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Wednesday, November 13, 2024

Trauma Therapy: Combining EMDR Therapy and Parts Work to Overcome Emotional Blocks

As a trauma therapist, I have found it especially helpful to combine EMDR and Parts Work to help clients overcome trauma experiences.

    See my article: Parts Work Can Be Empowering)

There are many ways that EMDR and Parts Work can be used together in trauma therapy. 

In this article, I'm focusing on how the combination of Parts Work and EMDR therapy is beneficial to overcome a blocking belief.

What is a Blocking Belief in EMDR?
A blocking belief is a negative thought or belief that acts as an obstacle to integrating the trauma during trauma therapy.

Combining EMDR and Parts Work Therapy

Blocking beliefs are often longstanding. 

Often these beliefs developed during early childhood. They can originate in memories, family experiences, cultural issues, relationships or other experiences.

Examples of blocking beliefs include (but are not limited to):
As long as a blocking belief exists, it can get in the way of processing the trauma in any type of therapy.

I usually provide clients with psychoeducation about blocking beliefs before we begin processing the trauma because these beliefs are so common.

That's also when I talk to clients about using Parts Work therapy--either Ego States therapy or IFS (Internal Family Systems) to help overcome the blocking belief.

Combining EMDR and Parts Work to Overcome Trauma
During Parts Work therapy, I help clients to identify the various aspects of themselves, including the part that contains the blocking belief, the part of them that wants to get better and other parts that might be involved.

Once these parts are identified, the client can understand how the blocking belief is preventing them from progressing in therapy. They can also understand the positive parts of themselves that they can nurture and strengthen.

Clinical Vignette
The following clinical vignette illustrates how Parts Work can help to overcome a blocking belief in EMDR therapy:

John
John sought help in EMDR therapy to overcome complex trauma stemming from a childhood history of emotional neglect.

He was motivated to seek help in trauma therapy because he could see how his childhood history was affecting his adult relationships--both personal and work-related. 

Combining EMDR and Parts Work Therapy

In his personal life, he tended to choose partners who were hurtful and emotionally avoidant--people who were similar to his parents. 

At work, he wasn't able to assert himself to get a well deserved promotion and a raise because he lacked confidence.

His trauma therapist explained EMDR therapy to him. She also told him that during EMDR, it was common to find a blocking belief that becomes an obstacle to working through the trauma.

With his therapist's help, John identified the blocking belief, "I'm not good enough." After identifying this belief, John realized it had been an obstacle in his prior therapies. 

In the past, whenever John tried to work through his childhood trauma, he was overcome with a deep sense of shame and then he would drop out of therapy (see my article: Shame is at the Root of Most Emotional Problems).

He never understood before why he was overcome with shame to the point where he felt he had to leave therapy prematurely (see my article: Why Do Clients Leave Therapy Prematurely?).

It wasn't until his current trauma therapist helped him to identify the particular part of himself that carried this blocking belief that he began to understand why he left therapy in the past before his problems were worked through.

His current therapist helped him to give voice to this part, which John called "the sad boy." 

Using Ego States therapy, which is a type of Parts Work therapy, his therapist helped John to use the adult part of himself that felt strong and positive to show compassion and kindness to the "sad boy" part.

Over a period of time, John was able to transform the "sad boy" part so he could process his traumatic memories with EMDR therapy because he no longer had the blocking belief.

Combining EMDR and Parts Work Therapy

The work was neither quick nor easy, but John made steady progress with Parts Work therapy and EMDR and, eventually, he worked through his history of trauma so it no longer was an obstacle for him.

Conclusion
Combining EMDR therapy with Parts Work is an effective strategy for overcoming blocking beliefs.

Although I have focused on the combination of EMDR and Parts Work, Parts Work can be used in combination with any type of therapy.

Once the blocking belief part is identified, the trauma therapist helps the client to work with this part using other positive parts to transform the blocking belief so it is no longer a problem.

Getting Help in Trauma Therapy
Regular talk therapy usually isn't enough to help clients to overcome trauma, especially complex trauma (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy?).

If you have been struggling with unresolved trauma, you could benefit from working with a trauma therapist who combines EMDR and Parts Work therapy.

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

Once you have overcome your trauma history, you can live a more fulfilling life.

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

I work with individual adults and couples.

As a trauma therapist, I have helped many clients to overcome trauma (see my article: What is a Trauma Therapist?).

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.
















Monday, November 11, 2024

How Can Parts Work Therapy Help You to Be More Creative?

I've written about Parts Work, also known as Ego States Therapy and IFS (Internal Family Systems) before (see my article: How Parts Work Can Empower You)

Also see the articles listed at the end of this article.

What is Creativity?
People often think of creativity as being related only to art, writing and other artistic works.

What is Creativity?

But creativity also includes:
  • Problem solving for day to day issues
  • Scientific solutions
  • Cooking
  • Gardening
  • Thinking of new ways to approach everyday tasks
  • Finding new ways to deal with stress
  • Finding new ways to communicate more effectively
And so on.

The list above is only a small fraction of ways to be creative (see my article: Reclaiming Your Creativity).

How Can Parts Work Therapy Help With Creativity?
Parts Work is a type of Experiential Therapy that helps you to get to know the many different aspects of your personality.

In other words, Parts Work helps you to get to know your internal psychological landscape from the inside out.

Parts Work Therapy Can Help With Creativity

Parts Work therapy can be used in many different ways, including in Trauma Therapy

It can also be used to help you to access parts of yourself that are unconscious or disowned (see my article: Discovering and Giving Voice to Disowned Parts of Yourself).

A psychotherapist who uses Parts Work can help you to discover the various parts of your personality so you can get to know these parts and use them creatively.

Clinical Vignettes
The following clinical vignettes are composites of many different cases and illustrates how Parts Work Therapy can be used to help with creativity:

Jane
Jane was having problems getting started with a book that was due to her publisher in a few months.

Every time she sat down to try to write, she felt blocked. Specifically, she felt overwhelmed by feelings of inadequacy and shame (see my articles: Shame is at the Root of Most Psychological Problems).

Struggling With the Internal Critic

When she spoke with her therapist, who did Parts Work, Jane discovered that her shame and feelings of inadequacy stemmed from a part that was an internal critic.

This internal critic developed in her childhood from being told by her father that she would never amount to anything (see my article: Overcoming Emotional Blocks).

After working with this critical part, Jane was able to see that this part was keeping her emotionally blocked. 

Through her Parts Work therapy, Jane was able to ask this part to "step aside" with compassion so she could access the more creative parts of herself that helped her to open up new ideas for her book. 

Parts Work Therapy Can Help With Creativity

Her creative parts included a much freer playful part that helped her to play with ideas and freed her up to write.

As she continued to work in Parts Work therapy, Jane learned how to feel compassion for the internal critic part and that part was transformed into a source of strength.  

Once this occurred, Jane no longer had problems with writer's block.

Bill
Bill was given the task of coming up with new ideas for an old product at work. 

Initially, Bill was excited about the project, but every time he tried to sit down to draft ideas, he found himself getting so anxious that he would distract himself with social media or TV as a way to avoid doing the work.

Procrastination as Part of Avoidance

Knowing he couldn't procrastinate anymore, he sought help from a psychotherapist who did Parts Work therapy to overcome his problem.

Through Parts Work therapy, Bill learned that his anxiety was a protective part of himself that feared he would humiliate himself by doing a poor job with the project. His procrastination was related to this part of himself.

His Parts Work therapist helped Bill to realize this protective part stemmed from his childhood experiences in a family that was very risk averse.  

As a child, whenever Bill wanted to try something new, his anxious parents would come up with all kinds of reasons why it would be dangerous for him to try anything new.

By showing compassion to the protective part of himself in Parts Work therapy, he was able to get that part of himself to relax and allow more creative parts of himself which were curious and more adventurous to come to the surface.

These creative parts allowed him to approach his work project with new energy.

Parts Work Therapy Can Help with Creativity

When he presented his ideas to his team, Bill received a lot of praise from his manager and colleagues which also helped to disconfirm his fear that taking risks was dangerous.  He learned instead to be open to his creativity and present his work with pride.

Conclusion
Parts Work is an umbrella term for various types of therapies, like Ego States and IFS.

Parts are aspects of your personality.

Parts are often unconscious so that you aren't aware they're creating obstacles for you.

Parts Work therapy helps to make the unconscious conscious so you can to transform these parts into creative parts.

Many parts go back to childhood and might, at first, resist giving up their protective role. 

You can think of this dynamic as being similar to a defense mechanism which has been ingrained in you for a long time. 

No parts are considered "bad" and no parts are discarded. 

Instead, a Parts Work therapist helps you to find way to transform a part from being an obstacle to being a source of strength.

Getting Help in Parts Work Therapy

Getting Help in Parts Work Therapy

If you're struggling with a problem you have been unable to resolve on your own, rather than continuing to feel stuck, you can seek help from a licensed mental health professional who does Parts Work therapy.

Parts Work therapy helps to free you from obstacles that are getting in your way so you can lead a more fulfilling life.

Also See My Other Articles on Parts Work



About Me
I am a licensed New York City psychotherapist, hypnotherapist, EFT (for couples), Somatic Experiencing, IFS, Ego States Therapist and 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.




















Sunday, November 10, 2024

Learn to Stop Overspending as a Way to Avoid Uncomfortable Feelings

Overspending as a way to ward off uncomfortable feelings, like anxiety or depression, can quickly lead to being over your head in debt, which can result in increased anxiety and depression.  

Learn to Stop Overspending as a Way to Avoid Uncomfortable Feelings


Overspending Can Become a Vicious Cycle With No End in Sight
Many people get caught in a vicious cycle of increased depressive or anxiety-related symptoms and increased overspending and debt, and they don't know how to get out.

Overspending and the Dopamine Rush
It's not just a matter of avoiding uncomfortable emotions. There's also a dopamine rush.  And the dopamine rush from indulging in overspending can be similar to the rush that people get with other impulse control disorder experiences, including drug abuse, sex addiction and gambling.  The dopamine rush itself is a powerful reinforcer for this cycle.

The problem with the dopamine rush is that it's short lived, so you have to spend again to get the next "hit."  This can fuel an endless cycle of overspending to ward off uncomfortable feelings, increased uncomfortable feelings and then increased overspending, and so on.

You Don't Have to Be in Serious Debt to Have a Problem With Overspending
You don't have to be thousands of dollars in debt to have a problem.  Just like the person who has a problem with alcohol, problems with overspending usually starts small and then become increasingly worse.

Ask yourself:
"Do I tend to go shopping or engage in other excessive spending when I'm anxious, depressed, angry or experiencing other uncomfortable feelings?

If you're honest with yourself and you detect a pattern, you'll admit to yourself that you have a problem and take steps to overcome this problem.

What Can You Do to Stop Overspending?

Acknowledge You Have a Problem
The first step to overcoming the problem of overspending, like any impulse control problem, is to admit that you have a problem.

Until you admit you have a problem, you're not going to be motivated to change.

Be Aware That Denial Can Be a Powerful Defense Against Admitting You Have a Problem
Denial can be very powerful, even when people are in serious debt.  Even after people realize they have a problem, they will often bargain with themselves by telling themselves things like, "This will be the last time I'll go on a spending spree."

Increase Your Awareness of Your Overspending Habits: What's Your Pattern of Overspending?
Admitting that you have a problem is the first step.  The next step is to increase your awareness of your particular pattern.

Everyone has a particular pattern of overspending, so you'll need to pay extra close attention to discover  your pattern.

Keep a Journal
I recommend keeping a journal.

Initially, until you can stop overspending, you might be writing about your spending habits after you've engaged in overspending.  The goal is to, eventually, get the point where you've become so aware of your overspending habits that you catch yourself before you give into the impulse to overspend.

You can set up your journal in whatever way works best for you.  One way that I recommend is to track what uncomfortable emotions came up and under what circumstances so that you can see what triggers the overspending (see details given below in the scenario about Ann):

Keep a Budget
People who overspend often have little to no awareness on how they spend their money.  Part of this lack of awareness is that the overspending is compartmentalized in their mind to keep themselves from feeling the discomfort of how serious their problem really is, which is a form of denial.

When you keep a budget by writing down how much to spend on each category and then track and write down what you actually spent, it can be a real eye opener.   And this can be the beginning of getting out of denial.

Attend Debtors Anonymous
Debtors Anonymous is a 12 Step program that helps people who have problems with overspending.  People who attend Debtors Anonymous meetings provide each other with mutual support.  If you go to the link above, you can find more information about this program and a meeting that is located near you.

The following scenario, which is a composite of many different cases with all identifying information changed to protect confidentiality, is an example of how someone who was able to get help for her overspending problem:

Ann
When Ann first came to see me, she was in serious debt.  She came in because she and her husband were having marital problems because of her overspending.

Initially, Ann didn't think she had a problem with overspending.  She came because she was afraid that all the arguing between her and her husband would lead to a divorce, and she didn't want to lose her husband.  But she made no connection between their arguments and her spending habits.  She felt her husband was overreacting.

Denial was very powerful for Ann.  And, initially, when I asked Ann about her debt, her thinking became fuzzy so she couldn't remember how much in debt she was or the specific information about who she owed money to, etc.

So, I asked Ann to bring in her bills and credit card statements.  This was emotionally painful for Ann because, without realizing it, she was doing everything possible to avoid allowing herself to see how big a problem she had.  She also felt very ashamed.

With the information in hand, we were able to see that she was close to $100,000 in debt, which was shocking to Ann.  It's not that she didn't know this on some level but, until now, she kept herself from allowing this information from really sinking in emotionally.  And, as you would expect, the anxiety of allowing the information to sink made her feel like she wanted to go out and make an impulsive purchase to ward off her anxiety.

So, we worked on helping Ann to develop better coping skills because she was using the rush of overspending to ward off anxiety.  A big part of her developing coping skills, aside from getting more physical exercise and learning to meditate, was keeping a journal to track the triggers to her overspending.

Based on my recommendation on how to set up her journal to understand her pattern of overspending, Ann set up her journal with the following four columns:
  • Date and Time
  • The Trigger (or Precipitating Event):  What Was Going on at the Time?
  • What Emotion Goes With the Trigger?
  • How Did I Overspend?
Then, she wrote a narrative about how she felt about this incident of overspending.

When she first began writing in her journal, Ann was writing about the event after the fact most of the time because she was still struggling with her impulse to overspend.

Developing an awareness before she gave into her impulse was very challenging at first.

But even after she was more aware and she realized that she was about to give into the impulse, she would bargain with herself by telling herself that "this would be the last time."  Unfortunately, there were many so-called "last times" before she could get to the point where she could catch herself before she gave into the impulse.

Eventually, Ann was able to write in her journal when she got the urge to overspend and she learned not to give in most of the time.

The challenge after that was for Ann to deal with the uncomfortable feelings that were at the start of her impulsive cycles of overspending, and we did this in her therapy.

Learning to Cope: Developing the Capacity to Tolerate Uncomfortable Feelings
Since the impulse to ward off uncomfortable feelings is usually at the beginning of the cycle of overspending, developing an ability to identify them and the capacity to tolerate uncomfortable feelings is an important part of the work in therapy.

During the course of a lifetime, everyone experiences loss, small trauma and, for many people, big trauma.  If, for whatever reason, you never developed the capacity to tolerate uncomfortable feelings, you can be at risk for engaging in impulsive behavior.  And if you're already engaging in impulsive behavior, it's harder to stop until you develop this capacity.

Getting Help
Along with attending Debtors Anonymous, many people have been helped by working with a licensed psychotherapist who has an expertise in helping people who have problems with overspending, especially when they're attempting to deal with their emotional triggers.

If you have problems with overspending, you owe it to yourself and your loved ones to get help.  Avoiding the problem will only result in the problem getting worse since, like most impulse control problems, problems with overspending is progressive and gets worse over time.

Getting help from a licensed therapist can help you to lead a more satisfying and meaningful life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

I have helped many people to overcome their impulsive habits, including overspending, so they can lead more fulfilling lives.

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.



Dating For a Lasting Relationship: The Spark vs the Slow Burn

In our fast paced world, people often feel that if they don't experience an immediate spark on a first date, there's nothing there. But the spark isn't necessarily a good indicator if you want a lasting relationship.

 
Dating For a Lasting Relationship: The Spark vs the Slow Burn

In this article, I'm focusing on the difference between the spark and the slow burn when you're dating (see my prior articles about dating at the end of this article).

What is the Difference Between a Slow Burn vs a Spark?
When you're dating to develop a lasting connection that leads to a committed relationship, you need to understand the difference between a spark and a slow burn.

Dating: The Spark vs the Slow Burn

    The Spark
The spark is basically the rush of emotions you feel when you meet someone and you feel an attraction. This is often referred to as "instant chemistry." Some people describe it as feeling "butterflies."

The spark of physical attraction (or chemistry) includes the following hormones:
  • Dopamine
  • Norepinephrine
  • Oxytocin
  • Testosterone
  • Estrogen
  • Adrenaline
Although the spark is usually what's celebrated in movies, TV programs and social media, it's not necessarily a reliable indicator that you have met your one-and-only person. 

Dating For a Lasting Relationship: The Spark

For one thing, there are many people who are naturally charismatic. They know how to turn on the charm to give off the spark. 

So, you might be fooled into thinking you have a strong emotional connection with someone when it's not really anything long lasting (see my article: Falling in Love With Charisma Instead of Character).

Once the initial spark fades, as it's liable to do after a while, you might find there's very little substance to your relationship (see my article: What Are the 3 Stages of the Honeymoon Phase (also called Limerence)?).

In addition, most people tend to project their wants and desires onto a person they're attracted to before they even know them.  

While it's easy to understand how this can happen, especially if you have had prior dating disappointments, it's important to be aware of these projections so you don't set yourself up for another disappointment when you actually get to know the person you're dating.

This doesn't mean that chemistry (or the spark) isn't important.  It is. But the type of chemistry that leads to a lasting relationship takes time to develop. It doesn't happen immediately.

Chemistry that leads to a lasting connection includes physical attraction, but there's so much more:
  • Strong communication
  • Mutual respect
  • Trust 
  • A deep understanding of each other
  • Shared values
    The Slow Burn
So, if the spark can be misleading, what's a better predictor of a real connection?

Dating For a Lasting Relationship: The Slow Burn

The answer is: The slow burn.

Relationship experts talk about the slow burn as a type of simmering rather than a spark.

When a dating relationship is allowed to simmer, you give yourself time to get to know the other person. 

During the initial dating phase, it's hard to assess if what you're feeling is real or not and if you're seeing the other person clearly.  You need to see them in many different situations to get to know their character.

Here are just a few things to look for:
  • Do you feel heard and understood by this person?
  • Do you feel relaxed and curious around this person?
  • Do their values and goals align with yours?
  • Do they treat other people well, including your friends?
  • Are they respectful to others, like the waitstaff at a restaurant?
  • How do they talk about exes?
How Slow is the Slow Burn?
It's unfortunate that many people make their decision about whether to continue dating someone based on whether they feel a spark on the first date.  

They don't take the time to get to know someone, which often leads to many first dates and nothing of substance.

Dating For a Lasting Relationship: The Slow Burn

There can be so many factors as to why you or your date might not come across well on a first date, including nerves, which doesn't give you or them an accurate picture.

Of course, if you discover immediate dealbreakers, that's another story. 

But many people don't take the time to think about what their dealbreakers so they end up with a long list of things that aren't necessarily dealbreakers or they have no list at all.

Dating For a Lasting Relationship: The Slow Burn

Generally, you can get a sense of how well you connect with someone you're dating in 5-6 dates (more or less). By then, you generally know if you have the beginning of a connection with someone.

This doesn't mean you know whether this dating relationship will lead to a committed relationship, but it's a start.

It will take a lot more time to see whether you can form a lasting relationship over time.

Take Time After a Date to Self Reflect
Rather than rejecting someone because you didn't feel instant chemistry or, at the other extreme, thinking you found your "true love" because you felt instant chemistry, take time after a date to reflect on how you felt during the date:
  • Are you curious about them?
  • Did they seem curious about you?
  • Did you feel heard when you spoke to your date?
Dating For a Lasting Relationship: Take Time to Self Reflect
  • Did your date dominate the conversation?
  • Did you feel you had to carry the conversation?
  • Did you feel energized when you were with this person?
How to Move On When There's No Slow Burn Over Time
While it's important to allow time for things to simmer, after a while, you might realize that it's not going to happen.

Moving On When There's No Slow Burn

If nothing is simmering, you can decide if you want to continue to give this dating relationship a chance or if you want to move on.

Being honest, kind and tactful is important, which means that ghosting is not the solution. 

Talk to the person you've been dating and let them know that you're not feeling a connection with them.  Give them a chance to respond. Listen to what they have to say and then make your decision.

Conclusion
Most people rely heavily on whether they feel a spark, but the spark is not a reliable indicator for many of the reasons given above.

Dating For a Lasting Relationship

While chemistry and physical attraction are important, these qualities alone aren't good predictors of a lasting relationship.

Take your time to get to know someone before you rule them out as a possibility for a lasting  relationship.

And just a note: Not everyone is looking for a monogamous relationship. Some people date to hookup. Others want a consensual nonmonogamous relationship or solo polyamory.

That's fine. Just be aware of what you want and whether the other person(s) are looking for the same thing.

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

I work with individual adults and couples.

I have helped many clients to deal with relationship 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.









































Saturday, November 9, 2024

Developing Calmness and Balance During Stressful Times

One of the biggest challenges for many people is developing mental and emotional calmness and balance during stressful times.  This is why it's so important to learn to understand and develop equanimity (see my article: Living a Balanced Life).


Developing Equanimity During Stressful Times

What is Equanimity?
Equanimity is defined as the capacity for calmness, composure and even-temperedness--even in highly stressful times (see my article: Living With Uncertainty).

The metaphor of a sailboat which remains upright in turbulent waters is often used to describe equanimity. The sails might sway in the storm, but they remain centered.

Staying Centered During Stressful Times

Equanimity doesn't mean passivity, indifference or resignation. It means finding your inner balance.

Equanimity also doesn't mean that once you have found your internal centered place that you won't take appropriate action to improve a stressful situation.

For instance, if you angry and disappointed about a particular social justice issue, you can participate in social justice activism for the equal rights and opportunities of all people and, at the same time, maintain a sense of equanimity (more about this below).

How to Practice Equanimity During Stressful Times
  • Start With Self Awareness: When things go wrong or times are stressful, it's easy to get stuck in the Blame Game and point a finger at others. And, while it might be true that others have contributed to your stressful situation, you need to first be aware of how you're feeling and responding to the situation. There's a difference between responding and reacting (see my article: Awareness and Self Acceptance).
  • Acceptance to Begin Wherever You Are: You can begin wherever you are mentally, physically and emotionally by accepting where you are right now in the moment. The concept of acceptance can be confusing, especially when you're in a highly stressful situation. Acceptance doesn't mean giving up, being indifferent or numbing yourself. Acceptance means that you acknowledge the situation and how you're feeling in the here-and-now. You're not stuck in the past or projecting too far into the future. Before you can get to a state of acceptance, you need to feel all your feelings internally. Then, if you need to express your feelings, do it in a calm and even way. If you can't do that in the moment, wait until you can. Then, you can be in the here-and-now whatever that means for you (see my articles: Welcoming All Emotions and Acceptance and Self Compassion).
Developing Ways to Calm and Center Yourself
  • Take Constructive Action to Feel Empowered: If you're anxious or feeling powerless, find ways to take constructive action so you feel empowered. Being proactive might mean different things in different situations. It might mean you take constructive action to deal with your anxiety by walking or exercising at a level that's appropriate for you. It might also mean seeking help from a licensed mental health professional. If you're upset about a social justice issue, you might volunteer with a large advocacy group to feel you're making a difference and to be around other like-minded individuals (xee my article: Living Authentically).
  • Recognize You're Not "Perfect": Although these steps are presented in a linear way, the reality is that you might go through these steps in many different ways because progress isn't linear. Progress is often more like a spiral than a straight line. So, you might become more self aware, accept how things are in the moment, calm yourself and take constructive action--only to find yourself temporarily stuck in your own inertia. If this is your experience, accept it and begin again--no matter how many times you have to remind yourself of these steps. Repeating these steps where you are in any given moment helps you over time to progress--even if you take two steps forward and one step back each time. Be kind to yourself (see my articles: Overcoming Perfectionism and Perfectionism and Shame).
  • Get Emotional Support: Supportive friends and loved ones can help you so you don't feel alone. Even if you feel that talking about your situation might not make a difference, talking often makes a difference in relieving stress. 
  • Get Help in Therapy: If the situation is beyond the support of loved ones or you want additional support, consider getting help from a licensed mental health professional who can help you through the process while you develop the necessary tools and strategies you need. This can be especially important if your current situation is triggering unresolved trauma from the past.
Also see my articles:


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

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

For over 20 years, I have helped many clients to overcome painful and stressful situations so they can lead more fulfilling lives (see my article: What is a Trauma Therapist?).

To set up a consultation, call me at (917) 742-2624 during business hours or email me.