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Tuesday, December 2, 2025

Recognizing When You Feel Safe or Unsafe in Your Interpersonal Relationships

Recognizing when you feel safe or unsafe in interpersonal situations is important to your health, mental health and overall well-being.

Feeling Safe in Your Relationship

What is the Polyvagal Theory?
Before I provide suggestions on how to know if you're safe or unsafe, I would like to discuss the Polyvagal Theory as it relates to this topic. 

Understanding the basics of the Polyvagal Theory can also help you to understand your mental health, physical health, how you react when you feel safe and how you react when you feel unsafe.

Polyvagal theory, which was developed by Dr. Stephen Porges, emphasizes the role of the autonomic nervous system, especially the vagus nerve, in regulating our health, mental health and overall well-being.

The theory describes physiological/psychological states underlying daily behavior, including physical and emotional challenges.

The theory helps us to understand how psychological safety, co-regulation, and connection are essential to our physical and psychological existence.

How is the Polyvagal Theory Related to the Nervous System?
The theory describes how the nervous system responses to danger: Fight, flight or freeze.

The following descriptions provide a look at the three states of the nervous system:
  • Safe (Social Engagement): When you feel safe, your nervous system is calm and relaxed. You can connect with others, feel your emotions and be yourself because you're not experiencing a threat.
  • Mobilization (Fight or Flight): When your nervous system detects danger in your environment, either a physical or psychological danger, it activates the fight or flight response. Your heart rate and breathing increase and adrenaline is released to prepare you to either fight the threat or escape from it.
  • Immobilization: If fight or flight isn't a viable option, your nervous system moves into the immobilization or freeze response. This is a survival strategy where the body automatically shuts down, the heart and blood pressure drop and you might feel numb or disconnected. This is the "play dead" response seen in animals as their last survival response when they are faced with overwhelming danger.
In addition, over time, the Polyvagal Theory was updated to include the fawn and appeasement response.

The description I have provided above for the Polyvagal Theory is very basic. For more information and an easy way to understand the Polyvagal Theory, listen to Polyvagal Theory Made Simple by Claire Weston.

Your Nervous System Acts Like Your "Personal Surveillance System"
Your nervous system acts like your "personal surveillance system" asking the question: "Am I safe?"

When you're interacting with others, if you feel safe and calm, your social engagement system is activated because you're not experiencing a threat in the environment.

If you feel threatened either psychologically or physically, your system goes into a mobilization state while you're trying to figure out if you will need to fight or escape.  

Feeling Unsafe in Fight or Flight Response

If you can't fight because the danger is too overwhelming, your body is activated to run before you're even aware of it consciously. For instance, if you're walking down a dark street and you encounter a threatening group of people who make dangerous gestures towards you, you know you're outnumbered so all you can do is run.
Feeling Unsafe and Immobilized 

Using the same example, if you can't fight or run from the danger, your body will go into the immobilization state. This is an involuntary survival tactic when there is no escape. The immobilization state can be seen in the animal world when, for instance, a deer "plays dead" when it is about to be attacked by a tiger. This is the deer's last ditch effort to survive. The tiger will often lose interest in the deer once it "plays dead" because it prefers live prey and it knows instinctively that, if the deer is dead, dead meat might be diseased.

The immobilization response in humans allows the system to conserve energy. The numbing effect of the immobilization response can also create a decrease in the perception of pain, which can be helpful if an attack can't be avoided.

Once again, it's important to remember that this immobilization response is a survival response--it's not a conscious decision. 

How is the Immobilization Response Related to Trauma?
The immobilization response is also associated with overwhelming or traumatic events.

The following example is a composite of many cases to protect confidentiality:

Jane
One day when Jane was in the company break room, her coworker, Jim, approached her to ask her out for a date.

Since Jane wasn't interested in Jim, she looked away and told him she was too busy to go out.  

She was about to leave the break room when Jim, who was annoyed, cornered her in an aggressive way and said, "What do you mean? You don't ever have time to go out with me? Why don't you like me?"

In that moment, Jane, who had a childhood history of sexual abuse,  automatically froze. She was completely numb and dissociated because Jim's aggressive response triggered how she felt when her father abused her.  She was so numb that she couldn't think much less call out for help (see my articles: Why is Past Trauma Affecting You Now? and What is Trauma-Related Dissociation?).

A few seconds later, their supervisor came into the break room and realized what was happening. He told Jim to go back to his office. Then, he helped Jane to calm down. 
Afterwards, the supervisor and Jane reported the incident to human resources. Since human resources had prior similar complaints about Jim, he was terminated.

Over time, Jane realized she needed help to overcome the original abuse by her father, so she sought help in trauma therapy (see my article: How Can Trauma Therapy Help You to Overcome Trauma?).

People who don't understand the immobilization response or who have never been in a similar situation will often question why someone like Jane didn't either stand up for herself or push past Jim. But someone in Jane's situation can't fight or escape because her nervous system shut down due to prior unresolved trauma.

How to Recognize When You Feel Safe or Unsafe in Your Interpersonal Relationships
If you want to assess whether you feel safe or unsafe in your personal relationships, you can pay attention to your internal state:

Assess Your Internal State
  • Do you feel calm?
  • Do you have an embodied felt sense of being safe or unsafe?
An Embodied Feeling of Calm and Safety
  • Do you feel comfortable being somewhat vulnerable when it's appropriate to do so?
  • Do you feel comfortable setting limits or saying "no" without expecting repercussions from the other person or feeling guilty or ashamed?

Assess Their Attitude, Behavior and Physical Cues
  • Do they respect your boundaries, including your personal space and time without trying to control you?
  • Do they respect your thoughts and feelings or do they try to invalidate you if they don't agree?
  • Are they attentive when you speak? Do they engage in active listening? Are they there for you in good times and bad?
Active Listening
  • Do their actions match their words? Are they emotionally reliable? Do they follow through with their commitments?
  • Do they encourage you? Do they celebrate your successes? Do they support you when you have challenges?
  • Do they handle disagreements calmly and maturely so you don't have to worry about your personal safety either on an emotional or physical level?
  • What does their body language tell you about their emotional state? Pay attention to vocal tone, eye contact, posture and facial expressions because their body language can indicate whether you are safe or not.
In a future article I'll discuss why many traumatized individuals have problems detecting whether they are safe in their interpersonal relationships.

Getting Help in Therapy
If you have been struggling with unresolved problems, you could benefit from working with a licensed mental health professional who has an expertise in helping clients with these  types of problems.

Getting Help in Therapy

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

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

For over 25 years I have helped many 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.











































































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:































Friday, November 28, 2025

What is Transference in Relationships?

I discussed the topic of transference in prior articles as it relates to psychotherapy (see the list of articles at the end of this article).

In the current article, I'm focusing on transference in relationships.

Aside from the transference that clients experience in therapy, transference can also occur in everyday relationships, especially romantic relationships.


Transference in Relationships

In general, transference occurs on an unconscious level when you redirect feelings, attitudes and behavior from the past onto a person in your current life. These can be both positive and negative feelings.

Transference can cause you to react to someone in your current life as if they were someone from your past.  Transference tends to happen more in intimate relationships.

This often leads to misunderstandings in your relationship and emotional responses that don't belong to the present relationship.  This usually occurs because you have unresolved issues from the past that get played out in your relationship.

One of the keys to having healthier relationships is to recognize and understand when you're transferring these feelings and attitudes from the past into your present circumstances (see my article: Learning to Separate Then From Now).

What Does Transference Look Like in Relationships?
  • Redirecting Feelings: You redirect feelings from the past onto your current partner. 
  • Unconscious Behavior: When you redirect feelings from the past onto your partner, this happens on an unconscious level. For instance, let's say you grew up with a critical father when you were a child and, now that you're an adult, your partner tries to be supportive by making a suggestion about how you can do something in a better way. If you're experiencing transference for your partner, you could hear their suggestion as being critical when it's not. If so, you could experience unexplained anxiety, anger or resentment towards your partner--similar to what you felt towards your critical father. You might get confused about your feelings in the current circumstances because the trigger is outside of your awareness (see my article: Coping With Triggers).
Transference in Relationships
  • Replaying Old Patterns: You can replay old patterns from the past in your current relationship and, over time, this leads to unhealthy dynamics between you and your partner.
  • Intense Reactions: As mentioned above, reacting to your partner as if they were someone from your past can lead to disproportionate reactions in your current relationship (see my article: Reacting to the Present Based on Your Past).
How Can You Manage Transference in Your Current Relationship?
  • Develop Awareness: Notice when your reactions seem out of proportion to the situation. Ask yourself:
    • Why am I having such a strong reaction to my partner when they're trying to be supportive?
    • Have I felt this way before?
    • When have I felt this way before?
    • What was happening in that past situation?
    • How do these feelings from the past remain unresolved for me?
  • Be Aware of the Differences Between the Past and the Present: Be aware of how your partner is different from the person in your past. This is often easier said than done when you're trying to do it on your own (see my article: Making the Unconscious Conscious).
  • Separate the Past From the Present: Make an effort to separate your past self from your present self. For instance, recognize that you're no longer a child struggling with this issue when you experienced it in the past. Also, separate your partner as an individual from the person you reacted to in the past. 
Transference in Relationships
  • Communicate: Once you realize you reacted to your partner as if they were someone from the past, communicate this openly to your partner. This can help your partner to understand why you had such a strong reaction towards them. It can also help you to express your feelings under the current situation (as opposed to the past). You can also get clarification from your partner as to what they were actually trying to communicate to you as opposed to what you thought they were saying.
Clinical Vignette
The following clinical vignette is a composite of many different cases with all identifying information changed to protect confidentiality:

Jim
Jim and his wife, Tina, usually got along well. But whenever Jim heard Tina telling him how he could be more organized, no matter how kind and supportive she tried to say it, Jim experienced her comments as critical and he reacted angrily.

Transference in Relationships

Immediately after he reacted, he realized his reaction was out of proportion to what Tina was saying to him and he felt confused, guilty and ashamed. Then, he would apologize to Tina and tell her, "I'm sorry. I don't know what came over me. I realize now you're trying to be supportive, but when you said it, I got angry."

Tina usually accepted Jim's apology, but after this occurred several times, she suggested he get help in therapy because she was fed up with his reactions. 

She told him, "I'm afraid to make any kind of suggestion to you, but now that you're calm again, I think you should get help in therapy because you keep having these big reactions and I'm getting fed up."

Jim realized that, even though he felt regret and remorse for overreacting, if he continued to react this way towards Tina, she might leave him. So, he obtained a referral from his primary care physician for psychotherapy.

Jim's doctor referred him to a trauma specialist.

After getting a thorough family history, the trauma therapist helped Jim to realize his reaction belonged to unresolved issues with his father. She told him he was reacting to Tina as if she was his critical father.

Jim told his therapist that his father had a hair trigger temper and whenever Jim made a mistake as a child, instead of trying to be supportive and helpful, his father would lose his temper and criticize Jim.

Jim recalled that, over the course of his childhood, his father yelled at him many times for small mistakes. His father also humiliated him in front of his friends and other family members which left Jim feeling ashamed, angry and upset.

Since Jim's father died, it was no longer possible for Jim to work out these issues with him. But Jim also knew that even if his father was still alive, his father wouldn't have been open to talking about it.

Over time, Jim's therapist helped him to work through his unresolved feelings from the past using EMDR and Parts Work Therapy

The work was neither quick nor easy, but Jim stuck with it because he wanted to save his marriage and he didn't want to continue to reacting in the present based on unresolved issues from the past.

As Jim learned to be aware of the present versus the past and to communicate better with Tina, their relationship improved.

By the time he completed trauma therapy, Jim felt relieved to no longer being carrying a burden from the past.

Conclusion
Transference occurs on an unconscious level when you redirect feelings, attitudes and behavior from the past to someone in your present life.

Transference can occur in any relationship including with your partner, a friend, a family member or your therapist.

Getting Help in Therapy

When you learn to distinguish your unconscious feelings in the present from your unresolved feelings from the past, you can develop a more conscious awareness of what's happening to you.

Although you might realize after you react that you're really reacting to some unresolved issue from the past, your awareness might not be enough to keep you from continually reacting this way.

A licensed mental professional, who is trained to help clients to work through unresolved trauma is called a trauma therapist (see my article: What is a Trauma Therapist?).

A trauma therapist can help you to work through unresolved problems from the past so you're no longer getting triggered and overreacting with your partner.

Once you have worked through your unresolved problems, you can have a healthier relationship and live a more meaningful 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 work through unresolved traumatic 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.

My Other Articles About Transference:






































Tuesday, November 25, 2025

What is Survivor Guilt in Family Dynamics?

Survivor guilt in family dynamics usually involves surviving one of the following when other family members have not:
  • A traumatic incident
  • A difficult or traumatic upbringing
  • Achieving a better quality of life than other family members
Survivor Guilt 

Incidents such as the above often lead the "survivor" to feel a sense of remorse, guilt, worthlessness, undeserving as well as responsible for the fate of other family members who weren't as fortunate.

Survivor guilt is often irrational because these individuals usually weren't at fault for the other family members either not surviving or not doing as well as they did.

Key Aspects of Survival Guilt
  • Traumatic Loss: A family member dies or suffers serious consequences and the person who experiences survival guilt did not. This might include:
    • A car accident
    • A natural disaster
    • A medical problem
  • Generational Trauma: Prior generations suffered under traumatic circumstances and the person who is from a younger generation, who didn't suffer, feels guilty for surviving or not having it "easier" than the previous generation (see my article: What is Intergenerational Trauma?):
    • Family violence
    • War
    • Poverty and/or oppression
    • Systemic violence
    • Other atrocities, including the Holocaust and other forms of genocide
  • Parental Guilt: A parent can experience survivor guilt that they passed on a gene to their child and the child has medical problems as a result. They can feel guilty even though they had no control over passing on this gene.
  • Everyday Situations: If one family member achieves success while other family members are not as fortunate, the one who achieves success can feel guilty that they are fortunate while the others are not.  
How Does Survivor Guilt Manifest in Families?
Survival guilt can have a big impact on family relationships including:
  • Social Withdrawal: The individual who has been more fortunate might isolate themselves from family activities as a way to avoid dealing with their guilt.
  • Overprotectiveness: In order to avoid another loss, the individual who has been more fortunate might become overly protective of the other family members.
Survivor Guilt, Shame and Self Blame
  • Shame and Self Blame: These individuals might dwell on how they could have done things differently to help family members--even if, objectively, there was nothing else they could have done (see my article: Self Blame and the Internal Critic).
  • Difficulty Feeling Joy: They might believe they don't deserve to experience joy, happiness or success because they feel guilty that they are more fortunate than other family members.
  • Atoning Behavior: In order to atone for their good fortune when other family members have suffered, these individuals might be overly giving so they can atone for their good fortune. This is another maladaptive coping strategy.
Clinical Vignettes
The following clinical vignettes are  composites of many different cases with all identifying information changed to protect confidentiality:

Alan
When Alan was 15, he and his 13 year old brother, Tom, went surfing at the beach during the off season, even though there were red flags posted warning swimmers to stay out of the water due to rough waves from a fast approaching hurricane. Since it was the off season, there were no lifeguards at the beach, but Alan and Tom had fun surfing under similar circumstances before, so they disregarded the warnings.  After a while, Alan took a break to rest on the shore and Tom stayed in the water.  After Alan dried himself off, he turned to call Tom to tell him to come out of the water, but Tom was nowhere to be seen. He jumped back into the water to try to find Tom to no avail and he became frantic. When a police car approached, they called a rescue team who found Tom's lifeless body an hour later. Alan was devastated with sadness and guilt. No one in the family blamed him for Tom's death, but as Tom's older brother, Alan felt responsible. His shame and self blame was so great that he became overly protective of his other younger siblings. Later on in life, he felt guilty that he had career success because Tom never had this opportunity. Alan often engaged in self sabotage and self destructive behavior including excessive drinking. One day his doctor warned him about the connection between excessive drinking and his high blood pressure. Then, he providing Alan with a referral for trauma therapy (see my article: How Can Trauma Therapy Help You to Overcome Unresolved Trauma?).

Linda
Even though her grandmother never discussed her experiences during the holocaust, Linda knew her grandmother spent time as a young child in a concentration camp in Poland. By the time Linda was born, her grandmother was doing well financially, but she lived like she was poor. Specifically, the grandmother hoarded food because she feared anything could happen where she might not have enough to eat. In addition, when she ate, the grandmother always ate sparingly and saved scraps of food for another day. As a result both Linda and her mother surmised that, as a child, the grandmother probably had very little to eat in the Treblinka concentration camp and now, as an adult, she was always afraid food would become scarce again. The impact on Linda was that she couldn't enjoy food in her grandmother's presence--even foods she normally enjoyed.  Her mother had a similar problem. As time went on, Linda realized she had a problem and she sought help in trauma therapy to prevent her problem from getting worse.

Sara
When she was a child, Sara heard many stories from her father about his family's severe poverty when he waa a child. Her father told her there were many days he and his siblings had nothing to eat. Even though they were hungry, they would tell their parents they weren't because they didn't want their parents to feel bad. Although Sara's parents were doing well financially by the time she was born, she always felt guilty whenever they bought her a gift or new clothes. She felt she didn't deserve to have more than her father had when he was a child. Later on in life when Sara had a successful career, she felt that no matter how much she tried to do for her parents, especially her father, she couldn't do enough. She felt guilty about her financial success and, as a way to assuage her guilt, she bought her parents many gifts--even though they told her they didn't need them.  One day her mother took Sara aside during a family gathering and told Sara she understood why she was buying them so many gifts but, she said, no matter how many gifts she bought them, she couldn't undo her father's childhood poverty. She told Sara that both she and the father wanted her to enjoy her life and they could see how guilt was eating away at her. She suggested Sara get help from a licensed mental health professional who did trauma therapy.

How Can Trauma Therapy Help With Survivor Guilt?
Trauma therapy is an umbrella term that include following types of therapy:
  • EMDR (Eye Movement Desensitization and Reprocessing)
Survivor Guilt and Trauma Therapy
  • AEDP (Accelerated Experiential Dynamic Therapy)
These therapies were developed specifically to help clients to overcome trauma by:
  • Processing the Trauma: To work through the trauma in a safe and structured way
  • Developing Self Compassion: Helping clients to give themselves compassion to heal
Survivor Guilt and Self Compassion
  • Challenging Negative Beliefs: To identity and challenge negative beliefs
  • Developing Genuinely Positive Beliefs: Beliefs that are sincere and realistic about  themselves and others
  • Grieving Losses: Grieving what has been lost is essential to healing from trauma (see my article: The Many Layers of Grief).
  • Finding a New Purpose: Honoring their losses and channeling their guilt into meaningful behavior like volunteering
Getting Help in Trauma Therapy
If you are struggling with unresolved problems, you're not alone. Help is available.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist.

Overcoming unresolved trauma can help you to live a more meaningful life.

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

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

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 15, 2025

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.