What's the Difference Between Fear and Anxiety?

Your heart races, your muscles tighten, and your breathing grows shallow. While the somatic sensations feel nearly identical, your nervous system is actually reacting to two entirely different psychological states.

Navigating the unknown: While fear is an automatic response to an immediate present threat, anxiety is a future-oriented state of hypervigilance focused on what lies down the path.

The words "fear" and "anxiety" are frequently used interchangeably in everyday conversation. However, understanding the functional differences between them is a crucial first step toward regulating your nervous system and reclaiming emotional peace.

What's the Difference Between Fear and Anxiety?

The fundamental difference between fear and anxiety is the timeline and presence of the threat. Fear is an automatic, instinctual emotional response to a real, known, and immediate present danger. Anxiety, conversely, is a future-oriented, vague feeling of apprehension or dread regarding an anticipated, unknown, or perceived threat.

To understand how these function in real life, consider these clinical examples:

• Fear in Action: If someone approaches you on the street in an aggressive, menacing way, your body experiences fear. The danger is specific, real, and happening in the here and now.
• Anxiety in Action: If you struggle with a fear of flying and have an upcoming trip next month, the dread you feel weeks in advance is anxiety. You are anticipating a future event. However, the moment you step onto the aircraft and the doors close, that anticipation transforms into active fear because the stimulus is now present.

Physical and Emotional Symptoms of Anxiety

When anxiety becomes chronic, it shifts out of a temporary state of apprehension and manifests as persistent mind-body distress. Anxiety can cause a wide array of somatic and cognitive symptoms, including:

• Somatic & Physical Tension: Muscle pain, jaw clenching, chronic headaches, excessive sweating, shaking, or trembling.
• Cardiovascular & Gastrointestinal Distress: A racing heart, chest tightness, dizziness, feeling faint, upset stomach, and Irritable Bowel Syndrome (IBS).
• Nervous System Dysregulation: Insomnia, constant hypervigilance, and acute panic attacks.

Because fear can trigger residual anxiety, and chronic anxiety lowers your threshold for fear, these two states can easily trap your body in a continuous, exhausting survival loop.

Fear and Anxiety Produce a Stress Response

Both states activate the body’s sympathetic nervous system, triggering the classic fight-or-flight response. This automatic mechanism is highly adaptive and designed entirely to keep you alive.

For instance, if you are walking down a path and catch a glimpse of a snake, your body jumps back before your logical mind even registers what you saw. In moments of true danger, you do not want to pause and think—a microsecond difference saves your life.

However, if you land from that jump and realize the "snake" was actually just a stick, your parasympathetic nervous system begins to kick in, calming your heart rate because the present threat is gone.

When a threat is overwhelming and you can neither fight nor flee, your nervous system resorts to the freeze response (see my article: Overcoming the Freeze Response). The problem occurs when historical trauma leaves your system permanently stuck in this freeze or fight-or-flight loop, even when you are intellectually safe.

Restoring Safety Through Psychotherapy

Living under the constant weight of chronic fear or anxiety leaves your body exhausted and emotionally isolated. If you are struggling with these overwhelming states, you do not have to navigate them on your own.

When persistent anxiety is rooted in unresolved trauma, traditional talk therapy can sometimes fall short. Sustainable recovery requires working with a trauma-informed specialist trained to address both acute events and developmental trauma—the repeated stress or relational losses carried from childhood. 

Specialized mind-body therapies can help your nervous system unlearn its survival patterns, allowing you to step out of hypervigilance and lead a calmer, more peaceful life.

About Josephine Ferraro, LCSW

I am a licensed New York City psychotherapist, hypnotherapist, and certified sex therapist with advanced training in EMDR, AEDP, IFS, Somatic Experiencing and EFT for couples counseling. 

Utilizing an integrative psychotherapeutic framework, I help individual adults and couples heal trauma, manage debilitating anxiety, and restore somatic safety to their daily lives.

Ready to find relief from chronic stress?
I offer a complimentary 15-minute phone consultation to discuss your clinical needs and explore how we can work together. 

I see clients in person at my office in Greenwich Village, New York (10011) and online via secure telehealth.

• Website: Visit Josephine Ferraro, LCSW - NYC Psychotherapist to learn more.
• Phone: Call me directly at (917) 742-2624 during regular business hours.
• Email: josephineferraro@iCloud.com

Explore More Articles on Anxiety & Mind-Body Health:

• The Therapeutic Benefits of Integrative Psychotherapy
• Psychotherapy For Anxiety Disorders
• What is a Trauma Therapist?
• Journal Writing to Relieve Stress and Anxiety
• Learning to Stay Calm During Stressful Times

How Mindfulness and Self Compassion Can Help With Body Acceptance

I began a discussion about the challenges of having a negative body image in a prior article (see my article: Is a Negative Body Image Ruining Your Sex Life?). 

In the current article I'm focusing on how mindfulness and self compassion can help with body acceptance.

Mindfulness and Self Compassion Help With Body Acceptance

How Western Culture Perpetuates Women's Body Shame

Women are bombarded with messages on social media, TV, the movies and magazines about how their bodies should look.  

When women feel their bodies don't conform to these images, they feel ashamed of their bodies. This also affects sense of self worth and how they interact in relationships. 

Helpful Tips:

The following tips can be helpful in the process of going from a negative body image to body acceptance:

• Stop Comparing Yourself to Other Women Who Have "Perfect" Bodies: Obviously, there's no such thing as a "perfect" body.  But you might have an ideal image you're comparing yourself to when you look at other people.  Instead of comparing your body to the bodies you see at the gym, on social media or in other places, find aspects of your body that you like.  Western culture gives subtle and not so subtle messages that women should compare themselves unfavorably to other women.  This is a form of misogynistic manipulation that keeps women competing instead of supporting each other.

• Become Aware of Who Cashes In ($$$) On Your Negative Body Image: Fatphobia,  the stigmatization of weight gain and the idealization of thinness keep women feeling insecure about their bodies and makes them easy marketing targets in a capitalistic society. Ask yourself who benefits from your negative beliefs about your body.  There are plenty of industries, including the fitness and diet industries, that cash in on women feeling ashamed of their bodies. They often foster unrealistic expectations to keep women feeling insecure and willing to buy their products and services in an effort to have the "ideal body."

• Become Aware of the Intergenerational Impact of a Negative Body Image:  The messages about body image are so pervasive that it's difficult not to internalize them. Once you have accepted these negative messages that your body should look a certain way, these beliefs perpetuate themselves and become an intergenerational problem where mothers can unconsciously pass them on to their daughters. As a result, that the trauma continues from one generation to the next. Make a commitment to let is stop with you.

• Find Ways to Enjoy and Appreciate Your Body As It Is: If you look at yourself in the mirror, can you find at least one thing that you like about yourself? Find inspiration by focusing on the things your body can do instead of how your body looks.  Even if you are differently abled or have certain limitations, you can find ways to appreciate your body as it is.  For instance, learn to appreciate that your body is able to pump thousands of barrels of blood throughout your lifetime.  Similarly, think about how amazing it is that body has millions of cells interacting with each other everyday to keep you healthy.

• Be As Compassionate to Yourself As You Would Be to a Close Friend: Practice being kind and compassionate to yourself in the same way you would be to a close friend. Show particular kindness to the parts of your body that you don't like. For instance, if you don't like your abdomen, be kind to it by giving it a gentle massage with your favorite lotion after a shower.  In this way you can tend and befriend your body just the way it is right now.

How Mindfulness Can Help With Body Acceptance: If you want to overcome a negative body image, you can learn to use mindfulness to become more aware of how you're continuing to give yourself negative messages and learn to let go of these thoughts.

Mindfulness and Self Compassion Help With Body Acceptance

Mindfulness is a state of awareness you can use so you can become aware of the negative messages you give to yourself about your body. 

To begin your mindfulness practice:

• Get into a relaxed state in a private quiet place by slowing down your breathing (see my article: How to Practice Square Breathing).

• Become aware of the thoughts going through your mind and whenever you have a negative thought about your body (or anything else about yourself), imagine you're putting each negative thought on a cloud and watching it float away.

• Don't criticize yourself for having negative thoughts about your body.  Instead, be compassionate and gently let each thought go.

Body Acceptance is a Process

Body acceptance probably won't help overnight, but if you keep practicing mindfulness and self compassion, you can begin to let go of the negative messages you give yourself and learn to accept and appreciate your body as it is.

Body Acceptance is a Process

This article focused on women.  However, many men also suffer from body image problems and the tips offered in this article can be helpful to them too.

About Me

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

I work with individual adults and couples.

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

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

Staying Calm When You're in the Middle of Chaos

"You are the sky.  Everything else--it's just the weather:" Pema Chodron

Staying Calm When You're in the Middle of Chaos

The ability to stay calm during chaotic times is a natural ability for some people who seem to be able to stay focused and centered despite the chaos that is going on around them.

For other people, it's a matter of developing and practicing this skill.

Staying Calm When You're in the Middle of Chaos

The good news is that this skill can be learned by most people, and practicing can increase your ability to use this skill.

Ideally, the best time to learn to develop the ability to stay calm during stressful times is when things are relatively calm in your life.

But it doesn't always happen that way, so here are some tips for how to stay calm during chaotic or stressful times:

Tips for Staying Calm During Chaos

• Remember to Breathe:  This might sound strange, but it's often the case that when we're under stress or pressure, our breathing becomes shallow, and some people don't realize that they've stopped breathing for seconds at a time.  Also, breathing in a shallow way can make you more anxious.  So, remembering to take a couple of deep breaths can be very helpful (also see my article:  Learning to Relax: Square Breathing).

• Take Breaks:  Often when we're going through chaotic or stressful times, we think that it's better to keep going nonstop. But making yourself exhausted will only add to your stress.  If you're not in a situation that's an emergency that requires immediate action (like leaving a burning building), it's important to take breaks--even if the breaks are 5 or 10 minutes.  Taking time to regroup can help you to approach the situation feeling refreshed.

• Stop and Think:  Rather than leaping into action impulsively and working yourself and others into a panic, stop and think, even if it's for a moment, about what's needed in this situation.  Certain situations require immediate action, but many situations would be better handled by reflecting first on what's needed before taking action hastily.  

• Recognize What You Can and Can't Control:  This isn't always easy to see.  But when it's clear that there are elements of the situation that are beyond your control, don't waste your time and effort on things that you can't change.  Try to solve what you can as efficiently and effectively as you can, and leave the bigger issues to those who are equipped and responsible for handling them.

• Maintain a Balanced Perspective:  This suggestion goes along with Stop and Think.  During a chaotic situation, it's easy to lose perspective and panic.  Many people, who lose their perspective, end up making the wrong decisions and that makes the situation worse.  By keeping your perspective and asking yourself how you (and those close to you) are directly affected by the situation, you can approach the problem with a clear mind and make better decisions.

• Maintain Your Healthy Routines:  Some people become so consumed with problem solving or "putting out fires" during chaotic times that they abandon the healthy routines that help them to cope.  Although you might need to modify your routines during stressful times (depending upon what's going on), you can make your situation even more stressful if you completely abandon the healthy routines that help you on a regular basis, like going to the gym, meditating or whatever you do to maintain a sense of well-being.

• Maintain a Healthy Attitude:  Your perspective about life and situations at hand affect how you think and feel about these situations as well as how you react to them.  It's important to be able to take a step back, even if it's momentarily, to be mindful of how you're responding to the situation that you're dealing with at the time.  If you know yourself well enough to know that you tend to see "the glass as half empty" rather than "half full" most of the time, ask yourself if this attitude is affecting how you're dealing with the problem that you're facing and if you're seeing it in an overly negative way.

• Get Emotional Support: It's important to stay in contact with people who are emotionally supportive.  Even if supportive friends or family aren't directly involved in the situation, just being able to talk it out can help relieve stress and remind you that there are people who care about you.

Getting Help in Therapy
At times, despite your best efforts, if you're overwhelmed, you might need the help of a licensed mental health professional to assist you emotionally.

A skilled therapist can help you not just to manage the chaos that you're in, but s/he can also assist you to develop healthy coping skills that would help you in any difficult situation.

Getting Help in Therapy

An experienced psychotherapist can also help you to see if the current situation is triggering emotions from old unresolved emotional wounds and help you to work through prior trauma.

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.

Also see my article:  The Mind-Body Connection: Mindfulness Meditation

Tips for Overcoming Shyness

Are you uncomfortable about attending social events because of your shyness?  Is the thought of attending an after work activity with your coworkers enough to make you want to hide with the covers over your head?

If you're tend an introvert rather than an extrovert, you don't need to change your whole personality in order to overcome your shyness.

Tips For Overcoming Shyness

The following tips can help you to overcome shyness so that you learn to actually enjoy yourself during social events:

Prepare Before the Social Event
If you fear that you'll have nothing to say or that people won't find you interesting, think about some topics that you might talk about.

If you happen to know that you and other people at the party enjoy yoga, consider this as a topic that you might bring up to get the conversation going.

Allow the Hostess to Introduce You to Like-Minded People
Hostesses (or hosts) who are adept at giving parties know how to introduce certain people that they think might hit it off.

If you have a hostess with good people skills who is aware that certain guests share particular interests, she might introduce you to others by saying something like, "Joe, this is Alice.  I thought you'd like to meet each other because you both share an interest in jazz."

Although this isn't something you can always rely on, when it happens, it can help you to overcome some of the awkwardness you might feel in a social situation.

Learn to Focus on Others, Instead of Yourself, at Social Events
Shy people often feel so self conscious at social events that they're afraid that they'll have nothing interesting to say and no one will want to talk to them.

Being shy and fearing social events can keep shy people locked in a state of self absorption, which only makes matters worse.

Tips for Overcoming Shyness:  Focus on Others at Social Events

Rather than focusing on yourself and all the deficiencies you fear others will find in you, try to forget about yourself and focus on the other people at the party or social event.

Get curious and develop an interest in the other people who are there.

Asking appropriate questions of the strangers that you meet at a party (i.e., how they know the host) can be an ice breaker and give you and others a topic to talk about that could lead to other topics.

Showing an interest in others also allows you to forget about your own feelings of being self conscious.

Be Aware of Your Body Language and the Social Signals That You're Sending Out
Without even realizing, many people who are shy come across as if they're unfriendly, rather than shy, because they're sending out the wrong signal to others at social events.

If you're sitting hunched over in the corner and avoiding eye contact with others, chances are that people will think you're unapproachable rather than thinking that you're shy.

Learn to maintain an open posture and smile.  Not only will this make you appear more approachable, but it might be helpful to others who might also be shy.

Think About How You Can Put Others at Ease
If you can stop focusing on your own shyness, as I mentioned, you might realize that there are other people, besides you, who are also struggling with shyness.

If you can find ways to help put others to feel more at ease, not only will this be helpful to others, but it can also be helpful to you.

One possible way to help yourself and others to be more at ease is to volunteer to help out in some way at the social event.

So, for instance, if you've been invited to a party, you can ask the hostess if you can help to show people around the garden or help with the drinks.

Being involved with a task related to the party can help you to feel like you're more a part of the event.  And, you'll also be adding to other people's comfort and ease.

Learn to Calm Yourself:  Remember to Breathe
When people feel shy or anxious, they often breathe in shallow ways, which only adds to their discomfort.

As simple as it sounds, taking a deep breath can help to calm your body and your mind.

One particular breathing exercise that is particularly helpful is called Square Breathing.
See my article:  Learning to Relax: Square Breathing.

Another exercise you can try before you go to a social event is called Safe Place Meditation.

Getting Help in Therapy
If these simple tips aren't helpful to you and your shyness is really getting in the way of your personal life and your career, you could benefit from working with a licensed mental health professional who has expertise with this issue.  It's possible that your problem isn't just shyness but, possibly, something more deep seated.

People who are able to overcome shyness are relieved to be able to socialize and meet others without feeling hampered by feeling self conscious and socially awkward.  By getting help, you can also learn to overcome your shyness so you can feel more confident in social situations.

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.

Finding Moments of Peace During Stressful Times

When you're under a lot of stress, it's easy to forget that you can often find moments of peace. Taking a few moments to yourself to take a deep breath and as you're breathing, letting go of the tension you're feeling inside with each breath that you take, can be such a relief.  

Finding Moments of Peace During Stressful Times

Remembering to Breathe and Let Go
Breathing out the tension doesn't get rid of the problem, but it can allow you to decompress, if only for a short time.  By decompressing, you'll often discover that you can approach your problem with a clear mind.  You might even think more creatively about your problem and approach the problem in a different way than you might have not have before.

Even if your stress is related to a problem that isn't easily solved, it doesn't do you any good to hold on to a lot of extra tension that makes your body feel tight and creates chaos in your mind.

Letting go can seem like the opposite of what you think you should be doing during stressful times.  You might feel that you have to continue to try to continuously hold on, worry, and mull over the problem in every possible way all of the time.

It's understandable that you might feel this way.  But letting go, even momentarily, doesn't stop you from going back to the problem later and working on it.  You don't have to work on it 24/7.  Often, that's counterproductive.

It's easy to forget the simple things you can do to reduce stress because it can feel futile to try to do things that can "only"  help you momentarily.  You can become so fixated on solving the entire problem that you forget it's important to take breaks to have peaceful moments in the midst of a storm.

Square Breathing to Help You to Relax
In a prior blog post, I recommended a particular technique called Square Breathing (see link below).  Square Breathing is a simple technique.  I've worked with many clients who knew nothing about Square Breathing before I taught them how to do it, but who were able to learn it quickly.  It takes very little time, and it can relax you physically, mentally and emotionally.

Creating an Increasing Sense of Inner Peace
As you create each moment of peace for yourself, you might find that you're better able to cope with whatever stressful situation that you're facing.

You might find that these moments of peace, which you create for yourself, can give you a greater sense inner confidence to deal with the stressful situation.  And, since stress is a normal part of life, developing better ways to cope and a stronger sense of self confidence can be an important gif t that you give yourself.

About Me
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 during business hours or email me.

Learning to Relax By Practicing Square Breathing

Self Soothing Techniques to Cope With Stress

As I've mentioned in prior blog posts, usually when clients begin psychotherapy with me, I like to know what emotional resources they already have before we begin trauma work.  I also like to know how resilient they are already or if they need help to develop resilience.  

Self Soothing Techniques to Cope With Stress 

If they have little in the way of internal and external resources, I usually teach them ways to take care of themselves between sessions, including meditation, certain self help EMDR therapy techniques, and using pleasant memories and images of relaxing places to help them relieve unpleasant emotional and physical activation between sessions.

I'm also continually amazed at what clients already know on an intuitive level with regard to self care. They might not even realize that what they're doing is calming themselves because they do it so  automatically with little or no awareness.

For instance, some clients know instinctively to put their hands over their hearts or their stomachs as a way to sooth themselves.  

When they're doing this, they often don't realize that they've touched themselves to soothe themselves.  

But, sitting across from them, I can see that, after they've made this gesture, their faces look calmer, their breathing is easier, there's more color in their faces, and they appear more present in the room.

When I point this out to clients and ask them to verbalize how they experience these gestures, they usually say that they're surprised that they're feeling better.  

Often, these gestures seem so basic, but they can be powerful in terms of transforming how they feel physically and emotionally.  

By verbalizing the experience, clients learn what's useful and it can become an emotional resource that they can use in the future.  Also, the act of verbalizing it helps the client to integrate the experience on both a physical and emotional level.

Other simple movements that can be soothing emotionally and physically include:  moving your neck (looking from side to side to help alleviate muscle tension in the neck and a feeling of emotional constriction); pressing your feet on the floor to feel more grounded; feeling the back of the chair against your back and how supportive this feels; and feeling how the weight of your body is supported by the chair you're sitting in.

Dance therapists know that movement can be very healing.  In order to use movement as a self soothing technique, you don't have to be a dancer or go to a dance therapist.  Very simple movements can shift how you feel.  

For instance, if you're feeling emotionally and physically constricted in your chest, you might try slowly and gently moving your arms out to your side and then raising your arms up along the sides of your ears (keeping your shoulders down).  

If you've ever done the Sun Salutation in yoga, you'll recognize this simple movement.  Most people find that moving your arms in this way helps to open up their chest, giving some relief on both a physical and emotional level.

Likewise, loosening up the joints, where a lot of tension is often stored, can help to release the tension.  Both yoga instructors and Reiki practitioners know we often hold a lot of emotion in our joints and simple, very gentle movements can be so beneficial.

The simple act of exhaling can also release stress and agitation.  Most of us will let out large sighs, sometimes without even realizing it, when we're experiencing stress or agitation.  The exhalation is a form of emotional and physical discharge.

In a prior blog post, I discussed Square Breathing as another form of self soothing that people can use when they're anxious or having a panic attack (see my article: Learning to Relax With Square Breathing).

We all need supportive people in our lives for our well-being, especially during distressing times.  

But knowing that there are self soothing techniques that we can use when other people might not be around is, in itself, empowering because we know that we can take care of ourselves. 

And self care is an important part of maintaining our well-being.

About Me

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