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with Cynthia Martin

A space for self-reflection and renewal

Blue Sketches Over Pink Circle

Where healing is the art of becoming whole.

Codependency Therapy in San Francisco (Psychodynamic & Relational, IFS-Informed)

Image by Zac Harris

I help people untangle codependent patterns like people-pleasing, fawning, over-functioning, emotional enmeshment, and chronic guilt or resentment. We treat these not as flaws, but as protective adaptations that once kept you safe. My approach is relational and attachment-based, blending psychodynamic therapy with IFS-informed parts work and gentle somatic skills. We go at the pace of your nervous system while we build self-trust, clarify boundaries, and practice new ways of asking for what you need without abandoning yourself. Sessions are practical and collaborative: we map the relational cycles you get pulled into, develop language for limits and requests, and grow capacity to tolerate the discomfort of healthy change. I’m queer-affirming, neurodiversity-affirming, and trauma-informed. The goal is interdependence—connection that honors both you and the relationship—so care stops costing you yourself. I offer virtual-only therapy for clients across California.

Codependency, Rewritten: Care That Includes You

Introduction

Let’s strip the jargon. Codependency isn’t a diagnosis—it’s a survival strategy that calcified into a way of relating: you read the room before you read yourself, over-function so others can under-function, and call it care while your own needs go quiet. The line between empathy and fusion blurs; your steadiness starts to hinge on someone else’s mood or approval. In this piece we’ll name the pattern without shaming it, notice how it shows up in ordinary moments, and sketch a steadier path—one where care includes you, boundaries hold, and you can stay with yourself while staying in connection.

Where the Word Comes From

The term grew up inside mid-20th-century addiction treatment. Clinicians noticed that partners and relatives weren’t just nearby the problem; they were reorganizing their lives around it. Groups like Al-Anon—a peer support community for people affected by someone else’s drinking—gave language to what was happening. One pattern was smoothing consequences, meaning you quietly absorb the fallout so the other person doesn’t feel the full impact of their choices: you call their boss to explain a “stomach bug,” pay the parking ticket they got while using, or reassure friends that everything’s fine. Another was over-responsibility, where you take on tasks or emotions that belong to another adult—managing every appointment “because they won’t,” tracking their mood more than your own, or deciding it’s your job to keep them stable. Your system runs hot while theirs under-functions.

 

As the idea moved beyond addiction, family systems theory—the view that we’re shaped by repeating patterns in our family unit—helped broaden it: codependency can appear anywhere your sense of self gets braided too tightly with someone else’s needs or moods.

For contrast, interdependence is the healthy middle: mutual support with boundaries—the lines that clarify what you’re responsible for and what you’re not. In interdependence, care flows both ways and each person keeps a distinct center. In codependency, the balance tips so far toward caretaking that your own center goes missing.

 

Roots of Codependency

If you trace codependency back, you land in the earliest exchanges between a baby and their world. That’s attachment (the template a child builds for how care works and how to keep it). Some infants meet a mostly welcoming environment; others—especially in contexts of instability, discrimination, or chronic stress—meet a world that feels hostile. In both cases, the caregiver’s presence becomes the training ground. Each moment of attunement—the caregiver’s precise, responsive matching of a child’s cues in eye contact, tone, timing, and touch—lays down scaffolding in the nervous system (the body’s built-in alarm-and-calming network) that says, “Here’s how we settle.” When care is steady enough, a secure base forms (an inner expectation that connection is available even when distressed). When care is inconsistent, the child adapts—intelligently.

 

Those adaptations look like tiny acts that later turn into patterns. A child may become exquisitely tuned to others, which can tip into hypervigilance (constant scanning for shifts in mood) or fawning (appeasing to prevent rupture). In some homes, kids shoulder adult roles—parentification (becoming the reliable caretaker because someone has to be). Where boundaries were mushy, enmeshment can masquerade as closeness (identities blending with too little separateness). The issue is longevity: what preserved connection then can later calcify into regulating yourself by regulating someone else.

 

These early maps echo in adulthood. Attachment styles (common patterns such as secure, anxious, avoidant, disorganized) are just names for how those maps tend to play out:

 

Secure. This usually grows in a “good-enough” environment: caregivers are generally warm, predictable, and responsive; misses happen, and rupture-and-repair follows. The child learns, “My signals matter; closeness is safe; distance is temporary.” As an adult, security isn’t the absence of conflict—it’s confidence in repair. Needs can be voiced without shame, boundaries set without threat, and differences tolerated without spinning out.

 

Anxious. Here, caregiving is inconsistent—sometimes tuned-in and affectionate, other times distracted, intrusive, or emotionally unavailable. The child can’t predict when connection will land, so they amplify signals to keep attention close. Growing up, closeness feels urgent while space feels like danger. Adults with this map often track micro-shifts in tone, over-explain to prevent rupture, and over-accommodate—confusing self-abandonment with devotion—until reassurance arrives.

 

Avoidant. Caregiving tends to be emotionally flat, hurried, or rejecting of big feelings. Autonomy is prized; comfort is practical rather than tender. The child learns that showing need risks distance or critique, so they minimize signals and self-soothe alone. In adulthood, warmth is wanted—but on a timer. When intimacy deepens, they may pivot into problem-solving, go cerebral, find reasons to take space, or meet needs solo. Asking feels risky; offering help feels safer than receiving it.

 

Disorganized. The most confusing start: the caregiver is a source of both care and fear—frightening (rage, volatility) or frightened (unresolved trauma, dissociation), with lapses in protection or moments of role reversal. The child’s system can’t form one strategy, so it splices approach and avoidance. Later, closeness is craved and alarming. Adults with this map may rush in, then feel engulfed and bolt; test bonds with small storms; or mistake intensity after chaos for proof of depth. Calm can feel suspicious until it’s relearned.

 

None of these are verdicts; they’re adaptations to the classroom you grew up in. The hopeful bit is plasticity: steady present-day relationships, clear boundaries, and repeatable repair give your nervous system new lessons. Over time, anxious can wait without catastrophizing, avoidant can share impact without feeling trapped, and disorganized can separate intensity from care. The map updates as the experiences do.

 

But without a new blueprint, we often repeat the old one—what clinicians call repetition compulsion (the pull to reenact familiar dynamics in hopes of getting a better ending). It’s not a conscious choice; it’s pattern-seeking. Someone raised with a caregiver’s addiction may find themselves drawn to partners with similar chaos, not because they “want drama,” but because their nervous system recognizes the script and tries to master it. That’s fertile ground for codependent habits—like over-responsibility and managing feelings that aren’t yours.

 

Roots aren’t only parent–child. Family roles and sibling dynamics matter. A kid with an emotionally volatile or chronically ill sibling might become “the easy one,” the helper who trims their needs to lighten the load. That’s training. It can mature into an adult identity organized around being indispensable, keeping the peace, or feeling valuable because they’re needed.

 

Culture writes its lines too. Many people—especially those from marginalized groups, women and AFAB folks (assigned female at birth), and anyone socialized to prioritize others—are fed strong narratives that acceptance equals self-sacrifice. If you watched a parent always defer, you were handed a model. If your community needed you to harmonize to stay safe, you learned to harmonize. Codependency isn’t just personal; it’s patterned by history, identity, and expectation.

 

Naming all this widens compassion. You didn’t pick these strategies out of a hat; they were earned. Healing doesn’t mean discarding your sensitivity or capacity to care. It means re-engineering the frame: building boundaries and practicing interdependence. In that balance, care still flows—but it includes you, and connection no longer requires disappearing.

Codependent Patterns in Adult Life

Some days the pattern is quiet. You wake already tracking someone else’s state while your own signals blur. That’s over-functioning paired with their under-functioning. To keep the peace, conflict-avoidance kicks in; you pre-empt disagreement by shrinking your preferences. By noon, you’ve done hours of emotional labor—managing another’s comfort—without noticing you skipped your own. The internal split becomes self-abandonment: saying yes while your body says no. Care drifts from kindness into rescuing—stepping in to fix or shield someone from consequences, even uninvited. Slowly, worth becomes equated with being needed rather than being known.

 

This ramps up when a loved one is cycling through addiction or long-standing instability—rapid mood shifts, fear of being left, stormy closeness, and all-or-nothing thinking (a habit of sorting people, feelings, or outcomes into extremes—perfect or pointless, safe or dangerous, loved or abandoned—with little room for the middle). You may find yourself smoothing consequences, organizing your day around their highs and lows, and feeling the slow burn of compassion fatigue (depletion from prolonged caretaking under stress).

Your system rides their roller coaster, and your center goes missing.

 

Codependency vs. Care

Generosity isn’t the problem. The hinge is enabling—care that shields someone from the effects of their choices while draining you. Empathy says, “I’m with you.” Enabling says, “I’ll do it for you—and I’ll absorb the cost.” Interdependence offers a third way: warmth, information, and presence without taking over; letting reality do some teaching.

 

When the Pattern Flips (Emotional Cutoff)

Sometimes, after a long stretch of over-functioning, the system does the equal-and-opposite thing: it goes quiet. That’s emotional cutoff—not a healthy pause, but a protective shut-down so you don’t have to feel the heat of closeness. It can sound polite and look functional: you answer in facts, stick to logistics, keep the calendar humming. Inside, you’ve pulled the plug.

 

This is where parallel living creeps in. Parallel living means two people share a home but stop sharing a life. You move beside each other rather than with each other. Days become coordinated routes—bills paid, meals plated, pickups handled—while anything tender gets left at the curb. You’re near each other on the couch and far from each other in experience. It feels calm because there are no fights; it feels lonely because there is no real contact.

 

Cutoff usually follows fusion. If you’ve been absorbing someone else’s feelings, your body eventually seeks relief by going flat. The problem is that cutoff also blocks the very ingredients that make closeness safe—accurate mirroring, clear limits, small repairs. You dodge the fire and lose the warmth.

 

The pivot isn’t “share everything now.” It’s creating conditions where contact doesn’t cost you yourself. Name what’s happening: “I notice I’ve gone numb.” Take structured space instead of silent space: “I’m stepping out for twenty minutes and I’ll come back to this.”

 

Watch for your early signs: a sudden urge to fix everything alone, irritation with ordinary requests, switching to all-or-nothing thinking, craving distance that feels absolute. Those are cutoff cues. If you tend to cut off, practice brief, doable connection: “I’m here. I’m tense. I can talk for ten minutes,” or “I care about this and I’m getting overloaded; can we slow it down?” If you’re with someone who’s gone parallel, invite without pressure: “I want to understand. When would be a good time to check back in?” Pressure invites retreat; clarity invites return.

 

Under the cutoff is a good intention—protect the self. Boundaries let you keep that intention while staying present. The aim isn’t endless openness; it’s right-sized contact: enough honesty to be known, enough structure to feel safe. Done steadily, the brittle relief of distance gives way to the steadier relief of repair.

 

How Psychotherapy Helps with Codependency

Therapy gives you a steady place to practice what didn’t get practiced early on: staying with yourself while staying in connection. The relationship with your therapist becomes a secure base—predictable, boundaried, and repair-capable—so your nervous system can learn calm without having to manage anyone else’s mood. That safety lets you look at the pattern without shame: where it started, how it kept you connected, and where it now costs you.

 

Good work starts by mapping your specific loop—what you feel first in your body, the thoughts that rush in, the moves you make to keep the peace, the aftermath. Together you slow the sequence down. You learn to notice attunement to yourself (sensations, impulses, needs) before attuning outward. That’s the shift from co-regulation with everyone else to healthy self-regulation inside you.

 

Therapy is also where boundaries become real, not theoretical. You’ll try on language that fits your voice, feel what happens in your body as you say it, and adjust until the line is both clear and kind. If your caretaking began as parentification or in a home with enmeshment, there’s often grief work—mourning the roles you had to play—so you’re not dragging old obligations into present relationships. If addiction or chronic instability is in the mix, therapy helps you pair “detachment with love” and harm-reduction thinking: you can care, offer resources, and refuse to take over another adult’s tasks or emotions.

 

Because much of codependency lives in the present tense, sessions include small experiments you can run between meetings: tolerating a pause before fixing, asking directly rather than guessing, allowing someone else to have their feeling without editing yourself. You come back, study how it went, and refine. Over time, you build interdependence—mutual support with real boundaries—instead of fusion on one side or withdrawal on the other.

 

If your early attachment history laid down anxious, avoidant, or disorganized maps, therapy updates those internal working models through repetition and repair. You’ll experience misattunements that are named and mended, which teaches your system that closeness doesn’t require performance and distance doesn’t mean disaster. Sensitivity and care remain; the frame gets stronger.

 

How you’ll know it’s working: you catch the pattern sooner; your “no” gets simpler; you can let someone else feel how they feel without rushing in; you rest more, explain less; you feel valuable when you’re honest, not only when you’re needed. In short, you become easier for yourself to live with—and easier to love without disappearing.

Resources (practical, searchable, no fluff)

 

CoDA (Codependents Anonymous). Peer support focused on recovery from codependent patterns. Look for “newcomer” meetings and try 2–3 different ones; each group has its own feel. You’ll hear lived experience, get language for boundaries, and can explore sponsorship and step work at your pace.

 

Al-Anon / Nar-Anon. For those affected by someone else’s drinking or drug use. If addiction is part of your landscape, these fellowships help you practice “detachment with love” in real time. Meetings are everywhere, including online.

 

SMART Recovery Family & Friends. A secular option using evidence-based tools (motivational interviewing, CBT-style skills). Good if you like worksheets and concrete strategies for communication and limits.

 

Therapy (individual or group). Search terms to try: “codependency,” “boundaries,” “attachment-focused,” “trauma-informed.” Directories with strong filters: TherapyDen,

Psychology Today, Open Path (for lower-cost options). If you want group therapy, add “interpersonal process group” or “boundaries group” to your search.

 

Crisis & stabilization (U.S.). 988 (call/text/chat) for immediate emotional support. For substance use treatment navigation, SAMHSA National Helpline (1-800-662-HELP). Use these if safety, withdrawal, or acute risk is in the picture.

 

Books you can work with:

  • “Codependent No More” — Melody Beattie. Classic language for identifying enabling and reclaiming self-care.

  • “Attached” — Amir Levine & Rachel Heller. Quick primer on attachment patterns in adult relationships—useful for spotting your default moves.

  • “Adult Children of Emotionally Immature Parents” — Lindsay Gibson. If your caretaking started young, this frames the pattern and offers repair steps.

  • “All the Way to the River: Love, Loss, and Liberation” — Elizabeth Gilbert. Candid memoir on love, addiction, enabling, and the grit of rebuilding boundaries; use as a reflective companion, not a manual.

 

Closing

You don’t have to choose between love and yourself. The task is smaller and braver: keep your center while you care. That’s the opposite of codependency—not distance, but durable closeness.

Codependency FAQ

What is codependency, in plain language?
Codependency is a pattern where your sense of safety or worth gets tied to caretaking, harmony-keeping, or managing other people’s feelings. It’s not a character flaw; it’s usually a learned survival strategy.

How do I know if I’m in a codependent pattern vs just being caring?
Being caring includes you. Codependent patterns leave you depleted, resentful, anxious, or afraid to say no. Clues: chronic people-pleasing, fawning, over-functioning, panic about conflict, or feeling responsible for another adult’s mood.

Is codependency always mutual?
Not necessarily. It can show up in families, friendships, romance, or work. Sometimes both people are over-functioning; sometimes one over-functions while the other under-functions. We map the pattern without blame so you can step out of it.

Do you use parts work for codependency?
Yes. We explore the parts that keep the peace, the parts that over-deliver, and the ones that go numb or rage when needs are ignored. We build inner cooperation so limits don’t trigger exile or collapse.

What does therapy focus on first?
Stabilization and self-trust. We start with nervous-system pacing, micro-boundaries, and clear scripts. Then we practice new behaviors in low-stakes places before tackling the hard conversations.

Will therapy make me “selfish”?
No. The aim is interdependence: care that includes you. We strengthen differentiation so you can stay connected without merging or managing.

Do you work virtually only?
Yes. I provide virtual therapy for clients anywhere in California.

How often are sessions and how long does it take?
Weekly is best at first. Timing depends on history, support, and how entrenched the pattern is. We go for steady, sustainable change, not boom-and-bust.

Is your approach affirming for LGBTQ+ and neurodivergent clients?
Yes. We adapt tools for your nervous system, culture, and access needs so the work fits you.

What if setting boundaries blows up the relationship?
We plan for aftercare and pacing. Limits don’t have to be ultimatums; they can be offers with edges. If a relationship can’t tolerate your basic needs, therapy helps you face that with support.

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