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NYC Psychotherapist Blog

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

Monday, September 22, 2025

How to "Get Out of Your Head" to Heal With Experiential Therapy

In an earlier article, Healing From the Inside Out: Why Insight Isn't Enough, I discussed how traditional psychotherapy has focused on helping clients to understand and develop intellectual insight into their problems.

How to Get Our of Your Head to Heal With Experiential Therapy

While intellectual insight is an important first step, it's usually not enough to heal and create change (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy For Trauma).

As I discussed in the prior article, traditional psychotherapy without the mind-body connection creates intellectual insight into clients' problems, but it often doesn't help with the necessary emotional shift necessary for healing and change.

This is why Experiential Therapy is more effective for healing and change.

What Are the Various Types Experiential Therapy?
Experiential Therapy includes many body-oriented therapies including:
  • EMDR (Eye Movement Desensitization and Reprocessing
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
How Does Experiential Therapy Work?
Although each modality is set up in a different way, all Experiential Therapy has certain aspects in common:
  • Creating Experiences: Compared to traditional psychotherapy, all Experiential Therapy involves creating experiences to bring about a deeper connection between thoughts and emotions. 
  • Emotional Processing: After preparing a client by helping them through the Preparation and Resource Phase, Experiential Therapy allows thoughts, memories and emotions to come to the surface in a deeper way than traditional therapy. Most Experiential Therapists track clients' moment-to-moment experiences so that what comes up is within clients' window of tolerance within the safe environment of the therapist's office. This is important in terms of the work being neither overwhelming nor causing emotional numbing.
Getting Out of Your Head to Heal with Experiential Therapy
What Are the Benefits of Experiential Therapy?
The benefits include:
  • Developing New Skills: With Experiential Therapy clients learn and practice new and healthier ways of coping with stress, managing difficult emotions, resolving conflict and overcoming unresolved trauma.
Getting Out of Your Head to Heal With Experiential Therapy
  • Reframing Negative Patterns: Clients learn how to experience situations in new ways by reframing negative thoughts and beliefs. This helps clients to stop harmful patterns from repeating. 
  • Enhancing Empathy and Communication Skills: As enhanced empathy and communication skills emerge, clients can improve their relationship with themselves and others (see my article: What is Compassionate Empathy?).
  • Providing Stress Relief: The process of engaging with and releasing suppressed emotions and processing unresolved trauma provides stress relief.
Getting Help in Experiential Therapy
If traditional therapy was only partially helpful, you could benefit from working with a licensed mental health professional who uses Experiential Therapy to help you to work through trauma and heal (see my article: What is a Trauma Therapist?).

Getting Out of Your Head to Heal With Experiential Therapy

A skilled Experiential Therapist can help you to complete trauma processing so you can lead a more meaningful life.

Rather than struggling on your own, seek help in Experiential Therapy so you can heal and move on with your life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Trauma Therapist and Certified Sex Therapist.

I work with 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.











Wednesday, September 10, 2025

Understanding Dismissive Behavior

I've written about emotional validation in relationships before (see my article: What is Emotional Validation and Why Is It Such a Powerful Skill in a Relationship?).


Understanding Dismissive Behavior

In the current article I'm focusing on invalidating and dismissive behavior.

What is Dismissive Behavior?
Dismissive or invalidating behavior includes:
  • Devaluing someone's concerns
  • Minimizing someone's thoughts and feelings
  • Eye rolling 
  • Sarcasm
  • Interrupting the other person and changing the subject
  • Stonewalling (the "silent treatment")
  • Completely ignoring someone's concerns
I will be using the terms dismissive and invalidating behavior, which are the same, interchangeably throughout this article.

Dismissive behavior can occur in relationships, friendships, social situations, work settings and any other setting where there are two or more people.

What Causes Dismissive Behavior?
Dismissive behavior is usually rooted in various underlying experiences.

It's important to understand the cause of dismissive behavior in order to have empathy for the  person who is being dismissive and find ways to address this behavior.  

Here are some of the most common causes:
  • Lack of Awareness: Some individuals might lack self awareness about their dismissive behavior and the impact on others (see my article: What is Self Reflective Awareness?).
  • Insecurity or Defensiveness: Individuals who feel insecure or defensive might engage in dismissive behavior in order to protect themselves emotionally.
  • Childhood Experiences: Individuals who grew up in an environment where their thoughts and emotions were invalidated, learned to dismiss other's experiences.
Understanding Dismissive Behavior
  • Cultural or Societal Norms: People who grew up in a culture or a society where emotional expression was discouraged learn to dismiss others' emotional expressions.
Understanding Dismissive Behavior
  • Power Dynamics: Dismissive behavior often occurs in workplace dynamics, especially where the person who is being dismissive is in a higher position.
Vignettes
The following vignettes, which are composites of many different cases, illustrates dismissive behavior in various settings:
  • Family Dynamics: After considering how to approach her older sister, Jean, for months, Tina invited Jean, over for coffee to talk about Jean's dismissive behavior. Once they were settled in Tina's kitchen, Tina told Jean she felt hurt by Jean's dismissive behavior. Specifically, Tina felt hurt when she tried to talk to Jean a few weeks before about how she was affected by Jean hitting her and making fun of her when they were children. Initially, Jean dismissed this like she had before, "That was so long ago. You need to get over it." Even though this was hurtful for Tina to hear, she persisted and told her how Jean's behavior affected her during their childhood and even into early adulthood. She also talked about how this behavior affected her feelings for Jean. At that point, Jean realized this was important. She listened carefully to Tina and expressed her sincere apology. She also told her she didn't want to lose her and asked her how she could make it up to her. Tina felt relieved that Jean was taking her seriously. They both agreed to keep talking and to find ways to strengthen their bond. Over time, Jean realized she was also emotionally dismissed by their father. She thought about how this affected her and promised Tina she would stop being dismissive.
Understanding Dismissive Behavior
  • Relationships: A few months into their relationship, Renee confronted her boyfriend, Tom, about his dismissive behavior. Initially, Tom shrugged it off and told Renee, "You're being too sensitive." But when Renee told him she didn't want to be in a relationship with a man who dismissed her feelings, Tom took her seriously. He told Renee he loved her and he didn't want this to come between them. He realized he also heard a similar complaint from his best friend, so he decided to get help in therapy to become more self aware and learn how to stop engaging in this behavior.
Understanding Dismissive Behavior
  • Friendships: Lena and Ginny were best friends since childhood. Lena always felt inferior to Ginny because she thought Ginny was more attractive and she knew how to navigate social situations with ease. After Lena began therapy, she realized there was another reason why she felt inferior to Ginny: Ginny tended to dismiss Lena's feelings. When she realized this, Lena summoned her courage to talk to Ginny about it.  Ginny was shocked. She told Lena she didn't realize she was being dismissive and she never would intentionally hurt Lena's feelings. She told Lena she would be more aware of her behavior so she wouldn't ruin their friendship.
Understanding Dismissive Behavior
  • Power Dynamics at Work: Whenever John made suggestions in the staff meetings, his boss, Ed, would either dismissive John's ideas as being unworkable or he would ignore them altogether. He frequently responded to John by rolling his eyes or making sarcastic remarks which was hurtful and humiliating for John. But when John discovered that Ed talked to the company vice president, Nick, about one of John's ideas and Ed tried to pass it off as his own, John felt angry. In response, John spoke to his human resources representative, Liz, to ask her how he should handle the situation. She called a meeting with John, Ed, Nick and another manager, Gail, who had been at the staff meeting who heard John make the suggestion that Ed was now taking credit for with Nick. As soon as the topic was brought up in that meeting, Ed realized Gail knew it wasn't his idea. Initially, he tried to pretend he forgot it was John's idea. When he realized no one believed him, he apologized to John. After that, Ed stopped dismissing John's ideas and he treated him in a respectful way.
Here are some proactive strategies if you feel your feelings are being dismissed in a personal relationship:
  • Develop Self Awareness: Consider your own behavior and whether you're also contributing to the problem by engaging in dismissive behavior.
  • Practice Empathy: The other person's dismissive behavior might be unintentional. In other words, they might not realize they're being dismissive. Try to understand the underlying causes and approach the person with empathy rather than outward displays of anger or defensiveness.
Understanding Dismissive Behavior
  • Set Boundaries: Communicate your expectations in a clear way. Let the other person know how their dismissive behavior affects you. Instead of being accusatory, use "I" statements to keep the focus on the effect this behavior has on you and why it's important to resolve this problem (see my article: How to Set Boundaries Without Guilt).
  • Seek Support in Therapy: If you're unable to resolve the problem, seek help in therapy to gain insight and learn effective strategies to deal with your situation.
Getting Help in Therapy
As mentioned earlier, addressing dismissive behavior can be challenging.

Getting Help in Therapy

A skilled psychotherapist can help you to develop the necessary tools and strategies for addressing someone's dismissive behavior. 

A trauma therapist can help you to overcome the traumatic impact of longstanding dismissive behavior.

Rather than struggling alone, seek help so you can lead a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Certified Sex Therapist.

I work with 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.
























Wednesday, September 3, 2025

Relationships: Overcoming a Pattern of Emotional Shutdown

There are couples who come to couples therapy where one or both people really believe they don't have emotions.  However, research indicates that all human beings have emotions including happiness, sadness, fear, disgust and surprise regardless of culture (see my article: Are You Able to Express Your Emotions to Your Partner?).

Emotional Shutdown in a Relationship

These emotions are biologically driven and linked to distinct facial expressions, so the capacity for emotions is a shared human experience (see my article: What Are the Benefits of Experiencing Your Emotions?).

What is Alexithymia?
It's estimated that anywhere from 5-15% of people have alexithymia, which is a condition where people have difficulty identifying, processing and expressing emotions.  The exact cause of alexithymia is unknown as of this writing. Psychotherapy with a therapist who is trained to treat alexithymia combined with medication is usually the recommended course of treatment.

What's Really Happening For the Other 85-95% of People in Relationships Who Believe They Don't Have Emotions?
What about the other 85-95% of people who don't have alexithymia who say they don't have emotions?

In most other cases, people who believe they don't experience emotions have one of the following problems:
  • Emotional Unavailability: People who have experienced traumatic conditions can experience difficulty connecting with and expressing emotions. They might believe they don't have emotions but, in reality, they don't realize their difficulty.
  • Emotional Repression: People who repress their emotions, either consciously or unconsciously, suppress their emotions, especially after traumatic incidents.
Emotional Shutdown in a Relationship
  • Trauma Response: People who experienced a traumatic event can shut down their emotions as a maladaptive coping mechanism or defense mechanism.
  • Learned Behavior: If individuals grew up in a family where they were discouraged from expressing emotions, they often don't learn to identify and express their emotions. This is especially true if a healthy expression of emotions wasn't modeled for them in their family. This learned behavior can be related to the three conditions mentioned above (emotional unavailability, emotional repression and trauma response).
What Are the Underlying Reasons When People Shut Down Their Emotions?
People who shut down their emotions often do so for one or more of the following reasons:
  • Fear getting overwhelmed
  • Fear of feeling helpless
  • Feeling ashamed
  • Fear of being rejected
What is the Impact on a Relationship When One or Both People Suppress Their Emotions?
Shutting down emotions, whether it's done consciously or unconsciously, becomes an obstacle in the relationship:
  • Loss of trust
Emotional Shutdown in a Relationship

Emotional Shutdown in a Relationship
  • negative cycle of withdrawal and feelings of neglect and loneliness for the non-withdrawing partner, which perpetuates the emotional disconnection between the partners. Over time, it becomes increasingly difficult to resolve conflicts.
Clinical Vignette: Overcoming the Negative Cycle of Ongoing Emotional Shutdown
The following clinical vignette, which is a composite of many different cases with all identifying information removed, illustrates how this negative cycle develops and how couples therapy can help:

Sandy and Eric
When Sandy and Eric sought help in couples therapy, they were almost ready to file for divorce.

Emotional Shutdown in a Relationship

At the time, they were together for seven years and married for five. Sandy was the one who suggested they try couples therapy before they split up. 

Sandy told the couples therapist she felt alone in her relationship because Eric wasn't able to express his emotions. As a result, she said, problems that came up weren't resolved because they weren't able to talk about them.

When it was clear to the couples therapist that Eric wasn't alexithymic and he was able to feel and express his emotions in other areas of his life, she asked Eric to become curious about his problems with expressing emotions.

Eric spoke about his family history and how his father often told him when he was growing up that boys who cried were "sissies". 

He told Eric that boys and men should control their emotions and shouldn't allow themselves to feel highs and lows. Instead, according to his father, Eric should focus on being logical and avoid displays of emotions (see my article: Why Family History is Important in Therapy).

Although as an adult, he understood that his father had his own problems with emotions and that he gave him bad advice, Eric didn't know how what he was feeling most of the time so it was hard to talk to Sandy, especially when they were having a disagreement. So, not knowing what else to do, he would withdraw emotionally and sometimes physically as well.

Hearing Eric talking about his difficult childhood, Sandy felt a deep sense of compassion for him and she reached out to hold his hand. When Eric felt the touch of Sandy's hand, his eyes welled up with tears, "I didn't realize until now that I've been so lonely and I've missed being touched by Sandy. I don't want to lose you, Sandy."

Their couples therapist worked with them to help Sandy to be patient and to help Eric to use the mind-body connection to identify and express his emotions. Over time, he learned that when he felt tightness in his throat, he felt sad and when he felt his stomach tighten, he felt fear. 

Gradually, Eric learned to use bodily awareness to identify and express emotions to Sandy and Sandy's empathy helped her to meet Eric halfway. 

As Eric allowed himself to be emotionally vulnerable with Sandy, they developed increased emotional intimacy with each other. As emotional intimacy developed, they gradually found their way back to sexual intimacy (see my article: Learning to Embrace Your Emotional Vulnerability).

EFT Couples Therapy Can Help

Their progress in couples therapy wasn't linear (see my article: Progress in Therapy Isn't Linear).

They still experienced problems with communication from time to time when Eric had difficulty being emotionally vulnerable, but they were able to discuss these difficulties and work out the problem.

Conclusion
There can be many reasons why people believe they don't experience emotions, as discussed above but, as mentioned earlier, most human beings are wired for experiencing and expressing emotions.

When emotional shutdown occurs in a relationship, it poses significant stress on the relationship and, over time, can lead to a breakup.

Couples who attend Emotionally Focused Couples Therapy (EFT) can develop the skills to overcome these difficulties if both people are motivated.

Getting Help in EFT Couples Therapy
Dealing with relationship problems in couples therapy is easier when couples seek help sooner rather than later because patterns aren't ingrained yet.

Getting Help in EFT Couples Therapy

If you and your partner are stuck in a negative cycle, rather than struggling on your own, you could benefit from working with an EFT couples therapist so you can have a more fulfilling relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with 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:














 

 




































Tuesday, September 2, 2025

How Does Somatic Experiencing Heal Trauma?

As a psychotherapist who specializes in helping clients to overcome trauma, I have been using Somatic Experiencing (SE) regularly for 15 years and I have found it to be a highly effective therapy to heal trauma (see my article: What is a Trauma Therapist?).

Somatic Experiencing Can Heal Trauma

How Does Somatic Experiencing Heal Trauma?
Somatic Experiencing, which is an experiential therapy, helps to shift the body's autonomic physical responses by allowing clients to process and discharge "stuck" energy associated with trauma's fight, flight and freeze responses (see my article: Somatic Experiencing: A Mind-Body Oriented Therapy For Overcoming Trauma).

Examples of this include changes in heart rate, blood pressure, digestion, breathing, which are all part of the body's autonomic response system.

"Stuck" or "trapped" energy means the body's instinctive survival response (flight, flight, freeze) to a dangerous event doesn't complete, which leaves excess energy and heightened nervous system arousal stuck in the body. 

This unresolved survival energy can take the form of ongoing health and mental health problems including (but not limited to):
  • chronic pain
  • muscle tension
  • fatigue
  • problems with self regulation
Changes in SE are often subtle responses like feeling warmth, tingling or vibrations which indicate the release of trapped trauma-related energy.

A Somatic Experiencing therapist helps to guide clients to notice and track these felt sensations (see my article: What is the Felt Sense?).

Somatic Experiencing therapists also use pendulation to help clients shift their awareness from challenging emotions to a sense of calm so they can gradually process and integrate traumatic experiences (see my article: Coping With Emotional Distress By Using Pendulation in SE).

Understanding interoceptive and proprioceptive sensations is also part of the skill building clients learns in SE.

Interoceptive sensations are the sensations within your body, like the sensations mentioned above: heart beating, muscles tensing or feeling hungry or thirsty. As part of a traumatic experience, these sensations can become hyperactivated which leads to constant anxiety or discomfort.

Proprioceptive sensations is your body's sense of where its different parts are in space and how they are moving. Trauma can disrupt proprioceptive sensations which can make you feel disconnected from certain parts of your body.

SE can change these trauma-related disruptions to restore the natural rhythms of your nervous system that became dysregulated by the trauma.  

Along the way, you learn embodied awareness so you feel more connected to your body and bodily sensations instead of feeling overwhelmed by them. This can lead to the transformation of intense and distressing sensations to a greater sense of well-being and safety.

What Are the Benefits of Somatic Experiencing?
As an experiential therapyp, Somatic Experiencing integrates body awareness into the therapeutic process which makes it unique compared to other non-experiential therapies like regular talk therapy (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy to Overcome Trauma?).

Somatic Experiencing Can Heal Trauma

As mentioned above, Somatic Experiencing can help to release trauma which can bring the body back into a regulated state.

Somatic Experiencing can be used as a primary therapy or it can be integrated with other forms of experiential therapy including:

Getting Help in Therapy to Overcome Trauma
As a trauma therapist, Somatic Experiencing is one modality I use either alone or in combination with other types of experiential therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

I work in a collaborative way with clients to help them to decide which modality or combination of modalities would be best for their particular needs.

Getting Help in Therapy to Overcome Trauma

If you have been struggling with unresolved trauma, you could benefit from seeking help from a Somatic Experiencing therapist.

Freeing yourself from your traumatic history can help you to lead a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Certified Sex Therapist.

I work with 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, August 12, 2025

How Does Accelerated Experiential Dynamic Psychotherapy (AEDP) Work?

In the past, I have described Accelerated Experiential Dynamic Psychotherapy (AEDP) in two prior articles:



How Does AEDP Work?
In the current article, I'm focusing on how AEDP works and going into more detail.

AEDP to Overcome Unresolved Trauma

AEDP is a therapeutic modality that focuses on helping clients to process and transform traumatic experiences in a safe and supportive environment (see my article: Why Experiential Therapy is More Effective to Overcome Trauma Than Regular Talk Therapy).

Here are some of the basics about how AEDP works:
  • Building a Secure Therapeutic Relationship: An essential part of AEDP is developing a strong, trusting bond between the client and the therapist. The therapist becomes a secure base for emotional exploration and healing by providing empathy, validation and emotional support so that the client feels safe enough to share vulnerable feelings.
AEDP to Overcome Unresolved Trauma
  • Helping Clients to Identify, Connect With and Process Core EmotionsRather than just talking about emotions in an intellectual way, AEDP focuses on experiencing and processing emotions in the here-and-now with the therapist. This involves becoming aware and processing suppressed emotions related to traumatic experiences. 
  • Working Through Defensive Mechanisms That No Longer Work: Clients learn to recognize, understand and modify defense mechanisms that might have served them as part of their survival strategy earlier in life but no longer work for them now.
AEDP to Overcome Unresolved Trauma
  • Accessing Transformational Affects: AEDP helps clients to access positive emotions, like joy, love and compassion, which can empower clients to heal unresolved trauma and make positive changes (see my article: How Glimmers Give You a Sense of Ease, Safety and Joy).
  • Metaprocessing: This involves reflecting on the therapeutic process including the client's emotional experiences in AEDP therapy, the therapist's interventions and the therapeutic alliance between the client and therapist. This helps clients to develop insight into their emotional patterns and how they apply them to other relationships.
What Experiential Techniques Does AEDP Use?
AEDP's experiential techniques include:
  • Guided Imagery and Visualization: An AEDP therapist helps clients to process emotions with guided imagery and visualization exercises.
  • Role Playing and Other Interactive Exercises: The therapist helps clients to practice new emotional responses and behaviors in a safe therapeutic environment.
How Does AEDP Help Clients to Have Transformational Experiences?
  • Strengthening a Sense of Self and Building Resilience: When clients process difficult  emotions related to trauma, they develop a greater sense of self acceptance and capacity to cope with challenges.
  • Creating More Fulfilling Relationships: By addressing attachment wounds and developing healthier emotional patterns, clients can develop secure and more fulfilling relationships.
Conclusion
Accelerated Experiential Dynamic Psychotherapy (AEDP) is a dynamic and experiential approach which facilitates deep emotional healing by creating a safe therapeutic space for clients to explore, process and transform unresolved trauma and current emotional challenges.

Getting Help in AEDP Therapy
If you have been struggling on your own to overcome unresolved trauma, you could benefit from working with an AEDP therapist.

Getting Help in AEDP Therapy

Rather than struggling on your own, seek help in AEDP therapy so you can live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with 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: