Karen Sussan, LCSW, LMHC logo Karen Sussan LCSW, LMHC
Karen Sussan's therapy office in Suffern, New York

Experiential and Integrative Psychotherapy

Sometimes understanding the pattern is not enough to change it.

Experiential and integrative psychotherapy works with what is happening here and now, in your present experience, not only with your understanding of why it happens.


How I Use Integrative and Experiential Work in My Practice

Integrative can be a vague word, so here is what I mean by it. In my practice, I do not move every client through one predetermined course using one particular model. I draw on approaches I know, and I continue learning new ones, so I can meet each person where they are, with their history, goals, and what is happening in the moment. Many of these approaches are experiential.

What we may include:

Traditional talk therapy and relational work
Attachment-informed psychoeducation and therapy
Experiential and present-moment work
Art and expressive approaches
Parts work
EMDR
Deep Brain Reorienting (DBR)
Mindfulness, grounding, and body-awareness exercises

Why Insight May Not Change the Pattern

You can know why you react this way. You may understand where it comes from. Perhaps you have talked about it for years. Sometimes you can watch the pattern occurring in real time and almost narrate it. Still, it happens anyway.

That experience is more common than people expect, and it is not a sign that previous work failed or that you are doing something wrong.

Insight is valuable. I am all for insight. Insight-oriented work is at the core of my foundational training, and people can make lasting changes in psychodynamic or psychoanalytically oriented therapy. Sometimes, however, insight alone does not allow you to make the changes you would like to make.

Another way forward is to work with what continues to happen despite those gains from talk therapy. Experiential work focuses on what is happening in your present experience and can move beyond analysis when analysis is no longer enough. It pays attention to your felt sense, your body, and your nervous system. I can help you access those experiences and explore the roots of the problem in a different way.

When You Feel Stuck Despite Understanding the Pattern

Perhaps you:

Doubt your right or capacity to help shape your relationship
Feel unsafe in a relationship and second-guess yourself
Have difficulty trusting a solid relationship even when you know it warrants your trust
Know you are people-pleasing but cannot seem to stop
Avoid conflict even while coaching yourself to stand your ground
Have intense body reactions that seem out of proportion to the present situation or feel similar to reactions you had in a painful past experience

Experiences like these may suggest that you could benefit from a more experiential, in-the-room type of therapy, or from a blend of approaches that helps you work with what is happening in the here and now.

How Past Relationship Patterns Can Keep Affecting Adult Life

Early relationships shape how a person learns to experience safety, trust, closeness, separation, conflict, rejection, depending on others, and being depended on. Those lessons are established long before anyone can evaluate them. They may become deeply connected to nervous-system responses, physical sensations, and automatic emotional reactions. They can persist into adult relationships even when you understand them and are intentionally trying to respond differently.

Therapy That Works With What Is Happening Here and Now

This is what experiential means in practice. Rather than only discussing what happened, we also pay attention to what is happening while we are talking: emotions, physical responses, traces of unwanted memories that surface, reactions, conflicting feelings, and parts of you that may want different things at the same time.

The question is not only what happened to you. It is also what is happening inside you right now as we sit together with it.

Sometimes talking is not the most direct route. Because talk is the most familiar vehicle for change in psychotherapy, it is easy to assume that therapy must involve a lot of talking. But words can sometimes get in the way. There may be something beyond language that needs attention before change becomes possible. It can take courage and some trust to let a therapist help you approach a problem in this different way. Slowing down an experience and noticing what happened moments before an autonomic reaction, such as pressure in your chest, may be important.

Experiential work may also include:

Paying attention to a physical sensation and following what the body does next
Using music, movement, or art when expressive activity gets closer to what is at stake than words do
Using tapping or other forms of bilateral stimulation to strengthen a positive discovery or provide comfort during distress
Grounding, centering, and calming when something feels overwhelming
Guided imagery and mindfulness techniques to improve coping with external stressors and internal experience, making difficult issues more workable
Identifying and addressing different parts of you or emotional states involved in internal conflict, with the goal of improving self-management and coping

We will only use techniques that make sense for you and your situation.

Attachment-Informed Therapy as Part of the Work

Some of what brings people to this work may include:

Fear of abandonment or separation
Difficulty trusting people, sometimes to the point of extreme self-reliance
A push-pull pattern in relationships
Not knowing how, or whether, you can connect to others
Confusing anxiety with chemistry
Intense reactions such as catastrophizing or numbing out
Difficulty believing that you are lovable, worthwhile, or that you matter
Believing you are helpless or unable to manage what is happening
Feeling emotionally or physically unsafe even when you know you are reasonably safe
Difficulty identifying your needs or asking for what you need

A quick inventory like this is not a full assessment of attachment problems. These are simply signs that there may be underlying attachment issues. These dynamics and patterns are complex and develop through relationships and experiences over time. They can also change.

Interpersonal Therapy Uses What Happens in the Therapy Room

Relationship patterns do not stay outside the office. Issues involving trust, vulnerability, boundaries, asking for help, disagreement, fear of judgment, or expectations of rejection can show up in therapy much as they do elsewhere. That is an important component of psychoanalytic and interpersonal work.

This also creates an opportunity to practice new ways of relating and experiment with new skills and perspectives. Over time, the therapy room can become a kind of lab: a safe-enough place to notice patterns, try something different, and learn from what happens. You do not have to rely solely on your own analytical skills to solve the difficulty. Even when trusting a therapist is challenging, you have a professional guide who wants to help you work through those obstacles and move toward healing or the goals you have set.

No One-Size-Fits-All Therapy Model

Some people benefit primarily from conversation and insight. Others benefit from experiential work blended into that. You can indicate your preferences, of course. Depending on what you need, the work may include EMDR, DBR, attachment work, or other approaches described above.

What we use can change as your needs change. You should also have a collaborative relationship with your therapist and a meaningful role in helping to steer the course of treatment.

Is This Right for You?

This kind of work can help strengthen coping skills and increase your ability to stay grounded in present-day life. As stability and internal resources grow, it may become easier to address deeper patterns connected to the changes you want to make.

If you are currently in an acute mental health crisis, need intensive addiction or crisis stabilization services, or are court-ordered to attend therapy, a different setting will serve you better right now.

If you recognize yourself in some of the dynamics described here but are not sure whether experiential or integrative therapy makes sense for you, we can talk about whether working this way would be a good fit.

Getting Started

You are welcome to contact me to talk about what you are experiencing, what you have already tried, and what you would like to be different.

I offer a free phone consultation to prospective clients who want to see whether we might be a good fit. You can reach me at 845-202-9774 or through the contact page.

I see clients in person at my Suffern, NY office and via telehealth throughout New York State and Florida.

Curious if this feels like the right fit?

I invite you to start with a consultation. There is no pressure, just a conversation to see whether working together makes sense.