs. This makes people ignore manipulative and toxic behavior. There is a tendency to only focus on their partner's seemingly positive traits while being in denial about the toxic traits.
  • Attraction to Toxic Partners: These individuals tend to be attracted to people with Dark Triad traits (as mentioned earlier). This leads to a repetition of harmful relationships.
  • Impulsive and Risk Behavior: This can include unsafe sex and making a commitment to a relationship before knowing the other person well (e.g., getting married or moving in quickly).
  • Relationship Imbalance: An example of this is saying "I love you" too quickly which puts pressure on the other person and creates a relationship imbalance and resentment.
  • Emotional Volatility: This pattern usually involves quick, intense romantic involvement followed by instability or drama instead of deep sustainable love.
  • Exploitation: Charismatic individuals with Dark Triad personality traits can easily exploit their partner's quick emotional investment for their own selfish gains. Individuals with Dark Triad traits often start relationships by love bombing their partner--not because they are so interested in their partner but because they want their partner to fall for them quickly so they can manipulate them.
Clinical Vignette
The following clinical vignette is a composite of many different cases with all identifying information changed to protect confidentiality:

Beth
After the breakup of her fourth relationship, Beth sought help in therapy at the suggestion of her close friends. They told her that they saw recurring negative patterns in the men she chose (see my article: Do Your Friends See Red Flags in Your Partner That You Don't See?).


Falling In Love Too Hard and Too Fast

Beth wasn't sure she agreed with her friends, but she knew she needed help to understand why each time she got into a relationship, she thought she met her soulmate, but after a while her partner lies, cheats and leaves her for another women (see my article: Why Looking For a Soulmate Will Disappoint You).

She told her therapist that her last partner, Bill, pursued her relentlessly after they met at a party.  The day after they met, Bill sent her a beautiful bouquet of roses with an invitation to go to an exclusive restaurant.

From the moment she met Bill, Beth thought he was very handsome and charismatic. On their first date Bill told her that he couldn't stop thinking about her.

Beth felt like she was a princess in a fairy tale by their second date. In her imagination, she could see herself walking down the aisle to marry Bill. She pictured their beautiful home with two children.

Her close friends warned her that she was allowing herself to fall in love with love rather than taking the time to get to know Bill. They also warned her that Bill was love bombing her, but Beth ignored them because she liked the feeling of being swept off her feet.

On their fourth date, when Bill told her that the lease on his Manhattan apartment was about to expire, Beth saw this as a sign they were meant to be together and she told him he could move in with her.

Their first week of living together was like a dream come true for Beth. She was sure Bill loved her, so one night when she made a special dinner for them, she told Bill that she loved him.  Bill kissed her on the cheek, but Beth was disappointed he didn't tell her that he loved her too.

A few weeks later, Bill told her he was having dinner with a friend and she shouldn't wait up for him. When Beth asked him who he was having dinner with, Bill seemed annoyed and just repeated he would be home late.

When Beth woke up in the middle of the night and she realized Bill wasn't home yet, she became worried. She texted his phone, but her message wasn't delivered. Then she tried calling him, but her call went straight to voicemail.

When he walked in at 3 AM, Bill was startled to find Beth sitting on the couch waiting for him, "What are you doing, Beth? Why aren't you asleep?"

When she responded that she was worried because she couldn't reach him, Bill snapped at her. He said he didn't like her checking up on him and he refused to tell her who he was with and what he was doing.

After they had a big argument the next morning, Bill packed some pf his things and said he would be staying with a friend for a few days. Once again, he refused to give Beth any information.

When Beth called her friend Jane in a state of tears, Jane was quiet for a few seconds. Then, reluctantly, she told Beth she saw Bill kissing another woman at an outdoor restaurant.  Jane felt devastated.

During the next two weeks Beth felt like she was on an emotional roller coaster. When she tried to talk to Bill about the other woman, he refused to talk to her. He slept on Beth's couch, left early in the morning before she woke up and came back after she was asleep.

Then, one day Bill didn't come home at all. When Beth got home from work, she discovered that  all of his belongings were gone. He ignored her calls and texts for days. Then one day he sent her a short text that he was through with her and he told her not to contact him again.

Beth told her therapist that her prior relationships began and ended in similar ways and she couldn't understand why she had such "bad luck" in her relationships (see my article: Unhealthy Relationship: Bad Luck or Poor Choices?).

Her therapist provided Beth with psychoeducation about emophilia and helped Beth to see the connection between her relationship choices and her family history in a volatile family home with a depressed mother and narcissistic father who had extramarital affairs.

Her therapist talked to Beth about trauma therapy to work through her traumatic family history which she was unconsciously repeating in her relationships.

Beth worked through her traumatic history in trauma therapy with a combination of EMDR therapy and IFS Parts Work Therapy (see my article: Combining EMDR and IFS Therapies).

The work was neither quick nor easy but, over time, Beth could feel she was freeing herself from her family history (see my article: Progress in Therapy Isn't Linear).

She was no longer attracted to men who had Dark Triad traits and when she met someone with these traits, rather than being charmed by him, she ended her contact with him quickly.

She also took her time to get to know men she liked before she made a commitment to be in a relationship.

Conclusion
Emophilia isn't a psychiatric diagnosis. It's a personality trait characterized by a powerful drive to experience the thrill of falling in love without assessing a potential partner. 

These individuals tend to attract partners with Dark Triad traits because they fall in love with love and they are easy to manipulate by these type of partners.

Get Help in Therapy
If you recognize that you tend to fall in love too hard and too fast, seek help from a licensed mental health professional who has an expertise in this area.

Get Help in Therapy

A psychotherapist who has an expertise in trauma therapy can help you to become aware of your relationship patterns and overcome the underlying issues driving these unconscious patterns, 

Once you have worked through these issues, you can make better relationship choices and 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.

As a trauma therapist, I have over 25 years of experiencing 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.




























 

Friday, December 26, 2025

Healing From Unresolved Trauma: The Mind Has a Powerful Innate Ability to Heal Itself

One of the basic concepts of trauma therapy is that the mind has a powerful innate ability to heal (see my article: How Can Trauma Therapy Help You to Overcome Unresolved Trauma?).

The Mind's Innate Ability to Heal in Trauma Therapy

What is the Mind's Powerful Innate Ability to Heal?
  • NeuroplasticityNeuroplasticity is the primary reason why the mind has an innate ability to heal itself. With regard to trauma therapy, neuroplasticity is the mind's ability to reorganize, adapt and create new neural pathways to learn new things and recover from trauma.
The Mind's Innate Ability to Heal in Trauma Therapy
  • Memory Reconsolidation: Trauma therapy uses memory reconsolidation to change how traumatic memories are stored. This often occurs over a period of time. Memory reconsolidation in trauma therapy works by:
    • Activation and Retrieval: When a client brings up a traumatic memory in trauma therapy, the memory opens up for change. 
    • Update: After the memory is activated again, the trauma therapist introduces new non-threatening information or experiences either through visualization or new coping resources.
    • Reconsolidation: The memory is then stored again in its new less threatening reconsolidated form which, essentially, de-traumatizes the memory.
How Can You Tap Into Your Mind's Innate Ability to Heal?
Along with trauma therapy, you can tap into your mind's natural ability to heal between therapy sessions by:
The Mind's Innate Ability to Heal in Trauma Therapy
Getting Help in Trauma Therapy
Rather than struggling on your own, get help from a licensed mental health professional who is trained as a trauma therapist.

The Mind's Innate Ability to Heal in Trauma Therapy

Unburdening yourself from unresolved trauma can free you from your history so 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 as a trauma therapist 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.








Tuesday, December 2, 2025

Recognizing When You Feel Safe or Unsafe in Your Interpersonal Relationships

Recognizing when you feel safe or unsafe in interpersonal situations is important to your health, mental health and overall well-being.

Feeling Safe in Your Relationship

What is the Polyvagal Theory?
Before I provide suggestions on how to know if you're safe or unsafe, I would like to discuss the Polyvagal Theory as it relates to this topic. 

Understanding the basics of the Polyvagal Theory can also help you to understand your mental health, physical health, how you react when you feel safe and how you react when you feel unsafe.

Polyvagal theory, which was developed by Dr. Stephen Porges, emphasizes the role of the autonomic nervous system, especially the vagus nerve, in regulating our health, mental health and overall well-being.

The theory describes physiological/psychological states underlying daily behavior, including physical and emotional challenges.

The theory helps us to understand how psychological safety, co-regulation, and connection are essential to our physical and psychological existence.

How is the Polyvagal Theory Related to the Nervous System?
The theory describes how the nervous system responses to danger: Fight, flight or freeze.

The following descriptions provide a look at the three states of the nervous system:
  • Safe (Social Engagement): When you feel safe, your nervous system is calm and relaxed. You can connect with others, feel your emotions and be yourself because you're not experiencing a threat.
  • Mobilization (Fight or Flight): When your nervous system detects danger in your environment, either a physical or psychological danger, it activates the fight or flight response. Your heart rate and breathing increase and adrenaline is released to prepare you to either fight the threat or escape from it.
  • Immobilization: If fight or flight isn't a viable option, your nervous system moves into the immobilization or freeze response. This is a survival strategy where the body automatically shuts down, the heart and blood pressure drop and you might feel numb or disconnected. This is the "play dead" response seen in animals as their last survival response when they are faced with overwhelming danger.
In addition, over time, the Polyvagal Theory was updated to include the fawn and appeasement response.

The description I have provided above for the Polyvagal Theory is very basic. For more information and an easy way to understand the Polyvagal Theory, listen to Polyvagal Theory Made Simple by Claire Weston.

Your Nervous System Acts Like Your "Personal Surveillance System"
Your nervous system acts like your "personal surveillance system" asking the question: "Am I safe?"

When you're interacting with others, if you feel safe and calm, your social engagement system is activated because you're not experiencing a threat in the environment.

If you feel threatened either psychologically or physically, your system goes into a mobilization state while you're trying to figure out if you will need to fight or escape.  

Feeling Unsafe in Fight or Flight Response

If you can't fight because the danger is too overwhelming, your body is activated to run before you're even aware of it consciously. For instance, if you're walking down a dark street and you encounter a threatening group of people who make dangerous gestures towards you, you know you're outnumbered so all you can do is run.
Feeling Unsafe and Immobilized 

Using the same example, if you can't fight or run from the danger, your body will go into the immobilization state. This is an involuntary survival tactic when there is no escape. The immobilization state can be seen in the animal world when, for instance, a deer "plays dead" when it is about to be attacked by a tiger. This is the deer's last ditch effort to survive. The tiger will often lose interest in the deer once it "plays dead" because it prefers live prey and it knows instinctively that, if the deer is dead, dead meat might be diseased.

The immobilization response in humans allows the system to conserve energy. The numbing effect of the immobilization response can also create a decrease in the perception of pain, which can be helpful if an attack can't be avoided.

Once again, it's important to remember that this immobilization response is a survival response--it's not a conscious decision. 

How is the Immobilization Response Related to Trauma?
The immobilization response is also associated with overwhelming or traumatic events.

The following example is a composite of many cases to protect confidentiality:

Jane
One day when Jane was in the company break room, her coworker, Jim, approached her to ask her out for a date.

Since Jane wasn't interested in Jim, she looked away and told him she was too busy to go out.  

She was about to leave the break room when Jim, who was annoyed, cornered her in an aggressive way and said, "What do you mean? You don't ever have time to go out with me? Why don't you like me?"

In that moment, Jane, who had a childhood history of sexual abuse,  automatically froze. She was completely numb and dissociated because Jim's aggressive response triggered how she felt when her father abused her.  She was so numb that she couldn't think much less call out for help (see my articles: Why is Past Trauma Affecting You Now? and What is Trauma-Related Dissociation?).

A few seconds later, their supervisor came into the break room and realized what was happening. He told Jim to go back to his office. Then, he helped Jane to calm down. 
Afterwards, the supervisor and Jane reported the incident to human resources. Since human resources had prior similar complaints about Jim, he was terminated.

Over time, Jane realized she needed help to overcome the original abuse by her father, so she sought help in trauma therapy (see my article: How Can Trauma Therapy Help You to Overcome Trauma?).

People who don't understand the immobilization response or who have never been in a similar situation will often question why someone like Jane didn't either stand up for herself or push past Jim. But someone in Jane's situation can't fight or escape because her nervous system shut down due to prior unresolved trauma.

How to Recognize When You Feel Safe or Unsafe in Your Interpersonal Relationships
If you want to assess whether you feel safe or unsafe in your personal relationships, you can pay attention to your internal state:

Assess Your Internal State
  • Do you feel calm?
  • Do you have an embodied felt sense of being safe or unsafe?
An Embodied Feeling of Calm and Safety
  • Do you feel comfortable being somewhat vulnerable when it's appropriate to do so?
  • Do you feel comfortable setting limits or saying "no" without expecting repercussions from the other person or feeling guilty or ashamed?

Assess Their Attitude, Behavior and Physical Cues
  • Do they respect your boundaries, including your personal space and time without trying to control you?
  • Do they respect your thoughts and feelings or do they try to invalidate you if they don't agree?
  • Are they attentive when you speak? Do they engage in active listening? Are they there for you in good times and bad?
Active Listening
  • Do their actions match their words? Are they emotionally reliable? Do they follow through with their commitments?
  • Do they encourage you? Do they celebrate your successes? Do they support you when you have challenges?
  • Do they handle disagreements calmly and maturely so you don't have to worry about your personal safety either on an emotional or physical level?
  • What does their body language tell you about their emotional state? Pay attention to vocal tone, eye contact, posture and facial expressions because their body language can indicate whether you are safe or not.
In a future article I'll discuss why many traumatized individuals have problems detecting whether they are safe in their interpersonal relationships.

Getting Help in Therapy
If you have been struggling with unresolved problems, you could benefit from working with a licensed mental health professional who has an expertise in helping clients with these  types of problems.

Getting Help in Therapy

Rather than struggling on your own, seek help from a licensed psychotherapist so you can resolve your problems and lead a more meaningful life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapies), Somatic Experiencing and Certified Sex Therapist.

For over 25 years 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.