Therapy for major life transitions in NYC

Our team of therapists with doctoral-level training bring knowledge and expertise about the effects of major life stressors while helping you navigate them with self-compassion and resiliency. Experiences like moving, a new job or leaving a career, a change in relationship status or family (marriage, divorce, empty nest), a different life stage (early career, perimenopause, becoming a caregiver) always bring up a lot of questions, feelings, and unknowns.

The reality is, the change that comes with life transitions is hard for everyone. Even if they’re transitions you planned for and are looking forward to, change induces stress. Because it means a lot of upheaval, being outside your comfort zone, decision-making, grief, and possibly - personal growth. Life transitions often mean letting go of the familiar for a period of chaos and strong emotions, and this is where seeking therapy can make a big difference. You don’t have to wait until you’re on the other side - in fact, being in therapy in the midst of transition can help you gain clarity, find your bearings, and adapt with greater self compassion. If you’re interested in learning more, schedule an introductory call. We’d love to connect.

 

Examples of major life transitions that can affect mental health

  • Moving, relocation, immigration

  • Graduation or returning to school (graduate school, medical school, PhD)

  • Career change (promotion, pivot, part-time, quitting, retirement)

  • Moving in with a partner, engagement, getting married

  • Life after an unexpected event (injury, layoff, death)

  • Adjusting lifestyle or sense of self after a diagnosis or change in body

  • Separation or divorce

  • Leaving a community or faith practice

  • Coming to terms with realities of aging

  • Perimenopause and menopause

  • Becoming a caretaker of a parent, partner, family member

winding road into sunset
 

How major life transitions can affect how you feel

  • Noticeable increase in stress, feeling chronically dysregulated

  • Loss of self-trust or confidence, imposter syndrome

  • Feeling like you don’t know who you are anymore or have a sense of direction

  • Increase in depression or anxiety

  • Loss of familiar connections or social support

  • Overwhelm at having to start over

  • Ambivalence about new responsibilities and roles

  • Experiencing grief about letting go or the life you used to have

  • Increased self criticism or perfectionism

  • Traumatic stress or feeling triggered

  • Existential anger or resentment if transition wasn’t chosen

  • Relationship strain or conflict

  • Return of unwanted habits or patterns

 

Change is always hard

Unfortunately, there’s no instruction manual for change, because everyone experiences life transitions differently. Sometimes it’s a single life event, other times it can be a slow shift into new life chapter. And once we get our bearings, it may happen again. Even when life transitions are expected they can be a challenge, such as becoming an empty nester or retirement. Even if some transitions are the right decisions, such as a breakup or leaving an unhealthy job, they can be painful, messy, and uproot everything you knew that was familiar.

Even hard-earned or celebrated transitions like promotions, marriages, and a new addition to the family have their own sets of difficulties - and any struggle in these moments can get hidden under the rug because the pressure to be happy and grateful is so strong. And then the life-altering, devastating life transitions: the unexpected diagnosis or athletic injury, the sudden layoff, caregiving during a life stage you thought you’d have for yourself. A universal truth we can learn to expect in life is that change happens. And change is hard to navigate on your own because we don’t yet have perspective or a new normal.

 

What is resiliency?

The word resiliency is thrown around a lot, and there’s actually no singular definition. Is it a trait? A process, or a practice? An outcome? Is it only individual or can it also be collective? All of the above?

A common definition of resiliency is adapting and coping with life’s various challenges. But it’s essential to acknowledge that this framework privileges a hyper-individualistic way of being that often emphasizes internal perseverance or overcoming - which is not always possible, fair, or helpful.

Resiliency is different for each person and across each situation. It can entail things like flexibility, wisdom, the use of support, emotion regulation, and so much more. Resiliency is affected by epigenetics, psychosocial factors, personality, environments, and the resources or systems we have access to.

Everyone can grow in resiliency, and life transitions often present many opportunities for it, whether we like it or not.

 

What’s “normal” levels of stress versus an adjustment disorder?

While everyone experiences stress with life transitions, if your stress seems disproportionately high and outlasts the situation, or it doesn’t seem to decrease as things settle or pause, you may be struggling with what’s called an adjustment disorder. This doesn’t mean that you’ve failed to be resilient, or that you’re not handling things well. However, it could be a sign that the stress or emotional demand of having to adjust to something new is taking a toll that it’d be helpful to pay attention to now instead of later.

Think about working out - you’d expect that after a workout, your body feels tired and maybe sore. But with rest, nourishment, time, and maybe a plan for the next workout - you’re likely to be able feel like yourself quickly. When it comes to life transitions, it can feel like you’ve been asked to work out 30 days in a row - and if you’ve had little rest or nourishment during that entire stretch - it wouldn’t be a surprise to anyone that you’re feeling the effects.

Toxic positivity: when being positive becomes a problem

The American dream is rooted in enduring optimism, and our language is full of sayings like “think positive”, “look on the bright side” and the juicing advice to turn lemons into lemonade. Openness to things working out, practicing gratitude, or focusing on resourcefulness or what you can control can be a helpful perspective shift, especially in response to runaway anxiety. But those suggestions can also be dismissive, tone-deaf, and even cruel when suggested to rush someone into feeling "better when it makes all the sense in the world why they’re struggling.

Not everything can be turned into lemonade. When the pressure to stay positive is pushed on you to bypass or suppress the emotional pain of change, it makes everything worse. All life transitions come with uncertainties, challenges, and a whole range of emotions that accurately describe the moment - including ambivalence, anger, sadness, grief, disappointment, and anxiety. Toxic positivity encourages people to be dishonest and isolate even further during a time they should have all the patience, support, and understanding they need to find their footing.

 

How can therapy during a life transition help?

There can be the misperception that since everyone goes through life transitions, or if we planned or chose them, we’re supposed to handle them smoothly. It’s simply not true. Therapy during a life transition can make a huge difference by helping you understand and regulate your emotions, identify what you need to adjust, protect time for yourself or connection, and start living into a new sense of normal and new sense of self. Whether we expect it or not, most transitions affect us on all levels - physically, relationally, and psychologically.

Examples of therapy goals during a life transition

  • Manage big feelings or fluctuations in mood

  • Grieve unwanted change and figuring out how to let go

  • Establish new connections or social supports

  • Accept and adjust to new roles or sense of self

  • Address traumatic stress or triggers

  • Become aware of signs of burnout

  • Find perspective or rediscover priorities

  • Explore new directions for what’s next

  • Set new goals aligned with personal values

  • Strengthen self-trust and resiliency

  • Identify meaningful and realistic self-care in a new life season

 

Types of therapy for life transitions

Interpersonal Therapy (IPT)

IPT looks at the connection between your relationships and mood. In short, IPT aims to improve interpersonal relationships in order to positively impact mood. It specifically focuses on the presence of interpersonal disputes, life transitions, unresolved grief, or social isolation as key stressors - all of which are common to experience in the midst of major life changes.

Cognitive Behavioral Therapy (CBT)

CBT focuses on identifying the connections between your thoughts, emotions, and behaviors. It’s understandable that during a major transition, a lot of new thoughts, strong feelings, and unfamiliar adjustments are a part of life. Working with a CBT therapist can help you clarify how you’re responding to change, and support balanced perspective and decision-making.

Dialectical Behavioral Therapy

Dialectical Behavioral Therapy focuses on teaching a number of emotional and behavioral strategies to manage and tolerate strong feelings. Major life transitions can be difficult, and DBT helps you respond effectively when you may be out of your comfort zone for awhile. Its practical approach to coping skills can help you feel grounded in the middle of a new normal.

Psychodynamic Therapy

Psychodynamic Therapy focuses on making connections between past experiences and their impact on your sense of self or relationships today. New life stages or an unexpected change can feel unsettling or bring up past unresolved experiences. Taking the time to make the connection between what’s coming up for you and how it relates to the past often feels clarifying and empowering.

Trauma Therapy

Trauma therapy for life transitions can be helpful when you had no control over what changed. Or maybe you planned for some major change, but some serious curveballs came your way and now you’re not sure which way is forward. Feeling powerless or helpless when your life changes unexpectedly can be traumatic. Trauma therapy can help you process the effects of your experience with compassion and grounding.

 

Life transition therapists in NYC

Our team of psychologists at Manhattan Therapy Collective are trained in a number of relational, multicultural, and evidence based therapy approaches that are effective during life transitions, such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy.

We encourage you to reach out for support - we’d love to connect with you and answer your questions. Major life transitions can mean a temporary absence of perspective, confidence, and optimism. Or it can seem as though you’re expected to handle them independently and without help. Therapy can provide clarity, remind or help you discover your strengths, validate your emotions, and encourage hope for what’s next.

 

FAQs about therapy for life transitions