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Showing posts with label alcohol abuse. Show all posts
Showing posts with label alcohol abuse. Show all posts

Saturday, January 27, 2018

Developing a Compassionate Understanding of Your Unhealthy Coping Strategies

In prior articles, I've discussed various unhealthy coping strategies (see my articles about changing maladaptive coping strategies that no longer work, including avoidancepassive behavior and controlling behavior).  In this article, I'm focusing on the importance of developing a self compassionate understanding of your maladaptive coping strategies and how psychotherapy can help (see my article: Psychotherapy and Compassionate Self Acceptance).

Developing a Compassionate Understanding of Your Maladaptive Coping Strategies

Why Is It Important to Develop a Compassionate Understanding of Your Maladaptive Coping Strategies?
Maladaptive coping strategies often develop when a child or an adult is in emotional pain, their coping skills are inadequate or poor, and they don't know any other way to relieve their emotional pain.

When people develop unhealthy coping strategies to relieve pain, the main intent is to relieve the emotional pain so it won't hurt so much, even if the strategies are unhealthy.  The main intent is not to develop unhealthy coping skills per se.

The problem with these strategies is that, although they might work temporarily, they don't resolve the problem and they usually add to the existing problems and make things worse.

For instance, if a child is raised in a very punitive environment where his parents constantly punish him for even minor behavior problems and withdraw from him emotionally, he will grow up feeling ashamed.  He will internalize a feeling of being a "bad person" or an "unlovable person," even when that's not the intent of his parents (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

The emotional pain of feeling like a bad person or feeling unlovable is difficult to bear, so he will try to find ways to relieve that emotional pain that might work in the short term, but usually cause other problems in the long term.

For instance, he might numb himself emotionally or use alcohol to blunt the emotional pain.  Because the alcohol "works" temporarily to numb him to his pain, this becomes a powerful reinforcement to keep doing it, even if he knows that it can cause him physical and emotional harm and possibly ruin his interpersonal relationships and career in the long run.

Even though he knows there could be serious consequences if he continues to drink excessively, he might bargain with himself, "I'll stop after New Year's Eve" or "I'll just have one more drink and then I'll stop."  This gives him temporary relief from the fear of long-term consequences to his drinking.

But, as previous mentioned, a maladaptive coping strategy compounds the original problem. For instance, a spouse might threaten to leave the relationship or a boss might give a warning that the behavior is interfering with work.  Then, the person who is using the temporary fix knows he needs to do something else because life is becoming unmanageable.

At that point, the problem is often that shame gets in the way of getting help.  The person is now ashamed of being someone who is a bad person or an unlovable person and, in addition, he is ashamed of what he has been doing to relieve his emotional pain (see my articles: Are You Afraid to Start Therapy Because You Feel Ashamed? and Overcoming Shame).

This is where learning to be self compassionate can help to mitigate the shame so that the individual can seek help rather than continuing to avoid help due to the shame.

It's important to understand that being self compassionate doesn't mean being irresponsible or unaccountable to yourself or to others.  Self compassion isn't an excuse to continue harming yourself or others.  It's a first step in being able to resolve your problems.

A Fictional Vignette: Developing a Self Compassionate Understanding of Maladaptive Coping Strategies
The following fictional vignette illustrates how being self compassionate can allow an individual to overcome shame so he can get help.  Although I'm using alcohol as an example of the maladaptive coping strategy, the strategy could be emotional numbingoverspending, overeating, compulsive gambling, sexual addiction, and so on.

Ron
Ron was the youngest child by far of three children.  By the time he was old enough to go to school, his older siblings were already out of the house so, in effect, he was raised as an only child by two parents who were emotionally neglectful and punitive (see my article: What is Childhood Emotional Neglect?)

By the time he was five, he already knew that he was an unplanned child, an "accident," as he overheard his mother say to a friend one day when she was complaining about how tired and harried she felt from raising a small child at her age.

Ron never told anyone what he heard, but he would often sit by himself in his room feeling sad about being a "burden" to his parents (see my article: Growing Up Feeling Invisible and Emotionally Invalidated).

He tried in every way that he knew how to be a well behaved child, to do well in school, and not to cause problems for his parents.  But both parents had little tolerance anymore for a young child, and minor things would irritate them so that they would punish Ron.

They preferred for Ron to play in his room quietly so he did not disturb them.  But sometimes, when he was playing with his toys, he would get so enthusiastic that he would raise his voice a little.

If his parents were in the dining room, they wouldn't hear him, but if they were in the living room, they could hear him playing and it would annoy them.  At that point, either his mother or father would come into his room and take away the toys he was playing with and tell him to do something where he could be quiet, like reading or drawing.

When he would cry after his parents took away his toys, they would tell him to "Stop being a cry baby" or "You're too sensitive."

As a result, Ron grew up feeling that, in order not to get punished or ridiculed by his parents, he had to make himself "invisible" and also not show his emotions.  Without Ron realizing it, this eventually led to emotional numbing by the time he got a little older.  He numbed himself emotionally to the point where he wasn't sure what he felt at any given time.

By the time he was a teenager, he learned to pretend to feel happy in order to fit in with his peers.  Most teens who knew him thought of him as being a happy person, but Ron really felt empty inside (see my article: How to Stop Pretending to Feel Happy When You Don't).

When he went away to college, he began drinking heavily with other students.  He liked drinking because he felt uninhibited and free.  Since he was shy, the alcohol acted as a social lubricant for him so that he felt free enough to tell jokes at parties or ask young women out on dates (see my article: Overcoming the Temptation to Use "Liquid Courage" in Social Situations).

When his alcohol abuse began affecting his grades, he cut back enough so that he improved his grades and graduated with a high grade point average.  During his senior year, he was recruited by a large corporation in New York City, and he and some of his college friends rented an apartment together.

Developing a Compassionate Understanding of Your Unhealthy Coping Strategies 

Even though alcohol "worked" for Ron temporarily to relieve his feelings of low self worth, he began to realize that he needed to drink more to feel good.  He was intelligent and well informed enough to know that continuing to abuse alcohol could have negative emotional and physical effects.  But he didn't know what else to do not to feel overwhelmed by his feelings of inadequacy.

A couple of his roommates, who were close friends, stopped drinking and urged Ron to get help.  But Ron felt too ashamed.  He thought of his drinking as a "moral failing" rather than a maladaptive coping strategy.

Then, one day, one of his roommates, Tom, invited his Uncle Jim to the apartment to talk to Ron. Jim was a recovering alcoholic.  He told Ron how he started drinking and how he stopped by getting help.

It turned out that Jim's early childhood history was similar to Ron's in that Jim also grew up in a home with punitive parents where he felt he was a burden to them.  He also learned to numb his feelings and eventually developed a drinking problem in college.  But his life turned around after he was arrested for DWI and mandated to therapy.

Since that time, which was 20 years ago, he said, he remained sober.  But he also said that he knew plenty of people with alcohol problems who don't get the help they need and whose lives spiraled down (see my article: People Who Abuse Alcohol Often Don't Get the Help They Need).

Ron listened to Jim tell his story, and he was amazed.  It was the first time that he had ever heard anyone describe problems that were so similar to his.

Jim also talked about how ashamed he was at first when he started therapy.  He said that he was also ashamed of himself from the time he was a young child because he felt he was unlovable.  As a child, he thought to himself, If my own parents think of me as a burden, then I must be a bad person.

After he began therapy, Jim explained, he learned to be more self compassionate at the same time that he was becoming more responsible and accountable for his life.  He realized that no one had ever taught him healthy coping skills so, before he went to therapy, he did the best that he could.

He learned in therapy that his shame contributed to his emotional numbing and drinking and it made him feel even more ashamed of himself (see my articles: How Psychotherapy Helps to Heal Shame and Working in Therapy to Accept Your Emotional Needs).

He also learned to develop healthy coping skills and to work through his early childhood trauma (see my article: Developing Internal Resources and Healthy Coping Skills in Therapy and Resolving Childhood Trauma in Therapy).

Developing a Compassionate Understanding of Your Maladaptive Coping Strategies

Just hearing that someone else could understand how he felt was a relief to Ron.  He accepted Jim's invitation to go to an Alcoholics Anonymous (A.A.) meetings.

Ron also sought out help from a licensed mental health professional to learn better coping strategies and to work on unresolved childhood trauma that was affecting him as an adult.

Conclusion
People, who grow up in punitive families where they feel unlovable, often internalize these feelings and believe them to be true.

If they haven't learned healthy coping skills, they will most likely develop unhealthy coping skills to avoid feeling the emotional pain.

Unfortunately, shame often becomes an obstacle for getting help, including the original shame of feeling unlovable as well as the shame that develops as a result of unhealthy coping skills.

People often feel alone with these problems, especially if they don't know anyone who has had similar problems.  They might feel defective and that they're the only ones who feel this way.

Getting Help in Therapy
As I've mentioned to in prior articles, it takes courage to get help to change (see my article: Developing the Courage to Change).

It's often the case that people wait until the pain of not dealing with their problems outweighs the shame of getting help.  At that point, they might be in an emotional crisis, but a crisis can bring about positive changes in life with help in therapy (see my article: How a Crisis Can Bring About Positive Changes in Your Life).

A skilled psychotherapist can help you to develop healthy coping skills and also assist you to work through the emotional trauma that led to your developing the unhealthy coping strategies in the first place (see my articles:  The Benefits of Psychotherapy and How to Choose a Psychotherapist)

Once you have learned healthy coping strategies and worked through the underlying emotional trauma, you have an opportunity to lead a more fulfilling and meaningful life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR therapy, and Somatic Experiencing (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

One of my specialties is helping clients to overcome traumatic experiences.

I work with individual adults and couples and I have helped many clients to develop healthy coping skills and work through emotional 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 regular business hours or email me.
























Friday, December 15, 2017

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

Many people who are recovering from addiction don't understand the concept cross addiction, which is substituting one addiction for another (see my other articles about substance abuse:  Recovery: Maintaining a Balanced Life,  "Liquid Courage:" Overcoming the Temptation to Abuse Alcohol to Cope With Social SituationsThe Myth About Having to "Hit Bottom" to Change, and Coping With Addiction: Boredom as a Relapse Trigger).

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

The reason it's so important to understand cross addiction is that people who have a history of addiction often switch from one addiction to another, especially when they're under stress.

So, for instance, if someone who has been sober from alcohol for a few years suddenly finds himself under a lot of stress at work, instead of picking up a drink, he might start to abuse prescription drugs or gamble compulsively or engage in some other form of addiction.

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

It's easy to fool yourself into thinking that you can dabble with another addiction because it's not your primary addiction.

But when you're under a lot of stress and you haven't developed adequate skills, if you have a history of addiction, you're more likely to either relapse with your primary addiction or engage in cross addiction.

Let's take a look at a fictional vignette to see how this plays out:

Fictional Vignette: Recovery: Understanding Cross Addiction: Substituting One Addiction For Another:

Connie:
Connie was sober from alcohol for two years.  During that time, she struggled to maintain her sobriety, but with the help of her psychotherapist and her sponsor, she celebrated her second year as a sober person.

Soon after she celebrated her second anniversary of sobriety, she left Alcoholics Anonymous and told her psychotherapist that she wanted a break from therapy.

A few months later, her mother fell, broke her hip and had to go to an inpatient physical rehabilitation center.  When her mother got home, she needed Connie's help because she wasn't able to take care other daily needs.

Although Connie and her mother had a conflictual relationship, Connie agreed to move in with her mother temporarily to help her.  She knew that other siblings, who also had conflicts with their mother, wouldn't be willing to do it and her mother really needed help.

The stress of taking care of her mother and working a full time job took a toll on Connie after a few weeks (see my article: Are You Experiencing Chronic Stress and Unaware of It?).

There were times when she wanted to tell her mother to fend for herself, but she knew her mother couldn't be alone, so she tolerated her mother's emotional abuse.

Connie was often tempted to have a drink, but she knew that if she had one, she wouldn't be able to stop, so she refrained from drinking.  But she started using food to soothe her stress, and she gained 20 pounds within a few months.

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

When she went to the doctor for her annual checkup, her doctor couldn't believe that Connie had put on so much weight since the last time he saw her.

Knowing that Connie had a history of alcohol abuse, her doctor asked her if she was overeating.  When Connie told him that she was "stress eating" at her mother's home, he talked to her about cross addiction and recommended that she get back into therapy.

Connie had never heard of cross addiction.  Before she saw her doctor, she thought that as long as she didn't touch alcohol, she was doing well.  But when her doctor explained cross addiction to her, it made sense to Connie, and she knew she needed to take care of herself (see my article: Self Care For Caregivers).

The next day, Connie called a family meeting with her siblings and explained to them that they needed to pitch in.  She could no longer take on the sole responsibility of being her mother's caregiver.

At first, her siblings balked, but Connie insisted that either they help her out or she would hire a home attendant for their mother.

None of Connie's siblings wanted a home attendant in their mother's home, so they agreed to work out a schedule so they could take turns taking care of their mother.  Since there were seven of them, they each took a day, and sharing the responsibility made it less stressful.

Once her siblings were involved, Connie went back to her former psychotherapist to deal with her stress eating and unresolved issues about her mother (see my article: Returning to Therapy).

She also resumed attending Alcoholics Anonymous meetings, and she contacted her old sponsor on a daily basis.

With emotional support and reduced stress, Connie was able to get back on track so she could eat in a healthy way again and lose the weight she gained.

She also had a new appreciation for how stress could put her at risk for cross addiction.

Conclusion
The term "cross addiction" refers to substituting one addiction for another.

The fictional vignette above highlights how important it is to recognize your particular vulnerability to cross addiction and also the importance of self care, self help meetings, and getting help in therapy.

Getting Help in Therapy
Setbacks are part of recovery and part of psychotherapy (see my article: Setbacks Are a Normal Part of Psychotherapy on the Road to Healing).

If you've had a setback in your recovery, it's important to get help before the problem progresses (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist, who is knowledgeable about addictions, can help you to get back on track again (see my article: How to Choose a Psychotherapist).

Rather than struggling on your own, contact a licensed mental health professional who has an expertise in addictions so you can remain healthy.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

I have helped many clients to establish and maintain their recovery.

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

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


















Monday, April 14, 2014

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

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

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

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

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

12 Step Meetings Have Saved Many Lives

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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



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

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

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

I have worked with many clients who are in recovery.

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

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




Tuesday, February 18, 2014

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

As a psychotherapist in NYC, I've been seeing more clients these days, as compared to the past, who are experiencing crippling fears in social situations, and many of them are relying on alcohol to give them "liquid courage," which provides a false sense of confidence in these situations (see my article: Overcoming Social Anxiety).

Fear and Shame in Social Situations

Fear and Shame in Social Situations
There have been tons of article written about why people are having such difficulty overcoming their feelings of vulnerability and shame when it comes to socializing and dating (see my articles: Overcoming Loneliness and Social Isolation and Overcoming Shame).

                   Fear and Shame in Social Situations

These articles give many reasons why this phenomenon is especially prevalent these days, including the fact that people are communicating more online than in person, and many people haven't learned the basic skills necessary to interact socially in person without experiencing dread.

Fear and Shame in Social Situations

Fear of Socializing Without "Liquid Courage"
So, I'm not going to focus so much on the reasons for this problem, which have have already been discussed in many other articles.  Instead, I'm going to focus on a social phenomenon that I've seen with people of all ages, which is that they feel they can't socialize without "liquid courage" to get them through.

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

As I usually do in my articles, I'll give a scenario to highlight the problems and some of the ways these problems can be overcome in therapy.

Although the example that I give is about a man, this issue affects both men and women regardless of age, race or sexual orientation.

As always, this scenario is a composite of many cases with all identifying information changed to protect confidentiality:

Mike
Mike, who was in his early 30s, never attended any social event without having at least one drink before he went.

Although, at this point in his life, he very much wanted to be in a relationship, he felt almost paralyzed with fear when he thought about talking to an attractive woman at a party.

Before, he went, he imagined all the things that could go wrong and how embarrassed he would be:  What if there were uncomfortable pauses in the conversation because he couldn't think of anything to say?  What if he looked "stupid" because he didn't understand what she was talking about?  What if she thought he was a bore?  What if he spilled his drink all over himself?  And he ruminated on and on, which escalated his fear.

At times, he felt so emotionally vulnerable when he thought about an upcoming party that he would agonize for days beforehand.

Sometimes, his fear and shame were so great that he would cancel at the last minute rather than deal with facing a situation where he felt sure he would make a fool of himself.

But the immediate relief that Mike felt from avoiding the social situation was often short lived.  Within hours, he regretted not going because his avoidance kept him feeling stuck and lonely for female companionship.

He had plenty of male friends that he hung out with, but socializing with women that he had never met before felt like an insurmountable challenge for him.

Although he felt confident in his career (where he worked mostly with men) and hanging out in a sports bar with his buddies, he lost all confidence in himself when he was in a situation where there were women he didn't know.

On those occasions when he did go to parties, he fortified himself with "liquid courage" (one or two drinks) before he left the house.  Then, he had a few more drinks when he arrived at the party and he was able to loosen up enough to chat with women he didn't know.

Overcoming the Temptation to Use "Liquid Courage"  to Cope With Social Situations

With a few drinks in him, Mike felt less inhibited and he was able to forget about being self conscious.  He was often funny after a few drinks, and women would tell him that he had a great sense of humor.  He also felt more confident about asking women to go out.

The problem was that, by the next day, without alcohol, he still felt the same crippling fear as before, and he was sure that when he called the woman that he met, he would be so socially inept that she wouldn't want to go out with him.

Fear and Shame in Social Situations Without Alcohol

After struggling this way for a couple of years, Mike realized that he had a real problem and he came to therapy.

In therapy, Mike and I worked on the underlying issues, including a childhood with overly critical parents, that were at the core of his problems.  Even though he was an adult, he continued to struggle with these old messages that made him feel worthless in social situations with women he didn't know.

Aside from working through these underlying emotional issues, Mike also needed to practice getting more comfortable approaching these social situations without fortifying himself with alcohol.

On a rational level, Mike knew that he couldn't keep relying on alcohol to get him through because it was only a temporary fix.  And, since his father had problems with alcoholism, Mike also knew that a possible genetic predisposition to alcoholism could create a bigger problem for him if he continued to rely on alcohol.

But, on an emotional level, Mike felt that alcohol had become his reliable "friend" in helping him to get through these situations.  Even though Mike wasn't an alcoholic, he knew that his maladaptive ways of coping with social situations wasn't going to be easy to change.

We worked on Mike's childhood history of emotional abuse using EMDR therapy.  We also used the cognitive behavioral technique of desensitization for his fears related to socializing.

Using a desensitization technique, we set up a hierarchy of Mike's fears and worked on them, step by step, one by one (from low to high) so that he could overcome his fears.

In addition, we used clinical hypnosis (also known as hypnotherapy) to help boost Mike's confidence.

In the meantime, Mike cut back on his drinking.  He practiced going to social events without having a drink beforehand.  He also cut back on the alcohol that he drank while at social events.

Needless to say, it wasn't easy for him.  Initially, he was so afraid that he just hung out with mostly friends that he knew and steered clear of talking to women that he really would have liked to meet.

But as we continued to work together, over time, Mike became more comfortable taking small steps to allow himself to be more emotionally vulnerable in these situations.

As you would expect, some days were better than others.  But what was most important was that Mike was willing to work on these issues in therapy and, even more important, he was willing to put himself out there in ways that were, initially, uncomfortable.

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

It wasn't easy but, gradually, he overcame the near paralyzing fear and shame that had kept him feeling too vulnerable, and he was able to do it without relying on alcohol as a social lubricant.

At the same time, Mike developed more confidence in himself socially, and he eventually met a woman  he really liked and, a couple of years later, they got married.

Getting Help in Therapy
If you're often tempted to use "liquid courage" as a maladaptive way to cope with social situations, you're not alone.

Chances are that you also know a lot of people, possibly even your close friends, who are doing the same thing.  But, whether they admit it to themselves or not, most people who are struggling with this problem realize deep down that relying on alcohol isn't the solution.

Rather than trying to go it alone, you owe it to yourself to get help from a licensed mental health professional who has the expertise to help you overcome this problem.

Although there's no quick fix for this issue, by getting help you can give yourself an opportunity to approach social situations with more pose and confidence.

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

In addition to being a licensed therapist, I am also a certified Substance Abuse Professional.

I also work adjunctively with clients who want to remain with their primary therapists who might not have expertise in this area.

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.

Resources:
If you think you have an alcohol or drug problem, see my article:
Early Recovery: You've Stopped Drinking. Now What?

You can also find an Alcoholics Anonymous meeting in your area by clicking on this link:
Alcoholics Anonymous.