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Showing posts with label unmet childhood needs. Show all posts
Showing posts with label unmet childhood needs. Show all posts

Thursday, June 28, 2018

Pretending to Feel "Strong" to Avoid Feeling Your Unmet Emotional Needs

People who grew up in families where their emotional needs weren't met often feel they must "be strong" in order to deny their emotional needs to themselves and to others.  This denial of their emotional needs was part of their emotional survival strategy as children and they continue to use this strategy in their adult relationships--even though it's no longer helping them (see my articles: Understanding Your Emotional NeedsWhat is the Connection Between Unmet Childhood Emotional Needs and Problems Later on in Adult Relationships?, What is Childhood Emotional Neglect? and Emotional Survival Strategies That No Longer Work: "I Don't Need Anyone").


Pretending to Be "Strong"

Whether they received an explicit message when they were children to "be strong" or whether it was an unspoken understanding in the family, as adults, these individuals often feel ashamed of their emotional needs--shame that developed when they were children.

Denying their unmet emotional needs as children was a way of compartmentalizing those needs so that they didn't feel overwhelmed that there wasn't someone to comfort them.  In that way, the defense mechanisms of denial and compartmentalization helped them.  But, as an adult in a relationship, denying emotional needs gets in the way of having a healthy relationship.

Fictional Clinical Vignette: "Being Strong" to Avoid Feeling Unmet Emotional Needs
Jan
Growing up in a home where her parents were usually preoccupied with their own relationship and careers, Jan learned at a young age to deny her emotional needs.

Instead of her parents accommodating Jan's emotional needs, Jan learned to accommodate her parents by never asking them to comfort her or listen to her when she was scared or feeling doubtful.  She learned that she had to "be strong" on her own, and she became a pseudo "independent" child who appeared, externally, to be emotionally self reliant.

Her parents expressed their pride in having a child like Jan who never asked for anything from them and who was seemingly able to take care of her own emotional needs.

But behind this exterior of pseudo independence, Jan was a frightened, sad child who felt ashamed of having emotional needs.  At a very young age, whenever she felt the need for love or comfort, she told herself that she was  "being a baby."  In effect, she internalized her parents' attitude towards her and she shamed herself.

Years later, when she entered into her first serious relationship, she continued to deny to herself and to her boyfriend that she had any emotional needs that he needed to attend to, but she was willing to pay attention to his emotional needs.

Her boyfriend, who was an warming, affectionate, caring person, knew that Jan had lived her entire life denying her emotional needs because of her relationship with her parents, and he found it difficult to be the nurturing person that he really was in his relationship with Jan.  So, he talked to her about getting help in therapy.

Initially, Jan was offended by her boyfriend's suggestion that she get help in therapy.  She thought he was implying that she was a "weak" person (see my article: Common Myths About Psychotherapy: Going to Therapy Means You're "Weak").

As far as she was concerned, there was nothing wrong with her, and she couldn't understand why he would recommend therapy.  But she wanted to be open minded, so she made an appointment to see a psychotherapist.

During the initial psychotherapy consultation, Jan apologized for taking up the therapist's time when there was really "nothing wrong" with her.  She told the therapist that her boyfriend thought it would be a good idea for her to come to therapy, and she wanted to keep an open mind about it.

As Jan talked about her family history, she was so emotionally detached from the details about her relationship with her parents.  It was as if she was giving a news report.  It was only when the psychotherapist asked Jan to slow down that Jan heard herself and she began to feel sad and anxious about what she was saying.

After a while during the initial psychotherapy consultation, Jan told the therapist that when she slowed down and reflected on her relationship with her parents, she felt uncomfortable.  She thought about the children that she knew now that were the same age as Jan was when she was a child, and she realized that her family life "wasn't normal" (her words) because, of course, it's normal for children have emotional needs.

Over time, Jan's psychotherapist helped Jan to put words to her emotions by using Somatic Experiencing.  When Jan had difficulty identifying her emotions, her therapist asked her to sense what she felt in her body in order to put words to her emotions (see my article: Using Somatic Psychotherapy When the Client Has No Words to Express the Problem).

Initially, this was difficult and frightening for Jan because she spent her life, until now, denying her emotions.  But her therapist titrated the work so that it wasn't overwhelming for Jan.

Once Jan was able to express her emotions and accept that her emotional needs were "normal," she and her therapist used EMDR therapy to help her to resolve the trauma related to her early emotional neglect (see my article: Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

This work was neither quick nor easy but, over time, Jan grieved for what she needed and didn't get as a child.

As she worked on resolving her childhood trauma, she became more emotionally engaged in her relationship with her boyfriend.  She was able to accept love and nurturance from her boyfriend, who was happy that Jan was growing emotionally and more present in their relationship.

Conclusion
Emotional survival strategies that were helpful during childhood often get in the way of adult relationships.

Someone who spent their childhood denying his or her emotional needs often doesn't recognize, as an adult, that this is what they are doing.  Often, their spouse or romantic partner is the one to point out that there is a problem.

Trauma therapy, like Somatic Experiencing and EMDR therapy, helps to overcome unresolved trauma.

Getting Help in Therapy
Trying to overcome these type of traumatic problems on your own is very difficult (see my article: The Benefits of Psychotherapy).

A skilled trauma therapist can help you to overcome emotional survival strategies that are no longer working for you so you can replace them with healthy ways of relating and coping (see my article: How to Choose a Psychotherapist).

Admitting to yourself that you have a problem and contacting a trauma therapist is often the hardest part of trying to overcome trauma.

The first step is having a consultation to explore these issues further and to see if you feel comfortable enough with the therapist to continue to work with her.

Once you're free of your traumatic history, you can lead a more meaningful and fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

One of my specialties is helping clients to overcome traumatic experiences.

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.


















Thursday, October 5, 2017

Caregiving For a Depressed Mother as a Child and a Depressed Spouse as an Adult

People often unconsciously choose a spouse who has similar characteristics to one or both parents (see my article:  Overcoming the Guilt You Feel For Not Being Able to Heal Your Parent's Emotional Wounds and How to Stop Being the "Rescuer" in Your Family of Origin).
Caregiving For a Depressed Mother as a Child and a Depressed Spouse as an Adult
A child, who was the emotional caregiver for a depressed parent, will often unconsciously choose a spouse who is depressed and recreate a similar caregiving dynamic with the spouse.

The following fictionalized vignette illustrates how these patterns are repeated and how therapy can help:

Emma
Emma grew up in a loving, nurturing home.  She was the youngest of three children in a close-knit extended family.  Both parents were actively involved in the children's lives, although the father was often away on business.

Emma's mother was well liked by her neighbors for her kindness and generosity.  She was very proud of Emma and Emma's sisters, and she instilled confidence in them.  She encouraged their curiosity and creativity, and she taught them that they could be whatever they wanted to be.

As the youngest, Emma was closest to her mother.  By the time Emma was about to start school, her sisters were already involved in high school activities and out of the house most of the time.  As a result, Emma spent a lot of time alone with her mother.

Emma's Mother: Caregiving For a Depressed Mother as a Child and a Depressed Spouse as an Adult

For a young child, Emma was especially perceptive, and she realized that her mother was depressed--even though her mother was loving and active in Emma's life and she tried her best to hide her depression from Emma and the rest of the family.

Emma worried about her mother, and she spent most of her time at home trying to enliven her mother and make her laugh. There were days when Emma's jokes and funny stories seemed to lift her mother's mood.  But there were other days when it seemed that nothing Emma could do would lift her mother's spirits and Emma felt very sad on those days.

As Emma got older and she developed friendships and outside interests, she continued to feel that her primary responsibility was to lift her mother's spirits. Realizing that Emma felt overly responsible for her, her mother would encourage Emma to pursue her friendships and interests.  She didn't want Emma to sacrifice her happiness.

By the time Emma graduated from high school, she felt deeply ambivalent about going away to college, even though her parents and older sisters encouraged her.  She worried that her mother would sink into an even deeper depression if she wasn't around to try to enliven her.

She had a hard time adjusting to being away from home during her first year at college, and she took every opportunity to go home on weekends to spend time with her mother.  She would also often bring home friends that she thought would be entertaining for her mother.

In her junior year, she met Tom.  She liked that Tom was a serious philosophy major, who was intelligent, knowledgeable and curious.  Soon they were spending a lot of time together.

Emma's friends at college teased her about Tom because they thought he was dour.  But Emma brushed off their criticism and told them that they didn't know him, they were judging him only from his outer appearance, and they couldn't appreciate all of the qualities that she saw in him.

Soon after they graduated college, Emma and Tom got married and began working. Emma found her dream job working as a journalist.  But Tom was unable to find the type of job he hoped for after he graduated college.  Part of the problem was that he had definite ideas of what he wanted and refused to compromise.  As a result, he did temp work.

Emma and Tom: Caregiving For a Depressed Mother as a Child and a Depressed Spouse as an Adult

Emma was very aware that Tom felt depressed and discouraged about his work situation, so she refrained from gushing about her work.  Instead, she tried to be emotionally supportive of Tom, but he didn't respond well to her trying to lift his spirits.  He would become annoyed with her and mostly wanted to spend time alone.

This left Emma feeling lonely and helpless, and when she tried to talk to Tom about it, he refused to address the problems between them.  He expressed his resentment that she was so happy with her work, and he felt miserable.

Soon, Emma was spending most of her free time with her friends because Tom refused to go out.  She was deeply concerned about Tom and their marriage, but there was nothing that she could do.

As time went on, Emma was promoted into a more responsible position with a big salary increase. She was also given more interesting assignments.  But Tom continued to stagnate.  Emma encouraged him to get help in therapy, but he refused to go.

Two years later, their marriage was over.  Tom moved out to live with his parents across the country, and Emma was in despair.

Shortly after that, Emma began therapy to try to understand what happened and to pick up the pieces of her life.  Her psychotherapist helped Emma to see how she had been in a similar dynamic with Tom as she had been with her mother.

Although Emma's mother and Tom experienced their depression in different ways and had their own unique responses to Emma's attempts at caregiving, they elicited similar responses in Emma.

While she was in therapy, Emma also saw her blind spots about Tom.  Looking back with the perspective of time, she realized that there were signs before she got married that Tom was depressed and rigid in his thinking, but she didn't want to see these traits.  She also saw her role in the demise of their marriage and how she infantilized Tom.

Emma grieved in therapy for the loss of her marriage as she went through the divorce process.  She also learned in therapy that she had a propensity to be a caregiver in a relationship due to her early relationship with her mother, and she would need to be much more aware of this in the future so she would not repeat the same patterns.

Conclusion
Emotional dynamics between parents and children are developed at an early age.

As in the fictionalized vignette above, these dynamics are often unconscious for both parent and child.

When a child grows up feeling emotionally responsible for a parent, this often sets up the possibility for similar dynamics in adult relationships on an unconscious level, which often leads to problems in the relationship for both individuals.

Getting Help in Therapy
Both people in the relationship need to be willing to change these unhealthy dynamics to make healthy changes.

It can be very challenging to overcome these dynamics on your own, even if one or both people are aware of them and willing to change, which is why working with a skilled psychotherapist can be helpful.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I have helped many clients to overcome unhealthy emotional patterns in their lives.

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.

























Monday, August 14, 2017

Emotional Survival Strategies That No Longer Work: "I don't need anyone"

Unresolved early childhood trauma usually leads to emotional survival strategies that were adaptive during childhood, but they are no longer adaptive for adults.  They also often lead to distortions in self perception.  It's not unusual for adults, who were abused or neglected as children, to become adults who deny their own emotional needs and reject emotional connections with others (see my articles: Understanding Why You're Affected By Trauma That Occurred a Long Time AgoGrowing Up Feeling Invisible and Emotionally Invalidated, Are You Feeling Trapped By Your Childhood History?Overcoming the Traumatic Effects of Childhood Trauma, and Looking at Your Childhood Trauma From an Adult Perspective).


Emotional Survival Strategies That No Longer Work: "I don't need anyone."

These survival strategies and distortions in self perception are unconscious.  Underneath them are a lot of fear, hurt, anger and shame.

One way to avoid feeling these underlying feelings is intellectualization.  When it is used to avoid unconscious emotions, intellectualization is a defense strategy.  More about this later.

These problems can begin early in infancy when the baby's primary caregiver is either shutdown emotionally, continuously misattuned to the baby's emotional needs, emotionally neglectful or abusive.

Even if all of the baby's physical needs are being taken care of, the baby still needs emotional attunement from the primary caregiver in order to thrive and learn to develop healthy attachment.

A baby, who makes many attempts to get a caregiver to be emotionally attuned, eventually gives up and shuts down emotionally.  Not only does the baby feel resignation about getting his emotional needs met, but he also gives up and dissociates.

If this is a pervasive experience in a baby's life, it will affect brain development as well as emotional development.

This survival strategy of dissociating is adaptive at that point for the baby because it would be emotionally unbearable to continue to yearn for love and attention that won't be given by the primary caregiver.

But this survival strategy, as an adult, is maladaptive and usually results in disconnection from oneself and others.

The dilemma for this adult is that he (or she) yearns for love and connection, but he's too fearful of getting his needs met, so he either (unconsciously) connects with other adults who cannot meet his needs or he believes himself to be "independent," someone who doesn't need other people.

As mentioned before, a common pattern for people with this problem is to either avoid relationships altogether by intellectualizing ("I only need my books") to negate the yearning for love and connection.

Fictionalized Scenario
The following fictionalized scenario illustrates these dynamics:

Jane
Shortly after Jane was born, she was left with her maternal grandmother when her mother moved from Florida to New York to find work.

Jane's grandmother did the best that she could, but she was often overwhelmed by taking care of her other grandchildren, her responsibilities in the house and running the family business.  As a result, she had little time to spend with Jane aside from meeting Jane's basic physical needs.

The grandmother was raised to believe that if a baby cried, the baby should be left to cry it out rather than being picked up, otherwise, the baby would be spoiled.

How Emotional Survival Strategies Develop in Infancy

So she left Jane crying for long periods of time in the crib.  Eventually, Jane would give up out of sheer physical exhaustion as well as a primitive sense that it was hopeless to keep trying to get anyone's attention.

When Jane's grandmother noticed that Jane was quiet in her crib and was just staring into space, she thought this was good.

To be clear, the grandmother wasn't trying to harm Jane in any way.  She just didn't understand the developmental harm that was being done by not responding to the baby's crying.  And, aside from this, a quiet baby is a compliant baby and was much easier for the grandmother.

When Jane was 10, her mother sent for her to live in New York City.  Even though Jane and her mother had no contact since the mother moved to New York City, when Jane arrived, her mother expected Jane to be affectionate towards her.

But, instead of an affectionate child, Jane's mother encountered a child who showed little emotional reaction to her.  Jane was obedient and passive, but it was obvious that she felt no emotional connection to her mother.

Jane understood that the woman she was meeting after so many years was her mother--she understood it as a fact.  But it had no emotional resonance for her.  She complied with her mother's rules and directives, but Jane remained emotionally disconnected from her (see my article: Adults Who Were Traumatized as Children Are Often Afraid to Feel Their Emotions).

Jane's mother thought of Jane's emotional distance as Jane being willfully disrespectful of her.  She had no understanding, as many parents wouldn't, that Jane's aloofness was an unconscious survival strategy that she developed at an early age to cope with the lack of love and connection from infancy.

Meanwhile when she was at school, Jane's teachers noticed that she tended to isolate herself from other children.  While other children were playing during recess, Jane sat in the corner by herself reading a book.

When Jane's teacher told her mother that she was concerned that Jane wasn't interacting with the other children, Jane's mother dismissed the teacher's concerns, "My daughter is here to learn.  She's not here to make friends.  It's better for her to read than to play."

Throughout high school, Jane's mother discouraged her from dating, "There will be plenty of time for that after you graduate from college."   Jane didn't mind because she felt no need to date boys or to make friends, "I have my books.  I don't need anyone."

During her first year of college, Jane kept to herself. At first, her classmates tried to befriend her, but when they saw that Jane wasn't receptive, they thought that Jane thought of herself as being "too good" for them.  Their friendliness turned to scorn, and they laughed and ridiculed Jane.

Although Jane pretended not to notice, she saw and heard their criticism.  Sometimes it would bother her, but most of the time, she pushed down her discomfort and told herself that she didn't care what they thought, "I don't need anyone."  Then, she would study harder in an effort to avoid feeling her loneliness, anger and hurt.

Jane graduated college with a 4.0 GPA, which she was very proud of and so was her mother.  But she didn't get any interviews from the college recruiters at campus.

Jane applied for many jobs after she graduated college, but she received no responses.  She wasn't  aware that many companies looked not only for good grades--they also wanted to see that students were involved in college activities, and Jane avoided any activities while she was in college.

Eventually, Jane found a job as a part time bookkeeper, which didn't require a college degree.  She worked in a small office by herself.

After a year, Jane found a full time bookkeeping job.  This allowed her to move out of her mother's home to become a roommate in an apartment with three other young women.

Jane didn't really want to have roommates, but she couldn't afford to have her own apartment.  Even though Jane had no interest in making friends with her roommates, one of them, Cathy, went out of her way to be friendly with Jane.

To her surprise, Jane realized that she didn't mind being around Cathy because Cathy did all the talking when they were together and all Jane had to do was be polite and pretend to be interested in what Cathy was saying.

After Cathy asked Jane many times, Jane agreed to go with Cathy to a silent meditation retreat.  Jane thought, "How bad could it be?  All I have to do is be silent."

But when Jane began the silent meditation at the meditation center, she was surprised to discover that she felt upset and emotionally overwhelmed, and she didn't know why.  She asked the center director if she could read books instead, but she was told that she had to focus on meditation.

After a couple of days of silent meditation with no other distractions, Jane felt so emotionally overwhelmed with sadness that it was unbearable.  She felt ashamed to leave early, but she couldn't bear being so overwhelmed.

When she got home, Jane tried to distract herself from her sadness by immersing herself in her books and going online but, no matter what she did, she still felt engulfed by sadness and she didn't know why she was feeling this way and why she couldn't distract herself.

After experiencing overwhelming sadness for a couple of weeks, Jane knew she needed help, but she wasn't sure where to turn, so she sought help from her medical doctor.

Although she felt very ashamed of her feelings, especially since she couldn't think of any reason for her sadness, her fear that she was "going crazy" got her to talk to her doctor.

Jane's doctor explained to her that there was nothing physically wrong with her and that she needed to address these psychological issues in psychotherapy.  Then, he referred her to a psychotherapist.



Getting Help in Therapy For Emotional Survival Strategies That No Longer Work 
Over time, Jane learned in therapy that, as an infant, she developed an emotional survival strategy of disconnecting from her environment as a way to deal with the environment that she grew up in.  Her therapist explained to her that this is called dissociation and it's what babies do when they are being raised by a caregiver who neglects or abuses them.

Jane learned from her therapist that this early emotional survival strategy was adaptive at the time because to continue to yearn for love and attention when none was forthcoming would have been even more emotionally painful when she was an infant.

Her therapist explained that Jane continued to use this emotional survival strategy as an adult.  Jane used books and other intellectual pursuits to distract herself and dissociate from her environment, but it was no longer adaptive in Jane's life--in fact, it was getting in the way of developing healthy friendships and relationships.

When Jane went to the silent meditation retreat, her psychotherapist explained, and she wasn't allowed to distract herself with books, her sadness about years of emotional neglect and disconnection came bubbling up to the surface, and this was what Jane was experiencing now.

The feelings were so strong that Jane could no longer push them down so, rather than trying to suppress them, Jane needed to engage in trauma therapy in order to heal.

She could no longer remain in denial about not needing anyone, which was a defense against feeling her longstanding sadness.  Jane saw this defense mechanism for what it was--an emotional survival strategy and distortion in self perception that was now maladaptive.

The psychotherapist talked to Jane about EMDR therapy. She also took a thorough family history and helped Jane to prepare to do EMDR (see my articles: Overcoming Trauma With EMDR Therapy: When the Past is in the Present and EMDR Therapy: When Talk Therapy Isn't Enough).

The work was neither quick nor easy (see my article: Psychotherapy: Beyond the Bandaid Approach).

But by the time Jane and her therapist began processing her early trauma, Jane trusted her therapist and, eventually, she was able to free herself from her history to lead a fuller life.

Conclusion
When infants are neglected or abused, they're able to develop survival strategies, on an unconscious level, that are adaptive at the time to ward off the devastating emotions that are the result of neglect and abuse.

Although it was adaptive at the time, these emotional survival strategies are no longer adaptive as an older child, teen or an adult.  These strategies keep people cut off from their feelings and in denial about their emotional pain.  It also keeps them cut off from other people.

Although they might believe that they really don't need anyone, this emotional survival strategy and distortion in self perception takes a lot of energy to maintain.

People often distract themselves from difficult underlying emotions with intellectual pursuits, drinking excessively, abusing drugs, gambling compulsively or engaging in other addictive and compulsive behavior.

When someone can no longer distract himself, these underlying emotions often come to the surface in a powerful way so that these emotions can no longer be denied.

Getting Help in Therapy
Various forms of trauma therapy, like EMDR therapy, clinical hypnosis or Somatic Experiencing are effective in helping people to overcome emotional trauma.

Rather than suffering on your own, you owe it to yourself get the help you need from a skilled psychotherapist who specializes in helping clients to overcome trauma.

By freeing yourself from a traumatic history, you can lead a more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I specialize in helping clients to overcome emotional trauma.

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.


































Monday, April 18, 2016

Working in Therapy to Accept Your Emotional Needs

Many people feel ashamed of their emotional needs because they grew up in families where they were made to feel ashamed for even having emotional needs (see my article: What is Childhood Emotional Neglect?)  One of the goals in therapy for many clients is to learn to recognize and accept their emotional needs (see my article: Allowing Yourself to Feel Your Feelings).

Working in Therapy to Accept Your Emotional Needs 

Having emotional needs is a natural part of being human.  But for people who learned to feel ashamed of their needs, having emotional needs is perceived as a weakness.

Many people, who were traumatized as children, are no longer even aware of their emotional needs because they have become numb to them.

What is Emotional Numbing?
Emotional numbing is a defense against the intolerable shame and pain of having unmet emotional needs, especially emotional needs that stem from unmet childhood needs.

Emotional numbing not only cuts off feelings related to emotional needs, it also cuts off feelings of love, happiness and joy.  People who are especially cut off from their feelings have little awareness of their feelings and often have a hard time discerning other people's feelings.

Fictionalized Scenario:

Let's take a look at a fictionalized vignette to understand this phenomenon and how therapy can help.

Cora
Cora came to therapy because she was aware that she felt no joy in life.  In fact, she felt very little of anything.  Life just seemed flat to her.

Working in Therapy to Accept Your Emotional Needs

It didn't matter that she had good friends, she was successful and well liked at work or that there were always men who were interested in her.  She took no pleasure in any of this.

She grew up in a home where she was taught to always put other people's needs before her own.  Her father, who was a minister, spent most of his time involved with church activities.  Her mother was involved in the same church activities, and Cora was expected to spend most of her spare time helping out in the church.

As far back as she could remember, her parents discouraged her from thinking about herself.  Whenever Cora wanted a doll or a toy, her parents scolded her for being selfish and not thinking about the many children around the world who didn't even have food to eat.

They told her, "How could you think of something so silly as having a doll when so many children are suffering?  Don't be so selfish."

As a child, whenever Cora wanted something for herself, she felt so guilty that she kept it to herself.  Even when she felt lonely and wished her parents would spend more time with her, she felt she was being selfish.

She felt that her parents' work in the church was more important than she was, and she shouldn't complain.  After a while, she learned not to feel these needs at all.

Throughout high school and college, Cora volunteered for many projects to help those who were less fortunate.  Although she won prizes for her work, she felt no joy in it.  All she felt was lonely.

Cora learned to look and act the part in her career, which brought her financial success, but she felt no inner satisfaction in her work and no sense of accomplishment.  She felt she was just continuing to do what she was supposed to do, just as she had when she was a child.  All the while, Cora felt she was an impostor (see my article: Overcoming Impostor Syndrome).

Cora learned to pretend to be happy.  It was a facade that she put on because she thought that that's what she was supposed to do, but she didn't feel it (see my article: How to Stop Pretending to Feel Happy When You Don't).

Then, Cora began dating John.  She was aware that he really liked her and she knew he was a good person but, beyond that, she was unsure what she felt. This made her uneasy.  Even sex felt flat to her and she pretended to enjoy it more than she did, so she felt like a phony.  This brought her into therapy.

Working in Therapy to Accept Your Emotional Needs

When her therapist spoke to Cora about the importance of self care, Cora was unclear what this meant.  She knew about eating healthy food and getting exercise, but she didn't know what self care meant beyond that.

Even though Cora could well afford to get a massage or do other similar things to take care of herself, she told her therapist that she would feel guilty doing these things because she was aware that there were so many people in the world who didn't have their basic needs met, so how could she pamper herself?  This felt selfish to her (see my article: Is Self Care Selfish?).

Her therapist helped Cora to begin to identify her emotions by getting Cora to develop a felt sense in her body and where she felt these emotions in her body (see my article: The Mind-Body Connection: The Body Offers a Window into the Unconscious Mind).

So, for instance, Cora came to realize that when she felt angry, she felt tense in her hands and in her shoulders.  And when she felt anxious, she felt tense in her stomach.

Cora also realized in therapy that she felt it was perfectly okay for others to do things that made them feel good, like getting a massage or indulging in other types of self care.  So, she began to question why she felt that it was selfish for her.

Gradually, over time, Cora saw that she had learned from a young age to numb her feelings so that she was no longer aware of what she felt.

Her therapist helped Cora to see that this was a protective defense mechanism that she developed as a child because it would have been too painful to continue to feel her unmet emotional needs, but that it was no longer useful for her.  In fact, this defense was now getting in the way.

As she mourned for what she didn't get as a child, she developed a greater capacity to feel her emotions without feeling guilty for having emotional needs.

Over time, Cora opened up to experiencing her genuine feelings.  She was no longer pretending to feel happy--she actually felt joy and happiness.

Working in Therapy to Accept Your Emotional Needs

In her relationship, she opened up to the emotional intimacy of the relationship. She realized that she was falling in love with this man, and she felt pleasure that she had never felt before when they had sex.

Overall, Cora felt that she was coming alive in a way that she never knew was possible.

Conclusion
Emotional numbing often occurs at an early age as a defense against unmet childhood emotional needs.

What starts out a protective defense mechanism against intolerable feelings becomes a major obstacle later on in life.

Emotional numbing tends to numb all feelings--not just the ones that are difficult.  It often affects all relationships and can make life feel flat.

Psychotherapy with a psychotherapist who is trained to assist clients to overcome emotional numbing can make the difference between going through life feeling little or nothing and leading a vibrant and fulfilling life.

Getting Help in Therapy
If you are aware that you have difficulty either feeling your emotions or allowing yourself to feel good, you could benefit from seeking help from a licensed mental health professional who specializes in helping clients to identify and accept their emotional needs.

Rather than going through life feeling numb, you can learn to acknowledge and accept your emotional needs and live a fuller and happier life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I have helped many clients to overcome trauma and emotional numbing so that they could feel alive and happier in their lives.

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



































Monday, December 21, 2015

Understanding Your Emotional Needs

In a prior article, Are Your Emotional Needs Being Met in Your Relationship?, I began addressing the importance of having your emotional needs met within your romantic relationship or marriage.  But there are many people who don't understand what their emotional needs are, so I'm addressing this issue in this article.

Understanding Your Emotional Needs

Without being able to identify and understand your emotional, you can't really ask for what you need in your relationship.

Many people who had unmet emotional needs as children grow up to be adults who don't understand what their emotional needs are and how to even find out what they are.

Many of these same people go on to have romantic relationships with people who are, at best, ambivalent and, at worst, abusive, including emotional and/or physical abuse.

In contrast to people, who grew up where their emotional needs weren't taken care of, people who grew up in households where the love and nurturing was "good enough," usually have an intuitive sense of what they need from their romantic partner.  If their partner mistreats them either emotionally or physically, they are much less likely to put up with it than people who grew up with unmet emotional needs.

It's important for you and your partner that you understand what you need emotionally.

Let's start by identifying some of the most common emotional needs that people have.  This list will give you an idea, but it's, by no means, exhaustive, and you might identify other emotional needs that are important to you.

Common Emotional Needs
  • to be seen for who you are
  • to be heard
  • to be understood
  • to be encouraged, supported and nurtured
  • to feel loved
  • to receive affection
  • to have emotional intimacy with significant others (family, friends, partners/spouses)
  • to be allowed to grow and develop as a person
  • to be forgiven
  • to be touched and held
Once again, there are just some of the most basic needs that most people have, but there can be others.  For instance, someone who needs time to him or herself might have a need for a certain amount of solitude.  Or, there could be other important emotional needs, depending upon the individual.

Discovering and Understanding Your Emotional Needs
So, if you haven't had the experience of having your emotional needs met (or, maybe you not even aware that your emotional needs weren't met when you were a child) how can you go about discovering what these needs are?

As a psychotherapist, one way that I find to be very effective is to begin paying attention to what's going on in your body.

Your body contains both conscious and unconscious emotions and memories, so that focusing on what's going on in your body can begin to help you to understand your emotions as well as your emotional needs (see my article: Mind-Body Psychotherapy: The Body Offers a Window Into the Unconscious Mind).

Depending upon how in touch you are with your embodied emotions, this can be challenging, especially if you are dissociated (i.e., cut off) from what's happening in your body due to emotional trauma.

For many people, who grew up in households where they were physically abused or emotionally neglected, as children, it would have been either dangerous or too emotionally painful to be in touch with their emotional needs.

In such situations, children often defend themselves against the emotional pain by suppressing their needs.  This is a common defense mechanism.  This defense mechanism protected them in a way from feeling the emotional pain.  It protected them from feeling too vulnerable.

The problem is that these same children often grow up to be adults who are out of touch with their emotions and don't know what they need emotionally.  Even worse, they often enter into romantic relationships that replicate their childhood experiences.

Let's take a look at a fictional scenario to understand this:

Dina
Dina came to therapy because she was confused about her two year relationship with John.

Understanding Your Emotional Needs

Her close friends had been Dina all along that John wasn't treating her well after they moved in together.  Although she trusted her friends and she knew that they wanted the best for her, Dina didn't see it and she wondered if she was missing something.

When she provided her family history, she talked about growing up as an only child and being raised primarily by nannies.  Her parents were often preoccupied with their careers and too busy to spend much time with her.

As a result, before going to school, Dina spent a lot time playing on her own.  She remembered having a young nanny who was kind and attentive for a short while, but her parents fired the nanny after they discovered that she was allowing her boyfriend to come over to spend the night when Dina's parents were away traveling.

Dina remembered waking up one day to find that the nanny that she loved wasn't there.  She was given no explanation until much later when she was an adult.  This was a big loss for Dina that she suppressed and never discussed until she came to therapy.

The new nanny that they hired was somewhat quiet and reserved.  As a result, Dina often felt sad and lonely, and she sometimes went to her parents to try to get their attention.  During those times, her parents scolded her for being "needy," which made her feel ashamed.  Later on, when she was old enough, she was sent to a boarding school far from her home.

Understanding Your Emotional Needs

Shy and sad, Dina had difficulty making friends at boarding school.  There were a couple of students who were more outgoing who befriended Dina, but being at boarding school and hardly seeing her parents was a sad and lonely experience.

By the time she went to college, Dina gave the impression of being "independent."  But it was really a pseudo independence that was a defense against being emotionally vulnerable.

Intelligent and attractive, she attracted the attention of many male students in college, but she dated very little and spent most of her time with a few outgoing friends who initiated friendships with her.

Dina met John in her senior year of college.  Shy and unsure of herself, she initially kept John at arm's length.  But he was persistent and found ways to be around her during college activities.

After John asked Dina out many times, she agreed to go out with him.  Initially, she found him to be very attentive.  Not only was he good looking and intelligent, he was also very funny and made Dina laugh, so she began opening up to him more.

Dina had never experienced anything like this before, and she became captivated by him.  He was her first and only lover, and their love making was very passionate.

After they graduated from college, they found jobs in NYC and moved in together.  By then, they had been together for a year.  At first, looking for an apartment and making plans was fun.

But shortly after they moved in together, Dina realized that John seemed to change.  Whereas before he was very attentive to her, he now seemed to be preoccupied with other things--his job, his male friends, hobbies, and other activities where Dina was not included.

At first, Dina thought that John was adjusting to post college life, but a year later, he was still the same. Whenever she tried to talk to him about it, John became uncomfortable and dismissed what she had to say.

Then, a few months before she came to therapy, Dina discovered an email on John's account from another woman and she realized that when John said he was seeing his friends, he was actually seeing this other woman.

When she confronted John about it, at first, he denied it.  But she showed him the email, he blamed her.  He told her that she had become boring and it was her fault that he looked outside the relationship.  He told her that, as of now, it wasn't serious, but he wanted to continue to see this other woman to see whether it would develop.

At first, Dina took John's words to heart and she blamed herself for his infidelity.  She thought:  Maybe he's right.  Maybe I am boring.  What can I do to change?

When she talked to her close friends about it, they told her that John was making excuses, not taking responsibility, and blaming her for his own behavior.  They told her that John was mistreating her, but Dina didn't see it.  She believed that if she could be more interesting, attentive, and sexy, she could lure John back.  But no matter what she tried to do, he continued to see the other woman and spend most of his free time with her.  He wasn't even coming home at night any more.

When Dina started therapy, she wasn't sure what she felt about John seeing another woman.  She knew she wanted him to be monogamous with her, but beyond that and blaming herself, she wasn't in touch with any other emotions.

By helping Dina to become more aware of what was going on in her body, Dina began to slowly develop more of an awareness of her internal experience.

For instance, she began to recognize that when she felt her stomach muscles clinched, she was either anxious or angry and that when she felt a sinking feeling in her chest, she felt sad.

Over time, Dina began to realize how much she had suppressed her emotions as a child as a way to protect herself from feeling overwhelmingly sad and angry with her parents.  She developed compassion for that younger part of herself that was often left to fend for herself, and she appreciated why she had to suppress her feelings as a child.

But she also realized that she was much more resilient as an adult and she could now handle the emotions that would have been too overwhelming as a child.

Part of the work in therapy involved grief work for her unmet emotional needs as a child.

The work was neither quick nor easy, but eventually Dina was able to feel her anger and disappointment and recognized that John was mistreating her.  She also realized that she needed to feel loved, valued and treated with respected and her needs weren't being met in her relationship with John.  So, she summoned her courage and broke up with him.

Understanding Your Emotional Needs

Several months later, Dina began dating again.  She used her new awareness of her embodied emotions to understand what she needed emotionally in a relationship and she used this awareness to eventually enter into a much healthier relationship.

Conclusion
When children grow up with unmet emotional needs, they often protect themselves emotionally by suppressing those needs.

As adults, they often continue to suppress those emotional needs so that they're unaware of what they need emotionally.

This lack of awareness has consequences for the individual on his or her own and for being able to choose healthy relationships.

When clients are unaware of their emotional needs, one effective way of working in therapy is for the therapist to orient the client to what's happening in his or her body with regard to embodied emotions.

Getting Help in Therapy
Using the mind-body connection to identify your emotional needs is an effective method.

If the issues in this article resonate with you, rather than struggling on your own, you could benefit from being in therapy with a psychotherapist who has a mind-body orientation to doing therapy.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works 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.










































Monday, June 1, 2015

Healing the Mother-Daughter Relationship Where There Was Role Reversal

In my prior article,  Role Reversal in Mother-Daughter Relationships, I began discussing some of the dynamics related to role reversal in mother-daughter relationships, including the dynamic in the daughter's early childhood and the possible outcomes of the mother-daughter relationship when the daughter is an adult.

Healing the Mother-Daughter Relationship Where There Was Role Reversal

In this article, I've given a fictional vignette, which is made of many different cases of role reversal between mothers and daughters, about how it is possible to heal problematic mother-daughter relationships in mother-daughter therapy (see my article:  Healing Mother-Daughter Relationships).

Jane and Patty
Jane and Patty sought mother-daughter therapy because they were unable to reconcile their relationship on their own.

The daughter, Patty, had been in individual therapy with another therapist to deal with this issue, but she had a strong desire to be able to talk to her mother about their role reversal, especially during the time when Patty was a young child.

In the past, Patty said, whenever Patty attempted to talk to Jane, about it, Jane would dismiss Patty's concerns and change the subject.  Not only was this hurtful, Patty said, but it also left her feeling angry and frustrated.

Healing Mother-Daughter Relationships Where There Was Role Reversal

Even though neither of them would describe their current adult relationship in very negative terms, Jane felt that she was harboring a lot of unexpressed resentment towards Jane for her role as a parentified child when she was younger, cooking, cleaning, taking care of her younger siblings, and being Jane's confidante, especially when Jane was drunk.

During Patty's early childhood and teen years, Jane was an active alcoholic.  She would drink until she passed out leaving Patty and the younger children to fend for themselves.  Since Patty's father had left the household before Patty was born, there were no other adults at home to help.

Patty recalled that when she was six years old, Jane would get drunk and unburden her problems on Patty.

Patty recounted how sad she felt that her mother was so unhappy and she was willing to do whatever her mother wanted because she hoped this would make Jane happy.  But it never did.  And Patty grew up feeling like she failed her mother, which made her try even harder to please her mother and to work even harder at home.

When Patty was a teen, she said, she often had to help her mother walk up the stairs to her bedroom because Jane was too drunk to walk up the stairs by herself.  Then, Patty would put her mother to bed and take care of her younger siblings.

Patty recalled that she often felt lonely and overwhelmed as a child because she had no one to talk to about it.  She also missed out on a lot of social activities because she stayed home to take care of her mother and the other children.

Patty said she was so glad when her mother got sober when Patty was 18.  She was glad for Jane and glad for herself and her siblings.

Jane's sobriety allowed Patty to go to college without feeling guilty that she was leaving Jane and the children.

While Patty spoke, Jane kept her eyes cast down and sat stiffly in the chair.  It was evident that it took a lot for her to sit and listen to how emotionally damaging it was for Patty to function as the mom at home.

After Patty spoke, Jane said she wasn't sure what to say.  She said that she had apologized to Patty many times, but Patty didn't accept her apology.  As she said this, she appeared somewhat emotionally disconnected from their conversation.

Patty responded by saying that even though Jane apologized, Jane also told her that all of this happened a long time ago and Patty should "let it go."  Patty felt that Jane didn't know what Patty went through and she didn't want to know.

The first several sessions were intense and emotional with both mother and daughter becoming upset and angry at various times.

The breakthrough came in their sixth session together when Patty said that she didn't see how they could ever be close if Jane continued to say she was sorry and, at the same time, she was dismissive of Patty's feelings by telling her to "just let it go."

"Mom, if I could 'just let it go,' don't you think I would have done that a long time ago?" Patty said to her mother, "I'm beginning to feel hopeless that you and I could ever have a close relationship."

At that point, hearing her daughter's sense of hopelessness, Jane broke down.  It was the turning point in their therapy.  She said that the thought that they could never heal their relationship was unbearable to her.

Then, she began talking about her own childhood.  She wanted Patty to understand why she wasn't a good mother when Patty was a child.  Until then, Jane was never willing to talk to Patty about her childhood before.

Jane revealed that her mother, whom Patty had never met, was not only emotionally neglectful, she was also physically abusive.  When her mother was drunk, Jane said, she would bring home strange men and, after her mother passed out, they would sexually abuse Jane.

Since her mother would black out when she drank, she never remembered what happened and she didn't believe Jane when she tried to tell her that these men were sexually abusing her.

Jane said that this was the first time that she had ever revealed this to anyone, and she felt deeply ashamed about the sexual abuse and how she neglected Patty when she was a child.

Healing the Mother-Daughter Relationship Where There Was Role Reversal

At that point, Patty took her mother's hand to soothe her, and they sat silently for a few minutes.

Over the next several sessions, Jane and Patty continued to talk about their relationship.  Something shifted between them.  They seemed genuinely close.

Patty said that, for the first time in her life, she felt that her mother understood and she was glad that she wasn't dismissing her feelings.  She also said that, knowing her mother's history, she felt a deep sense of compassion towards her and forgave.

Jane said she felt closer to Patty than she had in a long time, and she wanted to continue developing their relationship.  She also said that she decided to begin her own individual therapy to deal with her traumatic history.

Conclusion
Trying to reconcile the emotional aftermath of a role reversal in a mother-daughter relationship can be challenging for both people.

The fictional vignette above is one variation on many themes between a mother and daughter trying to bring about a reconciliation.

Healing between a mother and daughter is possible if both people are willing.

If they can't accomplish this on their own, mother-daughter therapy is often helpful to heal old wounds.

Getting Help in Therapy
As people become better educated about psychotherapy, more mothers and daughters are participating in mother-daughter therapy.

Getting Help in Therapy

If you're stuck in a mother-daughter dynamic that you want to change, you could benefit from mother-daughter therapy with a licensed mental health professional who can facilitate the emotional healing.

Life is short and by healing your mother-daughter relationship, it's possible for you to have a healthier, more loving relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples, including mothers and adult daughters and fathers and adult sons.

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

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










































Saturday, May 30, 2015

Role Reversal in Mother-Daughter Relationships

In the past, I wrote several articles about mother-daughter relationships, including:  Healing Mother-Daughter RelationshipsLife Stages in Mother-Daughter Relationships and Mother-Daughter Relationships Over the Course of a Lifetime).

Role Reversal in Mother-Daughter Relationships

In this article, I'm focusing on role reversal between mothers and daughters, including the dynamics when the daughter is a young child as well as the effect on their relationship later on when the daughter is an adult.

Role Reversal in Mother-Daughter Relationships: Early Childhood
When there is a role reversal dynamic in a mother-daughter relationship, the young daughter usually takes on the role of the mother in terms of mothering the mother (and other family members) by becoming the helper, confidante, and caretaker of the mother.

Role Reversal in Mother-Daughter Relationships: Early Childhood

It's not unusual in this dynamic for the daughter to take on adult responsibilities at a young age such as cooking, cleaning, taking care of the other children in the household, listening to the mother's problems, and trying to solve the mother's problems.

In some highly dysfunctional families, it might also involve the daughter taking on the role of the sex partner to the father, sometimes with the mother's knowledge and sometimes without.

Why Does a Mother "Allow" Her Daughter to Take On the Mothering Role?
Mothers who are part of this dynamic often have their own unmet emotional childhood needs from when they were growing up, possibly in a similar dynamic with their own mother.

Role Reversal in Mother-Daughter Relationships: Early Childhood

Growing up with unmet emotional needs makes it more likely that mothers will unconsciously seek the nurturing that they didn't receive from their own mothers from their young daughters.

Aside from having unmet emotional needs, the mother might also have other problems, including:
  • Being incapacitated by depression
  • Lacking parenting skills
  • Getting pregnant at a very young age and lacking the maturity to take care of her daughter 
  • Having unwanted pregnancies
  • Being physically sick
  • Being overwhelmed by too many other responsibilities
  • Abusing alcohol or drugs, engaging in compulsive gambling or other impulsive/compulsive behavior
  • Being in an abusive relationship with the father (or another man) 
  • Having a succession of men in and out of her life with each one becoming the focus on her attention rather than her daughter
and so on.

Often this dynamic is perpetuated from one generation to the next without the mothers or daughters even realizing it, unless they get help in therapy.

Young daughters who take on the mother role are usually emotionally overwhelmed because they are behaving in ways that are beyond their developmental capacity.

Not only are their own emotional needs not being met because they're being emotionally neglected, but they are overexerting themselves mentally, emotionally and physically, often without any emotional support.

If they're also taking on the role as the father's sex partner, this is, obviously, extremely damaging and exacerbates the emotional trauma.

Often the mother in the role reversal dynamic, without realizing it, lacks empathy for the daughter.

The mother might lack empathy because she hasn't dealt with her own history of being in a role reversal with her mother.

This is a complicated dynamic and, as illogical as it might seem, this doesn't mean necessarily that the mother in this situation doesn't love the daughter.

The lack of empathy usually means that the mother is unable or unwilling to see the damage being done, despite the love she might feel for the daughter, because she doesn't know how to be nurturing and her own unfulfilled emotional needs are so great.

The mother also might not know how to express love to her daughter because her own mother never expressed it to her.

Role Reversal in Mother-Daughter Relationships:  The Adult Relationship Between the Mother and Daughter:  Possibilities for Healing
It's not unusual that later on in life, when the mother is older and the daughter becomes an adult, for there to be tension between the mother and daughter.

Role Reversal in Mother-Daughter Relationships: The Adult Relationship Between Mother and Daughter

If the mother is now better able to be loving towards her adult daughter because she has matured and developed more emotionally, there is the possibility for healing their relationship, even if the mother has a lot of shame about the role reversal and the daughter is resentful.

A lot will depend upon the particular mother and daughter.

Some mothers and daughters continue to have an ambivalent, codependent relationship as adults (see my article:  Ambivalence and Codependency in Mother-Daughter Relationships).

Some adult daughters have so much anger, resentment and bitterness towards the mother that they find it difficult to forgive her, even if the mother expresses remorse for their role reversal when the daughter was a child.

Other daughters might develop a kind of intellectual insight ("I know my mother did the best that she could") but, without help in therapy, they remain stuck emotionally and ambivalent in their conflict because even though they might have an intellectual understanding, they don't understand it on an emotional level.

Unfortunately, this is a common experience for many daughters in this situation.

Many daughters are aware that they paid the emotional price for the role reversal, and they're determined that they won't perpetuate this dynamic with their own children.  Many of them go on to have healthy relationships with their children.

But many of them, despite their best efforts, end up having dysfunctional relationships with their children.   They might overindulge their children (like giving them everything that the child wants because they didn't get what they needed when they were children).

They might over function for their children, doing things for their children that their children are capable of doing for themselves. Or they have some other emotional blind spot with regard to their children, especially their daughters.

Some mothers find it difficult to acknowledge the role reversal either because they're in denial about it, they're too ashamed to discuss it or they're dismissive of the pain it caused the daughter due to their lack of empathy ("That was a long time ago.  You should just let it go").

Role Reversal in Mother-Daughter Relationships: The Adult Relationship Between Mother and Daughter
Other mothers want to make a sincere effort to heal the relationship with their daughter, but they don't know how.  Or, their daughter, as an adult, might be unwilling.

There are many variations on this theme.

In a future article, I'll continue this discussion and give a fictional vignette to illustrate the points that I've discussed in this article.

Getting Help in Therapy
Overcoming the emotional consequences of role reversal in mother-daughter relationships can be challenging and, for some people impossible, to do on your own.

Many mothers and adult daughters have been helped by coming to mother-daughter therapy to overcome the problems between them.

With an objective mental health professional, who understands the dynamics involved with this type of role reversal, mothers and daughters often find that they are able to heal their relationship with each other.

Even in situations where one person, either the mother or the daughter, is unable or unwilling to come to therapy to work on this problem, many individuals have healed in individual therapy from the trauma of this dynamic.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples, including mothers and adult daughters and fathers and adult sons.

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.