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 

 

Coping With Trauma: How a Parent's Unresolved Trauma Can Affect Their Child

A parent's unresolved trauma can have a significant impact on their child's development through biological, psychological and behavioral pathways.

A Parent's Unresolved Trauma Can Affect Their Child

This phenomenon is, which is called intergenerational trauma, occurs when a parent's past unresolved trauma shapes their current mental health and their parenting style--even if the child was never directly exposed to the traumatic events (see my article: What is Intergenerational Trauma?).

Disruptions in Parenting and Attachment

Unresolved trauma often impairs a parent's ability to provide a stable, nurturing environment which is essential for healthy development:

• Emotional Unavailability: A parent might suppress their own emotional pain through defense mechanisms like emotional detachment which makes it difficult for them to be attuned to the child's needs.

• Insecure Attachment: A traumatized parent is more likely to establish insecure attachment (anxious, avoidant or disorganized attachment style) with their children. This often leads to difficulties with children being able to trust others and regulate their emotions.

• Maladaptive Parenting Styles: A parent might lean to maladaptive parenting styles including authoritarian (harsh discipline), permissive (inconsistent boundaries), or negligent parenting.

• Intense Triggers: Everyday parent-child interactions, such as a child's tantrum or defiance, can trigger strong, irrational emotional responses in a parent which is rooted in their own past experiences rather than the present moment.

Psychological and Behavioral Outcomes For the Child

Children of parents with unresolved trauma are at a higher risk for various mental health and behavioral challenges:

• Internalizing Problems: These children are at a higher risk for anxiety, depression and low self esteem.

Adverse Impact of Parent's Trauma on Child

• Externalizing Behaviors: There is a higher likelihood of aggression, defiance and hyperactivity which are sometimes misinterpreted as "misbehavior" rather than a response to a trauma.

• Hypervigilance: Children might become overly sensitive to a parent's moods, constantly "watching" to anticipate potential threats (see my article: What is Hypervigilance?).

• Role Reversal: A child might feel responsible to "fix" their parent's mood or take care of their parent's emotional needs, a dynamic known as parentification (see my article: Role Reversal in Parent-Child Relationships).

• A Need to Be "Perfect": For a child of a traumatized parent, perfectionism often develops as a survival strategy rather than a personality trait. It serves as a "psychological shield" to manage an environment that feels unsafe, unpredictable or emotionally demanding.

Biological and Neurobiological Impacts

According to research by the National Institutes of Health, parental trauma can lead to measurable changes in a child's biology, sometimes before birth:

• Brain Development: Maternal childhood trauma has been linked to smaller brain volume and weaker connectivity in neural circuits responsible for emotion regulation (such as between the amygdala and prefrontal cortex).

Impact of Intergenerational Trauma on Child's Brain

• Stress Response Systems: Trauma can alter a child's stress response system which leads to abnormal levels of cortisol, which is the body's primary stress hormone.

• Epigenetics: According to the National Institutes of Health, trauma can be transmitted from parent to child through epigenetic mechanisms where the stress of a parent's experience alters gene expression in their offspring, potentially making the child more vulnerable to stress and mental health conditions later in life.

Long Term Health Conditions

The impact of growing up with a traumatized parent can extend into adulthood increasing the risk of:

• Chronic Diseases: Higher rates of heart disease, diabetes and autoimmune disorders

Impact of Intergenerational Trauma on Long Term Health Conditions

• Somatic Problems: Frequent unexplained physical symptoms such as headaches and stomachaches

• Risky Behavior: A greater likelihood of engaging in risky behavior including substance abuse or other self destructive behaviors and maladaptive coping strategies

Breaking Intergenerational Cycles of Trauma With Help in Trauma Therapy

Parents who have unresolved trauma can break the cycles of intergenerational trauma by getting help in trauma therapy. 

Get Help in Trauma Therapy

Trauma therapy can help adults to work through their trauma to heal their emotional wounds and develop more responsive parenting techniques (see my article: How Trauma Can Help You to Overcome Trauma).

About Me

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

Emotional Numbing: The "Wall" That Once Protected You Now Imprisons You

 I've written about emotional numbing in prior articles (see my article: How Therapy Can Help You to Take Down the "Wall" You Built Around Yourself).

In the current article, I want to dive deeper into the subject of emotional numbing that started as a survival strategy and ended up imprisoning you with social isolation, an inability to feel emotions deeply, including joy, and creating stagnation in your life.

What is Emotional Numbing?

Emotional numbing is an unconscious psychological state where an individual feels detached or indifferent. They are often unable to experience, process or express emotions.

Overcoming Emotional Numbing

What Are Some of the Symptoms of Emotional Numbing?

Someone who is experiencing emotional numbing can have some or all of the following symptoms:

• Flat Affect: A lack of emotional response, often described as "robotic" or indifferent

• Reduced Emotional Range: An inability to feel high excitement or deep sadness

• Detachment: Feeling emotionally and psychologically disconnected from others and, possibly, from surroundings

• Indiscriminate Blocking: Emotional numbing blocks all emotions including sadness, joy, excitement and gratitude

• Loss of a Sense of Self: Chronic detachment can lead to loss of identity, which can make you feel like a passive observer in your life 

• Avoidance and Isolation: Withdrawing from people and social activities

• Energy Depletion: Maintaining internal "walls" takes a lot of psychological energy which can lead to chronic fatigue or burnout

What Causes Emotional Numbing?

Emotional numbing can be caused by unresolved psychological trauma, PTSD (posttraumatic stress disorder), severe stress, grief, burnout or a side effect of medication (see my article: What is the Difference Between Trauma and PTSD?).

Overcoming Emotional Numbing

Emotional numbing often starts during childhood as a survival strategy or defense mechanism which is adaptive at the time because the child is in a psychologically overwhelming environment at home.

In that sense, emotional numbing helps to mitigate overwhelming stress and trauma which would be detrimental to the child.

However, when the child becomes an adult, emotional numbing is no longer adaptive because it prevents the individual from being fully present in personal relationships, friendships, social activities and at work.

As an adult, chronic emotional numbness puts a strain on relationships and daily life.

Clinical Vignette

The following clinical vignette,which is a composite of many cases, illustrates how emotional numbing which once protected a young child in a dysfunctional family from being overwhelmed but created problems later on as an adult. The vignette also illustrates how trauma therapy can help.

Nick

When Nick was growing up, he learned to cope with his parents' constant arguments by going into his room and "spacing out" with video games.

After a while, he got so good at numbing himself that he felt like he was in his own world apart from everyone and everything else.

As an adult in his first relationship, Nick had problems connecting emotionally with his girlfriend. She complained that she experienced him as emotionally detached and indifferent about her and their relationship.

At the time, Nick had no awareness about how he was numbing himself because it had become so automatic for him. At the point when he thought his girlfriend might end their relationship, Nick sought help in therapy.

Nick's therapist helped Nick to realize that the "wall" he created around himself as a child protected him from the chaos between his parents, but that same "wall" now came with a cost because he had problems connecting emotionally with his girlfriend and others.

His therapist, who was a trauma therapist, helped Nick to gradually take down his protective "wall" by working on the unresolved trauma from his childhood.

Using a combination of EMDR therapy and Parts Work therapy, over time, Nick worked through his childhood trauma so that he no longer felt the need to numb himself emotionally (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy to Overcome Trauma?).

The work in therapy was neither quick nor easy, but Nick was able to connect emotionally with his girlfriend as he worked through his unresolved trauma.

Conclusion

Like all defense mechanisms, emotional numbing occurs on an unconscious level and it's usually related to trauma.

Trauma therapy can help to work through the original trauma so there is no longer a need for emotional numbing.

Getting Help in Trauma Therapy

Working with a licensed mental health professional who is a trauma therapist can help you to work through unresolved trauma and emotional numbing (see my article: What is a Trauma Therapist?).

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a trauma therapist 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.

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:

Allowing Yourself to Feel Your Feelings So You Can Heal 

What Happens When You Numb Yourself to Your Traumatic Past