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NYC Psychotherapist Blog

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Showing posts with label breakup. Show all posts
Showing posts with label breakup. Show all posts

Wednesday, January 18, 2023

What is Revenge Porn and How Can You Prevent It?

Revenge porn has become a serious problem over the last several years.  In this article I'll define revenge porn and what you can do to take care of yourself if this happens to you.

Revenge Porn

What is Revenge Porn?
Revenge porn is usually defined as sharing sexually explicit photos of someone to shame or humiliate them.

The usual scenario is that when someone in a relationship wants to end it, the other person either threatens to share sexually explicit photos with others or on social media as a way to get back at the individual who wants to end the relationship.

These threats are also made as form of coercion where the partner who is making the threats hopes to prevent the breakup.

The person who threatens or who actually shares sexually explicit photos wants to frighten, control, and embarrass the other person and cause emotional pain.

Why Do People Engage in Revenge Porn?
Generally speaking, the person who is angry about being left wants to hurt the partner because s/he feels hurt, abandoned and angry about being left.  It's a way to get back at their ex.  This is not an excuse to condone this behavior.  It's an explanation for the behavior.

Some people who make these threats might hope that the threats will keep their partner from leaving or, if they have already broken up, they might hope that it will force the ex to get back in the relationship.  This is obviously a very serious form of manipulation.  

Note:  In New York City, revenge porn is a crime (more about this later).

Not surprisingly, research into this behavior has revealed that people who engage in revenge porn often lack empathy and are not concerned about hurting others.

Feeling Betrayed and Violated by Revenge Porn
Anyone who has ever had the experience of having sexually explicit pictures shared with others or placed on social media without permission feels betrayed and violated.

Going through a breakup can be painful enough without having to deal with an ex--someone you once loved and trusted--violating your trust by exposing your nude photos.  It can make you feel like you never knew this person, and it can make it hard for you to trust again in future relationships.

Revenge Porn: Prevention First
To avoid having potential problems in the future, your best option is not to allow anyone to take nude or sexually explicit pictures of you that you wouldn't want to be revealed.

It might feel sexy and fun to share nude pictures, but once these pictures are out of your possession, it's hard to control what someone might do with them.

If someone has taken pictures of you that you're unaware of, that's a different story.  But, to the extent that you can avoid this problem, prevention is your best choice.

Revenge Porn is Illegal in New York
I want to emphasize that I am a psychotherapist and not a lawyer.  But I'm aware that in New York City revenge porn is a crime.

The New York City Council passed a law that makes it illegal to leak nude images with the intent to harm someone.  In New York City, the person who leaks such photos risks going to jail or being fined $1,000.

In order to break the law, the individual who is sharing the photos must be trying to cause harm on an economic, physical or on an emotional level.  It is also illegal to threaten to show nude photos, and the perpetrator can be sued (click on this link for more information from the NYC Council website about the law).

You can also consult with an attorney to find out your other legal options.

Getting Help in Therapy
Trying to cope with revenge porn can be traumatic on many levels.

Many people who have experienced revenge porn feel too ashamed to talk to friends and family about it or, if they do, they often find that their loved ones don't understand.

A skilled psychotherapist can help you to overcome the feelings of betrayal, sadness and anger that people often experience after revenge porn (see my article: The Benefits of Psychotherapy).

Rather than suffering on your own, you could get help from a licensed mental health professional who can help you to work through these feelings (see my article: How to Choose a Psychotherapist).

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

I am a sex positive trauma-informed psychotherapist, and I have helped many clients to overcome trauma.

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

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















Monday, November 1, 2021

Improve Communication in Your Relationship By Eliminating the "4 Horsemen of the Apocalypse"

Relationship expert, John Gottman, Ph.D., came up with a metaphor to describe destructive communication in relationships which he calls the 4 Horsemen of the Apocalypse, a term which was originally used in the Bible to describe the four elements of the end times: conquest, war, hunger and death (see my article: Improving Communication).

Eliminate the 4 Horsemen of the Apocalypse

What Are the 4 Horsemen of the Apocalypse?
According to the Dr. Gottman, the 4 Horsemen of the Apocalypse in a relationship are:
  • Criticism
  • Contempt 
  • Defensiveness
  • Stonewalling
Let's take a look at each one to understand why these actions represent destructive communication styles that can lead to the demise of a relationship:
  • Criticism:  When you express a complaint to your partner, it's different from attacking him or her personally.  When you criticize your partner, s/he feels rejected and hurt.  Here's the difference:
Complaint: "I feel sad that you forgot my birthday."
Criticism: "You never remember my birthday because it's not important to you. You're selfish!"

Note that in the first example, with the complaint, you're speaking from your own experience ("I felt") whereas in the second example, the criticism, you're making a personal attack on your partner's character.  

Criticism is especially damaging when it happens frequently.  Furthermore, you're not likely to resolve the problem if you use criticism (see my article: Learn How to Stop Criticizing Each Other).
  • Contempt: Contempt is worse than criticism.  When you address your partner with contempt, you're being mean.  Contempt includes sarcasm, ridicule, name calling, and cursing your partner, among other things.  You're showing disrespect for your partner, and you're speaking to your partner from a position of moral superiority:
Contempt: "You forgot to bring home the milk! I give you one thing to do and you're too stupid to even do that."

Note that contempt is often fueled by longstanding resentment towards a partner that comes out in a toxic way.
  • Defensiveness: Defensiveness is a common problem.  When you feel criticized by your partner, you find excuses for your behavior. Unfortunately, this doesn't resolve the problem because your partner is likely to feel that his or her concerns aren't important to you.
Defensiveness: "So what! I forgot to bring the milk. You know I've had a lot of things on my mind. Why didn't you have one of the kids get it?"

Note that, aside from not resolving the problem, you're also not taking responsibility for your part, and you're pointing an accusatory finger at your partner.  

By being defensive, you're also just escalating the conflict (see my article: Habitual Defensiveness Can Ruin Your Relationship).
  • Stonewalling: Stonewalling usually occurs when the listener becomes overwhelmed. The listener either tunes out, walks away, distracts him or herself and, generally, shuts down emotionally (see my article: Are You a Stonewaller?).
People who stonewall are often shutting down to regroup emotionally.  The problem is that they often don't tell their partner that they need to take a break from the conflict to calm down.  

The other problem is that people who make a habit of stonewalling appear to be calm on the outside, but they're flooded with stress on the inside.  

Since people who stonewall appear to be calm externally, the other partner will often double down on their criticism in an effort to provoke the partner to speak.  

This starts a destructive cycle where the person who is stonewalling shuts down more and more and the other partner escalates their argument.  Soon they're caught in a destructive cycle.

Getting Help in Therapy
If you're like most people, you learned how to communicate from what you observed in your family of origin.  

If you weren't lucky enough to come from a family where you experienced healthy communication, you might have developed destructive communication habits.

A skilled psychotherapist can help you to enhance your communication skills to maintain a healthy relationship.

Rather than continuing in destructive communication patterns that could lead to the demise of your relationship, seek help from a licensed mental health professional.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing Therapist and Sex Therapist (see my article: The Therapeutic Benefits of Integrative 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.  



















Tuesday, April 7, 2020

Tips on Getting Along as a Couple During the COVID-19 Crisis

Although being alone and feeling lonely during the COVID-19 crisis is challenging, being in a relationship where you're both staying in your home for long periods of time together can also be challenging (see my article: The Challenge of Keeping Small Arguments From Becoming Big Arguments and Telltale Signs That You and Your Spouse Are Growing Apart).

The sudden shift to all day/all night togetherness can put even the best relationship under a strain (see my articles: Coping and Staying Calm During the Pandemic, Common Reactions to the Crisis: Fear and Anxiety and Grieving Losses During the Crisis).

Tips on Getting Alone as a Couple During the COVID-19 Crisis

Depending upon the relationship, couples are responding differently, but most couples are finding it difficult to deal with the shift to being around each other all the time.

Some couples that were already experiencing a strain in their relationship before the pandemic are finding it even more stressful to be around each other.  Other couples have put aside their differences for now to focus on what they need to do to get through the current crisis.

Many couples will go through different experiences at different times.  Couples that are getting along now might not get along well over time due to the ongoing strain of the crisis and vice versa.

It's not unusual for individuals in a relationship to want different things with regard to time together vs time apart, and this is especially true now (see my article: Learning to Compromise About Time Together vs Time Apart).

In addition, when you live together, there are always other issues that need negotiating.

Whether you're currently having problems in your relationship or not, it's a good idea to anticipate and be prepared for possible problems before they occur.

Potential Problems For Couples During the Pandemic:
With the pandemic, there can be unique issues to deal with that affect the health and well-being of both people, including:
  • What to Do If One Person Gets the Coronavirus:
    • In the event that one person becomes infected, both people will need to decide how to handle this.  
    • The dilemma is that the person who is sick would probably need help to get through the illness. But the uninfected person would be fearful of getting the virus.
    • A consultation with your doctor is best.  
  • Whether to Stay in NYC or Leave Temporarily to Go to a Second Home (if possible)
    • Each person might have different feelings about whether to stay or leave, if they're fortunate enough to have a second home that they can go to temporarily. 
    • One person might prefer to stay in New York City and the other person might prefer to leave. They will have to negotiate and might need to compromise about this. 
  • How Much Space and Privacy to Give Your Partner
    • Different people need varying degrees of alone time. Some people like to be with their partner most if not all the time.  
    • If their partner doesn't feel that way, the person who wants to be together most or all the time can feel rejected.  
    • Other people need their own space and privacy to have a sense of well-being.  
    • If you're living in an apartment that's large enough, this can often be negotiated.  But most New York City apartments aren't large so both people might feel too confined in a small space.
  • How to Negotiate Childcare Responsibilities 
    • If a couple is accustomed to normally having childcare either in a daycare or with an nanny whose services are no longer available, they need to figure out how to negotiate childcare responsibilities. 
    • Older children will, obviously, still need parental care and guidance, but they can be more independent.
    • Younger children will need more time and attention, including help with online schoolwork.
    • Will each parent can take turns and give the other parent a break? Will they divide up the tasks or come up with some other way?
    • If a couple already has differences in terms of childrearing, going through this health crisis can highlight those differences and make things worse.
  • Differences in Cleaning Standards Around the Home 
    • Many couples already have differences to negotiate around cleaning standards.  One peron might be neater and want to clean more often, and the other person might be a lot more relaxed about it.  
    • With the current health crisis, there can also be issues around what and how much to disinfect.
  • Whether to Go to the Grocery Store or Order Grocery Online (if possible)
    • Most people are trying to minimize their time outdoors, so one person might prefer to order grocery online and the other might prefer to go to the store.  
    • The person who wants to order online might have concerns about his/her coming into contact with other people in the grocery store as well as having concerns about the partner's exposure to others.
  • Whether to Order Takeout
    • This issue is similar to whether or not to go to the grocery store.  
    • Some people prefer not to cook.  Others feel safer cooking their own food.
  • Whether to Wear Masks Outside or Not (the latest recommendations from the CDC as of the writing of this article)
    • There has been some recent confusion about this.  Originally, people in the US were told that there was no need to wear a mask.  Now CDC is recommending the wearing of masks, but they're not mandating it.
    • One person might feel strongly that wearing a mask is important, while the other person might not want to wear a mask.  This creates a potential problem because the person who feels strongly about a mask might worry that the partner who doesn't want to wear a mask is putting each of them at risk.
  • How to Have Quality Time, Fun and Socialize While Practicing Social Distancing
    • Couples who are accustomed to socializing in person with friends and loved ones might feel at a loss about how to socialize with the new requirement for social distancing.  
    • One partner might enjoy socializing online and the other partner might not.
And so on.

Tips on Getting Along as a Couple During the Pandemic
There are no right answers to the dilemmas that couples face during the pandemic, but here are some tips that might help, which will require some flexibility, compromise and negotiation:
  • Create a Routine and Structure Your Day
    • Since both of your routines have been upended, it's important for a couple to come up with a rough schedule for how they will spend their days.  
    • Each person might have different needs, so that will need to be taken into account.
  • Make Time For Alone Time
    • Make time for time apart to work, nap, talk to friends on the phone or online, read, meditate, watch a program the other person doesn't like or engage in other solo activities.  
    • Try to be respectful of your partner's need for time apart so that when you come together again you'll feel ready to be in each other's company.
  • Learn to Communicate With Each Other Effectively 
    • Over time, nerves can get frayed.  One or both of you is bound to either get inpatient or lose your temper.  Expect it (see my article: Learn How to Communicate More Effectively in Your Relationship). 
    • Learn how to take responsibility for your words and behavior and make amends with your partner as soon as you can.  
    • Pick your battles.  
      • Don't argue over small issues.  It's better to let some things go sometimes rather than arguing about them.
    • Tell your partner if you need time to regroup after an argument. 
      • It's not unusual for one person to want to work things out immediately and for the other person to need time to cool off first.  
      • If you're the person who wants to work things out immediately, recognize that if your partner isn't ready to do it and you push to do it, you'll probably continue to argue, and your partner will resent you.  
      • If you're the person who needs time to cool down before you talk, let your partner know about how long you'll need so it doesn't feel endless to them, and don't stonewall (see my article: Are You a Stonewaller?).
    • Remember to express your love and gratitude to your partner (see my article: The Importance of Expressing Gratitude To Your Spouse).
  • Find Meaningful Ways to Connect
    • One of the biggest complaints that couples often have under normal circumstances is that they barely see each other during the week because of their busy work schedules and then on weekends they feel too exhausted.
    • If you have more time now, talk to your partner about how you would like to spend your time together in a way that's meaningful and enjoyable.
    • This could include:
      • Spending more time having sex and discovering new things that you both want to do sexually, possibly including a willingness to explore new ways of being together and enjoying each other sexually.
      • Redecorating your home
      • Learning a new game
      • Learning a new language together
      • Talking about future plans, including travel plans when it's safe to travel again 
      • Reading aloud to each other
      • Listening to a podcast together
      • Watching a movie you've always wanted to see
And so on.

Getting Help in Couples Therapy
Despite your best efforts, you and your partner might find that getting along during the pandemic
highlights problems that you've had all along that you've never dealt with before.

Even if you got along well before, the stresses and strains involved with too much time together at home, a change in your routine, the loss of things you used to do outside, and the unknowns involved with the pandemic and economy are threatening your relationship.

If you can't work things out on your own, rather than watching the demise of your relationship, you could benefit from atending couples therapy.

Many therapists, including me, are providing individual and couples therapy online (also known as teletherapy, telemental health and telehealth) while they're out of their offices (see my article: The Advantages of Online Therapy When You Can't See Your Therapist in Person).

Rather than allowing your problems to destroy your relationship, seek help from a licensed mental health professional who works with couples.  It could save your relationship.

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

I have worked with individual adults and couples for over 20 years.

I'm providing online therapy (also known as teletherapy, telemental health and telehealth) during the pandemic.

Emotionally Focused Therapy For Couples (EFT) is the therapy I use to work with couples. EFT is one of the best effective and well-researched therapy to help 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.

















Tuesday, May 1, 2018

Letting Go of Hope That is Based on Denial

Being hopeful and optimistic can improve your mood, your outlook on your personal life and the world around you.  But when hope is based on denial, this can only lead to disappointment and disillusionment.

Letting Go of Hope That is Based on Denial

For instance, it can be challenging to allow yourself to know when you're in an unhealthy relationship that isn't going to change.  This is especially difficult when you really love someone and you want things to work out between you.

You naturally want to give the person you're with and the relationship every chance to improve.  But after a certain point, you probably know deep down that things aren't going to change and you're just avoiding the inevitable (see my article: Wishful Thinking Often Leads to Poor Relationship Choices).

The first step to overcoming this problem, especially if this is a pattern for you, is to become aware that you're avoiding seeing the situation objectively.  If you're having difficulty doing this on your own, a trusted friend or family member might be helpful (see my article: Letting Go of Unrealistic Fantasies of a Happy Future in an Unhappy Relationship).

If you continue to avoid dealing with the situation even with the help of loved ones, you could benefit from seeking help in psychotherapy where an objective mental health professional can help you to see what you can't or won't see.

Once you have admitted to yourself that you're in denial about an unhealthy relationship that isn't going to change, your psychotherapist can help you to understand how your current situation might be based on earlier experiences so you can understand why holding on has become so compelling to you.

Having this understanding doesn't resolve your problems, but it helps you to have more self compassion rather than beating yourself up or feeling ashamed.

Then, when you're ready, your psychotherapist can help you to take the necessary steps to get out of a situation where you have been stuck and help you deal with the emotional aftermath (see my article: Overcoming the Heartbreak of a Breakup).

A Fictional Clinical Vignette: Letting Go of Hope That is Based on Denial
The following fictional clinical vignette illustrates how a skilled psychotherapist can help you to overcome your denial about an unhealthy relationship:

Amy
Prior to starting psychotherapy, Amy frequently spoke to her close friends over the course of her two year relationship to get advice.  Her friends gave her the same consistent message:  Her boyfriend was mistreating her and, by staying in her relationship, she wasn't taking care of herself.

Amy had spoken to her friends so many times that she knew they were getting tired of hearing from her about the same problems, especially since she would come to them when she was upset about her relationship with Jim, listen to their advice and then disregard what they had to say.  It had become a self destructive cycle, and Amy knew that she needed help.

She told her psychotherapist that she was happy in her relationship with Jim during the first few months, but shortly after that, he became verbally abusive with her when he was drunk.  She said that Jim said mean and hurtful things to her that he didn't remember when he was sober.

When she confronted him about his hurtful comments to her when he was sober, he would apologize and promise her that it wouldn't happen again.  But these incidents were becoming more frequent as he got drunk more often, and he refused to get help.

There was an incident where Jim got drunk and verbally abusive with Amy during a visit to see Amy's family.  Afterwards, Amy's parents told her that she was welcome to come see them, but they didn't want Jim in their home again.

Amy's friends also told her that they didn't like being around Jim when he was verbally abusive with her, and they told her that they would be willing to get together with her, but they didn't want to be around Jim.

Over time, Amy felt more and more caught between Jim and her loved ones.  He was also offended that her family and friends didn't want him around.

Although, on some level, Amy understood her loved ones' reactions to Jim, she also resented her them because she felt they were putting her in a difficult situation. This was another area where Amy was in denial and she was unable to see that they weren't the ones who were putting her in a difficult situation--she was making a choice to be with Jim, despite his verbal abuse, and she didn't see how her choice affected her relationships.

If she spent time with friends or family and she didn't include Jim, he would get angry with her.
From his perspective, she was siding with other people over him. If she tried to convince her loved ones to include Jim, she ended up getting into arguments with them because they were adamant that they didn't want him around.

By the time Amy came to therapy, she said she didn't know what to do.  On the one hand, she loved Jim and she didn't want to leave him.  But being with him meant limiting her time with friends and family because they didn't want him around and he didn't like that he wasn't included.  On the other hand, she could see that his drinking and his behavior were getting worse, and he adamantly refused to get help.

Amy's psychotherapist could see that, as things stood, Amy was in denial about the severity of her problems related to Jim and she was staying in this relationship at a significant cost to her personal well-being and her social support network.  But her therapist also knew that Amy hoped that the problem would somehow get better on it's own, so Amy wasn't ready to let go of the relationship.

Her psychotherapist also sensed that the root to Amy's problems was deeper than the current situation, which is why Amy was having such a problem acknowledging what everyone else could see and why she remained in denial.

Amy talked in therapy about wanting to "be there" for Jim and hoping that she would one day be able to convince him to get help.  She felt that if she left him, she would be abandoning him when he was at a low point and she couldn't do this (see my article: Overcoming Codependency: Taking Care of Yourself First).

As Amy and her therapist continued to explore her current situation, her therapist asked Amy if she had ever felt this way before.  In response, Amy thought about her therapist's question, and she said that when she was younger, her paternal grandfather lived with the family and he had a serious drinking problem.

When he was sober, he was a kind, gentle man.  But when he was drunk, he was mean and nasty.  Unfortunately, his drinking progressed and he refused to get help.  Her parents, who were fed up, asked the grandfather to leave the household, which upset Amy.  She was afraid that if her grandfather was on his own, his problems would get worse.

So, even though she was only 17 at the time, Amy took the problem on her shoulders and decided that it was up to her to help her grandfather.  In hindsight, Amy realized that her grandfather only gave lip service to getting into alcohol treatment.  But at the time, she took him at his word and she was relieved.

A few weeks after her grandfather agreed to get help but failed to do so, he had an alcohol-related stroke, and he never recovered.  Amy explained to her psychotherapist that this was a devastating experience for her, and she blamed herself for not convincing her grandfather to get help earlier.

Until Amy discussed this with her psychotherapist, she never made the connection between how she reacted to her grandfather's problems and how she related to Jim's problems.  After she saw the connection, she was stunned, and it was the subject of the next several psychotherapy sessions.

At her current age of 32, Amy was able to look back on her experiences with her grandfather when she was 17, and she saw that she had been naive and in denial all along about her grandfather's problems and his willingness to get help. She also saw that she couldn't possibly be responsible for her grandfather at 17 or at any age.  This was the beginning of Amy developing insight into her current problems.

After that, two new incidents with Jim were pivotal in Amy's decision-making process.  The first incident occurred when Jim was arrested for drunk driving and his license was revoked.  At first, Amy couldn't understand why his license was revoked and not temporarily suspended, but then he revealed what he had never told her before--he had several arrests in the past for drunk driving that he was too ashamed to tell her about.

The second incident occurred shortly after Jim's arrest when he tried to reach Amy at work while he was drunk.  When he was unable to reach Amy directly, he became verbally abusive with the receptionist, who put the director on the phone.  In his drunken state, Jim cursed the director and threatened him.

Later that day, when the director called Amy into his office, he told her what happened and she was humiliated.  He told her that he was concerned for her and asked her if she wanted him to give her information about the company's employee assistance program so she could get help for herself. She told him that she was already in therapy and would speak with her psychotherapist about what happened.

Amy spoke about these two incidents with her therapist.  She realized that she couldn't remain with Jim anymore.  She would need to ask him to leave her apartment.  But this was very difficult for her because it was so similar to the situation with her grandfather when her parents wanted him to leave their home.

Amy talked to her psychotherapist about her dilemma.  Her psychotherapist recommended that they use EMDR therapy to work through the current situation and the original trauma related to her grandfather (see my article: Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

As they began using EMDR, Amy began letting go of any false hope that she had been holding onto, and she eventually told Jim to leave.

Once Amy was out of the relationship, she was able to see clearly how deep her denial had been.  Along with dealing with the aftermath of the breakup and the loss of her grandfather in therapy, she also dealt with the shame she felt for remaining in a verbally abusive relationship with someone who was unwilling and/or unable to change.

Therapy was neither quick nor easy, but Amy felt herself gradually becoming more confident that she made the right decision by ending her relationship with Jim, and she deserved to be treated better in her next relationship.

Getting Help in Therapy
Letting go of hope that's based on denial is challenging.  The current problem often has roots in earlier problems.

Loved ones might see clearly what you're not allowing yourself to see, even though you might know on some level that you're in an unhealthy situation.

What often happens is that loved ones get tired of hearing you complain and might ask you to stop talking to them about your problems.  This can damage your relationships with friends and family, and you might feel ashamed.

Rather than suffering on your own, you owe to yourself to get help from a licensed mental health professional (see my article: The Benefits of Psychotherapy).

Although a psychotherapist won't tell you what to do, a skilled therapist can help you to deal with your denial, make connections to earlier experiences and assist you to take the necessary steps for your own well-being (see my article: How to Choose a Psychotherapist).

Once you're free from an unhealthy situation, you can work on restoring your self esteem in therapy and reconnecting with family and friends.

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, and I have helped many clients to work through difficult problems so they can live more fulfilling lives.

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

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

























Friday, January 26, 2018

Self Abandonment - Part 2: A Clinical Vignette

In my last article about self abandonment I defined self abandonment and the circumstances where this dynamic occurs.  In this article, I give a fictional clinical vignette to further illustrate these dynamics.

Self Abandonment: A Clinical Vignette

As I mentioned in my prior article, some of the ways that self abandonment can take place include the following
  • A pattern of ignoring your well-being to focus on others
  • Placing your well-being in the hands of others and depending upon them for your happiness
  • Judging yourself harshly for making these choices

A Fictional Clinical Vignette About Self Abandonment
The following vignette is a composite of many different stories with all identifying information removed to protect confidentiality:

Nina
Nina started psychotherapy in an emotional crisis.

Her three year relationship with Mike ended a month prior to her starting therapy when Mike told her that he no longer wanted to be in a relationship.

He denied that he was interested in anyone else. He said he felt pressured by Nina to take the next step in their relationship and he wasn't ready to do that.  He said he wasn't sure if he would ever be ready with her or anyone else.

Self Abandonment: A Clinical Vignette

Nina felt devastated when Mike broke up with her.  At 35, she had hoped that they would eventually get married and have children.  Now she wondered if she would ever be married and have a family.

After the breakup, Nina couldn't sleep, she couldn't concentrate at work, and she often cried throughout the day.

All she could think about was Mike and how much she wanted him back.  She tried to reach Mike by phone, text and email to try to reconcile their relationship.  But after he broke up with her, he refused to respond.

Nina felt she couldn't talk to anyone about the breakup because, after they met Mike a few times, her friends warned her that Mike would hurt her.

They thought he was narcissistic, and they disliked that he was openly critical of Nina in front of them.

See my articles: 

Belittling Behavior in Relationships

Her friends also thought he was immature and irresponsible when he told them that he wasn't showing up for work because his boss didn't give him the praise he felt he deserved.  His attitude resulted in his losing one job after another.

Nina defended him to her friends by telling them that they didn't understand him.  She said she saw a side of Mike that no one else saw and she thought they were being harsh.

After listening to Nina complain to them and then defend him many times, her friends were tired of it.  They told her that it would be better for her not to talk about it with them anymore.

Before the breakup, Nina continued to see her friends, but she stopped talking about her relationship with Mike and, at her friends' request, she no longer included Mike in their get-togethers because they didn't like him.

Now, Nina felt alone and miserable.  She couldn't believe this was happening to her, and she didn't understand why Mike broke up with her.

It was true, she said, she suggested that they move in together.  But she didn't expect Mike to have such a strong reaction to their conversation, "It's not like I gave him an ultimatum."

Nina's psychotherapist focused on helping Nina to get through this difficult time (see my article: Developing Internal Resources and Coping Strategies).

She taught Nina how to develop a wind down routine before going to bed so she could sleep better.  She also taught her how to do a relaxing meditation, a breathing exercise, and recommended that Nina keep a journal to express her feelings.

Once Nina was more on an even keel emotionally, Nina and her therapist explored the dynamics in her relationship with Mike with an emphasis on Nina's self defeating behavior.

Her psychotherapist explained the concept of self abandonment to Nina and tried to help Nina to develop insight into her own behavior.  But, initially, every time that her psychotherapist talked to Nina about how she didn't take care of herself, Nina would try to talk about Mike and what he said and did.

In a gentle, tactful way, Nina's therapist kept bringing the focus back to Nina and pointing out how Nina kept avoiding looking at her own behavior because she was so focused on Mike (see my article: Overcoming Codependency: Taking Care of Yourself First).

Nina wasn't accustomed to focusing on herself.  At first, she felt like she was being selfish and self centered (see my article: Is Self Care Selfish?).

But, over time, Nina began to understand how focusing on Mike was a way to avoid looking at herself and that she wouldn't develop insight into what happened until she was able to look at her own dynamics in the relationship (see my article: Changing Maladaptive Coping Strategies That Don't Work: Avoidance).

Gradually, as the therapy progressed, Nina realized that in her relationship with Mike and in her prior relationships, not only did she focus on her boyfriend, she abandoned her own needs and gave away her personal power.

See my articles:  

Taking Back Your Personal Power

Over time, Nina also realized that she wanted so much to be in a relationship that she avoided the warning signs that were there all along and that her friends could see more objectively (see my article: Are You Ignoring the Early Warning Signs in Your Relationship?).

Nina and her therapist were able to trace back these ingrained dynamics to Nina's family history.  As the oldest, Nina became a parentified child to a single mother who turned to Nina for mothering from the time Nina was a young child.  She also expected Nina to take care of her younger siblings.

Nina worked through the trauma of her emotional neglect as a child.

Se my articles: 

What is the Connection Between Childhood Emotional Neglect and Problems Later On in Adult Relationships?

She also talked to her friends about the breakup and what she was learning about herself in therapy.

When she began dating again, she didn't allow her fears to get in the way of being more discerning when she met men (see my article: Choosing Healthier Relationships).

Although it was difficult for her, Nina also learned to like herself more and to take better care of herself.

Conclusion
Self abandonment can occur in many different ways.  It often involves codependency in relationships, as illustrated in the fictional vignette above.

Psychotherapy can help people who engage in this self destructive dynamic to develop insight, learn how to take better care of themselves, and change this self defeating pattern.

Getting Help in Therapy
Self abandonment usually involves unconscious behavior that has its roots in early childhood.

It's very difficult to change this self defeating behavior on your own, even when you're aware of  it, because the early roots of this behavior usually remain out of awareness.

Working with a skilled psychotherapist, you can develop insight into your behavior and change your pattern of relating to yourself and others (see my articles: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

It takes courage to seek help in therapy to change (see my article:  Developing the Courage to Change).

By taking care of yourself and choosing healthier relationships, you can lead a more fulfilling and meaningful life.

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

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

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

















Thursday, December 14, 2017

How a Crisis Can Bring About Positive Change in Your Life

Sooner or later in life, everyone has to cope with a crisis.  It doesn't matter how much you try to avoid crises, they are an unfortunate part of life.  Sometimes, you can see a crisis coming in advance and prepare for it.

See my articles: Fear of Making Changes



Other times, a crisis occurs when you least expect it.  But in many cases crises can be opportunities to make changes that are, ultimately, for the better.

How a Crisis Can Bring About Positive Change in Your Life

People who are able to reframe crises into a possibility for an opportunity are better able to get through the chaos that crisis often brings (see my article: Developing a Positive Perspective About Reframing).

Let's take a look at some fictional scenarios, which represent common occurrences, that illustrates these points:

How a Crisis Can Bring About Positive Change in Your Life

Jim
Jim worked as a senior manager for his firm for over 25 years.  He had a good relationship with his boss and with his colleagues, who praised his work.  He thought he would ride out his last years at this company until retirement and then he planned to start his own consulting business.  But a few years before Jim planned to retire, he was laid off due to budget cuts.  His boss and his human resources director assured him that it had nothing to do with the quality of his work.

At first, Jim was paralyzed in fear.  He wasn't sure what he would do.  So much of his identity was tied up with his job (see my article: When Job Loss Means Loss of Identity).  When he told his wife about the layoff, she encouraged Jim to start his consulting company now and "Go for it!"  Although he was afraid, at first, within a year, he was making more money in his consulting business than he made at his former job, and he had more time to spend with his family.  So, what he initially experienced as a crisis turned out to be a blessing in disguise.

Betty
Betty was in a stagnant relationship that was going nowhere for a few years.  Although she wanted to get married and have children, she was afraid to leave her current relationship because she thought she would never meet anyone else.  Her rationale was, "The devil you know is better than the devil you don't know" and so she remained in this unhappy relationship (see my article: Are You Too Afraid to Leave an Unhappy Relationship?).  One evening, over dinner, her boyfriend, Ted, told her that he wanted to breakup.  He accepted a job out of state, and he didn't want to have a long distance relationship, so he thought it was better to end their relationship.  At first, Betty panicked.  Even though she was dissatisfied with the relationship, at least she had someone to have dinner with and to go to the theatre.  Now, she would have no one.  During the first few months after the breakup, Betty mourned the end of her relationship.

How a Crisis Can Bring About Positive  Change in Your Life

Shortly after that, a close friend introduced her to someone new, John.  After dating for a few months, Betty and her new boyfriend decided to be exclusive, and she realized that she was happier in this relationship than she had ever been.  Had she and Ted remained together, she would never started dating John.  What initially felt like a major crisis in her life turned out to be a positive change.

Donna
Donna had always enjoyed good health for most of her life.  But shortly after her 40th birthday, she had a mild heart attack and was hospitalized.  After she was discharged, her cardiologist spoke to her about her stressful lifestyle, including a stressful job that she hated and an unhealthy diet where she mostly ate on the run.  He told her that she would have to make changes to her lifestyle or she could have a massive heart attack, especially since there was a history of heart problems in her family (see my article: How Medical Problems Can Change How You Feel About Yourself).

Donna spoke with her husband about the changes she was thinking about--including leaving her stressful job.  Her husband encouraged her to do what she had always wanted to do--become a yoga teacher.  So, when she quit her job, and when her cardiologist gave his approval, Donna began a yoga training program.  Soon after she completed the yoga training, she began working for a local yoga studio, a job that she loved.  In retrospect, she realized that she probably would never have quit her stressful job to do what she really wanted if she had not had the heart attack.

Conclusion
Making changes in your life, even under the best of circumstances, can be challenging.  We often become comfortable with what's familiar, even if it's not what we want.

Making changes during a crisis is even more challenging because we're often not prepared for the crisis.  It can be like a tsunami that comes upon us suddenly.  

Being flexible, being able to reframe a crisis into an opportunity (if possible), and having emotional support can help you to make positive changes. 

But there are times when the crisis is so overwhelming that it is traumatic.

In other words, it's beyond what you can handle, and you might need help from a skilled mental health professional to help you to get through the crisis and come out of it more resilient than before.

Getting Help in Therapy
Everyone needs help at some point in his or her life.

Sometimes, friends and family, who are well-meaning, aren't helpful because they're part of the crisis or they're fearful of change so they can't see opportunities or alternatives.

When you're overwhelmed by a crisis, you could benefit from working with a skilled mental health professional who can help you to recognize your strengths and help you to regroup (see my article: The Benefits of Therapy).

Rather than struggling on your own, if you feel overwhelmed by a crisis in your life, seek help from an experienced psychotherapist who can help you to overcome the current obstacles so you can live a more fulfilling life (see my article: How to Choose a Psychotherapist).

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

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

I have helped many clients to overcome their problems so they could maximize their potential and live the life they want to live.

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








Tuesday, November 21, 2017

The Challenge of Breaking Up With a Person Who is Narcissistic

I've written about narcissism in previous articles (see my articles:  Narcissism: An Emotional Seesaw Between Grandiosity and Shame, A Relationship With a Narcissistic Partner: Where Did the Love Go?, Coping Strategies For Being in a Relationship With a Narcissistic Partner and How Narcissism Develops at an Early Age).  In this article, I'm focusing on breaking up with a person who is narcissistic.

The Challenge of Breaking Up With a Person Who is  Narcissistic

While breakups are never easy, breaking up with someone who is narcissistic has unique challenges:

Get Ready For an Emotional Roller Coaster
When you end a relationship with someone who is narcissistic, you can generally expect to experience an emotional roller coaster, especially if your ex doesn't want to end the relationship.  If you've already discussed the reasons why you want to end the relationship, your best course of action for your own self preservation is to have no further contact with your ex.  

Talking about the breakup over and over will be perceived by your ex as a chance to either convince you to take him or her back or, if he or she is convinced that you've made up your mind, s/he might become emotionally abusive and malign you to people that you know (The Breakup: When the Need For "Closure" Turns Into Harassment).

You might think that you know your ex, but going through a breakup with someone who is narcissistic can show you a whole other side of your ex that you didn't know existed.

Beware of Your Ex's Narcissistic Rage 
When things were going well between you, you might have only seen the charming and funny side of your ex.

But when people who are narcissistic feel wounded or abandoned, they often display narcissistic rage, which can be astounding to experience because your ex will probably see the breakup as a wound to his or her self worth and sense of self.

This often involves a dramatic unleashing of rage at you and possibly to other people in your life.

Your ex might demean you, call you names, tell people you know how much you hurt him or her, try to humiliate you and, generally, become hurtful and spiteful.

The Challenge of Breaking Up With a Person Who is Narcissistic: Beware of Narcissistic Rage

When someone is in a state of narcissistic rage, s/he usually can't be reasoned with without causing the situation to escalate.

The person who is narcissistic needs to be in control, and if you're the one who took the initiative to end the relationship, this will upset his or her sense of having control.

Your ex will probably want to have the last word about your relationship with you and with others.

Even if s/he praised you to others before, now s/he might say that s/he never really knew you until now and you're just a terrible person.

And don't be surprised if some people that you know end up believing your ex when s/he tells them how awful you are.  People who are narcissistic can be very convincing.

After you've talked to these people, rather than exhausting yourself emotionally and physically by defending yourself, let it go.  The more you struggle around these issues, the more gratifying it will be to your ex who wants to create chaos as part of the revenge.

How to Survive a Breakup With an Ex Who is Narcissistic
As I mentioned earlier, the volatility will only escalate if you keep trying to explain why you're ending the relationship, so it's best not to keep going over the same thing.  

End contact.  In the short term, this will probably infuriate your ex, but nothing will be accomplished by maintaining contact if you know you want to end the relationship.

You will need to set limits with your ex, especially if the emotional abuse seems like it might become physical.  If your ex makes physical threats, you will need to find out your rights with regard to a restraining order--although in most cases, it doesn't go this far.

In most cases, the person with a narcissistic personality will be looking around rather quickly for the next person who will make him or her feel good because the breakup can leave your ex feeling empty and low.

Once your ex finds someone else who will admire and idealize him or her, you probably won't hear from your ex again.

Getting Help in Therapy
Going through a breakup with someone who is narcissistic can be overwhelming, and you might need  help from a skilled psychotherapist to help you to get through it.

You can especially benefit from seeing a licensed mental health professional if you have a pattern of choosing narcissistic romantic partners (see my articles: Choosing "Mr. Wrong" Over and Over Again, Falling For Charisma Instead of Character, and Choosing Healthier Romantic Relationships).

It's important to understand the underlying issues involved so you don't keep making the same mistake (see my article: The Benefits of Psychotherapy  and How to Choose a Psychotherapist).



Rather than struggling on your own, seek out help from an experienced therapist.

Making healthier choices for yourself will give you a greater sense of well-being and allow you to lead an healthier and happier life.

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















Saturday, November 18, 2017

Are You Considering Starting Over With You Ex? Think Twice and Ask Yourself What Has Changed

After a breakup, it's common for one or both people to consider whether they should get back together again.  While there are times when the two of you might have been hasty about breaking up, there are definitely times when you should consider thinking twice before getting back with your ex (see my articles: Toxic Relationships, Relationships: When Love Doesn't Conquer All, Coping With a Breakup When Closure With Your Ex Isn't Possible, and Overcoming the Heartbreak of a Breakup).

Considering Starting Over With Your Ex? Think Twice and Ask Yourself What Has Changed
Reasons to Think Twice About Getting Back With Your Ex
  • You're Afraid That You'll Never Be in Another Relationship Again:  Related to fear of being alone, a fear that you'll never enter into another relationship can cause you to make a bad decision.
  • You Only Want to Get Back With Your Ex For Sex:  This consideration by itself isn't a good enough reason for getting back together.  You might miss the sex, but ask yourself if it's worth getting back into a relationship where there were serious problems.
  • You're in Denial About the Problems in Your Former Relationship:  Once fear, loneliness and hopelessness set in, it's very easy to fool yourself into minimizing the problems in your relationship.  Denial can be very powerful, and you would be setting yourself up for more heartbreak (Wishful Thinking Often Leads to Poor Relationship Choices).
  • Nostalgia is Clouding Your Thinking About Your Former Relationship:  This is a form of denial (see above).  When you're nostalgic about a relationship that was unhealthy for you, it usually means that you're only thinking about the good times without considering the bad times.  But the reality is that if your relationship didn't work out because of unhealthy aspects, chances are that you're going to be facing those problems again after the initial stage of getting back together.
  • You've Grown Accustomed to an On-Again-Off-Again Relationship:  You might not have liked the nature of your on-again-off-again relationship, but you might be used to it because the breakups happened so frequently.  These kinds of relationships rarely end well.  Even when you're both willing to get back together again, after a while, the unstable nature of the relationship erodes any good feelings.  After a while, even when you're in a "good phase"in the relationship, you know that a breakup will come again eventually (see my article: The Heartbreak of the On-Again-Off-Again Relationship).
  • You're Jealous Because Your Ex is Dating Someone New:  This is definitely not a good reason to get back with your ex.  When you broke up, you each probably knew that you would both move on to seeing other people.  If you get back together with your ex to stop him or her from seeing other people, you're just going to end up back in the same place again.

Consider Thinking Twice Before You Get Back With Your Ex
There are lots of other reasons why you shouldn't get back together again, including emotional and physical abuse.

I think that deep down most people who end an unhealthy relationship know that they shouldn't get back with their ex, but they might not be admitting it to themselves.

When you know that your relationship was unhealthy for you and you still want to get back with your ex, there are usually other underlying reasons that might be out of your awareness.

Getting Help in Therapy
Most people who come to see me about unhealthy relationships have already talked to their friends so many times about it that their friends are tired of hearing about it.

Hearing your friends tell you to "Just don't call him" or "Just don't call her" and hearing the exasperation and judgment in their voices can make you feel very ashamed.

Your friends are probably not going to understand the underlying reasons that are causing you to want to get back into an unhealthy relationship, so it's important to get help in therapy before you make a mistake and get hurt again.

A skilled psychotherapist can help you to understand the underlying reasons and provide you with tools to take care of yourself so you can make better decisions for yourself (see my articles: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

Rather than having conversations with your friends that go in circles or suffering on your own, you owe it to yourself to get help from a licensed mental health professional.

Getting help from a licensed psychotherapist will help you to making healthier choices and feel better about yourself.

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

I have helped many clients to develop insight into their problems, make healthier relationship choices, and develop healthier self esteem.

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

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





Monday, May 22, 2017

A Relationship with a Narcissistic Partner: Where Did the Love Go?

I've written prior articles about being in a relationship with a narcissistic romantic partner or spouse, including: A Relationship with a Narcissistic Person Can Have a Negative Impact on Your Self Esteem,  Coping Strategies For Being in a Relationship with a Narcissistic Partner,  How Narcissism Begins at an Early Age, and Narcissism: An Emotional Seesaw Between Grandiosity and Shame. 
In this article, I'm addressing a particular aspect of being in a relationship with someone who has narcissistic traits, which is how a relationship can start as a whirlwind romance and end with a thud.

A Relationship With a Narcissistic Partner: Where Did the Love Go?

As I've mentioned before in other articles, I usually don't think of people in terms of diagnosis (see my article: Psychotherapy: You're Not Defined By Your Diagnosis).  So, although I do believe that everyone is an individual, there are certain general recurring patterns that tend to occur when you get involved with someone who has strong narcissistic traits.

The Whirlwind Romance
Many people who have narcissistic traits can be very romantic at the outset of the relationship.  They might wine and dine you and sweep you off your feet before you even realize what's happening.

A Relationship with a Narcissistic Partner: Where Did the Love Go?

This is a very heady, romantic time for both people involved.  They will put you on a pedestal.  Often, they will treat you like you're the most special person that they've ever been in a relationship with--they've never felt this way before about anyone else.

The relationship is very exciting at this stage and the sex is usually passionate.

Taking the Relationship to the Next Level
Soon after that, they might tell you that the two of you should move in together or plan a wedding.  You might be surprised, but since every seems to be going so well, you might think, "This was meant to be!"

A Relationship with a Narcissistic Partner: Fantasizing About a Wedding

You might find yourself looking at wedding dresses and looking at wedding venues online.

After a While, They Become Less Available
In most relationships where things are going well, some of the passion might wear off, as is normal, but the emotional intimacy grows deeper and the relationship becomes more meaningful.

But when you're involved with someone who has narcissistic traits, this is when things start to go south:  Your partner is less available.  S/he might start cancelling dates because of other pressing matters at work.



At this point, you definitely get the sense that something has changed and you are right.  What has changed is that your partner has started to get to know you better.

You're no longer that idealized person in his or her imagination--you're a real person that has flaws as well as strengths, as does everyone.

But to the person with narcissistic traits, you're no longer as attractive as s/he imagined you to be.  S/he wants the idealized person that was in his or her imagination--not the real person.  And therein lies the problem.

The person who has strong narcissistic traits is often incapable of having a mature relationship once the heady romantic time is over and reality hits.

Generally speaking, people with narcissistic traits often don't understand this about themselves, so rather than taking responsibility for their own shortcomings in this area, they often blame you:  "You're not the person that you led me to believe that you were" or you will probably blamed in some other way.

Soon after that, the relationship fizzles out because they are looking for someone new in order to recreate that idealistic, romantic relationship again and you're "old news."

It's very difficult to have closure with your former romantic partner because he or she is already thinking about how to meet the next person or is already infatuated with someone else.

What's Real?
You might be shocked to discover how soon your partner gets involved again.  This can cause you to question what's real.  Did you ex really care about you?

The answer to that question is difficult.

First, people who are highly narcissistic usually lack the capacity to love deeply in a mature way.

As I mentioned earlier, they often get wrapped up in the idea of the romantic relationship and idealize you in a way that makes you seem "perfect."

Since you're perfect in their eyes, this is also indirectly a reflection on them, so they must be "perfect" too, and together you're "perfect couple"--until you're not.

Once you begin to show normal human flaws, you're no longer "perfect" and whatever self-imposed spell your partner was under is gone.

You're no longer desirable or fun or whatever other qualities s/he thought you had before you showed yourself to be a normal human being.

Breakup Anxiety
It can be very disorienting to know that while you're heartbroken and riddled with anxiety about what happened to the relationship, your ex is already out and about looking for the next romantic partner.

Many people who have experienced this question their own sense of reality about what happened and how the relationship went from being so loving to nothing.

Having to deal with this on your own (since your ex probably isn't going to be helpful) creates breakup anxiety, and you can feel very alone with it.

Some people even question their self worth, which can devolve into a depressive episode without professional help.

Getting Help in Therapy
A skilled psychotherapist who is knowledgeable about the patterns involved with this type of relationship can help you to understand what happened, process your feelings, get closure and regain a sense of self confidence again.

So, you're not alone, and rather than struggling on your own, you can seek help from an experienced psychotherapist who has worked with this issue in a way that you can't on your own.

Once you have worked through the emotional pain of this type of breakup, you can lead a more fulfilling life with someone who is emotionally mature and ready for a full relationship and not just a fantasy.

About Me
I am a licensed New York City 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.