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NYC Psychotherapist Blog

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

Sunday, March 1, 2026

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Getting Help in Trauma Therapy

Freeing yourself from unresolved trauma can help you to live a more fulfilling life.

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

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

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

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

Also See My Articles:
































 

Sunday, December 28, 2025

Overcoming Trauma: You Are Not Defined By What Happened to You

Carl Jung, the Swiss psychiatrist and psychoanalyst, coined the phrase, "I am not what happened to me, I am what I choose to become."

What Does It Mean That You Are Not What Happened to You?
Carl Jung's phrase means that while past experiences have shaped you, your true self isn't defined by them (see my article: You Are Not Defined By Your Diagnosis).

You Are Not Your Trauma

Instead, your true self is defined by the choices you make, your responses, and your ongoing process of self creation. The emphasis is your personal agency in choosing who you are, what you want to be and how you respond.

This way of looking at your history, including unresolved trauma, highlights that, with help and the right tools, you have the ability to transcend your history to overcome trauma and proactively build a future identity.

Jung was positing that none of us are a finished product based on our history. On the contrary, we have an innate ability to heal and grow beyond our history and circumstances (see my article: Healing From Unresolved Trauma: The Mind Has a Powerful Innate Ability to Heal Itself).

What Are the Keys to Transcending Your History?
  • Personal Agency: You have the power to decide who you are regardless of your history, although you might need help in therapy to do it.
You Are Not Your Trauma
  • Identity as Evolving: You identity is a evolving process--not a static state.
Healing From Psychological Trauma
Choosing to get help in trauma therapy is a courageous act--not a sign of weakness (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

Your mind has an innate ability to heal due to the mind's neuroplasticity.

You Are Not Your Trauma

Neuroplasticity is the mind's ability to reorganize its structure and function by developing new neural connections which allows you to adapt and recover.

Neuroplasticity underpins your ability to grow as an individual, overcome challenges and maintain cognitive health by strengthening beneficial pathways and pruning weaker ones.

What is Trauma Therapy?
Trauma therapy is an umbrella term for psychotherapy modalities which were developed specifically to help clients overcome trauma including:
  • EMDR (Eye Movement Desensitization and Reprocessing) Therapy
You Are Not Your Trauma
  • AEDP (Accelerated Experiential Dynamic Psychotherapy)
Get Help in Trauma Therapy
If you have been struggling on your own with unresolved trauma, you could benefit from working with a licensed mental health professional who is trained as trauma therapist.

Get Help in Trauma Therapy

Seek help from a licensed trauma therapist so you can free yourself from your traumatic history and live a more fulfilling life.

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

As a trauma therapist, I have helped many individual adults and couples to heal from 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.














Friday, December 26, 2025

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

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

The Mind's Innate Ability to Heal in Trauma Therapy

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

The Mind's Innate Ability to Heal in Trauma Therapy

Unburdening yourself from unresolved trauma can free you from your history so you can live a more fulfilling life.

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

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

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

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








Wednesday, December 3, 2025

How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Emotionally Safe?

In my prior article, Recognizing When You're Safe or Unsafe in Your Interpersonal Relationships, I discussed basic issues about feeling emotionally safe based on your nervous system (Polyvagal Theory), personal history and other relevant factors.

In the current article I'm discussing how trauma can affect your ability to know whether you feel emotionally safe.

Unresolved Trauma and Emotional Safety

Unresolved trauma can have a profound effect on your mind and body. It can also impair your ability to know whether you're safe or not.

What is Psychological Trauma?
Before I discuss the impact of trauma, let's first define trauma.

You can experience trauma emotionally, psychologically and physically due to a distressing event (or events) that overwhelm your ability to cope.

The event can be a single incident like a natural disaster, a robbery, an assault or other types of one-time events (see my article: What is Shock Trauma?).

Trauma can also be ongoing events such as recurrent abuse in a relationship. It can also be related to repeated traumatic events in childhood trauma, also known as developmental trauma.

You can also be impacted by the chronic stress related to trauma on a physical level including:
  • Sleep problems
  • Chronic pain
  • Hypervigilance
  • Cardiovascular issues
  • Weakened immune system
  • Digestive problems
  • Inflammatory disorders such as Type 2 diabetes, asthma, arthritis and so on
How Can Unresolved Trauma Affect Your Ability to Know Whether You Feel Safe?
Unresolved trauma can affect your ability to sense safety by keeping you in a constant state of high alert (also known as hypervigilance). This can make it difficult to interpret safe situations from dangerous situations.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also create dissociation where you feel emotionally and psychologically numb. 

Dissociation might have been an effective survival strategy if you were overwhelmed by distressing events when you were a child because it kept you from being completely overwhelmed. However, as an adult, dissociation can have a negative impact on your ability to trust your own judgment or trust other people.

Being either hypervigilant or emotionally numb (dissociated) can impair your ability to know if certain situations are safe or unsafe.

In general, you might have problems connecting with others and forming healthy relationships because you might interpret safe situations as unsafe and unsafe situations as safe.

You might have extreme emotional reactions to relatively small stressors, not react to big stressors or you might have difficulty finding a middle ground.

Unresolved Trauma and Emotional Safety

Unresolved trauma can also impair your ability to deal with conflict. Whereas most people don't like conflict, you might not be able to avoid certain conflicts in your relationships. 

So, if you can't deal with conflict, you might resort to people pleasing (also known as fawning) to avoid conflict and keep the peace--even if it comes at the expense of your  psychological, emotional or physical well-being.

Clinical Vignette
The following clinical vignette is a composite of many different cases to protect confidentiality:

Anna
As an only child, Anna grew up in a family where she experienced emotional abuse, neglect and sexual abuse by her father.  

Unresolved Trauma and Emotional Safety

The sexual abuse began when she was 10 years old. At the time, her mother was in and out of the hospital due to serious chronic health problems. 

During those long stretches of time when her mother was away, her father, who had alcohol problems, would get drunk and come into her room late at night when Anna was sleeping. She would awaken suddenly to discover her father fondling her breasts.  

Not knowing how to respond, Anna froze and her father told her that if she told anyone else that he touched her, she would take her away by Child Welfare and they would make live with strangers in a foster care home.

Anna was frightened and confused by her father's inappropriate touching, but she was even more afraid of being forced to live with strangers, so she didn't tell anyone what was happening at home.

Her teacher noticed that Anna was withdrawn and she spoke to Anna after class to ask her if there was a problem at home. In response, Anna denied any problems at home because she was afraid. After that, Anna's teacher called her home and Anna's father told the teacher that Anna was feeling sad due to the mother's hospitalization.

The father continued to sexually abuse Anna for several months whenever he got drunk. After the first experience, Anna was hypervigilant at night, especially when she heard her father's footsteps approaching her room.  After a while, Anna pretended to be asleep and she numbed herself while her father was touching her. 

After Anna's maternal aunt came to stay with Anna and her father, her father no longer visited her at night.  

As a child, Anna never told anyone about the sexual abuse because she was too afraid. But when she began dating in college, she didn't know how to discern safe situations from unsafe situations.

Her lack of discernment created problems for her because she would sometimes put herself at potential risk by going into the cars of young men she didn't know because she thought she could trust them. In one incident, she was almost sexually assaulted, but her friends, who were nearby, heard Anna yelling and they rushed over to get her out of the car.

In another situation, she was too afraid to accept an invitation to go for a walk with another young man, John, because she didn't know whether or not she could trust him.  Later on, she spoke with her friends, who knew John well, and they told they didn't think she needed to worry.

Over time, Anna continued to see John and she realized she could trust him. Getting to the point where she could trust him wasn't easy. But after they got into a relationship and they talked about being sexual, Anna felt an overwhelming fear of sex. 

Initially, she didn't understand what her fear was about, but she knew she needed help, so she sought out a licensed mental health professional.

Unresolved Trauma and Emotional Safety

After her therapist did a thorough family history, Anna revealed the childhood sexual abuse. It was the first time she had ever told anyone.

Her therapist helped Anna to understand the connection between the sexual abuse and her inability to discern whether she was safe or not in interpersonal relationships. She also helped her to understand the connection between her fear of sex and the abuse.

Using a combination of EMDR therapy and IFS Parts Work therapy, her therapist helped Anna to work through her unresolved trauma.

EMDR and IFS are both safe and effective types of trauma therapy which were developed to help clients to work through unresolved trauma.

Unresolved Trauma and Emotional Safety

The work was neither quick nor easy but, gradually, over time Anna began to feel unburdened by her trauma. She also learned in her trauma therapy how to detect internal and external cues to discern safe situations from possibly unsafe situations.

Over time, Anna and John were able to have pleasurable sex as she worked through her trauma. 

Getting Help in Trauma Therapy
Unresolved trauma can impair your ability to know whether you're safe. It can also have a negative impact on your interpersonal relationships.

Getting Help in Trauma Therapy

Trauma therapy, including EMDR, Parts Work therapy, AEDPSomatic Experiencing and other types of trauma therapy can help you to work through unresolved trauma in a safe and effective way.

If you feel unresolved trauma has had a negative impact in your life, seek help from a licensed mental health professional who has advanced trauma therapy training and skills.

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

As a trauma therapist, I have helped many individual adult 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.




























































Saturday, November 29, 2025

Overcoming Loneliness

Loneliness is not defined by how many people you have in your life. You can have hundreds of people in your life, but if your connections with them aren't deep and authentic and if these connections aren't meaningful to you, you will experience loneliness.

Overcoming Loneliness

Loneliness is a subjective feeling. It's usually defined by the gap between the social connections you wish you had compared to what you actually have.

Loneliness isn't about being physically alone. It's a feeling--not a physical state. It doesn't matter how many people are around you, if your connections are shallow, you will probably feel lonely. 

Clients often describe their sense of loneliness as feeling emotionally disconnected from others and, in some cases, feeling misunderstood.

What Causes Loneliness?
Loneliness can be caused by many internal and external factors including:

    Internal Factors:
  • Mental Health Conditions: Depressionanxiety (including social anxiety),a low sense of self worth and other mental health conditions can make it difficult to develop and maintain relationships.
Overcoming Loneliness
  • Past Unresolved TraumaUnresolved trauma where your trust was violated can make it difficult to trust people.
  • Personality: For some people, personality is a factor. For instance, people who are very introverted might find it difficult to form and sustain friendships. 
    External Factors:
  • Life Changes: Moving to a new area, retirement, starting a new job or school or becoming a new parent can disrupt social networks (see my article: Being Open to New Experiences).
Overcoming Loneliness
  • Social Isolation: Living alone in a remote area, having a disability that impacts mobility and the ability to have social interaction as well as other circumstances, can have a big impact on loneliness.
  • Economic Factors: Financial struggles can make it difficult to participate in social activities.
  • Cultural and Societal Pressures: An overreliance on technology instead of having more direct human contact, career stress and discrimination often contribute to loneliness.
What is the Difference Between Loneliness and Solitude?
There are fundamental differences between loneliness and solitude (see my article: What's the Difference Between Loneliness and Solitude?).
  • LonelinessAs previously mentioned, loneliness involves wanting to have deeper connections with people but not having them. It can also involve an involuntary separation from meaningful relationships.
  • Solitude: Solitude is a voluntary state where people are alone but they enjoy their time alone. They continue to have social relationships with others that they can return to when they want to reconnect with them. Their time alone can be balanced with their time with others.
How to Prevent or Overcome Loneliness
Overcoming loneliness requires making a conscious effort to make a change in your life.

Here are some suggestions that might work for you:
  • Be aware that everyone experiences loneliness at some point, but it you feeling lonely most of the time, it's an indication that you need to make a change in your life (see my article: Developing the Internal Motivation to Change).
  • Understand the impact that loneliness is having on your health, mental health and overall well-being.
Overcoming Loneliness
  • Talk to someone in your life you can trust--a family member, friend or someone else you consider trustworthy.
  • Get involved in community service or an activity you enjoy where you can connect with others in a meaningful way.
Overcoming Loneliness
  • Anticipate the best from people instead of expecting to be rejected.
Overcoming Loneliness
  • Focus on developing quality friendships with people who have similar attitudes, interests and values.
  • Strengthen existing connections. While it's important to develop new connections, it's also important to strengthen current connections. Maybe there's a friend or family member you haven't spoken to in a while. Reach out to them.
Get Help in Therapy
Therapy can help you to overcome loneliness.  

Get Help in Therapy

Therapy provides a supportive environment to understand the root causes of loneliness including how mental health issues, coping skills, social skills, negative beliefs and prior traumatic experiences among other issues might be getting in your way.

Therapy can also help you to set and follow through on goals to overcome loneliness and deal with internal blocks which might be unconscious (see my article: Overcoming Emotional Blocks).

Rather than struggling on your own, contact a licensed mental health professional to develop a more meaningful life with deeper connections.

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

I have helped many individual adults and couples to overcome loneliness.

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: