Can You Heal From Your Trauma Without Psychotherapy? Part 1

Can you heal from your trauma without therapy? 

Can You Heal From Trauma Without Psychotherapy?

The answer is a qualified yes under certain circumstances.

Since this is a big topic, I'll get discuss some self-help techniques in Part 2 of this topic and the exceptions to healing from trauma on your own.

Barriers to Psychotherapy

First, I want to acknowledge that there can be significant barriers to therapy for many people.

It's understandable that these barriers are some of the reasons why people with unresolved trauma often want to try to heal on their own. 

These barriers include:

Financial and Logistical Barriers

• Shortage of Therapists: Many regions in the US, especially in rural areas, have a shortage of mental health professionals. You can do online therapy with a licensed therapist within your state so you don't have to go to the therapist's office in person, but there still aren't enough therapists for all the people who need therapy. Even if New York City, the demand for therapists is higher than the available therapists. This often means there are long waiting lists or, worse still, people can't access therapy at all.

• Finding An In-Network Therapist on Your Insurance Plan: Even if you have health care insurance, finding an in-network therapist can be difficult--even in New York City where there are hundreds of therapists. If you're trying to use your in-network health insurance, you might discover that the list of therapists from the insurance company is out of date. When I worked as an EAP counselor in New York and I tried to find in-network therapists for clients, I kept coming up against this problem. There were times when I discovered that psychotherapists and psychiatrists listed on the panel were dead for 10 years or more. So, you can't always rely on that information. Then, even if you do find a therapist who is in your network, they are often completely booked up. Another barrier is that, even if you get an appointment with an in-network therapist, they usually see 30-40 clients per week, so you're often getting a therapist who is overworked and underpaid by the insurance company. There is a high percentage of therapist burnout among psychotherapists who take insurance due to the high volume of clients they need to see to make a living and the administrative burdens the insurance company places on them.

• Finding An Out of Network Therapist: You're more likely to find an out of network therapist because highly trained, experienced therapists don't want to deal with the challenges of being an in-network therapist (low insurance reimbursement rates, a lot of paperwork, lengthy waits to get paid by the insurance company and intrusive insurance audits where the insurance company asks for private information about clients' treatment). The problem with a lot of out of network therapy is that it can be expensive and, if you don't have an out of network benefit or a health savings plan, the cost adds up, especially if the therapist doesn't offer reduced fees to qualified clients.

• Time and Schedule Constraints: Balancing therapy, which is usually once a week, can be difficult with work demands, child care issues or other responsibilities.

• Transportation Issues: New York City has a good public transportation system, but in many other areas there isn't reliable transportation to get to a therapist's office.

Cultural and Social Barriers

• Social Stigma: Although going to therapy has less of a stigma than it used to in the past, many people still see going to therapy as a "weakness". So, this stigma can keep many people out of therapy (see my article: Common Myths About Therapy: Going to Therapy Means You're "Weak")

Barriers to Psychotherapy

• Lack of Cultural Competence and Humility: There is a shortage of therapists who understand specific cultural backgrounds, racial realities, LGBTQ+ issues and other related cultural issues. Outside of major cities, like New York City, this can leave people in certain cultural groups feeling underrepresented and misunderstood. 

• Language Barriers: Individuals who speak a language other than English can have a hard time finding therapists who are capable of conducting a therapy session in their language, especially in smaller cities.

• An Emphasis on Self Reliance: As I mentioned in a prior article, certain cultures and generations place a strong emphasis on handling problems on your own. These individuals often view therapy as an unnecessary reliance on strangers.

Emotional and Psychological Barriers

• Fear of Vulnerability: Many people find it difficult to open up to talk about personal problems, unresolved trauma or suppressed emotions with a stranger. For these individuals talking to a therapist brings up anxiety.

Barriers to Psychotherapy 

• Denial About Problems: Many individuals are in denial about their problems or unresolved trauma. Despite the problems they are having in their current life, they convince themselves that their problems aren't serious enough to get help. They might even point to others they think have far worse problems (see my article: The Problem With Comparative Suffering).

• Distrust Due to Bad Experiences From the Past: If a person has had bad experiences within the health care system in the past, they might have difficulty seeking help with emotional issues.

• Fear Problems Will Get Worse in Therapy: Some people avoid therapy because they fear their problems will get worse in therapy. They fear that their unresolved buried trauma will cause them to lose control before they can work through their issues.

Next Article: Can You Heal Your Trauma Without Psychotherapy - Part 2

About Me 

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS/Works Therapy, EFT for couples, Somatic Experiencing and Certified Sex Therapist.

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

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

I offer a 10-15 minute free telephone call before setting up a first appointment. 

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

Relationships: Asking Your Partner For Emotional Support

Many people in relationships have problems asking for their emotional needs to be met because it requires intense vulnerability and it also triggers deep fears of rejection, judgment or fear of abandonment.

Asking Your Partner For Emotional Support

In addition, our American culture treats emotional self reliance as a strength which causes many people to view their normal human needs as character flaws or signs of weakness.

Childhood Conditioning

Childhood conditioning can also play a role:

• Early Childhood Emotional Neglect: If someone's childhood emotional needs were minimized, ignored or punished, their nervous system learned that asking for their emotional needs to be met was emotionally and physically unsafe (see my article: What is Childhood Emotional Neglect?).

Childhood Emotional Neglect

• The "Easy" Child Trap: Many people learned as children that they had to earn love and approval by being low maintenance, quiet and overly accommodating and this belief often persists on an unconscious level in adulthood in their relationships.

• Hyper-Independence: Childhood emotional neglect often forces children to become overly self sufficient beyond their developmental capacity, but this is a pseudo-independence because it's a survival mechanism driven by fear and neglect rather than a natural, healthy stage of development. This builds thick emotional walls against relying on anyone else. This pattern continues into adulthood which makes it difficult to ask for emotional support in a relationship (see my article: Masking Vulnerability and Shame By Pretending You Don't Need Anyone).

Fears and Psychological Barriers

• Fear of Being a Burden: People frequently convince themselves that their feelings will overwhelm, stress out or inconvenience their partner. 

Fears and Psychological Barriers to Asking For Emotional Support

• Shame of Being "Needy": Internalized shame makes people worry they will be perceived by their partner as being too "needy", dramatic, high maintenance or emotionally unstable. They have learned from early childhood, often on an unconscious level, that their normal emotional needs were "too much". This often occurs because their parents were overburdened with just trying to survive. For example, the parents  might have been working two or more jobs just to be able to meet basic needs. In many cases, the parents also didn't have their own emotional needs met and this emotional neglect is part of a long line of intergenerational trauma (see my article: What is Intergenerational Trauma?.).

• The Mind Reading Myth: Many individuals have an unspoken belief that if their partner really loved them, they would automatically know what they need without being asked (see my article: Are You Expecting Your Partner to Be a Mind Reader?).

• Emotional Disconnection: Decades of suppressing feelings can leave someone fuzzy or completely unaware of their own emotional needs.

Relationship Dynamics

• Fear of Rocking the Boat: When a relationship is going relatively well, individuals might remain silent about their unmet emotional needs to protect the harmony in their relationship and avoid conflict.

• Past Experiences of a Partner Weaponing Vulnerability: Some people avoid asking for what they need emotionally because their emotional needs and vulnerabilities in prior relationships were used against them as leverage or ammunition during arguments.

What Are Practical Strategies For Asking For What You Need From Your Partner?

Focus on Your Internal State

• Identify Your Feelings: Pinpoint your emotional need (loneliness, feeling invisible, feeling overwhelmed) before speaking to your partner.

Locate Physical Sensations Related to Emotions

• Locate the Physical Sensation: Notice where the tension is located in your body to help you to connect with what you need. 

• Name the Core Deficit: Figure out if you need reassurance, physical touch, focused attention or validation (see my article: What is Emotional Validation and Why is It Such a Powerful Skill in Relationships?).

• Learn to Separate the Past From the Present: Acknowledge whether your current emotional reaction is being driven by old unresolved childhood wounds or prior relationship experiences (see my article: Learning to Separate Past Experiences From Your Current Experience).

Use Specific Communication Techniques

• Lead With Vulnerability: Use "I feel" statements rather than "You make me feel..." statements.

Asking Your Partner For Emotional Support

• Say the Hard Truth: If you feel afraid to express your needs, start with a phrase like, "It's really scary for me to admit this, but..."

• Describe Your Internal State: Feel into your internal state and become aware if you're telling yourself a story that might not be true. For instance, recognize if you're telling yourself something like "He's bored with me" or "He doesn't love me anymore" when this isn't true. Then, tell your partner, "I'm telling myself that you're bored with me" (or whatever you're feeling) and allow your partner to respond.

• Make Requests That Are Actionable: Ask for specific behaviors instead of vague concepts. For example, instead of saying "I need you show you care more", say "I need you to hold my hand while I'm talking to you about my feelings."

Asking Your Partner For Emotional Support

• Ask For a Specific Time: Ask your partner something like, "Can we find 20 minutes tonight to talk about something that has been weighing on me?" If it's not the right time, schedule another time that works for both of you. If you have children, choose a time when you won't be interrupted.

• Remove All Digital Distractions: Turn off and put away phones, turn off the TV, put away the computer and other distractions and sit face-to-face before diving into your discussion.

• Reassure Your Partner in Advance: If they haven't done anything that is making you unhappy, reassure them that they're not in trouble--you just need to share your feelings.

• Keep the Conversation to a Manageable Length: Focus on a specific emotional needs rather than listing months or years of unmet emotional needs (see my article: How to Stop "Kitchen Sinking" Your Partner).

Responding to Your Partner's Reaction

• Appreciate Your Partner's Willingness to Listen and Communicate: Thank your partner for listening--even if the conversation is awkward and uncomfortable. Recognize that your partner is experiencing their own emotional vulnerability by just listening.

Express Appreciation to Your Partner

• Validate Your Partner's Perspective: Acknowledge your partner's response. For instance, if your partner is opening up to hearing your unmet needs and you recognize that your partner is tired, acknowledge this to them by saying something like, "I realize you're tired and I appreciate that you're hearing me out."

• Allow Room For Pauses: Give your partner time to emotionally process what you are saying without rushing in to fill in the silence.

• Schedule a Future Check In: Propose circling back in a few days to see how the new approach to communicating your needs is working for you and for your partner.

Get Help in Couples Therapy

Communicating your emotional needs to your partner can be challenging especially if you never learned to do it before.

Get Help in Couples Therapy

A skilled couples therapist who is a licensed mental health professional can help you to learn to express your emotional needs and work out problems in your relationship.

Rather than struggling on your own, seek help from an experienced couples therapist so you can have a more fulfilling relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, Emotionally Focused Therapy for couples, Somatic Experiencing and Certified Sex Therapist.

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

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

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

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

Relationships: Overcoming Fear of Commitment

Why do certain people have a fear of making a commitment in a relationship--even after the couple has been together for a while? (see my article: Are You Dating Someone Who Has a Fear of Commitment?).

Overcoming a Fear of Commitment

While the reasons for fear of commitment are as varied as the individuals who have this fear, there are often certain psychological issues:

• Fear of Losing Independence: For instance, some people fear that making a commitment to move in with a partner or to get married automatically means losing their autonomy to engage in their hobbies, spend time with friends or other activities they enjoy without their partner.

Overcoming Fear of Commitment

• Fear of Being Controlled: If an individual isn't in a relationship with someone who is controlling, a fear of being controlled or "smothered" often stems from childhood experiences. Talking about commitment can trigger a fight-or-flight response to avoid the fear of being controlled or dominated again.

• Avoidant Attachment Style: An avoidant attachment style, like any attachment style, is on a continuum. Some individuals with an avoidant attachment style feel they would rather be alone to protect themselves from the emotional vulnerability involved with being in a committed relationship.

• Fear of Rejection or Abandonment: Some people avoid making a commitment because they fear their partner will eventually leave them. By remaining uncommitted, they protect themselves from the pain of a potential breakup (see my article: Fear of Abandonment Can Occur Even in a Healthy, Stable Relationship).

Overcoming Fear of Commitment

• Unresolved Trauma From Childhood or Prior Relationships: Experiences like witnessing parents' unhappy marriage as a child, being cheated on by a prior partner, a messy divorce or other similar unresolved traumatic situations can leave deep emotional wounds. These individuals might associate making a commitment with pain and loss (see my article: Reacting to the Present Based on Your Traumatic Past).

• The Paradox of Choice: Individuals who use dating apps often feel they have endless choices. Some people hesitate to make a commitment because they fear they might be missing out on a "better match" which can lead to "decision paralysis."

Overcoming Your Fear of Making a Commitment

• Identify Underlying Fears: If you have a fear of making a commitment, especially if you have encountered this fear many times with individuals you care about in healthy relationships, you can start by identifying your underlying fears.

Overcoming a Fear of Commitment

• Challenge Your Thoughts About "What If" Scenarios: Take an objective look at your "what if" fears and ask yourself how likely these scenarios will occur. Separate out your fears from the past from your current situation (see my article: Feeling Aren't Facts).

• Don't Project Too Far Into the Future: Instead of wondering whether or not you'll be happy 15 years from now, focus on the present.

• Establish Autonomy in Your Relationship: A healthy relationship allows for shared time together as well as independent time to pursue other interests.

• Accept Imperfection: Nothing is perfect. As long as there aren't dealbreakers (e.g., one of you wants to have children and the other doesn't), accept that no relationship is perfect. Focus on teamwork with your partner.

• Take Small Manageable Steps: Check in with yourself and your partner after a few dates. If you both want to continue dating, check in after a couple of months, six months, a year and two years to assess how you each feel (see my article: Making Changes One Step at a Time).

Getting Help in Therapy

• Get Help in Therapy: If the self help steps above aren't working for you, you could benefit from working with a licensed mental health professional to explore the underlying unconscious issues that you might not see on your own. Depending upon the problems involved, either individual therapy or couples therapy could be helpful rather than struggling on your own.

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 helped many individual adults and couples over the years in person and online.

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.

Relationships: Why is Sexual Aftercare Important?

I wrote about the importance of aftercare in a prior article about BDSM (Bondage and Discipline, Dominance and Submission and Sadism and Masochism), but aftercare isn't just for BDSM--it's important for non-BDSM encounters too, so I'm exploring that topic in this article.

Aftercare Shows You Care

The concept of sexual aftercare began in the BDSM community and is now considered a common practice in conventional sex that does not include BDSM.

What is Sexual Aftercare?

There is no one-size fits all approach to sexual aftercare.

Aftercare Shows You Care

Sexual aftercare is an essential part of sexual intimacy which helps to foster emotional connection and intimacy. 

Sexual aftercare involves both physical and emotional care which often go together.

Physical aftercare can include:

• Cuddling
• Offering a gentle massage
• Sharing a blanket
• Hydrating or having a snack
• Tending to potential injuries that can occur during sex including scratches or bruises
• Showering together
• Taking a nap
• Reading together
• Listening to music
• Anything partners enjoy that maintains physical comfort and closeness

Emotional aftercare can include:

• Open, reassuring conversations between partners
• Discussing vulnerable feelings

Why is Sexual Aftercare Important?

Sexual aftercare is important for many reasons including that it:

• Helps each partner to relax and recover in a caring way

Aftercare Shows You Care

• Shows mutual respect and appreciation

• Helps partners to feel secure

• Helps to ease partners to transition from sex to everyday life without feeling an abrupt change

• Helps the body to adjust to fading feel-good hormones like oxytocin and dopamine which are released during sexual activity

• Helps to avoid postcoital dysphoria which is a condition that some people experience after sex which includes sadness, anxiety or distress

• Helps to prevent negative emotions where one or both partners can feel used, dismissed, unappreciated. Other people can experience guilt or shame if they don't engage in sexual aftercare

What Not to Do After Sex

• Avoid jumping out of bed immediately after sex to take a shower unless you and your partner have agreed to this beforehand. If you abruptly leave your partner after sex, your partner can feel alone and abandoned after such an intimate experience. 

• If you feel sweaty and uncomfortable after sex, after you cuddle with your partner, you can use a warm wash cloth and offer one to your partner. You can also shower together so the showering becomes part of the sexual intimacy. 

• Even if you and your partner have a casual friendship or relationship, don't treat your partner like a sexual object. Show them respect and care.

How to Set Up Sexual Aftercare Before Sex

• Clear communication with your partner is the key to having sexual aftercare that you and your partner can enjoy together.

Aftercare Shows You Care

• Share information with your partner about your aftercare needs and find out what they prefer.

Conclusion

Sexual aftercare is an important part of sexual intimacy.

There is no right or wrong way to do sexual aftercare as long as it meets your needs and your partner's needs.

Getting Help in Sex Therapy

If you and your partner have been having sexual problems, you could benefit from talking to a sex therapist (see my article: What is Sex Therapy?).

Individual adults and couples seek help in sex therapy for a variety of reasons (see my article: Why Do Individuals and Couples Seek Help in Sex Therapy).

Sex therapy is a form of talk therapy. There is no nudity or sex during sex therapy sessions (see my article: Common Misconceptions About Sex Therapy).

Rather than struggling on your own, seek help from a certified sex therapist so you can have a more fulfilling relationship.

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 working 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: 

Have You and Your Partner Stopped Having Sex?  

Sexual Desire Discrepancy: You and Your Partner Have Different Levels of Sexual Desire

What is Sexual Self Esteem? 

The Four Cs of Safer and More Pleasurable Sex 

Understanding Your Sexual Arousal Type  

Overcoming Anxiety-Related Erectile Problems 

To Improve Sexual Intimacy Get Off the Sexual Staircase

What is Erotic Empathy?  

Overcoming Sexual Shame and Guilt 

Overcoming Painful Sex

How to Develop Emotional Safety in Your Relationship

Emotional safety is an essential part of any relationship.

Emotional Safety in a Relationship

What is Emotional Safety?

Let's start by defining emotional safety.

Emotional safety is an embodied sense that you can be your true self without fear of judgment, rejection or retaliation. 

Emotional Safety in a Relationship

When you feel safe emotionally, your nervous system is calm. You're not in a state of fear. You feel open and comfortable with yourself and with your partner.

Emotional safety is the foundation of a healthy relationships and allows you to share your emotional needs.

Emotional safety also allows you to admit your mistakes because you feel respected and valued by your partner.

If you're in a relationship, you feel heard and validated for your feelings. Even when your partner might not feel the same way, they can understand why you feel like you do.

What Are the Key Elements of Emotional Safety?

• Vulnerability: As previously mentioned, you feel secure enough to talk about difficult topics, fears and insecurities without anticipating a negative reaction (see my article: Emotional Vulnerability as a Pathway to Greater Emotional Intimacy).

Emotional Safety in a Relationship

• Non-judgment: When expressed in a healthy way, your feelings are treated as being understandable as opposed to being "too much" or "wrong".

• Consistency: Being able to predict how your partner will respond helps your nervous system to relax rather than going into a fight, flight, freeze or fawn response.

• Healthy Boundaries: You're able to set healthy boundaries with your partner without your partner making you feel guilty or lashing out.

Why Does Emotional Safety Matter in a Relationship?

When you feel safe in your relationship, you can regulate your emotions and stay emotionally engaged with your partner. 

Emotional Safety in a Relationship

If you don't have emotional safety, you might feel hypervigilant, anxious or an urge to "walk on eggshells" to avoid conflict with your partner.

How Can You Build Emotional Safety in Your Relationship?

To build emotional safety, it's important to:

• Get Curious and Listen: Get curious and listen to your partner to understand rather than to defend or"fix" them (see my article: What is Active Listening?).

• Validate Each Other's Feelings: Acknowledge your partner's feelings--even if you don't agree or you don't feel the same way.

• Be Transparent: Make sure your actions match your words to build trust.

• Make Repairs: Own your mistakes in a timely manner and make an effort to reconnect with your partner.

Get Help in Couples Therapy

There are times when one or both partners have problems establishing and maintaining emotional safety due to prior traumatic experiences either as a child or in prior adult relationships (see my article: How Can Unresolved Trauma Affect Your Ability to Feel Safe?).

Get Help in Couples Therapy

If emotional safety is an issue in your relationship, you and your partner could benefit from working with a couples therapist experienced in Emotionally Focused Therapy for Couples.

Emotionally Focused Therapy (also known as EFT) can help you and your partner understand both of your unmet attachment needs and change negative dynamics in your relationship that keep you both stuck.

Rather than struggling on your own, seek help in EFT couples therapy so you can have a more fulfilling relationship (see my article: Tips on How to Get the Most Out of Couples Therapy).

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 working 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:

How to Build Trust and Connection in Your Relationship 

Recognizing When You Feel Unsafe in Interpersonal Relationships

What Are the 4 Cs of the Attachment Behavioral System?  

Relationships: Understanding S£x as an Emotionally Intimate Experience

Within a loving relationship where two people feel connected to each other, sex is an emotionally intimate experience.

Sex is a vulnerable act of trust.

Sex as an Emotionally Intimate Experience

Sex also triggers the release of bonding hormones, enhances communication and deepens your connection with your partner when you share physical and emotional closeness.

Sharing this level of physical and emotional closeness provides an opportunity for you to express affection, share your desires and feel safe which can allow you to feel understood in a deeper way.

What Creates Emotionally Intimacy During Sex in a Relationship?

• Sharing Your Whole Self: Sexual intimacy requires you to be physically and emotionally present and vulnerable which allows you to let down your guard and create a deep sense of trust with your partner. 

• Opening Up Physically and Emotionally: You're opening yourself up for acceptance but, potentially, you might also experience criticism or rejection. The best sex occurs when you're already feeling emotionally connected and safe (see my article: Creating a Safe Haven For Each Other).

• Experiencing the "Love Hormone": Sex releases oxytocin which is linked to feelings of affection, trust and bonding.

Sex as an Emotionally Intimate Experience

• Bonding and Connection: Oxytocin creates a powerful sense of closeness and longing for your partner. This helps to solidify your connection on an emotional and physical level.

• Enhanced Communication: Sex can enhance communication when partners can talk openly and honestly about their sexual desires, needs and boundaries (see my article: How to Talk to Your Partner About Sex).

• Deepening Intimacy: The shared vulnerability and open communication can deepen your connection.

• An Enhanced Expression of Existing Intimacy: Sex can be a powerful way to enhance an already existing emotional connection by amplifying feelings of love and tenderness. When there is already an intimate connection, sex is more than just a physical act--it's an expression of emotional intimacy.

Clinical Vignette

The following clinical vignette is a composite of many cases where a couple lost their emotional and sexual connection over time and how they regained it:

Lena and Matt

When Lena and Matt started dating, they were always excited to see each other. 

Sex as an Emotionally Intimate Experience

Their "new relationship energy" created so much passion, excitement and anticipation during the honeymoon phase of their relationship.

But after twenty years of marriage, the passion and excitement was gone and they were only having obligatory sex (also known as "duty sex").

Obligatory sex occurs when one or both people have sex out of sense of duty or pressure rather than from a sense of genuine desire.

Over time, their sex life deteriorated for many reasons: work stress, raising children, financial stress and other responsibilities. 

Neither of them knew how to talk to each other about sex, so they continued to have sex that neither of them enjoyed.

Their obligatory sex created resentment, dissatisfaction and emotional distance. The emotional distance, in turn, pulled them further and further apart.

Both of them approached sex with the attitude that they wanted to "get it over with", but it left them both feeling lonely and isolated.  They each would have preferred to have no sex than the kind of sex they were having, but neither of them felt comfortable talking about it.

After Lena spoke to her therapist about how unsatisfying her sex life with Matt had become, her therapist referred them to a sex therapist.

Initially, Matt was resistant to going. He didn't want to talk about their sex life, but Lena convinced him that they had a problem and sex therapy could help.

Their sex therapist helped them to speak openly about their sex life, which was challenging at first. Over time, they learned to talk to each other calmly without blaming each other.

They talked about how exciting and passionate their sex life had been when they were dating. Even though they knew they couldn't get that "new relationship energy" back, they felt closer to one another and more open to exploring what they both would find sexually enjoyable. 

It took time to overcome twenty years of emotional and sexual disconnection, but they were able to enhance their emotional and sexual connection over time.

Conclusion

Sex is usually an emotionally intimate experience in a relationship when two people feel connected to one another.

Sex as an Emotionally Intimate Experience

Sharing yourself emotionally and sexually is a vulnerable act that can bring two people closer together and enhance their relationship.

Over time, many couples drift into having obligatory sex where they go through the motions of having sex or they become a no-sex couple (see my article: Have You and Your Partner Stopped Having Sex?).

Obligatory sex often creates more emotional and sexual distance as well as resentment and loneliness.

For couples who have become no-sex couples, the longer they wait to address these problems, the more challenging it can be. However, even longstanding no-sex couples have an opportunity to work through their issues in sex therapy if they are motivated.

Getting Help in Sex Therapy

If you and your partner have lost your emotional and sexual connection with each other, you could benefit from getting help in sex therapy.

Getting Help in Sex Therapy

Sex therapy is a form of talk therapy with a licensed mental health professional who specializes in helping individual adults and couples to having a satisfying sex life (see my article: What Do People Talk About in Sex Therapy?).

There is no nudity or sex during the sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

There is usually homework to do between sessions as a bridge between the sessions and, at times, to put into practice what has been discussed.

Rather than struggling on your own, seek help in sex therapy to improve your emotional and sexual connection.

About Me

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