Developing Calmness and Balance During Stressful Times

One of the biggest challenges for many people is developing mental and emotional calmness and balance during stressful times.  This is why it's so important to learn to understand and develop equanimity (see my article: Living a Balanced Life).

Developing Equanimity During Stressful Times

What is Equanimity?

Equanimity is defined as the capacity for calmness, composure and even-temperedness--even in highly stressful times (see my article: Living With Uncertainty).

The metaphor of a sailboat which remains upright in turbulent waters is often used to describe equanimity. The sails might sway in the storm, but they remain centered.

Staying Centered During Stressful Times

Equanimity doesn't mean passivity, indifference or resignation. It means finding your inner balance.

Equanimity also doesn't mean that once you have found your internal centered place that you won't take appropriate action to improve a stressful situation.

For instance, if you angry and disappointed about a particular social justice issue, you can participate in social justice activism for the equal rights and opportunities of all people and, at the same time, maintain a sense of equanimity (more about this below).

How to Practice Equanimity During Stressful Times

• Start With Self Awareness: When things go wrong or times are stressful, it's easy to get stuck in the Blame Game and point a finger at others. And, while it might be true that others have contributed to your stressful situation, you need to first be aware of how you're feeling and responding to the situation. There's a difference between responding and reacting (see my article: Awareness and Self Acceptance).

• Acceptance to Begin Wherever You Are: You can begin wherever you are mentally, physically and emotionally by accepting where you are right now in the moment. The concept of acceptance can be confusing, especially when you're in a highly stressful situation. Acceptance doesn't mean giving up, being indifferent or numbing yourself. Acceptance means that you acknowledge the situation and how you're feeling in the here-and-now. You're not stuck in the past or projecting too far into the future. Before you can get to a state of acceptance, you need to feel all your feelings internally. Then, if you need to express your feelings, do it in a calm and even way. If you can't do that in the moment, wait until you can. Then, you can be in the here-and-now whatever that means for you (see my articles: Welcoming All Emotions and Acceptance and Self Compassion).

• Develop Ways to Calm and Center Yourself: Find ways to calm and center yourself that work for you. This could include grounding techniques, breathing exercises and mindfulness meditation.

Developing Ways to Calm and Center Yourself

• Take Constructive Action to Feel Empowered: If you're anxious or feeling powerless, find ways to take constructive action so you feel empowered. Being proactive might mean different things in different situations. It might mean you take constructive action to deal with your anxiety by walking or exercising at a level that's appropriate for you. It might also mean seeking help from a licensed mental health professional. If you're upset about a social justice issue, you might volunteer with a large advocacy group to feel you're making a difference and to be around other like-minded individuals (xee my article: Living Authentically).

• Recognize You're Not "Perfect": Although these steps are presented in a linear way, the reality is that you might go through these steps in many different ways because progress isn't linear. Progress is often more like a spiral than a straight line. So, you might become more self aware, accept how things are in the moment, calm yourself and take constructive action--only to find yourself temporarily stuck in your own inertia. If this is your experience, accept it and begin again--no matter how many times you have to remind yourself of these steps. Repeating these steps where you are in any given moment helps you over time to progress--even if you take two steps forward and one step back each time. Be kind to yourself (see my articles: Overcoming Perfectionism and Perfectionism and Shame).

• Get Emotional Support: Supportive friends and loved ones can help you so you don't feel alone. Even if you feel that talking about your situation might not make a difference, talking often makes a difference in relieving stress. 

• Get Help in Therapy: If the situation is beyond the support of loved ones or you want additional support, consider getting help from a licensed mental health professional who can help you through the process while you develop the necessary tools and strategies you need. This can be especially important if your current situation is triggering unresolved trauma from the past.

Also see my articles:

Finding the Quiet Place Within Yourself

Reconnecting With Your Inner World Without Distractions

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), 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.

For over 20 years, I have helped many clients to overcome painful and stressful situations so they can lead more fulfilling lives (see my article: What is a Trauma Therapist?).

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

Losing Yourself in a Relationship: When "Me" Gets Lost in "We"

In a prior article, Reclaiming a Lost Part of Yourself, I discussed how people, sometimes consciously or unconsciously, disavow parts of themselves and what they can do reclaim those aspects of themselves.  In this article, I'm focusing on a related subject, which involves losing your sense of individuality while you're in a relationship.

Losing Yourself in a Relationship: When "Me" Gets Lost in "We"

Most people know that being in a relationship involves certain compromises, a give-and-take in every day life.  Without a willingness to compromise and be flexible, it would be hard to sustain a long term relationship.

This isn't what I'm referring to in this article.  Rather, I'm referring to situations where you're in a relationship and you don't know who you are any more and where you begin and your partner ends because you've become so merged with each other.

It can be challenging to be a couple and still maintain your individuality, especially if you're spending all your free time together and you're not spending time with your own friends or engaging in your own interests.

Often, this happens over time, and then you find yourself saying, "Who am I?  What happened to me?"

Losing Yourself in a Relationship: When "Me" Gets Lost in "We"

Not only is this a problem for each individual in the relationship, it's also a problem for the relationship.

The very things that brought the two of you together, where each of you brought new and interesting aspects of yourselves to the relationship, gets lost.

It's as if you've both merged and become one person, which can cause boredom to set in (see my article: Relationships: Resist the Urge to Merge).

Some Tips that Might Be Helpful to You:

• Take Time to Reconnect With Your Inner World: A life that's based only on getting pleasure from the external things is a shallow life.  Whether you engage in meditation, yoga, write in a journal or engage in self exploration in therapy, it's important for you to dip into your inner world from time to time because this is the source of your strength, resilience and well-being.  This is also what keeps you in touch with who you are as an individual (see my articles: Discovering a Quiet Place Within Yourself and Reconnecting With Your Inner World).

• Maintain Your Friendships:  The mistake that a lot of people make when they get into a relationship is that they get so involved with their partner that they forget about their friendships.  While it's understandable, especially when a relationship is new, that you want to spend time with your new partner, it's a mistake to give up close friends.  Your friendships need nurturing too and mutually supportive friendships can sustain you through life's ups and downs.  Also, your partner can't fulfill all your needs, so you need different people in your life to fulfill different needs (see my article: Relationships: Your Partner Can't Meet All Your Needs).

• Maintain Your Interests:  If you had interests or hobbies that you really enjoyed before you entered into the relationship, stay connected to those interests.  Having hobbies and interests outside of your relationship can make life more fulfilling and meaningful for you.  It also allows you and your partner to each bring new vitality into the relationship.

• Make Time to Talk About Things That Are Meaningful to Each of You:  Casual conversations are fine, but if all of your conversations tend to be superficial, not only is that boring, but you won't be sharing meaningful parts of yourself with your partner.  Having meaningful conversations means that you're a good communicator and a good listener.  Don't assume that your partner knows what's going on with you or that you know what's going on with your partner without communicating with each other in a meaningful way.

• Be Open to New Experiences:  Not only do you need to maintain your friendships and your interests, but you need to be open to new experiences (see my article: Opening Up to New Possibilities).  That's what keeps life interesting and keeps you growing as an individual.  Your partner might not be interested in the same new experiences that you might want to try, and that's okay.  He or she doesn't have to be.  You don't have to do everything together.  There should be room in your relationship for each of you to pursue new, healthy experiences.  

If you or your partner aren't comfortable maintaining a sense of individuality while you're in a relationship, sooner or later this is going to create problems for each of you as well as the relationship.

Maintaining Your Individuality While Being in a Relationship Can Be Challenging

If each of you is secure with the other and with your relationship, balancing your individuality with being in a relationship will enhance you as individuals as well as enhancing the relationship.

Getting Help in Therapy
As I mentioned before, it can be challenging to maintain your individuality while you're in a relationship.

Both people need to be committed to growing as individuals and as a couple.

If you find that you're unable to do this on your own, you could benefit from working with a licensed mental health professional who has experiencing helping people to create this balance in their lives (see my articles: The Benefits of Therapy and How to Choose a Psychotherapist).

About Me
I am a licensed NYC 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.

Holiday Time With Your Family: Balancing Your Expectations

We often get disappointed when we have expectations from our loved ones, especially around the holidays, about what we want and they might not want.  More often than not, if we try to impose our expectations on our loved ones, it's a recipe for disappointment and resentment.  Sometimes, we need to temper our expectations to be more flexible, recognizing that we can't change other people to make them do what we want them to do.

Holiday Time:  Can You and Your Loved Ones Balance Your Expectations?

New York Times Modern Love Article:  "A Holiday Built on Presence, Not Presents"
An article by Carolyn S. Briggs in yesterday's New York Times' Modern Love column caught my attention called "A Holiday Built on Presence, Not Presents" (a link to this article is provided at the end of this blog post).  She describes how she was disappointed last year when her adult children had a very different view of the Christmas holiday than she did.  Whereas she wanted a more traditional Christmas holiday, her children felt it was more of a "consumerist sham" of a holiday.

Ms. Briggs says she had hoped that they would all fill their Christmas stockings with messages of love and appreciation for each other, but her children weren't interested in this, which was very disappointing to her.

Ms. Briggs  also discusses how she was disappointed when she was younger during the time when her parents were divorcing.  She says that she and her brother pooled their money and bought and decorated their own tree because there was no tree that year.  In hindsight, she says she doesn't want to guilt her children into doing what they don't want to do on Christmas.  She has changed her expectations of what Christmas will be like with her family this year.

It's not unusual for adults to want to make up for what they didn't get as children.  There's something very sad about two children having to provide their own Christmas tree because the adults are preoccupied with their own problems.   Yet, we can't expect that, as adults, we'll always be able to make up for what we didn't get as children, especially when the experience involves other people, who might not want to go along with it now.

As I read Ms. Briggs' article, I couldn't help thinking about when I was a young adult and I had similar ideas to her children.

Coming from a very traditional family, when I was in my late teens and early 20s, I rebelled against these traditions and also felt that Christmas was all about consumerism.

But, as I was reading this article, I realized that my feelings have changed since then and I can now appreciate the holiday spirit.  I'm not cynical about the holidays, the way I used to be when I was a young adult.  My feeling is that, regardless of the consumerism, we can make the holiday whatever we want it to be.  We're not at the mercy of consumerism.

Reading this article, I looked back on myself as a young adult and thought about the times that I  must have disappointed my family when I didn't want to go along with tradition.  As I read the article, I could see both sides--Ms. Briggs' disappointment last year and her children's resistance.

As a therapist, I know that late teens and early 20s is an important time for young adults to develop their own ideas and become separate individuals from their families.  Seeing it from that vantage point, one could see why they wouldn't acquiesce to her wishes.

And yet, as someone who is a middle-aged woman now, I couldn't help wishing that Ms. Briggs' adult children had cooperated a little more--not because they believed in these Christmas traditions, but because they knew how important it was to her.

Is There a Way to Balance Our Own and Our Loved Ones' Expectations?
Could there have been some compromise?  I don't know.  Reasonable people could disagree.   This isn't a black and white issue.

But maybe the view that there might have been a compromise comes with age and life experience.  I couldn't have taken this view when I was younger.

When you're  a young adult, you're struggling to establish your own autonomy, which sometimes means having different feelings and opinions from your family.   When you're older and you're on your own, you have less to prove, and I think you can afford emotionally to be more generous.

In the end, I think Ms. Briggs came to the right conclusion--that even if your family doesn't experience the holiday in the same way that you would like as a parent, the most important thing is that you're together.

Wishing Everyone a Happy and Healthy Holiday.

I am a 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

A Holiday Built on Presence, Not Presents
By Carolyn S. Briggs - 12/23/12 - NY Times - Modern Love

Achieving Your Goals With Perseverance

To achieve your goals, you often hear that you need to persevere and pursue your goals with resolve and tenacity.  While it's certainly true that few long term goals are achieved by happenstance, it's also true that, along the way, there are times when you need to be flexible and open to new ideas and possibilities.  Often, it's a matter of balancing perseverance and flexibility.

Achieving Your Goals With Perseverance

Let's take a look at the example below, which is a composite of many cases, and illustrates the importance of how balancing perseverance and flexibility can help to achieve long-term goals:

Dana

Dana had a lifelong dream of having her own clothing store.  By time she was in her early 30s, she had worked in the fashion industry, including upscale clothing stores, for several years.  At that point, more than anything, she wanted to be her own boss.

Her father agreed to provide the initial capital for her to start her business with the understanding that she see a business consultant first to get advice.  Her father agreed to pay for the consultant.  Initially, Dana balked at the idea of hiring a consultant because she felt she already knew what she needed to do to have a successful business.

She was ready to work hard to make her business successful.  She didn't want anyone else interfering with her ideas.  She wished she didn't have to rely on her father's money to start her business.  But she knew she couldn't do it without his help and her father wouldn't provide her with the capital to start the business unless she agreed to see the consultant.  So, she agreed reluctantly.

The consultant made recommendations that were counter to what Dana had in mind.  The consultant recommended that, before she opened her business, she should first take a continuing education course on how to start a business since she had no experience. But Dana quickly brushed this off.  He also recommended that she start small and keep her overhead low.  But Dana bristled at the idea that she would have to start small.

She felt both her father and the consultant didn't have enough confidence in her.  And, instead of following the consultant's recommendations, she plunged ahead and she sought a large space in a trendy area of Manhattan.  Never having rented commercial space before, she was shocked at the rent and that the landlord wanted a co-signer.

When her father refused to co-sign, Dana was forced to take a smaller space with lower rent.  She was somewhat deflated by this, but she felt she had no choice but to go along with it.

During the first few months, Dana was shocked at how many hours she had to put in to keep the business going.  She was more than willing to work hard, but she had little to show for it monetarily at the end of the month.  The consultant advised her that she would probably lose money the first year, but she couldn't believe how much money her business was losing.

Since her father agreed to pay the rent for the first year, she wasn't worried about losing the space, but she felt guilty about going through her father's money with nothing to show for it.  To make matters worse, she discovered that her part time sales associate was stealing money from the register, so she had to let her go.

By the second year, the business continued to lose money at an alarming rate, which Dana couldn't understand.  She had originally thought that hard work and perseverance would lead to success, but this clearly wasn't the case.

When Dana's father told her that he wouldn't foot the bill for the rent any more, Dana felt like a failure.  They had to hire an attorney to get Dana out of her commercial lease.  After settling with the landlord and closing her business, Dana felt depressed.

Dana had to move back into her parents' home because she had no money to pay rent on her apartment, which made her feel worse.  For the first month, she was so depressed that she could barely get out of bed.

By the second month, when her parents told her that she needed to get a job, she reluctantly went back to her old job.  She feared that her old boss and coworkers would see her as a failure, but everyone was very kind to her.  Even so, she could barely look anyone in the eye when she first returned.

As her depression got worse, she came to see me for therapy to begin picking up the pieces of her life.  Initially, we worked on basic coping skills because Dana was having problems just getting out of bed and getting through the day.

After a few weeks, Dana was ready to deal with her grief about losing her business.  As we explored her experiences, she was able to see that a big part of her problem was a combination of her misconception that perseverance alone would make her successful and her inflexibility to follow advice from a seasoned business consultant.

Dana realized now that there were so many things she didn't know about having her own business, and she would have benefited from taking the continuing education course that the consultant recommended.

She also realized that, contrary to her feeling that she was "a total failure," there were a lot of things that she did right:  She had a good sense of what customers wanted and her merchandise sold, but her income was still so much less than her overhead.  She realized now that she had been too stubborn to see that there was a lot more that she would have needed to know to be successful.

After several months in therapy, Dana began to recover from her loss, and she signed up for the continuing education course on how to start her own business.  She also found a business partner to share in the expenses for her next clothing store.  After taking the course, she was in a much better position to try her hand again at having her own business.

It was a humbling experience for Dana, but her new willingness to be flexible and learn from her experience contributed to her eventual success.

Perseverance Isn't Always Enough
As Dana learned, hard work and perseverance isn't always enough for you to achieve your goals.  Sometimes, you need to be flexible and compromise in order to be successful.  This isn't always obvious at the start.  Often, you don't realize the need for flexibility until you're already involved in your project.

Many people, like Dana, have strong beliefs and fixed ideas about what they want to do and how they want to do it.  Successful people learn from experience and recognize when it's necessary to either change course or make modifications to their plan.

Getting Help in Therapy
If Dana's story resonates for you in a particular area of your life and you're having difficulty overcoming this problem on your own, you could benefit from seeking help from a licensed psychotherapist.

About Me

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

I work with individual adults and couples, and I have helped many psychotherapy clients to achieve their goals.

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

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

Balancing Your Personal Life and Your Career

It seems to me that, for a variety of reasons, it's getting harder to balance a successful career with a fulfilling personal life.  

As a psychotherapist in New York City, I often hear therapy clients lament the fact that their career has taken over so much of their time that they have less and less time for their personal lives (see my article: Living a Balance Life as a Path to Happiness).

Balancing Your Personal Life and Career

Being Too Available After Work Hours
With all our technological advances, many people are finding themselves overloaded with information and the demands of being available nearly 24/7.  

Even for people who want to have more of a balance between their work and personal life, they feel compelled to be available after work hours because of the competitive nature of their careers.  

They often tell me that they fear that if they don't make themselves available when they're home, their colleagues, who are more available, will surpass them at work.

The dilemma is that when you're unable to set boundaries so that your work isn't encroaching upon your personal time, you're often less productive.  And, in the long run, you're much more likely to suffer burnout.  

After all, you're human--you're not a machine--and even machines break down after a while if they're not maintained.

So how can balance your career and your personal life so that you can take care of yourself?

Here are some tips:

Quality of Life: Weigh Your Career Options and Consider Your Priorities
Before you accept a new job, consider how demanding the job will be and how it will affect your personal life.

If you know that you'd be unhappy with a job where you would be expected to spend a lot of extra time, which would take away from your personal life, think about how this will affect the quality of your life.

Some people, who are new to their careers, are willing to spend a lot of extra time at the start of their careers as opposed to people who are in the late stage of their careers.  Only you can decide what's right for you.

If you have a spouse or significant other, you would be wise to consult with him or her about how this might affect your relationship.  Relationships need to be nurtured and there's no substitute for time together.

I'm aware that this isn't as simple as it sounds.  

Many people take demanding jobs because they are lucrative and the money could pay for a home, their children's education, nice vacations and other things that are desirable.  

But once they're in the job, they discover that the job is so demanding that they don't even have time to take the vacations that they fantasized about because they're too busy at work.

The Importance of Self Care

Take Breaks During the Workday
Cumulative stress and burnout are more common today than they were 15 or 20 years ago. Economic uncertainty and workplace insecurities often keep employees going like a gerbil on a wheel.

But even if you have a very stressful job, there are often times when you can take breaks, even if it's for 20-30 minutes to regroup.  Usually, people find that taking even a short break helps them to feel refreshed and reinvigorated for whatever tasks they're engaged in.

Take Vacations
Aside from taking daily breaks, it's very important to take a vacation away from work and away from your daily routine.

Many people are afraid to take a vacation because they feel their work will suffer if they're not around to do it.  Usually, it's just the opposite--getting away for a week or two actually allows you to come back refreshed.

Maintain Non-Work-Related Interests
When all you do is focus on your work and you have no interests or hobbies outside of work, you don't give yourself a chance to leave your work behind.

Just like taking breaks at work is important, having other interests that are non-work related will often make you a more well rounded and creative person.  You'll come back to your work projects refreshed.

Allow Time For Your Spouse/Significant Other, Family and Friends
Scheduling pleasurable activities with your spouse, partner, family and friends are essential to nurturing your close relationships.

It's so easy to allow yourself to become so inundated by work that you neglect your relationship with your spouse or significant other.  

In a prior blog article, Creating Special Times Together, I discuss the importance of taking the time to create special times for your relationship.

Getting Help in Therapy
Many people have difficulty balancing their career and personal life and they need help.  

If you're having problems, you could benefit from seeing a licensed mental health practitioner who has experiencing helping people to create balance in their lives.

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

I have helped many clients to live more balanced and fulfilling lives.

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

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

Creating Emotional Balance in Your Life

We've all had days when we feel anxious, frustrated, angry, sad or at our wit's end.  When you're overwhelmed occasionally by these kinds of emotions, it helps to have a reliable way to bring yourself back into emotional balance.  One way, which was originally developed in hypnosis, is to have a Safe Place or Relaxing Place to focus on so you can bring yourself back to a calm state.

Creating Emotional Balance in Your Life

Learning Coping Strategies in Therapy:
When clients come to see me in my psychotherapy private practice in NYC, I usually teach them coping strategies, especially if they're coming in to overcome trauma.  One of those coping strategies is the Safe or Relaxing Place meditation.  Whether you're trying to overcome trauma or you're just having a bad day, learning to do the Safe Place meditation is a good way to help bring yourself back into a state of calm and emotional balance.

Safe Place Meditation:
To begin, think of a place which is linked to a positive memory.  It can be somewhere in nature, like a beach or in the woods.  When you choose a place, it should be completely positive without any negative memories associated with it.  So, for instance, choosing a beach that you like is fine, but not if it causes you to think of times when your parents used to argue at this beach.  A relaxing scene by a waterfall is great, but not if it was the place where your boyfriend broke up with you.

Once you have a place that you associate with feeling calm and relaxed, close your eyes and engage as many of your senses as possible.  First, feel yourself standing in this place.  If you're at the beach, what does it feel like to have your toes in the sand?

Then, look around and notice what you see.  Notice the colors, shapes and textures of things.  Are there any sounds associated with this place?  If so, what are they?  If you're at the beach, do you hear the sound of the waves on the shore or the seagulls flying overhead?  Are there any sensations associated with this place?  Do you feel the warmth of the sun or the breeze off the ocean against your skin.  What about smells?  Smells can be so evocative?  Can you smell the salt in the ocean?  Maybe you can even taste the salt in the air.

With some practice, you can learn to make these sensory experiences vivid.  And, you'll begin to feel yourself calming down.  Notice that your breathing has slowed down and muscles in your body that might have been tight might be relaxing.

You can also give this place a name--whatever works for you that would allow you to associate the name with the calm feeling.  It can be the word "beach," if that's your relaxing place or just "relaxing place."  When you practice pairing the word with the calm feeling, you can just use the word at times when you can't close your eyes to do the meditation.

The place you choose can be either real or imagined, a scene from a movie or a book.  It doesn't matter.  All that matters is that it helps to get you back into emotional balance.

For some people, trying to come up with a relaxing place can be challenging.  If that's the case for you, you can try to think of the face of a person associated with positive experiences.  This can be a friend, a family member, a teacher, a coach or a mentor.  The point is to use the visualization to get yourself back into an emotionally balanced state.

Practicing the Safe (or Relaxing) Place meditation can help you get through a difficult moment, and it only takes a few minutes a day for you to gain the benefits of this meditation.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  I am certified in mind-body oriented psychotherapy.  

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.


Also, visit my Psychotherapy Daily News for updates on mental health issues, health education, and science news.

Maintaining a Balanced Life During Early Recovery

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

Maintaining a Balanced Life During Early Recovery

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

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


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

Early Recovery Requires Commitment

It's easy to see how things can become so unbalanced.

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

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

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

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

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

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

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

Repairing Relationships During Early Recovery

What can be done to repair these relationships and to achieve balance?

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

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

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

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

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

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

About Me

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

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

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

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

Balance, Gratitude and the Evolution of Contemporary Psychotherapy

A common myth about psychotherapy, especially among people who have never been in in-depth psychotherapy before, is that clients primarily "complain" to their psychotherapists about their families and their lives or come in to "fix" a particular problem. 

Balance, Gratitude and the Evolution of Contemporary Psychotherapy

This is a very narrow view of psychotherapy and does not take into account the full richness and experience of the in-depth psychotherapy process as a place where clients, in addition to resolving particular problems, often find balance and gratitude in their lives, their relationships and for themselves as well.

During this Thanksgiving season, when we tend to be more aware of the people and things in our lives that we are grateful for, I'd like to focus in this post on how in-depth psychotherapy often leads to a greater sense of balance and gratitude.

Often, when people first begin psychotherapy, they either come for a particular problem or they have a sense that "something is wrong" in their lives, but they don't know what it is. In our culture, our tendency is to approach problems in a logical, linear way: identify the problem, analyze the various options, chose an option, fix the problem, and the process is finished.

There's nothing wrong with this approach and, in many instances, it works very well. It also often works well for some specific problems in psychotherapy and hypnosis, like smoking cessation or overcoming a particular fear or phobia. However, in-depth psychotherapy can be so much more than this for people who are interested in finding a greater sense of balance and contentment in their lives.

How Contemporary Psychotherapy Has Evolved Over the Years:
As psychotherapy has evolved over the years, there has been more of an emphasis on cultivating and building a more balanced sense of self. As opposed to more classical ways of working in psychotherapy where the emphasis was primarily on uncovering and working through problems, contemporary psychotherapists also help clients to build a stronger sense of self.

This is done, in part, through the development of clients' internal resources. These internal resources can take many different forms. Sometimes, they're coping abilities that clients have had all along but have been overlooked and under utilized. Often, they're internal resources, or parts of ourselves, that are discovered and developed during the psychotherapy process.

When people are depressed or anxious, it's common to focus on what's wrong or missing in their lives. This is understandable. Often, under these circumstances, their view starts out being narrow until they begin to feel some relief from their anxiety-related or depressive symptoms in a supportive psychotherapy treatment environment.

In contemporary in-depth psychotherapy, clients can begin the process of building a stronger sense of equanimity: a greater capacity to soothe themselves, love and value themselves more, appreciate subtle and richer aspects of themselves, and develop a stronger sense of identity.

With a greater sense of balance for themselves often comes an increased capacity to value and have a greater sense of gratitude and compassion in their relationships, their work, and other important areas in their lives. So, what might have started as a narrow view at the start of psychotherapy begins to open up and broaden to include a more holistic and nuanced view of themselves and others: Not just what's wrong--but what's right too.

Keeping a Gratitude Journal:
I often recommend to clients that they keep a gratitude journal as a way to start developing a greater awareness and appreciation for the positive things that occur in their lives on a daily basis. 

The gratitude journal can be a simple list of two, three or more things that you feel grateful for each day. Over time, cultivating a sense of gratitude, even for the small things in life, can help to create a greater sense of balance, appreciation, and compassion in how we see our world as well as how we see ourselves.

About Me
I am a psychotherapist and hypnotherapist in New York City. 

I have helped many clients to develop a greater sense of self and an increased sense of balance and gratitude in their lives.

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

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

Living a Balanced Life

What does "a balanced life" mean to you?

Living a Balanced Life

It often helps to start by asking yourself:

• What are the various areas in your life that are important to you?
• Do they come together to form a meaningful whole?

What are the categories you would include to have a balanced life?

Everyone is different when it comes to defining what is meaningful.  

Here's a Possible List of What Might Be Meaningful to You:

Your Family (including pets)

Your Health

Your Love Life

Your Friends/Social Support

Your Career/Professional Life

Your Sense of Spirituality

Your Playful Side

Your Personal Growth

Your Sense of Financial Security

Maybe your list would have other categories than the examples that I've given.

How satisfied are you with the categories you've defined?
If you made a list of these categories and took the time to think about each one carefully:

• How satisfied are you with each one, rating each one on a scale of 0-100% (with 0% being not at all satisfied and 100% being completely satisfied and not wanting to change a thing)? 
• As you think about and rate each category, what have you noticed?
• Are there certain areas that you would like to improve? 
• What might it take to improve a particular area by 5%.

For instance, if you are only 10% satisfied with your overall learning and growth, what small step could you take to increase your satisfaction in this area so that you could go from 10% to 15% satisfaction?

You might say: "Why aim so low? I want to be at least 95% satisfied with where I am and I want that now."

I would say that this is an excellent goal to aspire to ultimately, and that it shows how important this area is to you.

I would also ask: "When you think about going from 10% to 95% satisfaction immediately and what it would actually take to achieve that, does it feel overwhelming to you?" Chances are it does. So, in most cases, I recommend that you start by taking small, manageable and achievable steps that will be more likely to lead you to your ultimate goal.

Think of it as a process. If you try to do too much at once, you might become discouraged and give up your efforts all together. Has this ever happened to you?

As you look at your categories, do you find that you are spending more time and effort in certain areas that you care less about and less time in other areas that are actually more important to you?

What can you do to align your priorities so that you feel that you are living a more balanced life? 
For instance, if you are spending most of your time focused on your career and you are not allowing any time at all for play and fun in your life, what small step could you take to bring more balance into this area of your life?

Again, notice that, in most cases, I am suggesting "baby steps" to start and not a complete and immediate overhaul. With each small step that you achieve, you are more likely to build confidence and satisfaction. This, in turn, will increase your motivation to take the next step.

Once again, a balanced life means different things to different people. Start by identifying what you feel makes up a balanced life for you. Think about where you are in terms of overall satisfaction and then set small, manageable goals that will lead you to your ultimate goal.

Getting Help in Therapy
It may be difficult to get started on this process. You might know that you want to lead a more balanced life, but maybe you tend to put off thinking about it. 

It often helps to work with a professional where you have a weekly time and place to focus on your goals. The time and effort that you spend on it now will usually reap rewards for you in the long run.

About Me
I am a licensed NYC psychotherapist, hypnotherapist and EMDR Therapist.  

I work with individual adults and couples.

I have helped many clients to live a more balanced life and to achieve overall satisfaction with 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.