Overcoming Your Fear of Change

Making a change can be challenging, especially when change involves major life transitions. When you think about making a change, you might go back and forth, not knowing what to do.  But it's not unusual to have mixed feelings about making a transition, even when you know logically that it would be for the best.

Fear of Change

What Does Fear of Change Look Like?

For instance, if we know that you have outgrown your current job and you need a change, you can find painful to face this. 

You might procrastinate taking the necessary steps--whether it involves going for additional training or education or starting a job search, because you might fear the unknown and tell yourself:

• "What will happen if I leave my secure but boring job?"

• "What if it turns out to be a bad decision?"

• "What if I don't succeed?"

And on and on until you're paralyzed into inaction.

Ultimately, you might decide to stay at your job for a variety of reasons, but you'll be making an active decision instead of getting stuck in indecision (see my article: Fear of Making a Decision: When Indecision Becomes a Decision).

It often helps to be able to talk to trusted friends and loved ones, especially if they have gone through their own life transitions successfully.

But sometimes friends and loved ones don't know what to say or, worse still, their own fear of change might cause them to advise you not to make any changes.

The other possibility is that, after a while, they might get tired of hearing you go back and forth about a decision and they won't know how to get you "unstuck" so you can overcome the obstacles that are keeping you from changing.

At that point, it would be helpful to seek help from a professional who has assisted clients to overcome the psychological blocks that keep you stuck (see my article: Overcoming Emotional Blocks in Therapy).

Some Questions to Ask Yourself

• How would I feel if I continued to be stuck in this situation for another year? another two years? or five years?

• What if I allowed my fear and mixed feelings to keep me stuck indefinitely?

• Would I look back at my life and say: If only I had made that change when I was younger, maybe I would be where I wanted to be today?

Getting Help in Therapy
There are times when you're unable to work out problems on your own.

Working with a skilled psychotherapy can help you to overcome the fear and ambivalence keeping you stuck.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, Somatic Experiencing and Sex Therapist. 

I work with individual adults and couples and I have helped many clients to overcome fear of change.

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

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

Midlife Transitions - Part 2: Living the Life You Want to Live

In my last article, I began a discussion about midlife transitions by defining it, giving some of the possible symptoms and possible challenges involved.  In this article, I've provided a scenario to illustrate the points that I outlined in Part 1).

Midlife Transitions: Living Life the Life You Want to Live

The following scenario, which is a fictionalized account that represents many cases with all identifying information changed, is an example of someone who is going through a midlife transition, the challenges that he faced, and how he was helped in therapy.

Ed
Ed was in his life 40s when he began to feel a growing sense of dissatisfaction and unease about his life, especially his career.

After he obtained his MBA, he chose a career in finance while he was still in his mid-20s because he

enjoyed his finance courses in college and he wanted a career that would allow him a lifestyle that was different from his parents' lifestyle.

Having grown up in a family where his parents struggled to make ends meet, Ed knew he never wanted to live that way, so he chose a career where he and his family could live comfortably.

During his 25 year marriage, he felt proud that he and his family lived a comfortable life and he put his two children through college without his children having to go into debt.

He was also glad that he survived many of the changes, including many rounds of layoffs, in his field.

But Ed was aware that he was feeling an increasing sense of malaise at work.  What once made him happy in his career no longer held his interest.

Midlife Transition

He began to question whether he was living his life according to his core values.  And the more he questioned what he was doing in his career, the more he realized that his career choice now felt out of synch with his core values.

During his time in high school and freshman year in college, Ed was involved with volunteer activities that gave him a sense of satisfaction, including volunteering with a reading program where he read to young children in elementary school and volunteering at a no-kill animal shelter.  Both programs were important to him because he liked being around young children and he also liked animals.

During his early years in college, he thought he would choose a major that would be part of one of the helping professions.  But as time went on, Ed decided that it was more important to him to earn a good living and never struggle financially like his parents did, so he majored in Economics in college and obtained an MBA in graduate school.

For a time, after he got married, he was able to continue the volunteer activities, which gave him so much satisfaction.  But after he and his wife began having children and he had to put in long hours at work, he stopped volunteering because he didn't have enough time.

Now, just weeks away from his 48th birthday, Ed realized that he wasn't happy at work any more.  Even though he had been promoted and well compensated over the years, his career and his compensation no longer made him happy, and he wasn't sure what to do.

Midlife Transitions: Living the Life You Want to Live

As he became increasingly preoccupied with his dissatisfaction and after several nights of tossing and turning, he spoke to his wife, Susan, about his sense of malaise.

Susan told him that she noticed that he was irritable and grumpy, and she asked him what he wanted to do.  In response, Ed just threw up his hands--he didn't know what to do.  He couldn't just quit his job.

In the past, Ed tended to be a goal-oriented person and he wasn't usually at a loss about what to do when making major life decisions, so this was a new experience for him.  It was confusing and disheartening, and as time went on, it was starting to erode Ed's sense of self confidence.

Susan suggested that Ed consider seeing a psychotherapist to help him to sort things out and make some decisions.  But Ed had never been in therapy before.  He was concerned that therapy would take a long time, and he felt he didn't want to wait a long time to deal with his feelings.

So, Ed spoke with a close friend, Bill, who had been to therapy and asked Bill what he thought.  Bill told Ed that he was helped a lot in therapy when he was facing a major life decision similar to Ed's dilemma.

He told Ed that there are different type of therapists and different types of therapy.  He told Ed that if he wanted an interactive therapist who works in a dynamic way, he should ask about this when he called to make an appointment and get more details when he went for the consultation.

Even though the thought of going to therapy made Ed feel uncomfortable, the prospect of struggling on his own with this issue made him feel even more uncomfortable, so he started looking for a therapist and asking each one how s/he worked.

After a few consultations, Ed found a therapist who was interactive and dynamic.  They worked together to help Ed to discover what he really wanted at this point in his life so that he could take action.

Working together with the therapist, Ed realized that what was once important to him, working in finance and having a high income, was no longer important to him.  He liked being well compensated, but the money didn't compensate for his lack of satisfaction at work.

Exploring Core Values in Therapy and Developing Goals

He and his therapist explored Ed's core values and his current interests, and he was surprised to discover that he had been dissatisfied for quite some time, but he wasn't allowing himself to feel it.

With continued self exploration, Ed was surprised to realize that his volunteer work with children gave him the most satisfaction.  He realized that he wanted to set up his own volunteer reading program where adults would read to children to help them develop an interest in books and reading.

He knew that he couldn't establish this program overnight and he would need to do research and write a grant proposal.  This would take time and effort to establish.

It would also take time for Ed to see himself in a new way.  For most of his life, Ed defined himself in terms of his career.  He wondered what it might be like for him to see himself in this new way after so many years.

Once Ed made up his mind to proceed, he was excited about this new prospect.  More and more, he could imagine himself happily engaged in this new endeavor.  He felt his old confidence coming back, and he realized that this new project would be aligned with his core values.

He and Susan talked about this change and they realized that within two years Ed could retire from his finance job with a compensation package that would still allow them to live comfortably while Ed worked on his new project.

Each week Ed talked in therapy about how he was adjusting emotionally to seeing himself in this new way and how he was dealing with the challenges, both emotional and practical, that were involved.

As he came closer to his retirement, he discussed his idea with his boss and discovered that his firm was interested in contributing financially to the project.

Midlife Transitions: Living the Life You Want to Live

By the time Ed retired and began his new program, he was feeling more alive and full of purpose than he had in many years.  He and his wife were also closer and enjoying each other's company more than ever.  He knew he had made the right decision.

Conclusion
There are as many variations to midlife transitions as there are people who are going through these changes.

Everyone responds to change differently, especially major life changes.

Reevaluating life during your midlife is a common experience for most people.

People are often surprised to discover that they're yearning to return to vocation or interest that they abandoned many years ago.

Midlife is a time to evaluate your life thus far and make important decisions about how you want to live and how you'll accomplish your goals.

People are also surprised that once they've discovered what how they want to live and what they want to do, they experienced a renewed energy and greater satisfaction with life.

Getting Help in Therapy
Major life changes can be challenging as well as exhilarating.

Self exploration to discover what changes you want to make can be difficult to do on your own, especially if you fear making changes.

Struggling on your own with inner conflict and indecision can waste valuable time and can lead nowhere.

Working with a licensed psychotherapist, who works in an interactive and dynamic way, who can help you do the in-depth exploration of your inner world as well as helping you to take action once you've decided what you want to do, can be invaluable.

A skilled therapist can facilitate the process and help you to lead a more fulfilling 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 make changes in their life so they're leading the life they want to lead.

I use many different modalities and work in a creative, dynamic and interactive way.

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 or email me.

Midlife Transitions: Reassessing Your Life - Part 1

In a prior article, Living Authentically - Aligned With Your Values, I discussed that people come to therapy because they're living lives that aren't aligned with their core values.  In this article, I'm focusing on a particular time in life, midlife, when people often reassess their lives and discover that they're not living the life that they want to live, and they're faced with the challenge of making changes so that they'll lead a more fulfilling life (see my article: Making Changes).

Midlife Change

Some people refer to this stage in life as "a midlife crisis" and for many people it does feel like a crisis, but not everyone responds to it in that way.

For many people, midlife, roughly defined from about age 40-60+, is viewed as a transitional time to assess how they're living their life now and how they want to live the rest of their life, especially if they're unhappy with where they are now (see my article: Navigating Life's Transitions)


Defining Midlife Transition
Let's start by defining what we mean by this transitional time in midlife, which can include:

• Questioning the meaning of life
• Questioning how you've been living your life and major decisions you've made in the past, which could include relationships, career and other major life decisions
• Questioning your faith/religion or lack of faith/religion
• Being preoccupied about aging and death
• Feeling confused about how you see yourself, others, and life in general
• Feeling bored and dissatisfied with life as it is now, including relationships, career, and overall lifestyle
• Feeling a general sense of restlessness
• Feeling a yearning to do something new and different
• Daydreaming about living a different kind of life, possibly in a different place with different people
• Feeling generally irritable and anger, which is not part of how you usually feel
• Noticing age-related changes in your body, including weight gain, hair loss, wrinkles, menopausal symptoms and other age-related changes
• Feeling less attractive
• Feeling a loss of confidence
• Acting out with alcohol, drugs, gambling, overspending, food or with a sexual affair
• Lack of libido with your partner or spouse
• Feeling nostalgic for a time when you were younger
• Daydreaming about "the one who got away" (a former romantic interest)
• And other related reactions

Not everyone who has some of the experiences listed above is going through a midlife crisis.

Much will depend on how you respond to the need for change.

Some people experience it as exhilarating and filled with new possibilities.

Other people respond with fear (see my articles: Fear of Change and Making Changes Within Yourself to Live the Life You Want).

Why Do People Go Through Midlife Transition?
Going through a midlife transition is a natural part of being human.

For some people, it occurs because of a major change in their lives or a major change in someone close to them, which could include:

• Losing a job
• Coping with a major illness
• Coping with a problem with a spouse or partner, including infidelity or other forms of betrayal
• Going through a divorce or breakup of a relationship
• Death of a parent or sibling
• Death of a spouse or significant other
• Death of a child
• Losing a close friend
• Considering reconciling a relationship with a parent, sibling or former lover or friend
• Shocking personal news 
• Financial crisis
• Other major losses or changes

For other people, it comes naturally at a certain age or time in life when they're faced with the reality of their own mortality.

Realizing that time is precious, they question how they want to spend the rest of their life so that they don't look back with regret about what they "could've" or "would've" done and didn't do.

Even though going through a midlife transition can be challenging and confusing, the alternative, which  would be living life in a mindless way without taking time to reassess your life, is more challenging in the long run and can lead to regret in old age without recourse for change at that point (see my article: Moving Out of Your Comfort Zone).

I'll continue this discussion in my next article with a scenario that illustrates some of the points that I've made in this article (see Part 2 of this topic).

Getting Help in Therapy
A midlife transition is usually a process.  It's not a change that's usually made in a day or a week.  It often occurs in stages and it's a normal part of life (see my article: Being Open to New Possibilities).

If you're struggling with midlife questions and issues, you could benefit from working with a licensed mental health professional who can help you to navigate through this challenging time.

Rather than struggling on your own, a licensed psychotherapist can help to facilitate this process by assessing your life so far, where you are, where you'd like to be, what you would need to do to get there and how to overcome the emotional blocks that might get in the way of your taking action.

With help, you could be navigate through this change and lead the life that you want to live.

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 individuals and couples going through a midlife transition.

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 or email me.

How to Get Out of a Rut - Part 2: Taking Steps

In my prior article, I began the discussion about getting out of a rut by defining what it is and what it's not as well as some of the common reasons why people get into ruts in their lives.

Taking Steps to Get Out of a Rut

In this article, I'm focusing on some tips that might be helpful to get out of a rut (see my article: Recapturing a Sense of Aliveness).

Since everyone is different, you might find some of these tips more helpful than others and, as I mentioned in my prior article, what might appear like being in a rut might actually be a more serious psychological problem that requires professional help.

For now, let's focus on some of the things that you might be able to do to get yourself out of a rut so you have more of a sense of well-being in your life.

Since many people are afraid that it would take too big an effort to make this kind of change, you can start by looking at one or two areas where you can begin to make small changes that feel do-able.

Tips for Getting Out of a Rut:

• Looking at Your Usual Routines:  Is there some small change that you can make to one of your usual routines?  So, for instance, if you always take the same route to work, what if you took a different route?  What might you see or who might you meet that might be new and different? (see my article:  Being Open to New Experiences).

• Revising Your To-Do List:  If you find that your to-do list is usually so long that you almost never complete it, why not consider revising it so that it's more manageable?  At the same time, you can include some self care items on your list to nurturing yourself.  

• Reflecting on Your Habitual Ways of Thinking:  This requires self reflection and, possibly, some help from a trust friend or relative, who might be helpful to see things about yourself that you might not see. When was the last time that you questioned certain feelings, opinions and values?  Are you able to stand back objectively and consider that you might be thinking and behaving in ways that no longer suit you and your loved ones?  Reflecting on your habitual ways of thinking might help you to see things from a different angle.  Or, after looking at things from a different angle, you might still feel the same.  It's the act of reflection and objectivity that's important.  Maybe you want to try challenging yourself by looking at TV news that you normally don't watch, so that if you normally watch a liberal news broadcast, try watching a more conservative one or vice versa (see my article:  Overcoming the "I'm Too Old to Change" Mindset).

Taking Steps to Get Out of a Rut

• Looking at Your Fear of Change:  Take time to question your fears.  Are your fears amorphous and vague or are they specific?  Are you afraid of specific changes or any type of change?  Take time to write about your fears and, in writing about them, do they stand up to the light of day or do you see certain distortions in your thinking that underlie your fears? (see my article:  Fear of Change).

• Bolstering Your Self Confidence:  Are you going through a period of self doubt because of recent circumstances or is your lack of self confidence a lifelong issue?  Were there other times in your life when you were afraid to make changes but you overcame your fears?  What enabled you do it?  If you can't draw from your own experience, are there people that you admire who have been able to get themselves out of their own ruts?  Are there things that they did that you can borrow that might help to bolster your self confidence.  If there isn't anyone that you know, use your imagination and think of someone that you admire from a TV program, a movie, a book or a historical figure.  How did he or she overcome a lack of self confidence to lead a more fulfilling life? (see my article:  Becoming the Person You Want to Be).

• Looking at the Impact of "Negative People" Around You:  For reasons of their own, many people who struggle with negative thoughts, often unwittingly, have a negative impact on the people around them.  Often these people, who might be depressed or have other psychological problems that they're unaware of, can dampen other people's enthusiasm for new plans or changes in their lives.  This doesn't mean that you should stop being emotionally supportive to friends or family members who are "down."  It does mean that it would be helpful for you to take a look at the impact that they might have on you and learn to distinguish between their unhappiness and how you feel.  In other words, distinguish what emotions belong to them and what belongs to you.  If there are acquaintances in your life who tend to discourage you, you might want to reduce the amount of time that you spend with them, especially if you're trying to get out of a rut yourself (see my article:  Workplace: Being Around Negative Coworkers Can Have a Negative Impact on Your Mood).

• Meeting New People:  If you have a set of friends that you really care about, that's great.  You might also consider getting out to meet new people that might help you to gain a new perspective, learn about new interests, and see new places.  

• Recognizing that Everyday is a New Day:  Your perspective about each day is very important.  If you look at each day as the same as the previous one, you're unlikely to get yourself out of a rut.  But if you look at each day as having the potential for new possibilities, you open yourself up to the possibility of new experiences.

Taking Steps to Get Out of a Rut

What If It's More Than Just Being in a Rut?
As I mentioned in my prior article, sometimes depression and anxiety, as well as other psychological problems, can be the underlying problems for being in a rut.

If you've tried own your own and you've been unsuccessful to try to get yourself on a more even keel, you could benefit from the help of a licensed mental health professional.

Getting Help in Therapy
Going for a consultation with a licensed therapist could help you to address the underlying issues that keep you feeling stuck (see my article:

Rather than continuing to suffer on your own, a licensed mental health professional can help you to overcome the obstacles that are keeping you from leading a more fulfilling life.

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.

Making Changes: Overcoming Ambivalence

It's not unusual that when we want to make changes in our lives, we also have mixed feelings which keep us stuck and emotionally paralyzed.  However, indecision can become a problem when they weigh us down and keep us from taking action.

Making Changes: Overcoming Ambivalence

Getting Stuck Before Taking Action
Many people are very good at thinking about solutions to their problems, getting advice, planning on paper how they will make the change, but then they get stuck when it comes to actually taking action to make the change.

Often, their own mixed feelings or fears keep them from taking the steps they need to take to make the change--even when they've thought about it a lot and decided that it's the best course to take.

This can be very frustrating for themselves as well as for their loved ones.

While it's important not to be impulsive, especially when making life-changing decisions, it's also important not to get stuck in ambivalence, doubt and indecision.

Why do people, who are often good planners, get stuck before taking the steps they need to take to follow through with their decisions?
The answer to this question is as varied as the many people who get stuck at the point of taking action.

For some people, it's a matter of feeling overwhelmed by anxiety that their decision might be the wrong one.

For other people, who tend to put off making decisions, it's a way of obsessing about their options and trying to find the "perfect" solution when there really isn't one.

Some people, who suffer with low self esteem, don't trust their own judgement. And so on.

Are you stuck at the planning stage about making changes in your life?
Are you feeling frustrated because you don't understand why you can't get to the next step, even though you feel that you really want to make a change?

Rather than being hard on yourself about it and putting yourself down, it's better to become curious about your own process.

Getting Help in Therapy
If you can't seem to get yourself "unstuck," instead of wasting more days, weeks, months or even years, trying to do the same thing on your own that hasn't worked for you before, consider psychotherapy as an option to help you get moving to where you want to go in your life.

Getting Help in Therapy

A licensed mental health professional can help you to overcome the obstacles that are keeping you stuck so you can take action to make the changes you want to make.

I'm a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing who has helped many clients to get "unstuck" so they can take action to lead more fulfilling lives.   

I work with individual adults and couples.

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

Call me at (917) 742-2624 or email me to set up a consultation.

Making Changes: Are You Creating Obstacles For Yourself in Therapy Without Even Realizing It?

In a prior article,  Rethinking the Concept of the "Help Rejecting Client" , I discussed that, as a psychotherapist, I don't find the concept of the "help rejecting client" to be especially useful in trying to work with clients who might be, unconsciously, creating obstacles in their therapy to making changes.

Making Changes: Are You Creating Obstacles For Yourself in Therapy 

The focus of that article was the term, "help rejecting client," how it's counterproductive to therapy, and that, most of the time, the onus is on the therapist to find creative ways of working rather than blaming the client.

In this article, I'll focus on the same issue, which is common in therapy, to encourage clients, who might be engaging in creating obstacles in therapy, to become more aware of what they might be doing unconsciously that gets in their way of making the positive changes that they want in their lives.

No One Likes to Think of Himself or Herself as "Creating Obstacles" in Therapy
Let's begin by saying that no one likes to think of herself or himself as "creating obstacles" in therapy.

When a client is unconsciously engaging in this dynamic, the therapist needs to broach this issue with the utmost tact and compassion, otherwise it can engender a lot of shame in a client.

Since many clients come to therapy with a long history of being shamed in childhood, the last thing that therapists want to do is engender more shame in therapy.

Since my purpose in writing this article is to help clients, who are often frustrated when they discover that they are unwittingly getting in their own way, I also want to avoid engendering shame.

So, let's try to understand this phenomenon with compassion and understanding.

Why Would Anyone Create Obstacles to the Changes That He or She Wants?
Why would clients, who come to therapy because they want to make changes, create obstacles to the very changes they say they want to make?

After all, coming to therapy involves time, money, and effort.  And, while therapy usually provides a supportive and empathic environment as well an opportunity for self exploration, which can be tremendously gratifying to many people, it's not always "fun" at times.

So, considering that coming to therapy is a major commitment, why would people, who say they want to make changes, get in their own way of making these changes?

Most People Have Some Unconscious Ambivalence About Changes They Want to Make
It's important to understand that, no matter how much people want to change, most people have some degree of unconscious ambivalence about the changes they say they want to make (see my article: Making Changes: Overcoming Ambivalence).

Most of us tend to like to think of ourselves as being integrated beings psychologically.  But, in fact, psychologically speaking, we're really made up of many different aspects within ourselves.

These psychological aspects can be in conflict with each other without a person even realizing it.

Ambivalence About Change

Clients' Ambivalence is Common in Therapy
As a result, I discovered early on in my career as a psychotherapist that it helps to address this unconscious ambivalence during the early stage of therapy to help normalize this phenomenon for clients.

It's helpful for clients to know, in general, about this concept of ambivalence in therapy before they might recognize their own particular ambivalence.

Of course, it's usually easier to see someone else's ambivalence before seeing your own.  So when I'm talking to clients about how it's common to have mixed feelings about making changes, even for deeply desired changes, some clients say, "I've heard about this.  My friend went through that when she started therapy."

But, while this client can see that her friend has this problem, she might not see her own ambivalence at this stage in therapy.

So, beyond just addressing the idea of ambivalence in therapy, as a therapist, I find it's useful to reach for it and, when the time is right for a particular client, to explore his or her ambivalence in a way that gets a client to become curious about his or her psychological process, as opposed to feeling ashamed about it.

Feeling ashamed about it only makes the issue worse and can be retraumatizing, especially for clients who come to therapy with a history of trauma.

Getting Help in Therapy
While many people have no awareness of how their ambivalence might be creating problems in their lives, many others do see it and want to change this dynamic for themselves.

If you recognize this dynamic within yourself and you want to change it, you could benefit from working with a therapist who is skilled in helping clients to overcome this problem.

By addressing this issue in the initial consultation with a therapist, you can often sense how the therapist might deal with it and whether or not this therapist is a good match for you.

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

I have helped many clients, who were, initially, creating obstacles for themselves in therapy, to learn to overcome this dynamic so they could 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.

Making Changes: Overcoming the "Inner Voice of Negative Prediction"

When you're trying to make positive changes in your life, whether it's to improve your diet, lose weight, become a successful nonsmoker, return to school to complete your education or whatever changes you might want to make, very often, one of the main obstacles is "the inner voice of negative prediction."

Making Changes: Overcoming the "Inner Voice of Negative Prediction"

What is the "Inner Voice of Negative Prediction"
"The inner voice of negative prediction" is that internal voice that tells you that you can't do it and says things like, "If you try to improve your diet, you're going to fail just the way you have every other time so you might as well not even try" or if you want to become a successful nonsmoker, it might say, "If you give up cigarettes, you're going to become extremely anxious, overeat and get fat, so don't do it."

I believe that the term "inner voice of negative prediction" was originally coined by Al Pesso in his psychomotor psychotherapy theory (http://www.pbsp.com ).

Often, this internal negative voice has been a part of your inner world for a long time and it becomes an obstacle in whatever positive changes you try to make. But instead of berating that inner voice, it's often better to find out what that inner voice wants. Maybe that negative or insecure part needs reassurance in much the same way that an insecure child might need reassurance.

Getting Help:  How Clinical Hypnosis Can Help
When clients come to me to try to make changes in their lives and their "inner voice of negative prediction" starts getting in the way of making those changes, I often find it helpful to address the needs of that part in hypnosis.

Hypnosis is a powerful tool for making positive changes. Through hypnosis, my clients get to sense that part of themselves that is holding them back and to soothe that part.

Overcome the "Inner Voice of Negative Prediction"

Very often, when my clients see themselves in their minds' eye in a hypnotic state taking care of that insecure part, the part calms down, just as an insecure child would, and stops making "negative predictions."

When that inner part calms down, then it's usually possible to make whatever changes you want to make in your life.

If you want to make changes in your life, you could benefit from hypnosis.

About Me:
I am a licensed NYC psychotherapist, hypnotherapist and EMDR therapist. I have helped many clients to make positive changes in their 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.

Common Myths About Psychotherapy: Going to Therapy Means You're "Weak"

In a prior blog article, Common Myths About Psychotherapy: Therapy Takes a Long Time, I addressed one of the biggest misperceptions about therapy that has lingered for many years.  In my current article, I'll address another common myth, namely, that if a person goes to therapy, it means that he or she is a "weak" person.

Common Myths About Psychotherapy: Going to Therapy Means You're Weak

In the United States, we live in a society where rugged individualism is admired and encouraged in many areas.  The idea of "picking yourself up by your bootstraps" is also admirable to many people.  And while there is much to admire about people who overcome adversity, it's also true that if any of us is put through enough stress, we will need help and emotional support to get through it.

For people who seek psychological help in therapy, it's not a sign of weakness--rather, it's a sign of strength and courage to seek help, especially when we live in a culture that often doesn't encourage reaching out for psychological help.

The following vignette, which is a composite of many cases with all identifying information changed, illustrates what I'm talking about:

John
John grew up in a small town where everyone knew each other and family friendships often went back generations.

His family struggled financially, especially when his father lost his job.  And, even though the family was entitled to public assistance to help them through the tough financial times, his parents adamantly refused to apply for it.  His father said he didn't believe in it, and he felt that each family should make their own way rather than relying on, from his perspective, "handouts."

During the lean times, John and his sister, Betty, knew better than to complain.  They watched their parents maintain a stoic attitude and they took their cue from them.

His parents never talked about their feelings, and John saw little in the way of affection between them.  So, John learned to keep his feelings to himself and he never wanted to "bother" anyone with his problems.  Even as a young child, who felt lonely much of the time because his parents wouldn't allow friends to come over, John didn't complain.

Whenever John's father heard anyone talking about feeling sad or anxious, he would just shake his head and say that, personally, he didn't have time to think about how sad or anxious he might feel, and he considered "complaining" about it to be a luxury.

Years later, after John graduated college and moved out to NYC to settle into a career, he felt guilty and self indulgent whenever he realized that he felt sad, lonely or anxious.  Instead of focusing on his emotions, he just worked harder and tried to forget about his feelings.

But when he began developing physical problems, including back pain, headaches and gastrointestinal problems and he went to see his medical doctor, his doctor told him that he couldn't find a medical cause for John's physical problems, and he recommended that John see a psychotherapist.

John was shocked to hear his doctor tell him that there were probably underlying psychological issues  involved with his medical problems.  So then, his doctor explained the mind-body connection to John to help John understand that his body was taking the toll for his unexamined and unresolved emotional problems.

No one in John's family would ever think of seeing a psychotherapist, so he felt ashamed and "weak" for not being able to handle his problems on his own, especially as a man.  He shuttered to think what his parents, especially his father, would think if they knew that he set up a consultation with a psychotherapist.  He knew, even if they didn't say it out loud, that they would think he was "weak."

Over time, John learned in therapy how hard he was being on himself and that his rigid views about what people "should" and "shouldn't" do were getting in his way and creating more problems for himself.  He also discovered that an experienced psychotherapist could help him to access his own strengths in ways that he couldn't do on his own.

Common Myths About Psychotherapy: Going to Therapy Means You're Weak

It took a while before John was able to feel that it actually takes courage to get help in therapy.  As he worked through his emotional problems, his medical symptoms were alleviated and he realized that his unresolved emotional issues had turned into medical problems because he wasn't dealing with them in the past.  But now that he was dealing with them directly, he also no longer felt sad or anxious, and he didn't feel lonely because he was learning new and effective ways to relate to people, so he was making friends.

Distorted Perceptions About Being "Weak" Are Often Deeply Ingrained
One of the reason why a myth like "going to therapy means you're weak" lingers is that it is a distorted perception that remains ingrained in the minds of many people.  Unfortunately, it also makes it difficult for people who need help to ask for help (see my article: Tips on Overcoming Your Fear of Asking For Help ).

Getting Help in Therapy
If you recognize yourself in the vignette above, you owe it to yourself to get help from a licensed mental health professional who can help you work through your problems and lead a more fulfilling life.

About Me:
I'm a licensed New York City psychotherapist, hypnotherapist, EMDR, and Somatic Experiencing therapist who works with adult individuals 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.

See my article:  Common Myths About Psychotherapy: Therapy Takes a Long Time

Making Changes Within Yourself to Create the Life You Want

One of the most challenging and eye-opening things to discover in therapy is that you need to make changes within yourself if you want to create the life you want.  

Making Changes Within Yourself to Create the Life You Want

By this, I mean that there are times when you discover that your unhappiness isn't so much about the external circumstances in your life, but more about what's going on with your internally, your relationship with yourself and how you interact in the world.  

Why People Begin Psychotherapy

People come to therapy for various reasons.  Some people start therapy because they're struggling with a particularly difficult event in their lives, like a divorce, a death in the family or some other kind of loss.

When the reason for begining psychotherapy is a one-time event (even if it's a traumatic event) in an otherwise happy and stable life, working through this issue is less challenging than someone who experiences a similar event in a life that has been a struggle all along.  When there is a secure foundation of stability and happiness, it's easier to bounce back from life's challenges.  

Many people don't come to therapy because they want to gain a better understanding of themselves.  At least, it doesn't start out that way.  They start therapy focusing on external circumstances that are making them unhappy, which are usually legitimate concerns.  But when, for example, there's a lifelong pattern of particular problems, people often discover that they're having these problems because they need to make changes within themselves and how they interact with others.  

Discovering that You're the One Who Needs to Change Isn't Easy

Discovering that you need to make changes within yourself isn't always such a welcomed discovery.  It can be hard work.  It's easier to focus on the external than the internal.

Making Changes Within Yourself to Create the Life You Want: Discovering You're the One Who Needs to Change

It's easier to focus on:  "How can I fix my boyfriend who's an alcoholic" rather than looking at a lifelong pattern of choosing boyfriends who have alcohol problems.  It requires an internal perspective and a willingness to make changes in yourself.

The following scenario is an example, which is a composite with all identifying information changed:

Alice:

When Alice began therapy, she was very unhappy because she wasn't in a relationship.  She had a long history of choosing men who were emotionally abusive towards her.  After going through several of these breakups, she felt doomed to either be alone or with men who would mistreat her.  She felt helpless and hopeless about these choices.

In general, Alice had a very low opinion of men.  She thought that they were either "weak and passive" or "self centered and mean."  She said these were the only kinds of men that she met and she felt she had a lot of evidence of this both within her adult life and in her family.  She saw no evidence of there being the kind of man that she said she would like to meet--someone who would be kind, caring and respectful.  As far as she was concerned, men like this didn't exist.

Since she saw no other alternatives, she felt very conflicted about being in a relationship.  On the one hand, she didn't want to be with a "weak" or "mean" man.  But, on the other hand, she didn't want to be alone.  She felt it was an unresolvable dilemma.  Even though she wasn't hopeful that therapy would help her, she felt deeply unhappy and didn't know what else to do.

When I asked Alice how she went about meeting men, she told me that she and her friends went to bars, even though they didn't like bars.  None of them liked the idea of online dating so, with a feeling of heavy resignation, they kept going back to the bars.  They all seemed to have low opinions of men, and before they went they would complain to each other about men.  

Not surprisingly, by the time they got to the bar, they were feeling miserable because they were prepared for the worst and this is often what they found.  

Listening to her talk about how she interacted with the men in the bar, I could see that Alice often turned away men who might have been the kind of men that she wanted to meet.  But she never found out because she would see any kind gesture from these men as being "weak" and she would ignore them or send them packing.  She was more attracted to the handsome "bad boy" sitting in the corner drinking by himself.  There was something exciting about this type of man to Alice.  

Inevitably, these men often had serious drinking and emotional problems.  But, at the initial stage of being in therapy, Alice couldn't see that she was choosing the wrong men over and over again.  She felt very defensive about exploring this at first.  She felt like she was being blamed for her "bad luck" with men.  But she stuck it out in therapy and, over time, she began to understand that she wasn't just a victim of bad luck--she was actively participating in creating what she said she didn't want.

It took courage and a willingness to be open to change for Alice to change her attitudes and her actions. Over time, Alice developed a better perspective about how she was contributing to her unhappiness.  She stopped trying to meet men in bars and began attending other singles events that didn't involve alcohol.

She also began to play with the idea that the type of man she was looking for just might be out there, so she didn't go to these events feeling defeated before she met men.  She also became more open to changing her perspective about how she characterized kindness as "weakness" and allowed herself to get to know some of these men without dismissing them immediately.

Over time, she also realized that her family background played a major role in her feelings about men.  She realized that she was recreating her parents' relationship in her own romantic relationships, and she didn't want to do that any more.  In addition, she was able to see beyond the alluring facade of the handsome "bad boy," let go of her illusions about these men, and they actually became unattractive to her.   

She also realized that part of her hadn't felt deserving of being treated well, and this unconscious feeling of low self worth contributed to her problems.  She worked through her feelings of low self worth and, eventually, she felt deserving of an emotionally rewarding relationship with someone who would treat her well.  By being willing to make both the internal and external changes, she eventually met and married a man that she's happy with.

Making Changes Within Yourself Can Lead to a More Fulfilling Life: Getting Help in Therapy

Making changes within yourself, rather than being exclusively focused on external changes, isn't easy.

Most people don't like giving up attitudes and perspectives they've held for a long time.  It's a challenge to your sense of self and how you see the world.

Making Changes in Yourself Can Lead to a More Fulfilling Life:  Getting Help in Therapy

It takes courage and a trusting relationship with your therapist to be willing to transform yourself.  But the willingness and courage to make personal transformations can lead to a more fulfilling life.

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing 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 or email me.

Are You Gazing at the Sky Through a Straw?

Sharon Salzberg, cofounder of the Insight Meditation Center in Barre, MA, writes in her autobiographical book, Faith: Trusting Your Own Deepest Experience, that Buddhists have an expression that they use called "gazing at the sky through a straw." She says this expression is a metaphor for holding onto narrow, fixed beliefs and allowing these beliefs to become the whole of our existence. 

Expand Your Vision

Rather than seeing the vastness and beauty of the sky, when we gaze at the sky through a straw, we only see a very small part of the sky and yet we think we see all of it. We don't realize that we're depriving ourselves.

I enjoy reading about people's personal quests, and I'm enjoying reading about Ms. Salzberg's quest.  She writes about overcoming childhood trauma through her explorations in meditation and Buddhism. She also discusses how, at first, she clung to her particular beliefs because they helped her to feel secure, and how she had to learn to be more open and questioning about her beliefs lest they become dogma.

Compassion and Empathy
While reading this book, I've begun thinking about what it means when we become rigid in our beliefs and ways of doing things. In telling the story of her personal evolution, Ms. Salzberg provides an excellent example of why people often hold rigidly to their particular ways, and how they can feel threatened by other people's views. We see this every day in our personal encounters with people as well as in our own government where adherence to rigid beliefs has created gridlock in our Congress, and we see it internationally between countries.  We can see it in ourselves.

If you're dealing with someone who has rigid beliefs that are creating tension between you and this person, it's not enough to tell them, "Don't be so rigid" or "Chill out." It's much more helpful to take a moment, step back and try to understand what this person's particular stance means in the context of his or her life. Then, even if you don't agree, you might still feel some empathy and compassion for this person.  You can also look at your own struggles with rigidity and feel compassion for yourself.

My Uncle Joe:
While reading Faith," I thought about my Uncle Joe. My Uncle Joe passed away from a sudden heart attack at the young age of 43. But when he was alive, he was "the rock" of my father's family. Although he wasn't the oldest, he might as well have been. He was the one that everyone depended on.

As a young man, he had never been away from home until he was drafted into the Army during World War II. Both he and my father were sent to the South Pacific where, undoubtedly, they saw unspeakable atrocities. "Unspeakable" being the operative word because neither he nor my father ever spoke about the war. When Uncle Joe came back from the war, he moved back in with my grandparents and his brothers. Having experienced the war in the South Pacific, I think he felt secure coming home to the household traditions in my grandparents' home.

Uncle Joe was a very kind and generous person. If you came to visit him and you complimented him on something that he had (whether it was a set of cuff links or a new clock), he would insist that you have it.

I'll never forget the time that one of his cousins, Junior, admired a new vacuum cleaner that Uncle Joe had just bought. Actually, I think all that Junior said was, "Oh, that's nice." 

No sooner had the words left Junior's mouth than my Uncle Joe was trying to put the vacuum cleaner in Junior's hands, insisting that he have it. Junior was red-faced with embarrassment because he never meant to say that he wanted it. And there were the two of them pushing and pulling this vacuum cleaner back and forth, each one insisting that the other have it. Finally, Junior said his goodbyes to all of us very quickly and he practically ran out the door with my Uncle Joe still insisting that he wanted him to have the vacuum cleaner.

When we were younger, my cousins and I didn't know that the sumptuous Sunday dinners at my grandparents' house were provided courtesy of Uncle Joe. As children, we never thought of such things. In many ways, we took for granted the loving, nurturing, child-centered environment in my grandparents' home. It was all that we ever knew so how could we think that it could ever be different?

In many ways, we were protected as children. As hard as it may be to believe (and even I can't believe it myself when I think about it now), as children, we never knew that my grandmother was suffering with cancer. She had an indomitable spirit. 

She was always cooking and entertaining, welcoming people into her home, piling more food on their plates and filling their glasses. Sometimes, we would see her sleeping at the table and if she caught one us looking at her, she would say, "I'm just resting my eyes." When I look at old pictures of her now, I can see the dark rings under her eyes and how tired she looked, probably from the chemo. I can look back on it now and see that, had it not been for Uncle Joe helping my grandmother, our world would have been much different.

But as generous as he was, Uncle Joe also had very fixed ideas about what was right and what was wrong and how things should be done. So, for instance, during the week, he often cooked for his parents and his brothers. After he cooked, he would label each meal as either "Monday," "Tuesday," "Wednesday" and so on. It was a running joke in our family that if his brother, Al, wanted to annoy him, he would eat Tuesday's meal on Monday or eat Wednesday's meal on Tuesday.

My grandparents would tease Uncle Joe about this, but he would really get seriously upset if the meals were eaten out of order. Looking back on it now, I think that, for him, having that kind of rigid order helped him to feel secure: In a crazy world where, as a young man, you might suddenly find yourself one day in a foreign country killing other young men that you didn't even know, these simple things were things that you could count on. I think it represented stability and security to him, just like going to the same Mass every Sunday (9 AM and never 10 AM or 11 AM) or leaving for work at the post office at the same exact time every day.

He also never left the security of my grandparent's home. My grandfather died a year after my grandmother died, and my Uncle Joe died from a sudden heart a year after that. For someone who needed so much for things to remain the same, I can't help thinking that, aside from a history of heart problems among the men on my father's side of the family, my Uncle Joe also died in part because he couldn't tolerate that his world was turned upside down after my grandparents died. He was bereft without them.

I think that, for my Uncle Joe, who needed desperately for things to remain the same, he feared change. Change meant that the rug could be pulled out from underneath him at any time. He came back from the war during a time when no one really knew about post-traumatic stress disorder. They called it being "shell shocked" and there was no real treatment for it, not like there is today with the advent of EMDR and other forms of therapy that are specifically for trauma.

Fear and Clinging to Rigid Beliefs:
Reading Faith and remembering my Uncle Joe, and other people that I've known in my life, reminds me to have empathy and compassion for people who cling to their beliefs and who might be disparaging of others who hold different beliefs. When people need to cling to their beliefs and denigrate others, underneath it all, they're afraid. They might not even realize that they're afraid, but fear can be a powerful emotion. Fear can motivate us to change or it can make us run or it can freeze us in our tracks into stultifying rigidity.

If you find that you're "gazing at the sky through a straw," you might ask yourself whether fear might be keeping you from living more fully with more openness and flexibility. Trauma often causes people to feel fearful and avoidant. Trauma comes in many forms, not just the type of post-traumatic stress that we usually associate with war.

Getting Help in Therapy
If you feel stuck because of fear and insecurity, you're not alone, and you could benefit from seeing a licensed psychotherapist who has expertise in this area.

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

Moving Out of Your Comfort Zone

Staying within your comfort zone can feel very safe. When you're in your comfort zone, you usually don't have to worry about making mistakes, taking risks or making other people feel uncomfortable. You can go along, as you always have, and continue doing what you've always done and get the same results or you can make changes to move out of your comfort zone.

Moving Out of Your Comfort Zone

Here is a vignette, which is a composite of many cases: 

Donald:
Donald has been working at the same job as marketing rep for five years. He began as an intern and was hired soon after college. Initially, he was excited about his job. However, over time, he's learned the job so well that it's no longer challenging. The company is small and there are few opportunities for advancement. Add to this that Donald lacks confidence to advocate for himself to get a raise or to do more interesting work and you can see why he's in a rut.

His supervisor moved to a larger, more prestigious company a few months ago. Before he left, he told Donald to call him about possible openings at this company. But Donald has been procrastinating, making excuses to himself as to why he doesn't pick up the phone and call his former supervisor.

Then, one day, one of Donald's colleagues, who started at the same time and at the same level as Donald, told him that he had exciting news--he contacted their former supervisor and was hired as a marketing manager for a lot more money and better benefits. Donald congratulated him and wished him well but, inwardly, he berated himself for not calling their former supervisor and getting that job. He knew that he was far more knowledgeable and had better skills than his colleague, but he missed out because he allowed himself to stagnate in his comfort zone. He felt frustrated and stuck, and he didn't know what to do to get out of his rut.

If you would like to branch out, but you feel stuck in your comfort zone, ask yourself these questions to clarify what's holding you back:

• What do you really want in your life that you don't have now?
• What are the self-limiting fears that are keeping you from having what you want?
• What are you afraid will happen if you move out of your comfort zone?
• Are you living up to other people's expectations rather than doing what you really want?

Moving out of your comfort zone doesn't mean doing things that you're really not ready to do. For instance, if you just started taking yoga classes and you admire how some of the more advanced students can do head stands, it doesn't mean that you should try to do this as a beginner before you're ready. First, you need to learn the basics and develop your abilities to the point where you and your yoga teacher both feel that you can begin to do preparatory work for the head stand--otherwise you could injure yourself.

So, moving out of your comfort zone doesn't mean being foolhardy. Moving out of your comfort zone can be as simple as taking the next step--whatever the next step might be. So, if you've been doing yoga for a little while and your teacher encourages you to go a little deeper into a posture because she can see that you can do this safely without injuring yourself, but you decide to stay at your current level rather than work a little harder, then you're keeping yourself stagnant in your comfort zone and you won't progress.

Taking Steps to Making Changes
Small steps can lead to big changes. So, for instance, if you're afraid of public speaking, but you know it would help you to present your ideas to your boss and the senior staff, taking a public speaking class or working with a coach might be the small step you need to take in order to take the next step that could help you advance.

For most people, as they challenge themselves by taking steps outside of their comfort zone, they build confidence, and this can create an upward spiral.

Getting Help in Therapy
If you find yourself stuck in your comfort zone, you could benefit from consulting with a psychotherapist or coach to help you advance to the next step and, ultimately, help you to get what you want in your life.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist. I have helped many clients to move out of their comfort zone to 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.