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NYC Psychotherapist Blog

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Showing posts with label ASCH. Show all posts
Showing posts with label ASCH. Show all posts

Tuesday, December 30, 2014

Making and Keeping New Year's Resolutions

As a psychotherapist and hypnotherapist in New York City, this is the time of year when I see new clients coming to therapy because they've decided to make important changes in their lives. This is the time of year when many of us take stock, think about our lives, and make New Year's resolutions about the things that we want to change about ourselves. 


Making and Keeping New Year's Resolutions

Clinical hypnosis (also known as hypnotherapy) is a safe and effective way to change old habits and create new and positive changes. Whether you want to develop better communication skills in your relationship, change old eating habits, stop smoking, or create an overall healthier lifestyle, clinical hypnosis has helped thousands of people to overcome obstacles that were keeping them from making those changes on their own.

At the beginning of the New Year when people make their New Year's resolutions, many people start with enthusiasm, motivation and determination to make the changes that they want to see in their lives. However, after a month or two, many of those same people get frustrated and discouraged when they don't see the changes happening fast enough, and they abandon their efforts. When you work with a licensed mental health professional who has advanced training in clinical hypnosis, you're able to work more deeply on the unconscious issues that keep you from making the changes that you want to make. It's not as much of a struggle as when you try to do it on your own.

If you, like many others, are at the point when you've made your New Year's resolutions and you feel determined to make those changes, here are some tips that might be helpful:

Recognize that Change is a Process:
Since change is a process that happens over time, and usually not a one-time event, recognize that making changes, especially if you're trying to do it on your own, might take longer than you think.

Focus on Changing Your Behavior:
Instead of focusing on specific results (e.g., wanting to lose a specific amount of weight by a specific date), focus on changing your behavior. So, for instance, instead of saying, "I want to lose 15 lbs. by March 1st," focus on eating healthier and more nutritious meals. When you focus on healthier eating habits, your goal will be a broader change that will be longer lasting, more holistic and more effective than planning for particular weight loss. You're also more likely to keep off any weight that you've lost when you have a broader goal.

Choose Only One or Two Changes at a Time:
If you overwhelm yourself with too many New Year's resolutions at a time, you are probably setting yourself up for failure. Choosing one or two behaviors that you would like to change is more likely to be effective. As you see positive changes in those one or two areas that you want to change, you'll feel more confident about yourself. Then, after you've consolidated your gains in these areas, you can consider other areas that you'd like to change.

Decide What You'd Like to Add to Your Life As Well:
When you decide to make a change in yourself, decide what you'd like to add to your life as well. So, for instance, if you want to stop smoking and you know that you tend to smoke when you get anxious, think about what pleasant activities you can substitute for your old smoking habit when you feel triggered by anxiety. Attending a yoga class, going to the gym, talking to a friend, learning to meditate, or some other healthy activity that you would enjoy, might be among the activities that you choose to add to your life. So, it's not just about "giving up smoking." The overall goal is to lead a healthier life, you're learning new coping skills for when you get anxious, and you're also adding healthy activities to create greater happiness in your life.

Recognize that You Might Slip Back into Old Behaviors:
This gets back to the idea that change is a process. So, it's better not to engage in all-or-nothing thinking when you're trying to make changes in your life. Recognize that you might slip back into the old behaviors that you're trying to change. Plan for these slips so that you're prepared if and when they occur. For many people, this is the time when they become frustrated and they give up on their New Year's resolutions. So, rather than berating yourself and giving up, acknowledge that you're human, you had a slip, recommit to your goal and move on.

Consider Clinical Hypnosis:
If you've tried all of the above suggestions and you find that you're still struggling to keep those New Year's resolutions that are so important to you, you might want to consider attending clinical hypnosis sessions with a licensed mental health professional who has advanced training in hypnotherapy.

Remember, there's a big difference between a lay "hypnotist" and a licensed mental health professional who is a hypnotherapist. While the "hypnotist" might know some hypnotic techniques, the licensed mental health professional who is a hypnotherapist has advanced therapeutic training and is recognized as a licensed professional in your State.

I am a licensed psychotherapist and hypnotherapist in NYC. I have helped many clients to make positive changes so they can lead more fulfilling lives.

I wish everyone a Happy and Healthy New Year.

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.



Thursday, October 29, 2009

Using the Affect Bridge to Heal Old Emotional Wounds

Old emotional wounds often get triggered in intimate relationships. Most of these unresolved feelings are core issues that originated in childhood and usually involve one or both of your parents or caregivers. These old wounds might involve feelings of abandonment, betrayal, feeling unloved, feeling abused or neglected, feeling like you're "not good enough" and other similar feelings.

Bridging Back to Heal Old Emotional Wounds

These feelings can come up unexpectedly, whether your partner behaves like one of your parents or not. So, for instance, to others, who might be more objective than you, your partner's behavior might seem like a minor slight or a minor empathic failure.

But if you have an early history of emotional neglect or abuse and you get triggered by a current dynamic between you and your partner, you would probably experience this slight or empathic failure as being much more intense.

This is because you're not only experiencing the current situation--you're also feeling the old emotional wound that is getting triggered, so you're experiencing both together. This adds an emotional charge to the current situation, and when you feel hurt, it's often hard to distinguish the old emotional wound from the current situation.

Unresolved wounds have a way of remaining just beneath the emotional surface where you might not be aware of them most of the time. But under certain circumstances, when you feel hurt by your partner, these old wounds come alive, as if they just happened yesterday, even though they might have occurred many years ago.

When you see a competent hypnotherapist, who is a licensed mental health professional, clinical hypnosis is often very effective in helping to heal these emotional wounds. In order to heal, it's important to be able to deal with the original emotional wound that is being triggered. There is a technique called the Affect Bridge and when it is performed by a competent hypnotherapist, it often helps to heal those old wounds.

Clinical Hypnosis and the Affect Bridge
As a hypnotherapist, when I use the Affect Bridge technique, I prepare clients beforehand by making sure that they have the internal resources that they need to feel safe, calm and emotionally protected. Internal resources is another term for coping skills.

Clinical Hypnosis and the Affect Bridge

The following vignette is a composite based on many clinical cases and demonstrates the use of the Affect Bridge in clinical hypnosis treatment:

Alan:
Alan and his wife were married for five years. They had a good and stable relationship most of the time. However, whenever Alan felt that his wife, Evelyn, was distracted, not listening to him, or not understanding him, he became very angry and upset. An hour or two later, Alan usually realized that he over reacted and he would feel very guilty and remorseful.

At first, Evelyn was understanding. She accepted his apology and forgave him. But, after a while, as this continued to happen, she got annoyed. Each time that it happened, Evelyn tried to remind Alan about how he over reacted in the past to similar situations between them and how this was another one of those times. But, when Alan was in this state, he was unreachable and he could not hear what Evelyn was saying.

When they came in as a couple, Alan admitted that he would over react for relatively minor incidents with his wife. He explained how, at the time, it felt like she was ignoring him or not hearing him, and this felt intolerable to him in that moment. He said he felt like he was "going crazy" because, when he was upset with his wife, he couldn't hold onto the fact that this was another situation where he was over reacting to her--no matter how many times it happened.

As I explored Alan's history, he talked about having an alcoholic mother who had a long history of drinking heavily and then passing out on the couch, leaving Alan and his younger brother to fend for themselves. His father had left the family when Alan was three, so there were no other adults in the household.

During the preparatory phase of our work together, I asked Alan to choose protective figures that he could visualize. I told him that they could either be real people that he knew or, if there was no one, he could visualize a fictional character from a book, movie, or TV program. Alan chose to visualize his first grade teacher and his Little League coach as his protectors for the clinical hypnosis work we were about to do. I suggested to Alan that he picture these protective figures as being with him as we began our hypnosis work together, which he was able to do.

Using the Affect Bridge technique, I asked Alan to focus on the feeling that he had when he felt that his wife was not paying attention to him or not hearing or understanding him. He said he felt it like a tense, heavy feeling in his stomach. Then, I asked him to go back in his mind and remember the first time that he felt this way. Alan remembered many incidents with his mother when she didn't hear him because she was in a drunken stupor.

His earliest memory of these feelings was when he was four years old. As usual, his mother was passed out on the couch as a result of a day of heavy drinking. Alan was trying to cook a meal for himself and his younger brother when his pajama sleeve caught on fire. He became very frightened and called out to his mother to help him, but she didn't hear him. Although he was very frightened, he was able to turn off the gas by himself, but not before he sustained a second degree burn on his arm. The neighbor who lived downstairs heard his cries and came running upstairs to help him. His mother never roused herself from her sleep.

Revisiting this memory during clinical hypnosis sessions and picturing his protective figures with him and helping him at that time had a healing effect on Alan. Although Alan knew what had actually happened when he was four and he got burned, after a while, being able to re-experience this memory with his protective figures allowed him to heal this old wound.

He felt safe, protected and nurtured by the protective figures that he visualized. As a result, after doing this hypnotherapy work for a while, he was no longer triggered when his wife either didn't hear him or misunderstood what he said. It was not just a matter that Alan realized this in a logical way, he actually felt healed and the old trauma was resolved.

Getting Help With Clinical Hypnosis
Clinical hypnosis is a safe and effective form of treatment when performed by a competent hypnotherapist with advanced training.

If you think you're becoming triggered by unresolved trauma, and regular talk therapy hasn't helped to resolve these issues, you might benefit from seeing a hypnotherapist for clinical hypnosis.

To find out more about clinical hypnosis, you can visit the web site of the professional organization, the American Society of Clinical Hypnosis also known as ASCH.

I am a licensed psychotherapist and hypnotherapist in NYC. I have helped many clients work through trauma.

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.

Tuesday, October 27, 2009

Clinical Hypnosis and the Mind-Body Connection

During the last 15-20 years mental health and medical experts have become increasingly aware of the strong connection between our emotions and our physical health and well-being. 

Clinical Hypnosis and the Mind-Body Connection

As medical experts become more knowledgeable about the mind-body connection, clients with certain physical problems that were once treated by doctors solely as medical disorders are now being referred to licensed mental health professionals with an expertise in clinical hypnosis (also known as hypnotherapy) due to a more sophisticated understanding of how our emotions affect us physically and the effectiveness of clinical hypnosis.

The following vignettes, which are composites of actual cases, with all identifying information changed to protect confidentiality, illustrate the connection between medical problems, the mind-body connection, and the effectiveness of clinical hypnosis:

Migraines and other Headaches:
When Lisa began having severe, debilitating headaches, she went to her medical doctor for help. She explained to her doctor how her headaches got so bad at times that she was unable to get out of bed. This resulted in significant time off from work as well as her husband having to take over most of the household responsibilities. These headaches were also starting to make her feel depressed and anxious. She tried most of the over-the-counter medications, to no avail.

When her medical doctor could not find any physical reason for her headaches, he referred her to a neurologist who conducted a battery of tests and tried various prescription medications to alleviate Lisa's headaches. But her neurologist ruled out any physical reason for her headaches and, not only did the medications not work, but they produced many annoying side effects.

As a result, the neurologist consulted with the medical doctor and they both agreed that whatever was causing Lisa's headaches had its origins in some emotional issue. They both concluded that Lisa could benefit from seeing a hypnotherapist to get rid of her headaches. Since Lisa knew nothing about hypnotherapy, at first, she was stunned and somewhat leery of their recommendation.

Clinical Hypnosis and the Mind-Body Connection

But her primary care doctor explained that many physical symptoms are derived from emotional issues, and he took the time to explain the mind-body connection of many different medical issues. He also explained the difference between stage hypnosis and clinical hypnosis (also known as hypnotherapy). He told her that when hypnotherapy is performed by a licensed mental health professional who is a trained hypnotherapist, it is an effective and well-respected form of treatment. He explained how Lisa would be in a relaxed state during hypnosis and in control at all times, maintain a dual awareness of the here-and-now as well as whatever she and the hypnotherapist were working on.

Lisa trusted her primary care physician, and she accepted his referral to a local hypnotherapist. She was a little anxious at first, but the hypnotherapist helped to set her mind at ease by patiently answering all of her questions during the initial consultation. Lisa was amazed that, within three sessions, her headaches were gone. Even more amazing to her, the hypnotherapist taught her how to do self hypnosis so that she could proactively manage her stress levels and prevent further occurrences of her debilitating headaches. Her hypnotherapist followed up with her in a month and then again in three months, but there was no recurrence of Lisa's headaches. At this point, it has been over three years since Lisa has had a headache. She continues to use self hypnosis to manage her stress. She no longer feels depressed or anxious, and she is grateful to be fully engaged in her life again.

Back Pain:
Robert woke up every morning with severe back pain in his lower back. When his primary care physician, his chiropractor, and a physical therapist could not find any medical reason for his back pain and medication only provided temporary relief, they all agreed that the origin of Robert's back pain probably had an emotional connection. They also all agreed that Robert could benefit from seeing a hypnotherapist.

Robert didn't know anything about clinical hypnosis and, even with their detailed explanations and the literature that they provided to him, Robert didn't feel comfortable seeing a hypnotherapist. He began taking painkillers, which helped for a while. But he soon found that he had to take higher and higher doses to get temporary relief from his back pain.

Clinical Hypnosis and the Mind-Body Connection

His primary care doctor warned him that the painkillers were addictive and Robert needed to be careful not to become addicted to the drugs. So, Robert stopped taking the medication and he decided to tough it out for a while. But after a week, he could barely get out of bed, he could no longer have sex with his wife, and he was falling behind in his work because he could hardly sit still at his computer, due to his excruciating back pain.

Reluctantly, he asked his doctor for a referral to a hypnotherapist. Robert approached his initial consultation with the hypnotherapist with a lot of skepticism, but he was desperate for a solution to his back pain so he listened attentively and tried to keep an open mind as the hypnotherapist explained the mind-body connection. The hypnotherapist answered all of his questions and concerns. Robert was especially fearful that he would lose control during the hypnotic state, and being in control at all times was very important to him.

To help ease Robert's mind, with Robert's permission, the hypnotherapist helped Robert to get into a relaxing, hypnotic state. Robert was amazed--this was the most relaxed that he had ever felt in his life. He was aware of the ticking clock in the office, the sounds coming from the street outside the office, and he felt that, if he wanted to, he could get up and leave at any time. It was just as the hypnotherapist had said--he was able to maintain a dual awareness of everything around him at the same time that he was enjoying this relaxed state. He was even more amazed when he returned to his usual state that he was only in this hypnotic state for five minutes. His experience of the hypnotic state was that it felt timeless.

Having had this relaxing, positive experience of clinical hypnosis, Robert was now ready to have the hypnotherapist use hypnosis to treat him for his back pain. Within five session, Robert was pain free. The hypnotherapist also taught Robert how to control his stress levels on his own through self hypnosis. A follow up session after one month revealed that Robert had no new occurrence of back pain. And after two years, Robert continued to report to his primary care physician that he continued to have no back pain.

These vignettes are just two examples of many that demonstrate the mind-body connection and the effectiveness of clinical hypnosis for pain management. Clinical hypnosis is also an effective tool for smoking cessation (usually within 3-5 sessions).

If you are suffering with a physical problem and your doctor cannot find a medical cause for your problem or if you have decided that you want to stop smoking, you could benefit from clinical hypnosis.

Getting Help - How To Choose A Hypnotherapist:
If you're considering clinical hypnosis, it's important to make sure that you see a licensed mental health professional who is a trained hypnotherapist and not a "hypnotist." There are important distinctions between a hypnotherapist and a hypnotist.

A hypnotist might have learned various hypnotic techniques, but he or she is not a therapist, not licensed, and will not have any mental health training. A hypnotherapist is a licensed mental health professional who understands the mind-body connection and who has been trained under the guidelines of a professional organization like the American Society of Clinical Hypnosis (ASCH). For more details, you can visit the ASCH web site: http://www.asch.net/.

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

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

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