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NYC Psychotherapist Blog

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Showing posts with label 12 Step meetings. Show all posts
Showing posts with label 12 Step meetings. Show all posts

Tuesday, April 12, 2022

A Search For Comfort and Safety With Alcohol or Drugs

Many people who drink alcohol excessively or abuse drugs are actually seeking comfort and safety, but they might not even realize it.

A Search For Comfort and Safety With Alcohol and Drugs

A Non-Pathologizing Perspective
As a psychotherapist in New York City, I've worked with many clients who are struggling to overcome substance abuse problems.  Many of them say that the alcohol or the drug is like a friend they don't want to give up, which is understandable.

If alcohol and drugs didn't provide a certain extent of comfort or feeling of safety, people wouldn't abuse these substances.  For many people, it's might be the only comfort and sense of safety they have ever experienced.

So, asking people, who experience this comfort to give it up can feel like a very daunting process to them, especially if they haven't ever experienced comfort with another person.

A Search For Comfort and Safety With Alcohol or Drugs

From this perspective, these substances can feel like a reliable source of comfort.  Not only does it provide temporary relief, but it is usually available, especially if the substance is alcohol.  It's legal.  It can be consumed alone or with other people.  And it usually accomplishes the goal of bringing temporary relief.

Of course, the problem is that, over time, substances create other problems, including serious health problems, impaired cognitive functioning, family problems, and work-related problems, just to name a few.

Over time, it can also result in death, so that even though there is a temporary relief, there can be serious long term damage.

People often seek help when one or more of these problems develop.  By then, it can seem like a very frightening prospect to give up what works temporarily--even when people know that will ultimately do serous damage.

At that point, some people will bargain with themselves and their loved ones:  They tell themselves and their loved ones that they can control their use or that they can stop at any time.  But, often, they're the only ones who actually believe this. And if they try to stop on their own, they might discover that they can't.

It can be a long, arduous process to give up abusing substances, and many people pay the ultimate price of ruining their health beyond repair before they accept that they can't control it.

But if people, who abuse substances and their loved ones have this non-pathologizing perspective that    the substance brings a sense of comfort, it can create more self understanding and empathy for oneself as well as for others.

Learning Healthy Ways to Seek Safety and Comfort 
One of the goals of therapy or substance abuse treatment is that people who are abusing substances learn how to seek comfort and safety in other ways.

This might mean that, instead of abusing substances, they learn to self soothe by:
  • learning to meditate
  • learning new breathing techniques to calm themselves
  • learning new grounding techniques
  • developing resilience
  • developing new coping skills
  • learning to make better choices
  • learning to choose healthier relationships
  • developing a stable and manageable life step by step
Even being able to consider learning new ways involves a certain amount of trust in a psychotherapist or a substance abuse counselor, which can be challenging for someone who has never had a trustworthy relationship.

Some people will persist in abusing substances because they don't want to give up what brings temporary relief.

Building that rapport and trusting relationship can take time.  In the meantime, before people can trust enough to allow a relationship to develop, they might need to ask themselves if they are willing to try it because being willing is often half the battle.

But once people trust enough to try other ways of seeking safety and comfort, they usually discover that this is a skill the they can continue to develop and that it works.

Getting Help in Therapy
Asking for help often induces shame in people.

Most people like to think that they can control their lives and that they don't need help.  But when it becomes obvious that your life is falling apart, it takes a lot courage to ask for help.

Often, people come into therapy externally motivated because either a spouse or a boss has given them an ultimatum:  Either get help or leave.

But people who are open to the process of recovering from substance abuse often discover their own internal motivation, especially if they develop a rapport with their therapist.

Getting Help in Therapy
If you're struggling with substance abuse or you're watching someone you love abuse substances, you're not alone.

Even if you can't afford therapy or you don't have access to treatment, there are 12 Step meetings in most cities and online.

Life is short.  Getting help sooner rather than later can make all the difference in how you live the rest of your life and the quality of your relationships.

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














Monday, April 14, 2014

The Early Stage of Recovery: What to Do If 12 Step Meetings Are Too Overwhelming For You

Generally speaking, as a psychotherapist, I recommend 12 Step meetings, especially during the early stage of recovery.  But I also know that for many people, especially people who have a history of emotional trauma, going to 12 Step meetings can be too overwhelming during the initial stage of recovery.

Early Stage of Recovery: What to Do If 12 Step Meetings Are Too Overwhelming For You

12 Steps Meetings Have Saved Many Lives
The 12 Steps, which are principals for living life, provide a structured step-by-step philosophy that many people describe as having been life saving for them.

Many of these people struggled in isolation and shame with their addiction before they began attending 12 Step meetings. But when they began going to meetings, they discovered that they were not alone.  This provides many people with a sense of comfort and safety.

12 Step Meetings Have Saved Many Lives

In most 12 Step meetings, many people in early recovery can find mutual support among other people who are also struggling with addiction.  There is also an opportunity to find a sponsor who can help with working through the 12 Steps.

For Many People With Emotional Trauma, 12 Step Meetings Are Too Overwhelming
But there are many other people, who have a history of emotional trauma, who find the meetings to be too overwhelming, especially when they hear stories in the meetings that triggers their trauma.

When people feel triggered during the early stage of recovery by hearing stories that are overwhelming, they can feel like drinking or drugging (or gambling, overeating and so on, depending upon their addiction).

Many people, who get emotionally overwhelmed override their own sense that they are making themselves too emotionally vulnerable to relapse because they feel that there's something wrong with them if they can't tolerate being at the meetings.

After all, they think to themselves, many people have told them that going to 12 Step meetings is good for them.  So they continue to force themselves to go and continue to get triggered and retraumatized because they're not ready to hear other people's traumatic stories in the meeting.

Of course, there are also a multitude of success stories in the meetings about how people have achieved years of sobriety and many stories about hope and transcendence.

But, for many people with a history of emotional trauma, it only takes one difficult story to overwhelm them and then they relapse.  They're just not ready, at that point, to attend 12 Step meetings.

Getting Triggered is a Common Experience For People Who Have Been Traumatized
There is no reason to feel ashamed about this.

Getting Triggered is a Common Experience For People Who Have Been Traumatized

Getting emotionally triggered is a common experience for people who experienced trauma.

Just like a veteran who returns from war can get triggered when he or she hears the backfiring of a car which sounds similar to an war time explosive, anyone who has trauma can get triggered when they're in particular situations.

Getting Help in Therapy
If you are in the early stage of recovery and you're finding it too difficult to attend 12 Step meetings, you can get help by working with a licensed mental health professional who has expertise in working with clients in early recovery who have a history of emotional trauma.

An experienced therapist can help you to develop the necessary coping skills to deal with early recovery issues as well as relapse prevention.

Many people who are in the early stage of recovery want to rush into dealing with their trauma before they're ready.  They feel that they've wasted too much time and they want to make up for lost time by rushing into things.

But usually this isn't a good idea during the early stage.  You need to learn coping skills and develop internal and external resources before you begin to deal with trauma.



Getting Help in Therapy
Once you have developed coping skills and the therapist assesses that you're ready, then you can begin to work on the underlying emotional trauma.

Being safe, both physically and emotionally, is the first priority.

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

I have worked with many clients who are in recovery.

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, February 18, 2012

Maintaining a Balanced Life During Early Recovery

Early recovery can be challenging.  It's not unusual for people in early recovery from alcohol or drugs (or other addictive behaviors) to struggle with how to maintain a balance between their recovery activities and life in general.


Maintaining a Balanced Life During Early Recovery


This assumes that individuals are ready to attend 12 Step meetings.  For many people, who have been traumatized emotionally, hearing some of the stories of other people's loss and trauma, can be retraumatizing of them.   For those people, attending therapy with a licensed mental health professional who has expertise with substance abuse and trauma is preferable.

Other people, who are in early recovery and who aren't triggered by going to meetings, are relieved to have a place in 12 Step meetings where they feel understood and they gain a new sense of hope and renewal.


But sometimes, by focusing only on 12 Step meetings, they neglect their primary relationships and responsibilities. The result is that their lives become unbalanced and this often causes conflicts with their families.

Early Recovery Requires Commitment
It's easy to see how things can become so unbalanced.

Early recovery involves a big commitment of time and energy. For many people in early recovery going to 12 Step meetings on a daily basis is the only thing standing in their way to keep them from acting on their cravings for alcohol and/or drugs.

 For them, the 12 Step slogan of "One Day at a Time" might be more like "One Minute at a Time" or "One Second at a Time" as they struggle not to give in to those cravings.

The 12 Step meetings, the fellowship in the meetings, and their sponsors are like life lines. If they're already suffering from substance abuse-related health problems, early recovery activities could be all that's keeping them from death's door.

But the toll this can take on family and close relationships can be huge.

Initially, spouses or partners of people in early recovery are usually so glad that their loved one stopped abusing substances and gotten help. These family members might have been asking and pleading with their loved one to get help for years. But when they see that early recovery activities seem to have taken over their loved one's life, they often feel disappointed and alienated from their loved one.

Whereas before their loved one wasn't available to them because of the substance abuse, now they feel he or she isn't around because of early recovery activities. This can be very disappointing and frustrating. It can lead to arguments as family members ask for more time and attention.

 People in early recovery, in turn, often feel that spouses and family members don't understand. They might begin to shut down emotionally even when they are around their spouses and families. All of this can lead to further alienation and a sense of hopelessness for everyone involved.

Repairing Relationships During Early Recovery
What can be done to repair these relationships and to achieve balance?

Well, to start, the person in early recovery can benefit from talking to people in the 12 Step rooms who have a lot more experience and success in recovery and who have learned to achieve balance in their lives.

Learning to achieve this balance can be a challenge, especially if the person new to recovery might never have led a balanced life before.

A seasoned sponsor can help someone in early recovery to navigate through this challenge to help achieve this balance.

With more experience in recovery, this often happens more easily, as compared to the early stages of recovery.

Spouses and loved ones of people in early recovery can benefit from attending Al-Anon to get support and a sense of hope. Sponsorship is also available to them in Al-Anon.

Getting Help in Therapy
A licensed therapist with expertise in substance abuse and trauma can help clients in recovery to develop the necessary coping skills to maintain a balanced life.

About Me
I am a licensed NYC psychotherapist who provides psychotherapy services to individuals and couples, including contemporary dynamic talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

Helping clients with substance abuse and emotional trauma are among my specialities.

To find out more a out 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.




Wednesday, June 16, 2010

Asking for Forgiveness: The Power of Making Amends

Making amends is an important process in the addiction and mental health recovery as well as in many religions and in life in general. Recognizing that we have hurt other people, our behavior has had consequences for ourselves and for others, feeling sincere remorse, expressing our remorse, where appropriate, and asking for forgiveness are important parts of that process.



Asking for Forgiveness: The Power of Making Amends


Making amends can seem like a daunting process, especially if our transgressions have been recurrent and longstanding. As we come to terms with what we did, there is often a lot of shame associated with this recognition. As such, part of the process of making amends is to be able to forgive ourselves, which is often harder than asking someone else to forgive us.

When we're contemplating making amends, it's often helpful to work through this process with someone else: a sponsor (if you're in A.A. or one of the other alcohol or addictions 12 Step programs), a psychotherapist, or a trusted mentor or friend. Their support, knowledge and expertise can be invaluable as you struggle to sort out what you did, who you hurt, whether it's the right time to contact the person or persons you've offended, and how to go about making amends.

It's also important to realize that just because you have decided to make amends doesn't mean that the other person is ready to hear from you or to accept your apology. When we're considering making amends, we might enter into vivid memories of what we did in such a powerful way that we feel like we're reliving these old experiences, even though it might be many years later. But just because we might be in that emotional state doesn't mean that the other person is there too.

So, when we're thinking about making amends, it's important to use good judgment about the "who, when, where, why, how and what" involved. And, if you're either early in your recovery or in the early stage of whatever process you might be going through, you might not have developed good enough judgment yet about how to make amends. So, you might not realize that, in some cases, making amends might cause more harm than good, and you want to be mindful of this as you're going through this process.

But assuming that you've given your decision careful thought and you realize that asking for forgiveness is the right thing to do, how do you go about making amends?

Recognizing that every situation is different, the following is one particular scenario. It is representative of many different cases and not related to any one particular person. After I outline this scenario, I'll go over the steps that are often helpful when you're in the process of making amends.

Robert:
Robert was in his early 50s when he admitted to himself that he needed help for his out of control drinking and drug addiction. While he was getting help, he was also diagnosed with bipolar disorder. Until then, Robert knew that his life was out of control and that he had struggled with alcohol and prescription drug addiction for many years, but he had no idea that he had bipolar disorder.

During his inpatient dual diagnosis rehab, where he was detoxed from alcohol and painkillers and stabilized on drugs for his bipolar disorder, he had a chance to work on many of his addiction-related issues with the rehab counselor and his peers. At that point, Robert began to feel the emotional weight of how much he had hurt his family when he was active in his addiction and unstabilized with his mood disorder.

It helped him tremendously to be in a supportive environment where other people were going through a similar process, and he realized that he was not alone. However, he still felt somewhat overwhelmed when he thought about the pain that he had caused his wife and children.

Using the concept of "one day at a time," Robert was able to acknowledge that he hurt wife and children, as well as hurting himself, but not think too far into the future or too far into the past so that he was not completely overwhelmed with his shame and sense of remorse. He was also able to hang onto the idea that making amends would be a process that he could work out with a sponsor and in his after care treatment with a psychotherapist.

During family day at the rehab, Robert's wife and his two teenage daughters came to attend the educational series and to have sessions with Robert and his counselor. Robert's oldest son, John, who was in his 20s and living on his own, refused to come. John had gone through the worst of Robert's alcohol and drug binges and his rageful manic episodes, and he was unwilling to see or speak to Robert. Although it was very hurtful to Robert, he realized that he had no choice but to accept that his son wasn't ready and might not ever be ready to forgive him, and he could not control his son's feelings or behavior.

During Robert's sessions with his counselor and family, he acknowledged that he had caused his family a great deal of emotional pain, financial loss, and general upheaval in their lives. He also acknowledged that he realized that it might take a long time, if ever, before they trusted him again because he had breached their trust so many times. Robert expressed his sincere remorse, he took responsibility for his actions without making excuses for himself, and asked them to forgive him, if they could. He also told them that he realized that this would be a process and it wouldn't happen over night.

Robert's wife, Kathy, who had been very supportive of Robert during their 30 year marriage, talked to him about how important it was to her for Robert to finally acknowledge that he had a problem and that he hurt her and their children over the years with his addictive behavior and out of control manic episodes of rage, overspending, lost jobs, and the general chaos of their lives. She told him that she had loved him throughout their problems together and she still loved him. She was willing to start the healing process, but she knew that she would need time for her to trust him again. She also acknowledged that she was part of the dynamic and might have contributed to the overall chaos, and she wanted to understand this better by going to Al-Anon. But, overall, she was happy that he was getting help, and she hoped that she could trust that his remorse was genuine and he would continue in his recovery after he got out of the rehab.

Robert's older daughter, Susan, talked about how his dual diagnosis problems had affected her, and how she feared that she might become an alcoholic, a drug addict, or she might be diagnosed with bipolar disorder one day too. She struggled to put words to feelings because this was all new to her, but she told him that she loved him and she wanted him to get better.

Robert's youngest child, Beth, was very anxious. She cried through most of the meeting, and she told Robert that she wanted to understand what was going on with him, but she didn't. She and Susan both agreed that they would go to Al-A-Teen meetings.

After Robert was discharged from the rehab, he began attending A.A. meetings, he obtained a sponsor, and he started seeing a psychiatrist for medication and a psychotherapist for psychotherapy. At times, he felt overwhelmed, but most of the time, he was grateful for the support he was receiving.

Over time, Robert made efforts to reach out to his son through letters because his son refused to take his calls. Writing these letters to his oldest child, acknowledging that he had hurt him, expressing his remorse, and vowing to try to make it up to him, if his son was willing, was one of
hardest things that Robert had ever done in his life. Doing it while he was also new to sobriety and new to the knowledge that he was bipolar was also a challenge for him. There were many days where Robert was tempted to pick up a drink or call his old dealer to get painkillers. During those times, he reached out to his sponsor and his therapist, as well as peers in his support network, to just get through the day.

John acknowledged Robert's letters with his own responses, where he expressed his own anger, sadness, and lack of trust for Robert. John wasn't sure that he wanted to accept his father's apology or that he wanted to forgive him. He was afraid that if he forgave him, Robert would think that "everything was okay" and Robert might disappoint him again. But he agreed, for now, to keep the lines of communication open through these letters and he held out the possibility that he might be willing to talk to Robert in the future.

Robert offered to talk to John, when and if John was ready, about anything that John might want to know about Robert's addiction and mental illness. He was very careful to make this offer not as an excuse for his behavior, but as a way for John to understand the background of these problems. But during the first few months of Robert's recovery, John wasn't interested or ready for any explanations.

In the meantime, Robert continued to work on improving his relationships with his wife and daughters. It was a slow, painful process but, over time, he felt that his relationships with his wife and daughters were getting closer. He also sensed that they were beginning to trust him.

Robert also continued to work on forgiving himself. He knew that he couldn't turn back time to undo all the damage that he had done, and this was a hard concept for him to come to terms with. But he continued to work on his recovery, meet with his sponsor, attend his psychotherapy sessions on a weekly basis, see his psychiatrist and take his medication.

About a year after Robert completed his rehab, he received a call from his son. It was so unexpected that Robert hardly knew what to say. John told him that he still felt a lot of anger and ambivalence towards him, but he also recognized that, underneath his anger and sadness, he still loved his father and he wanted to begin the healing process between them. Robert felt that this was one of the happiest days of his life, and he was very grateful to his son.

The scenario above gives you a glimpse of how complicated the process of making amends can be. As I mentioned earlier, everyone's situation and process will be different, but there are certain steps that can be gleaned from this that might be helpful to you or someone that you know.

Steps Towards Making Amends


Say That You Were Wrong:
For some people, saying, "I was wrong" or "I'm sorry" is one of the hardest things that they can do.

Acknowledging to yourself and to the people that you hurt that you were wrong is a powerful first step. As previously mentioned, you need to use good judgment about this and make sure that if you're contacting someone to apologize, you won't do more harm than good. This isn't always obvious, but one possible example of many might be in a situation where your interjecting yourself back into someone's life might be too hurtful to them and their loved ones. For instance, if you've had an affair with someone who was married and contacting this person might place his or her marriage or family situation in jeopardy, it would probably not be a good idea to contact this person.

In all other cases, it's important that your apology is sincere. Express your remorse for what you did--without making excuses for your behavior. The minute someone senses that you're making excuses for your behavior, he or she will doubt the sincerity of your apology.

Now, making excuses is different from providing them with information about what was happening to you at the time--if they want to know. You can ask them if they want to know, and if they don't, you must respect that and not impose it on them. Above all, your intention should be to say you're sorry.

Say (and mean) that You Won't Do It Again:
For many people, when they hear someone apologize, the first thing that comes to their minds is the question of whether they can trust that person again. They might want to forgive the person who is making amends, but because trust has been broken in the past, they might be afraid to trust again.

When you're new to addiction recovery or to dealing with your mental health diagnosis, you might feel shaky yourself about whether you can live up to your words that you won't do it again. So, it might be necessary for you and the person that you're asking forgiveness of to put certain structures in place to help ensure that it won't happen again.

For example, if one of the things that you're asking forgiveness for is your compulsive gambling and that you spent the family's savings on your gambling addiction, one of the structures that you might put in place with your spouse is that he or she will handle the money. This can be an informal agreement or, if necessary, you might give your spouse power of attorney over the family finances, if this is appropriate. This can provide a feeling of safety for you and your family that even though you're sincere about not wanting to transgress again in this area, the particular structure that you've put in place will also support that effort.

Ask What You Can Do to Try to Make Up for Your Behavior:
Restitution is an important part of making amends. While you and your loved ones cannot go back in time to undo what has already been done, you can find out what your loved ones might want to help make up for the hurt that you have caused.

Even in situations where your loved ones can't bring themselves to forgive you and they are unwilling to allow you to make up for what you did, it can still be important for your own health and well-being to find ways to make restitution in your life.

This could mean that, when you've had enough time in your recovery, that you become a sponsor to people who are new to recovery to share your hope and wisdom, you volunteer your time to helping others, or that you find other ways to try to give back to others, even when you're unable to give back directly to the people that you've hurt.

Recognize that making amends is a process for yourself as well. You don't have to do it perfectly, although reflection and consideration before you start this process is an important step.

Also, recognize that other people don't always understand what it means to forgive. Some people might have the impression that by saying that they forgive you, they're telling you that what you did was all right with them, and they don't want to give you this impression. So, the people that you're asking for forgiveness from might have to go through their own process with this to understand what you mean and what it means for them.

When you first begin to recognize how much you've hurt others, you might only see the very top layer of hurts that go very deep. Over time, you might develop a deeper understanding of the implications of your behavior for yourself and others, and this brings its own challenges.

As previously mentioned, making amends can bring up a lot of feelings of shame and sadness, and I recommend that you find healthy support when you're going through this process.

About Me
I am a licensed New York City psychotherapist, hypnotherapist and EMDR therapist.  

I work with individual adults and couples.

I have helped many clients to go through the process of asking for forgiveness and making amends.

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 article:
When Your Efforts to Make Amends Are Rejected



Tuesday, November 3, 2009

Boredom as a Relapse Trigger

As a psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist in New York City, one of my specialities is working with people who have problems with addictions and codependency. Over the years, I've found that one of the most challenging aspects of overcoming addictive and codependent behavior is overcoming boredom as a relapse trigger.

Overcoming Addiction: Boredom as a Relapse Trigger

What is Boredom?
For most people, feeling bored means that they're doing the same things over and over again and not feeling fulfilled. Life feels dull and monotonous. They feel like they're in a rut and can't get out. Life and relationships might not feel as meaningful when someone is bored.

Why Does Boredom Often Lead to Relapse?
For someone who is accustomed to feeling "high" from drinking, drugging, overspending, overeating, bingeing and purging food, gambling, engaging in sexual addiction, cutting, or getting overly involved in someone else's life drama, trying to live a clean, sober and healthy life might feel unexciting and dull.

When you're used to dealing with your problems by looking for stimulation in unhealthy habits, you might feel a void in your life as you let go of these habits, people you used to engage in these habits with, and former places where you used to go.

At that point, if you haven't developed other healthy habits to take the place of addictive behavior, you are at risk for relapse as you begin to think about stimulative and thrill seeking behavior. It's very tempting to revert back to old habits as you bargain with yourself: "I'll just do this one more time, and then I'll stop" or "I can have one drink. I can control it" or other self deceptive thoughts.

How to Overcome Boredom to Avoid Relapse:
First: Realize that you're not alone. Many people who are struggling with addictions and codependence have faced the same challenge as you have and they have successfully overcome having boredom lead to relapse.

Second: It's important to get out, talk to people who have overcome these problems, and get support. Self help groups like A.A., N.A., Debtors Anon, Al-Anon, Sexual Compulsives Anon, Gamblers Anon, Overeaters Anon and other self help groups are often an excellent source of support (see resource list below at the end of this post).

When you listen to other people talk about how they struggled and overcame boredom as a relapse trigger, you'll often hear aspects of their stories that will resonate with you and help you develop your own ideas about overcoming boredom. Get a sponsor to help you work the Steps and navigate through your difficulties with relapse.

Third: Think about activities and hobbies that you used to enjoy that you might have given up after you began engaging in the addiction of your choice. Maybe you used to like to listen to music before. Or, maybe you liked a particular sport, hobby, or other healthy recreational activity. Often, when people get immersed in addictive behavior, they let go of and forget about activities that they used to enjoy. You can recapture the enjoyment that you used to get from these activities.

Overcoming Boredom to Avoid Relapse

Fourth: Be willing to try new and healthy activities to get out of the rut that you're in. If you're out of shape, consult with your doctor and find out if you're up to exercising at the gym, or taking a yoga or dance class. For most people, walking, at a pace that is healthy and right for you, is often a safe form of exercise. Join a book club where you can clear out the cobwebs from your mind, meet new people, and find other ways to stimulate your mind through new ideas.

Fifth: Get involved by volunteering. There are so many organizations that desperately need help: from soup kitchens for the hungry and homeless to reading and mentoring programs in schools. When you help someone else or make a positive contribution to a worthwhile organization, you feel good about yourself and it helps to build your self-esteem. Even if you have a tendency towards codependence, you can learn to help others in a healthy way.

If you find that you're still struggling with boredom as a relapse trigger, you could benefit from working with a licensed mental health professional who has an expertise in helping people overcome addictive and codependent behavior.

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

I work with individual adults and couples.

I have helped many clients overcome addictive and codependent behavior.

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

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