What is the Defense Mechanism Known As "Projection"?

What is the Defense Mechanism Called "Projection"?

Projection is an unconscious psychological defense mechanism where a person attributes their own unacceptable thoughts, feelings, behavior, motives or character traits onto someone else.

What is Projection?

The projection acts as a shield for the person's ego. Instead of confronting uncomfortable truths about their own behavior, feelings and other uncomfortable truths (including feelings of guilt, shame, emotional insecurity or anger), the person who projects externalizes them so that, in their own mind, these problems belong to the other person.

This concept was originally developed in psychoanalytic and psychodynamic theories and most depth-oriented therapists today recognize projection when it's happening in the therapy session, when couples use it in couples therapy or when individual adult clients talk about it in terms of their relationships outside of therapy.

What is Projection?

Defense mechanisms are categorized in a hierarchy ranging from "primitive" (also called "early" or "immature" if the person is an adult) to "mature". The categorization is based on when the person developed the defense mechanism and how they distort reality.

Why is Projection Considered a "Primitive Defense"?

When adults use projection as a defense mechanism, it is considered to be on the primitive end of the defense mechanism spectrum for several important reasons:

• 1. Early Development Origin: As previously mentioned, defenses are categorized on a spectrum. The early developmental defenses, like projection, are the mind's earliest boundary-making tools. Projection usually develops in early childhood before a child has the emotional and cognitive capacities to process complex internal conflicts. Projection is also considered a primitive defense because it develops when a child is still learning to differentiate "me" from "not me" (i.e., their internal world vs their external world).

• 2. A Gross Distortion of Reality: Adults with higher level, more mature defense mechanisms (rationalization, intellectualization and so on) accept reality, but they might reframe it. This is in contrast to how primitive defenses actually alter the way a person perceives reality. Projection forces a severe distortion: The individual completely misperceives an internal truth as an external threat. This fundamentally alters their view of another person's intentions or character.

• 3. All-or-Nothing Thinking: Primitive defenses, like projection, operate on binary all-or-nothing thinking. With projection, the person's ego cannot tolerate what they perceive as a "bad" trait within the inner world, so they project the trait or behavior externally. This lack of nuance is the hallmark of primitive psychological functioning (see my article: Overcoming All-or-Nothing Thinking).

Common Examples of Projection

• Relationship Insecurity: Without realizing it, someone who is feeling like they would like to end their relationship because they cannot tolerate the relationship problems. This is especially true when the problems they bring to the relationship feel intolerable. So, instead of owning and taking responsibility for their own thoughts and feelings, they accuse their partner of wanting to end the relationship. Another example: If someone is cheating, they accuse their partner of cheating or wanting to cheat.

What is Projection?

• Workplace Hostility: An employee who dislikes another coworker might tell others, "That person hates me". They convert what they are feeling, which is, "I don't like that person" into "They don't like me."

• Bullying and Insecurity: A person who criticizes others for being "weak" or "stupid" is often projecting their own deep-seated insecurities onto others.

Why Do Adults Use Projection as a Defense Mechanism?

Projection is unconscious, as I mentioned before, so it's not usually done maliciously. It often happens for specific psychological reasons:

• Reducing Anxiety and Stress: It's very difficult for a person who uses projection to face their own worst traits. Unconsciously shifting these uncomfortable thoughts, feelings  and traits onto a "scapegoat' relieves the immediate internal pressure because the traits have been externalized.

• Protecting Self Esteem: Projection allows an individual to maintain a positive self image by denying their own worst traits and habits.

• Avoiding Accountability: By focusing on the perceived faults of others, the person avoids taking responsibility for their own problems.

• Personality Disorders and Early Trauma: Projection is heavily associated with narcissistic personality disorder, paranoid personality disorder and avoidant personality disorder. It is also associated with early unresolved trauma. Note: Just because someone uses projection as a defense mechanism doesn't necessarily mean they have a personality disorder, but there is a high association between projection and personality disorders. However, if someone uses projection, they usually have early unresolved childhood trauma, which is called developmental trauma. Projection develops during early childhood and for many people it continues into adulthood if they don't get help in therapy.

How Does Projection Affect Relationships?

Projection acts like a psychological shield when the person projecting shifts internal insecurities onto a partner. This damages trust and communication in the relationship.

Projection damages relationships because it:

• Creates False Accusations: Example: A person accuses their partner of trying to control them instead of dealing with their own controlling behavior towards their partner.

• Erodes Mutual Trust: Baseless accusations makes the other person feel targeted and unsafe. Over time, the accused partner stops sharing thoughts and feelings to avoid conflict. 

What is Projection?

• Blocks Real Conflict Resolution: Arguments center on the imagined behavior instead of the actual root issue. The person who is projecting refuses to acknowledge their problem so conflicts aren't resolved and the couple keeps arguing about the same issues over and over again without resolution.

• Causes Emotional Exhaustion: The accused partner keeps defending themselves against baseless and unfair accusations. This cycle drains energy, leads to deeper resentment and perpetuates the same ongong cycle. This usually happens if the person who is projecting doesn't get help in psychotherapy with a qualified therapist.

• Triggers Reality Distortion: The projecting partner truly believes their distorted thinking, feeling and perception of reality, which is distorted. This dynamic can cause the accused partner to question their own sense of reality if they allow the projecting partner to overcome their sense of reality.

Breaking the Cycle of Using Projection as a Defense Mechanism

Since projection is unconscious and develops at a very early age, it can't be resolved without professional help in therapy.

Working with an experienced psychotherapist who understands the unconscious nature of projection (not all therapists are trained to understand projection) can help an accusing individual to pause and look at their own dynamic--before they accuse their partner.

A skilled psychotherapist can help to uncover and address deeply hidden insecurities that are at the root of using projection. She can also help an individual to develop other higher functioning ways of interacting with others, including intimate partners. 

The work isn't quick or easy because projection is a deeply ingrained defense mechanism that is used from early childhood into adulthood. A person who uses projection must be motivated to change and stick with the therapy.

The challenge is that people who use projection often go from one therapist to another because they use projection to defend against the therapist and the therapy. This means they blame the therapist--in the same way as they use projection with others.

Consequently, a licensed mental health must know how to work in a way that feels relatively safe for the client and, at the same time, gently helps the client to make unconscious projection conscious. 

That is the first step. After developing awareness of how the client uses projection, they need to be willing to take steps to change, which is also challenging because of their internal fragility.

For a client who is psychologically fragile, which includes people who use projection, the therapist needs do a thorough assessment, including assessing the client's window of tolerance and help the client to develop the necessary internal resources and coping skills to deal with making these changes.

Unfortunately, most people who use never seek help in therapy and they remain stuck in their negative cycle.

Get Help in Therapy

If you use projection as your defense mechanism, you risk placing your relationships with others, especially your intimate relationship, in jeopardy.

What is Projection?

Although it might not be easy to accept that you're using a primitive defense mechanism from early childhood, using projection and damaging your relationships is much worse.

You can learn about yourself and transform in therapy with a therapist who has an expertise in helping clients with primitive defense mechanisms. This can help you to live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, IFS Parts Work, EFT Couples Therapist 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.

I provide a free 10-15 minute phone call before I set up an appointment.

You can reach me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:

IFS Therapy is a Gentle, Evidence-Based Therapy

How to Develop a Curious Mindset

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

Developmental Trauma: Living in the Present As If You Were in the Past

Understanding Traumatizing Narcissists and DARVO (Deny, Attack, Reverse Victim and Offender)

Riding the Waves of Transformation

Overcoming Childhood Trauma With the Ideal Parents Protocol

The Ideal Parents Protocol was originally developed by Alfred Pesso and Diane Boyden-Pesso in 1964 as part of their body-based psychomotor therapy (PBSP). 

Alfred Pesso taught his protocol at Harvard University where, decades later, Dr. Daniel Brown, a psychologist and hypnotherapist, adapted Pesso's concepts.

The Ideal Parents Protocol in Therapy

Although PBSP used group dynamics and physical touch, Dr. Brown changed the Ideal Parents Protocol into a solitary internal guided visualization process with no therapist touch involved in 2016 (see my article: How Can Visualization Transform Your Life?).

I learned the Ideal Parents Protocol from a PBSP colleague as well as in my advanced clinical hypnosis training about 20 years ago.

How Does the Ideal Parents Protocol Help Adult Psychotherapy Clients?

The Ideal Parents Protocol helps adult clients who were abused or neglected as children by their real parents. The protocol rewires their internal template of relationships by creating new imaginary memories of secure attachment.

The Ideal Parents Protocol in Therapy

The brain processes vivid, emotionally resonant imagination using the same neural pathways as real-world experiences. 

By visualizing Ideal Parents who satisfied childhood emotional needs, the adult brain constructs a new, positive blueprint for safety and connection.

The protocol can reverse the damage of childhood emotional neglect and abuse through five mechanisms:

• 1. Neutralizing Hypervigliance (Providing Safety and Protection): Abused and neglected children live in a chronic state of fight-or-flight because their caregivers were the source of developmental trauma.

• The Healing Mechanism: In the visualization, the client imagines parents who are safe, protective and non-threatening. Experiencing this imagined safety allows the adult's nervous system to let go of chronic survival strategies so they can learn what true safety and relaxation feel like.

• 2. Filling the Emotional "Empty Well" (Providing Nurturance): Emotionally neglected and abused children feel unseen, emotionally empty, unlovable and lonely because no one responded to their emotional distress.

• The Healing Mechanism: The adult client imagines parents who offer unconditional warmth and love as well as physical and emotional comfort. This targeted visualization acts like an emotional "time machine", filling in the gaps of emotional neglect and healing a history of abuse. It also helps the adult to develop self compassion and a sense of inherent self worth.

• 3. Validating Inner Reality (Providing Attunement): Abusive and neglectful parents often dismiss, minimize or gaslight a child's feelings. This teaches the child to ignore their own emotions and intuition.

• The Healing Mechanism: The Ideal Parents in the protocol are completely attuned.  They can read the client's facial expressions, voice and body language. They mirror and validate the client's feelings. This teaches the client to trust their own emotional reality.

• 4. Overcoming the Feeling of Being a Burden: Abused and neglected children usually feel their emotional and physical needs are an annoying burden to their parents. 

• The Healing Mechanism: The protocol guides the client to visualize parents who are delighted by the client's presence. The Ideal Parents express joy by just being around the client. This directly targets the adult's core shame of "taking up too much space" or being "needy". 

• 5. Building a Foundation For Independence: While abusive parents often control or sabotage a child's emotional and psychological growth, neglectful parents ignore the client's growth completely. This often leaves the adult afraid to take risks or to succeed.

• The Healing Mechanism: The client visualizes parents who are enthusiastic in encouraging the client to explore, achieve milestones and develop independence. This can instill a deep, internal sense of security, allowing the adult to confidently pursue career goals, hobbies and healthy adult relationships in the real world.

Conclusion

The Ideal Parents Protocol can provide a powerful healing experience.

Although the Ideal Parents Protocol cannot change a client's history, it can heal the emotional pain from the past by providing a client with the corrective emotional experience they deserve.

Getting Help in Therapy

If you have been struggling with unresolved childhood trauma, rather than struggling on your own, seek help from a licensed mental health professional who includes the Ideal Parents Protocol among her trauma therapy modalities.

Get Help in Therapy

When you have freed yourself from your traumatic past, you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS Parts Work, Emotionally Focused Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples with the Ideal Parents Protocol and other modalities in trauma therapy.

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

I provide a free 10-15 minute phone call before setting up the first appointment.

You can reach at (917) 742-2624 during business hours or email.

Also See My Articles

Using Your Imagination as a Powerful Tool For Change

Using the Mind-Body Connection to Create a Vision of What You Want 

How Can Imaginal Interweaves Heal Trauma?

What is the Approach-Avoidance Conflict in Psychotherapy and How Can IFS Therapy Help?

In my prior article, Why Are So Many of Us Fearful of Change While Others Embrace It?, I mentioned the approach-avoidance conflict as it relates to making changes.

The Approach-Avoidance Conflict

In the current article, I'm focusing on the approach-avoidance conflict as it relates to many clients in therapy.

What is the Approach-Avoidance Conflict in Therapy?

As I mentioned in the prior article, although many people want to make positive changes in their life, they often experience ambivalence about the change--even when it's something they really want.

As a New York psychotherapist in private practice, I see this all the time.

Since it's a common experience, if you learn to expect it, you can learn to accept and deal with that part of yourself that might want to avoid positive change.

So, let's explore this dynamic further.

In psychotherapy, the approach-avoidance conflict is a psychological state of tension that occurs when a client is simultaneously drawn towards and repelled by the exact same goal, action or dynamic.

The approach-avoidance conflict was originally introduced by Kurt Lewin, a psychologist, who described this dynamic as a "tug of war". 

This dynamic is key to understanding why at a certain stage of therapy many clients experience anxiety and stagnation about the changes they want to make.  

What is the Typical Pattern For the Approach-Avoidance Conflict in Therapy?

This conflict often operates on a predictable pattern based on how close clients are to their goal:

• The Approach to a Goal: When clients are far away from a goal, they can see the positive benefits of their goal ("the approach"). This motivates them to move forward.

• The Avoidance of a Goal: As clients move emotionally or physically closer to the goal, many of them begin to perceive negative consequences or fears ("the avoidance") which grows sharply the closer they get to their goal.

• The Point of Stagnation: Eventually, the force of the avoidance equals the force of the approach. At that point, these clients can get stuck as they experience anxiety, indecision or behavioral paralysis.

What Are the Clinical Scenarios Where the Approach-Avoidance Conflict Shows Up in Therapy?

Here are some typical examples:

Intimacy and Relationships:

• The Approach (Pull or Desire): Craving deep emotional connection and a loving relationship.

The Approach-Avoidance Conflict in Therapy

• The Avoidance (Fear): Fear of vulnerability, rejection or losing independence.

• Resulting Behavior: Sabotaging relationships just as they become serious.

Trauma Processing:

• The Approach (Pull or Desire): Wanting to heal, gain closure and reduce traumatic symptoms.

The Approach-Avoidance Conflict in Trauma Therapy

• The Avoidance (Fear): Fear of exploring traumatic memories and emotions.

• Resulting Behavior: Missing sessions or leaving therapy prematurely as the trauma work begins.

Career Change:

• The Approach (Pull or Desire): Desiring a fulfilling, high-paying and prestigious position.

• The Avoidance (Fear): Fear of failure, longer work hours or more responsibilities.

• Resulting Behavior: Procrastination in submitting a job application or applying for a promotion.

Behavioral Change

• The Approach (Pull or Desire): Wanting a healthier body and stable life.

The Approach-Avoidance Conflict and Behavioral Change

• The Avoidance (Fear): Fear of facing reality the necessary changes involved.

• Resulting Behavior: Reverting back to unhealthy behavior, missing sessions or dropping out of therapy prematurely.

How Does IFS Therapy Deal With the Approach-Avoidance Conflict?

IFS (Internal Family Systems) Therapy is uniquely suited for this dynamic (see my article: IFS Therapy is a Gentle Evidence-Based Therapy).

IFS Therapy and the Approach-Avoidance Conflict

The IFS therapist deals with the approach-avoidance conflict by recognizing that clients who experience this dynamic have a clash between two or more parts of themselves.

Instead of trying to push through the conflict, the IFS therapist helps clients to overcome this dilemma by identifying clients' internal parts and identifying the positive intentions of each of the conflicting parts. She also helps clients to negotiate between these conflicting parts.

What is the IFS Therapy Framework For the Approach-Avoidance Conflict?

In IFS, the "approach" and "avoidance" aspects of clients are seen as separate parts of the client who have good intentions. There is a recognition that these conflicting parts have served the client in the past by protecting old emotional wounds:

• The Approach Part: This is usually an internal proactive protective part. This part wants to move forward, achieve goals or seek connection because doing so will bring safety, fulfillment or a sense of increased self worth.

IFS Therapy and the Approach-Avoidance Conflict

• The Avoidance Part: This is usually a reactive protective part. It stops progress because it senses danger. It fears that moving forward will trigger an old emotional wound, shame or trauma from the past.

What is the IFS Therapy Step-By-Step Process For Resolving Internal Conflict?

The IFS therapist will guide the client through the following process to overcome the client's behavioral conflict:

Differentiating the Internal Parts: Instead of saying, "I want to change, but I can't", the therapist helps the client to reframe it: "A part of me wants very much to move forward, and another part of me is terrified to do it." In addition, the therapist helps the client to discover and embody Core Self, which is the compassionate and curious part of the client. This enables the client to look at both of these internal parts without taking sides.

• Honoring The Avoidant Part (The Protector): Traditional psychotherapy often wants to override the client's avoidance. IFS does the opposite: It focuses on the avoidant part first. The IFS therapist asks the client to get curious about the avoidant part by asking: "How is this part protecting you?" and "How did it protect you in the past?". Also, "What is this part afraid will happen if you take this step?" By validating that the avoidant part has a positive intention (e.g., protecting the client from rejection, failure or an old emotional wound), the protecting part usually loosens its grip. This usually doesn't happen immediately because the avoidant part must first learn to trust the Core Self of the client as well as the intention of the therapist.

IFS Therapy and the Approach-Avoidance Conflict

• Facilitating Internal Negotiation: Once each of the conflicting parts feels heard and seen by the client's Core Self and the therapist, the therapist helps the client to invite these parts to talk to each other. The Core Self might ask the avoidant part, "If I promise to go very slowly and protect you, would you be willing to allow the approach part to take a small step?" Since this protective/avoidant part is no longer being resisted or ignored, it usually agrees to soften or step aside temporarily.

• Working With the Wounded Part: Ultimately, the avoidant part is hypervigilant because it's protecting the wounded part of the client. Once this protector feels safe enough to step aside, the IFS therapist guides the Core Self to witness, work through the original trauma and heal. When the underlying emotional pain and trauma have been resolved, the avoidant/protector part usually drops the avoidant behavior because the underlying danger no longer exists.

Clinical Vignette

The following clinical vignette illustrates how the approach-avoidance conflict is overcome in IFS therapy:

John

When John met Donna, he felt a strong attraction to her and he asked her to go out on a date.

As they got to know each other, they both enjoyed each other's company and the new relationship energy that comes with being in a new relationship.

A few months later, as the relationship became more serious, Donna wanted a commitment from John but, even though he knew he loved Donna, he felt himself pulling away from her and he didn't understand what was happening to him.

At that point, Donna's friends told her she should end the relationship because they thought John was a "commitment-phobe".  But Donna felt John was struggling with some kind of internal conflict and she wanted to give him a chance to overcome the conflict, so she suggested that he get help in therapy.

IFS Therapy and the Approach-Avoidance Conflict

Since John also wanted to understand why he felt so conflicted about making a commitment with Donna, he started therapy with an IFS therapist.

John had never heard of IFS therapy, but he was curious as to how it might help him to overcome his internal conflict.

Over time, as they explored John's family history, they discovered that John had an unresolved trauma related to his mother's anxiety and depression. When he was a child, John felt he was unlovable because his mother was emotionally distant and his father was often away on business.

With the help of his therapist, John realized that this old emotional wound was making him feel emotionally vulnerable with Donna in a way where a part of him wanted to escape the relationship, but another part of him wanted to remain, which reflected his ambivalence.

The work in therapy was neither quick nor easy, but John was motivated to work through his internal conflict about making a commitment to Donna. With the help of his therapist, he was able to see the good intention of the avoidant part of him and how it protected him in the past when he was a child.

His therapist guided John into feeling curious and compassionate towards this avoidant/protector part so that, eventually, it softened enough so he and his therapist could work on his traumatized wounded child part.

Over time, John was gradually able to let go of his fear because he had an embodied sense that, unlike when he was a child, he was now safe and more capable of being in a committed relationship with Donna.

Once he was freed from his traumatic history, John made a commitment to Donna and they moved in together with the eventual goal of getting married.

Conclusion

Although many people want to make positive changes in their life, they often experience an ambivalence about the change as the change becomes more of a reality--even when it's something they really want.

In psychotherapy, the approach-avoidance conflict is a common psychological state of tension that occurs when a client is simultaneously drawn towards and repelled by the exact same goal, action or dynamic.

This is a common experience in therapy. 

In traditional psychotherapy, therapists often try to push through the ambivalence, which can make a client feel even more ambivalent, so this usually doesn't work.

An IFS therapist recognizes that we all have many different internal parts and some of these parts are polarized so they are in opposition to each other. They also recognize that this is often outside a client's awareness, so they reach for the ambivalence so it can be worked on.

IFS therapy is ideally suited for dealing with the approach-avoidance conflict.

Get Help in IFS Therapy

If you are stuck in an approach-avoidance dilemma, rather than struggling on your own, you could benefit from working with an IFS therapist.

Get Help in IFS Therapy

Being able to work through the conflict provides you with an opportunity to live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS Parts Work Therapist, EFT Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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

I provide a free 10-15 minute telephone call before setting up an appointment.

You can contact me at (917) 742-2624 during business hours or you can email me.

Also See My Articles:

Fear of Change 

Overcoming Recurring Patterns of Self Sabotaging Behavior 

Strategies For Making Major Changes in Your Life 

What is Somatic IFS?

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?