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Thursday, April 10, 2025

Overcoming Toxic Hope in an Unhealthy Relationship?

People who maintain toxic hope (or false hope) in an unhealthy relationship often get stuck in unhappy relationships.

What is Toxic Hope in an Unhealthy Relationship?
Toxic hope is blindly holding onto hope that an unhealthy relationship will get better--even when there are no signs of that this will happen.

Overcoming Toxic Hope in an Unhealthy Relationship

Toxic hope can keep you wrapped up in false narratives about your relationship rather than  confronting reality as it is because the reality of your situation feels too painful. It's a form of denial where you fool yourself.

This type of false hope keeps people stuck in toxic relationships. Rather than accepting the reality of their situation, many people with toxic hope will work harder to try to make the relationship work--to the point of exhaustion.

If you experience toxic hope in an unhealthy relationship, you might try to avoid facing reality by trying to work on yourself in an effort to win over your partner or make positive changes. This often occurs when the other partner is making little or no effort to change.

Clinical Vignette
The following clinical vignette illustrates how someone can get stuck in an unhealthy relationship due to toxic hope and how therapy can help:

Lynn
Lynn was an optimistic and ambitious woman who was successful in her career.  She also had many close friends.

When Lynn first met Steve, she was head-over-heels in love with him. They saw each other almost every day and they enjoyed each other's company. By their second month together, they decided to become exclusive.

However, three months into the relationship, Lynn found out that Steve lost his job and this was the most recent job loss in a long line of job losses.

He asked to borrow $5,000 from her with the promise he would pay her back within a couple of months. But, even after he found another well-paying job, he never mentioned repaying the money he owed her and Lynn just assumed he would pay her back when he could.

Soon after that, Steve would cancel their dates at the last minute. He made up many excuses, which Lynn convinced herself were true. Even when her best friend confronted her, Lynn was adamant that her relationship with Steve was going well.

After another friend told Lynn that she saw Steve walking hand in hand with another woman, Lynn convinced herself that she went into an all out self improvement regime--she went to the gym almost every day, lost weight and changed the color of her hair. She even thought about getting breast augmentation--all in an effort to get her relationship with Steve back to where it was in the beginning.

During that time, Steve broke up with her. He told her he met someone new and he wasn't interested in being with Lynn anymore. After that Lynn was heartbroken, but she didn't give up. She told Steve she hope they could remain friends and meet for coffee sometimes.  Steve seemed surprised, but he agreed.

Overcoming Toxic Hope in an Unhealthy Relationship

Lynn's friends urged her to get her money back from and to stop hoping he would come back to her. But Lynn didn't listen to them.

She would meet Steve for coffee every few weeks and he would tell her his new girlfriend was fantastic and they were going to move in together. Although Lynn felt upset, she kept smiling and hoping Steve would come back to her.

When Steve told her his new girlfriend didn't like him spending time with her, Lynn still couldn't accept that it was over. 

Months went by and one day Lynn ran into Steve with his girlfriend and he introduced them. Then he told Lynn that he and his girlfriend were going to get married. His girlfriend held out her hand to show Lynn the engagement ring. Then, Steve and his girlfriend walked off looking very much in love.

At that point, Lynn felt like her world was crashing down on her. She couldn't fool herself anymore--she had to admit she lost Steve and he was in love with someone else.

Her friends encouraged Lynn to seek help in therapy which she did reluctantly. She told her therapist she kept thinking about all the good times she and Steve had together. She said she would sometimes spend whole days just remembering how good their relationship was at the beginning and she couldn't believe it was over.

Her therapist asked Lynn about her family history and Lynn revealed that she had a similar relationship with her parents. Other than providing her with the basic necessities, her parents tended to ignore her and, as an only child, she tended to spend a lot of time on her own.

Lynn revealed that she excelled academically and she always had friends, but she tended to be in denial, even as an adult, about the emotional neglect she experienced as a child. 

Throughout her life, Lynn believed she could get her parents' attention by maintaining excellent grades in school and succeeding in her career, but her parents weren't interested. 

Her therapist saw parallels between the toxic hope she maintained in her relationship with her parents and the toxic hope she had maintained in her relationship with Steve.

Initially, Lynn couldn't admit she was emotionally neglected as a child. She made up many excuses for the way her parents neglected her but, over time, she realized how she was in denial about her parents, Steve and other men she had been involved with before Steve.

At that point, Lynn was able to grieve her childhood and the way she was treated in her relationships. Her therapist helped her with trauma therapy, including EMDR and Parts Work Therapy.

Gradually, Lynn realized she had allow herself to get stuck in unhealthy relationships with men due to her denial in the form of toxic hope. 

She also learned to assert herself by asking Steve to repay her the $5,000 he owed her and she was surprised to receive a check from him.

As she continued to work in trauma therapy, Lynn allowed herself to see her relationship with her parents and her romantic relationships for what they were and not for what she hoped they would be.

She also worked on feeling that she deserved to be in a relationship where she was treated well.

Conclusion
Toxic hope is a form of denial.

Toxic hope in an unhealthy involved convincing yourself that the relationship will work out--even when there are serious red flags that it won't.

Toxic hope is often rooted in unresolved trauma.

Trauma therapy can help you to get to the root of your problems so you don't keep making the same mistakes over and over again.

Getting Help in Trauma Therapy
Rather than repeating the same healthy patterns, get help in trauma therapy.

Getting Help in Trauma Therapy

A skilled trauma therapist can help you to overcome the obstacles that keep you stuck so you can live a meaningful life.

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

I have over 20 years of experience helping individual adults and couples to overcome trauma (see my article: What is Trauma Therapy?).

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, April 9, 2025

How to Overcome Fear of Abandonment

I've written prior articles about fear of abandonment (see my article: How Therapy Can Help You to Overcome Fear of Abandonment).

Overcoming Fear of Abandonment

In the current article I'm getting into my more detail to explore fear of abandonment.

What is Fear of Abandonment?
Fear of abandonment is a common form of anxiety including a fear of being abandoned by family members and significant others.

How Does Fear of Abandonment Manifest?
Fear of abandonment can manifest as
  • Clinginess
  • Distrust
  • Difficulty establishing and maintaining close relationships
What Causes Fear of Abandonment?
Everyone's experience is different.

Generally, fear of abandonment is often caused by past experiences and unresolved trauma including past relationship trauma and/or early childhood trauma.

What Are Some of the Signs and Symptoms of Fear of Abandonment?

    Emotional Signs and Symptoms include:
  • Anxiety and panic: Feeling overwhelmed and distressed by the possibility of being abandoned
  • Distrust: Difficulty trusting others and fear others will leave
Overcoming Fear of Abandonment
  • Sensitivity to Criticism or Rejection: Reacting intensely to perceived criticism or rejection
  • Fear of Intimacy: Fear of getting close to someone and, possibly, pushing them away if there is already a relationship
  • Worry When It Seems Things Are Going Too Well: Feeling anxious when things seem to be going too well due to fear it will not last
Behavioral Signs and Symptoms include:
  • Clinginess: Being overly dependent and needing constant reassurance
  • Manipulative Behavior: Trying to control or manipulate others to avoid being left
  • Sabotaging Relationships: Intentionally pushing people away or ending a relationship before they can be abandoned
What Are the Roots of Fear of Abandonment?
  • Traumatic Events: Unresolved childhood trauma, such as the death of a parent or other loved ones, can develop into a fear of being abandoned.
How Can You Overcome Fear of Abandonment?
  • Self Care: Practicing self compassion, engaging in activities that enhance your well-being and building a strong sense of self
  • Developing Healthy Relationships: Establishing healthy relationships with people who are trustworthy, reliable and responsible 
  • Seeking Emotional Support: Seeking support among loved ones who are emotionally supportive 

  • Seeking Help in Trauma Therapy: Making a commitment to work through unresolved trauma in trauma therapy (see my article: What is Trauma Therapy?).
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how trauma therapy can help an individual to overcome fear of abandonment:

Sara
When Sara first started dating Ed, she enjoyed her time with him. But as time went on and they developed stronger feelings for each other, Sara felt more insecure and anxious. She began worrying time that Ed would leave her now that she was in love with him. 

She would ask him repeatedly for reassurance that he wasn't planning on leaving her, which he was willing to do at first. But, after a while, he realized that no amount of reassurance would relieve her anxiety.

Overcoming Fear of Abandonment

When her anxiety felt out of control, she sought help in trauma therapy. 

In trauma therapy, she found out that her anxiety and insecurity had nothing to do with Ed--it mostly involved unresolved trauma regarding the emotional neglect she experienced as a child.

Over time, Sara learned how to separate her childhood experiences from her relationship with Ed. It wasn't easy, but she learned how to regulate her emotions during those moments when she felt anxious around Ed so she could be more present with him (see my article: Overcoming Childhood Trauma: Learn to Separate Your Experiences From Back Then From Your Experiences Now).

Her therapist also used EMDR Therapy to help her to overcome her unresolved childhood trauma so it was no longer getting triggered when she was with Ed.

The work in trauma therapy was neither quick nor easy, but Sara overcame her anxiety and she and Ed became much closer.

Conclusion
Fear of abandonment is a common form of anxiety.

Fear of abandonment can come up for a variety of reasons, as mentioned earlier in this article.

If this anxiety isn't addressed in therapy, it can get worse over time, so it's better to get help sooner rather than later in trauma therapy.

Getting Help in Trauma Therapy
Many people don't realize they have fear of abandonment until they enter into an exclusive relationship where emotional vulnerability comes up.

Getting Help in Trauma Therapy

If you have tried to overcome fear of abandonment on your own without success, you could benefit from working with a skilled trauma therapist who has training and expertise in trauma therapy, like EMDR or other types of trauma therapy like AEDP, Parts Work, Somatic Experiencing and other forms of Experiential Therapy (see my article: Why Experiential Therapy is More Effective Than Talk Therapy to Overcome Trauma)

Once you have worked through your fear and anxiety about being abandoned, you can live a more meaningful life.

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

With over 20 years of experience as trauma therapist, I have helped many individual adults and couples to overcome 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.














 

Tuesday, April 1, 2025

Relationships: Are You Confusing Drama For Love?

I began a discussion about this topic in my prior article,  How to Stop the Drama in Your Relationship.

Confusing Drama For Love

In the current article, I'm focusing on the topic of confusing drama with love.

What is Drama in a Relationship?
Here are some of the concepts from my prior article:

Drama in a relationship refers to unnecessary conflict, emotional manipulation or the creation of problems (where they don't really exist) to get attention or control the relationship including:
  • Attention Seeking: Some individuals in a relationship create drama in an effort to feel validated by their partner--often at the partner's emotional expense.
  • Poor Communication Skills: When one or both people lack good communication skills, they can struggle to express their emotional needs or resolve conflict in a healthy way.
Confusing Drama For Love
  • Projecting Emotional Pain: Partners can project their own emotional pain onto each other which usually leads to conflict.
How to Distinguish Love From Drama in a Relationship
The following suggestions can help you to distinguish love from drama:
  • A Loving Relationship Tends to Be Stable: All relationships have their ups and downs, but a mature loving relationship tends to be stable and consistent with mutual respect and not with constant drama and conflict.
Confusing Drama For Love
  • A Healthy Relationship Tends to Be Secure: You experience a sense of security in a loving relationship--not anxiety or fear.
  • A Loving Relationship is Reciprocal: A secure relationship has mutual care, respect and support. It does not involve one-sided drama, attention seeking and constant upheaval. It's also not transactional (see my article: What Are Transactional Relationships?).
  • Self Love is Essential: In healthy relationships each person experiences self love which is different from codependency or the need for constant validation.
Clinical Vignette
The following clinical vignette illustrates how someone can confuse drama for love:

Jane
When Jane met Tom, she felt instantly drawn to him.  She liked that he was quirky and he introduced her to his taste in art, music and culture which was so different from what her own experience.

Although their relationship was fun at the beginning, over time, Jane began to wonder about the relationship as she noticed certain of Tom's unstable behavior patterns.

He would text her constantly for days and then he would be unreachable for a week or more. In addition, he might show up at her apartment at 2 AM because he would say that he missed her so much and couldn't wait to see her, but then he would ignore her for days at a time.

When they began arguing about his behavior, Tom would tell her that they had a loving, passionate relationship which was why they had so many arguments, but Jane felt increasingly unhappy with their dynamic so she sought help in therapy.

Confusing Drama For Love

Jane told her therapist that she wondered if Tom was right: Did they have so many arguments because they had a passionate loving relationship or was there a problem?  She felt confused because this was her first committed relationship.

As Jane talked about her relationship with Tom in her therapy, she began to realize that she didn't like feeling so insecure in their relationship. She also realized their relationship tended to be on Tom's terms and when he didn't get his way, he would sulk and withdraw emotionally.

After a while, Jane came to the conclusion in her therapy that she didn't like being in such an  unstable relationship. She enjoyed their fun times together, but their fun times didn't make up for the instability and the one-sided nature of the relationship.  

She also became aware that she had confused the drama for love, but she realized that love and drama are two different things.

Confusing Drama For Love

Soon after that, Jane ended her relationship with Tom and she began seeing Bill. A few months into her relationship with Bill, she realized her new relationship was much more secure, reciprocal and stable. Although it might have lacked some of the excitement she felt with Tom, Jane knew her relationship with Bill was a relationship that could grow and flourish.

Conclusion
During the early stage of a relationship drama and chaos might seem fun and exciting, but it shouldn't be confused with love.

When a relationship is based on drama, it's difficult, if not impossible, to build the necessary a foundation for the relationship to grow.

When you can make the distinction between love and drama, you can decide if you want to remain in a relationship that's based on drama or you want a more solid, stable relationship.

Get Help in Therapy
Relationships based on drama can be challenging to get out of--even when you realize that it's the drama that's keeping you together and not love.

Get Help in Therapy

A skilled mental health professional can help you to discover why you might be hooked into an unstable and unhealthy relationship.

Rather than struggling on your own, seek help from a licensed mental health professional who has the expertise you need so you can lead a more meaningful life.

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

I have over 20 years of experience helping individual adults and couples with a variety of issues.

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.
 
















Sunday, March 30, 2025

Relationships: How to Stop the Drama in Your Relationship

In my work as a couples therapist in New York City I work with many couples who struggle with emotional drama and chaos in their relationship (see my article: How to Reduce Emotional Reactivity in Your Relationship).

Stop the Drama in Your Relationship

What is Drama in a Relationship?
Drama in a relationship refers to unnecessary conflict, emotional manipulation or the creation of problems (where they don't really exist) to get attention or control the relationship including:
  • Attention Seeking: Some individuals in a relationship create drama in an effort to feel validated by their partner--often at the partner's emotional expense.
  • Poor Communication Skills: When one or both people lack good communication skills, they can struggle to express their emotional needs or resolve conflict in a healthy way.

Stop the Drama in Your Relationship

  • Projecting Emotional Pain: Partners can project their own emotional pain onto each other which usually leads to conflict.
What Are the Signs of Drama in a Relationship?
A couple might have all or some of the following signs:
  • Constant arguments, bickering or fights
  • A partner trying to control the relationship by claiming to be "right" all the time
  • A partner constantly needing attention and validation from the other partner 
Stop the Drama in Your Relationship
  • A partner who is self centered and selfish most of the time so everything is about them or what they want
  • A partner who doesn't show interest in the other partner's concerns or well-being
  • A partner who doesn't apologize or take responsibility for their actions
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates a couple struggling with drama in their relationship and how they were helped in couples therapy:

Sue and John
When Sue and John first started dating, they both felt their relationship could flourish and grow. But six months later, they were arguing a lot and breaking up every few weeks.

Stop the Drama in Your Relationship

They decided they either needed to seek help in couples therapy or go their separate ways so, rather than break up again, they sought help.

Over time, in couples therapy they learned how unresolved trauma from both of their childhoods was getting played out in their relationship.

Sue's parents were emotionally neglectful of her and so in her relationship with John, she sought constant attention and validation from him in a highly agitated state--to the point where he felt she was emotionally exhausting him. Sue realized in couples therapy she was re-enacting unresolved childhood trauma in her relationship with John.

John was raised by a single mother who was highly anxious most of the time. She looked to him, when he was a child, for validation and attention. This heavy emotional burden was more than he could endure as a child. As a result, he learned to ignore her and fend for himself. In couples therapy he recognized that he was doing this to Sue too without realizing it.

Learn to Break the Negative Cycle in Couples Therapy

Their negative dynamic was the source of many of their arguments until they learned, over time, in couples therapy to identify their negative cycle so they could break their negative cycle.

How to Stop Drama in Your Relationship
  • Learn to develop healthy communication skills
  • Learn to address and work through unresolved trauma in individual therapy
  • Learn how to identify and manage your emotions
  • Set realistic expectations for the relationship
Get Help in Couples Therapy
It can be challenging to change unhealthy relationship patterns on your own.

Getting Help in Couples Therapy

If you have attempted to work through your problems without success, consider seeking help in couples therapy.

A skilled couples therapist can help you to identify and break the negative cycle in your relationship so you can have a more fulfilling relationship.

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

I have over 20 years of experience helping individual adults and couples (see my article: What is Emotionally Focused Therapy For Couples - EFT? ).

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, March 29, 2025

Setting Boundaries: How to Stop Being Enmeshed With Your Family

I began a discussion about enmeshment in an earlier article, Overcoming Shame in an Enmeshed Family.


Overcoming Enmeshment in Your Family

Topics in the Current Article
In the current article, I'm covering:
  • What is Enmeshment?
  • What Causes Enmeshment in Families?
  • How to Overcome Enmeshment
  • Getting Help in Therapy to Overcome Enmeshment
What is Enmeshment?
If you grew up in an enmeshed family you probably had at least some of the following issues:
  • There was a lack of physical and emotional boundaries.
  • There was a tendency to focus on what's best for other family members and not what's best for you.
  • You put other family members' happiness above your own.
Overcoming Enmeshment in Your Family
  • You feel guilt and shame, as an adult, if you put your needs above other family members. For instance,  you might not want to call your mother every week, but you feel guilty and ashamed if you don't because you know she wants you to call weekly.
  • Your family's self worth is dependent upon your success.
  • Your family expects you to share everything about your life--even things you might want to keep private. They get offended if you say something in your life is private.
  • Your family might have imposed their ideas on you when you were a young adult instead of encouraging you to follow your own hopes and dreams. If you wanted to follow your own aspirations, they felt offended and you felt guilty and ashamed.
  • Parents in enmeshed families tend to treat their children like friends instead of children because there is a lack of boundaries.
  • You tend to avoid conflicts, even now as an adult, because you have difficulty setting limits.
  • You lack a strong sense of who you are.
  • You absorb other people's emotions around you because you lack appropriate boundaries (this is different from being an empath).
What Causes Enmeshment in Families?
Enmeshment usually develops in dysfunctional families and repeats the pattern from one generation to the next (see my article: 

Overcoming Enmeshment in Your Family

It can be difficult to pinpoint when an enmeshed family dynamic started since it might go back generations and family members often have little to no awareness about the enmeshment.

Enmeshment often develops due to unresolved trauma, mental health problems, substance abuse, compulsive gambling or other related issues.

What is the Impact of Enmeshment in Adult Relationships?
The following characteristics are common for adults who grew up in enmeshed families?
  • Being out of touch with your feelings
  • Feeling burdened by guilt and shame
Overcoming Enmeshment in Your Family
  • An overdeveloped sense of responsibility
  • Poor personal boundaries
  • Difficulty setting boundaries with others
  • Difficulty calming or soothing yourself emotionally
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates the negative impact of enmeshed family dynamics and how psychotherapy can help:

Maria
Maria grew up in crowded family home where she shared a bed with her two older sisters. She had no privacy. 

When Maria was 15 years old, her oldest sister found Maria's diary, she read it to their parents, grandparents and siblings and they laughed at what Maria wrote about feeling sad.

Her parents and grandparents invalidated her feelings and told her she had nothing to feel sad about since she had a roof over her head, food and clothing.  They told her that only someone who had something terrible to hide from the family would even want to write in a diary.  Then, her father tore up her diary and threw it in the garbage. He told her she should be ashamed of herself for what she wrote.

When she turned 16 years old, Maria's maternal uncle, who came to live with her family, began touching her inappropriately when no one was around. He told her that he would hurt her sisters if she told anyone about the sexual abuse (see my article: Overcoming the Trauma of Sexual Abuse).

One day her mother happened to come home early and she found her brother touching Maria's breasts. She threw her brother out of the house and she also blamed Maria for the sexual abuse.  

She told Maria it was her fault that the uncle touched her inappropriately. Then, she made Maria promise not to tell Maria's father because she feared what he might do to the uncle if he found out.

When it was time for Maria to choose a major in college, her parents insisted that she become a teacher--even though Maria wanted to become a medical doctor. Her parents told her that women shouldn't become doctors because they would have to see men's naked bodies and this was shameful for a woman.

Maria was upset that her parents were trying to force her to choose a career she didn't want so she sought help from a professor who referred her to the college counseling center.  

In counseling, Maria learned to set boundaries with her family--even though they didn't like it and they threatened to stop paying her tuition.

Overcoming Enmeshment in Your Family

Her counselor helped Maria to get a scholarship and a room in a dorm so she could live independently from her family.  She took pre-med courses and, eventually, she went to medical school.

While she was in medical school, she sought help from a trauma therapist so she could deal with the impact of her enmeshed family, including the sexual abuse.

Even though her family didn't like that Maria was making her own decisions and setting boundaries with them, they accepted it reluctantly.  

While she was in medical school, Maria met her husband-to-be and she learned to have a healthy relationship with him with the tools she learned in therapy.

How to Overcome Enmeshment
To become a mature adult, children need to learn to become their own person at stages that are appropriate for their development at the time.  This is part of the individuation process.

Individuation means being your own person and not just an extension of your parents and other family members.

When you are appropriately individuated from your family, you can maintain your relationships with them with appropriate boundaries. You also learn how to be your own person physically, emotionally and psychologically.

To overcome enmeshment, you need to learn to:
  • Discover who you are as an individual apart from your family.
  • Learn to stop feeling ashamed and guilty if what's right for you might make your family unhappy.
  • Get help in therapy when trying to overcome enmeshment becomes too challenging.
Getting Help in Therapy
Overcoming enmeshment can be challenging.

Getting Help in Therapy

A licensed mental health professional with the right expertise can help you to develop the skills you need to overcome enmeshment and develop healthier relationships.

Rather than struggling on your own, seek help from a skilled psychotherapist so you can lead a more meaningful life.

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

As a trauma therapist, I have helped many individual adults and couples to overcome trauma, including enmeshed relationships.

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.