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NYC Psychotherapist Blog

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Showing posts with label cognitive distortions. Show all posts
Showing posts with label cognitive distortions. Show all posts

Sunday, May 12, 2024

Tips on How to Stop Overthinking

What is Overthinking?
Overthinking, which is also called rumination, is when you dwell on the same thought, feeling or situation over and over again. 

When overthinking is habitual, it can be disruptive to your life.

How to Stop Overthinking

Overthinking usually falls into two categories: Ruminating about the past or worrying about the future (see my article: Tips to Cope With Chronic Worrying).

Engaging in habitual overthinking is unproductive and can make you feel stuck. 

How to Stop Overthinking

For instance, if you're trying to make a decision and you continuously ruminate about it, you might find it increasingly difficult to make the decision and miss an important deadline (see my article: Fear of Making Decisions: No Decision Becomes a Decision in Time).

When Does Overthinking Become Unhealthy?
Overthinking can become unhealthy when it:
  • Prevents you from taking action
  • Interferes with your daily life
  • Creates stress in your life
  • Has a negative impact on your sense of well-being
What Are the Signs of Overthinking?
  • Having the same recurring thoughts, worries or fears over and over
  • Getting stuck in imagining worst case scenarios
  • Replaying a negative event from the past in your mind over and over again
  • Repeatedly worrying about a future event
  • Getting stuck in negative thoughts so that you have difficulty concentrating on anything else
  • Continuously rethinking decisions you have already made
  • Being unable to move on to the next step in a decision-making process because you're stuck ruminating about steps you have already taken
How Are Cognitive Distortions Connected to Overthinking?
People who engage in cognitive distortions tend to engage in overthinking (see my article: How Psychotherapy Can Help You Overcome Cognitive Distortions).

How to Stop Overthinking

Cognitive distortions include but are not limited to:
  • Overgeneralizing: Making an assumption that things will always be a certain way based on few examples
  • Mind Reading: Believing you know what someone else is thinking without any evidence
Why Do People Engage in Overthinking?
Some people are more prone to be overthinkers than others.

Perfectionists and overachievers are often overthinkers. This is often due to their need to be perfect and their fear of failure (see my articles: Overcoming Perfectionism and The Connection Between Perfectionism and Shame).

Is Overthinking Connected to Other Mental Health Issues?
Overthinking isn't a mental health disorder, but it's often connected to:
How is Overthinking Connected to Stress?
High levels of stress can lead to overthinking among people who have a tendency to overthink situations.

How to Stop Overthinking

Overthinking, in turn, can create a high level of stress, especially when people feel stuck in a pattern of rumination and worry.

Basic Tips That Can Help You to Stop Overthinking
In my next article, I'll focus on a particular tool called a pattern interruptor (see my article: How to Use Pattern Interruptors to Stop Overthinking).

For now, here are some basic tips for overcoming overthinking that might work for you:
How to Stop Overthinking
  • Keep a Journal: Journaling helps you to become aware of the particular issues you ruminate about so you can begin to see your specific pattern of overthinking.
  • Get Perspective From Close Friends: People who know you well are probably aware of your tendency to overthink things. You can get feedback from them in terms of what patterns they have noticed in you.
Seek Help From a Psychotherapist

  • Seek Help From a Licensed Mental Health Professional: A skilled psychotherapist can help you to stop overthinking. Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in helping people who tend to engage in overthinking.

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

I work with individual adults and couples.

One of my specialties is helping clients to overcome trauma (see my article: What is a Trauma Therapist?).

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, May 2, 2020

5 Tips For Challenging and Restructuring Distorted Negative Thoughts

In a prior article, I discussed how your distorted thoughts can have an negative impact on your overall mood and perspective (see my articles: How Psychotherapy Can Help You to Change Distorted Thinking).  In this article, I'm providing tips on how to challenge and restructure your negative thoughts which are distorted, so you don't get stuck in a pattern of negative thinking that affects your mood.
Challenging and Restructuring Distorted Negative Thoughts

How Negative Thoughts Affect Your Perspective
During a crisis, like the current pandemic, it's easy to get caught in a cycle of negative thoughts that gives you a pessimistic outlook and affects your mood.

While it's important to be realistic about the real challenges, if you don't find ways to overcome a habitual negative thoughts, they often have a way of crowding out anything that's positive.  So, it's important to notice if your thoughts and mood have become overly negative to the point where you're no longer seeing positive things that are happening in your life.

5 Tips For Challenging and Restructuring Your Negative Thoughts
  • Write Down and Monitor the Accuracy of Your Negative Thoughts: When you have a negative thought, write it down.  Sometimes writing, rereading what you've written or even saying it out loud can help you to see that your thought is distorted.  
  • Test Your Thoughts: Many negative thoughts remain untested, which gives them more power over you.  Try testing your thoughts to see how accurate they are.  For instance, if you tell yourself that you have no time--not even 5 minutes--to meditate, take a look at how you spend your time. If you're spending a lot of time online, can you take 5 minutes from that activity to close your eyes to meditate and relax?
  • Evaluate the Likelihood of Your Negative Thoughts Coming True: Ask yourself how likely is it that your negative thoughts will come true.  Is there evidence for it?  What is this evidence?  How solid is this evidence? If there's no evidence, where are these thoughts coming from and what might they related to in your past?
  • Practice Mindfulness Meditation: Your mindfulness meditation can be as simple as closing your eyes and paying attention to your breathing.  As you focus on each inhalation and exhalation, notice the quality of your breath and how focusing on your breath calms your mind and body (see my article: The Mind-Body Connection: Calm the Body and Calm the Mind).  Mindfulness meditation also provides an opportunity to see your negative perspective with a sense of calm so you can evaluate if you're catastrophizing.
  • Practice Self Compassion: Notice if you're being overly critical of yourself or if you're in the habit of berating yourself for your mistakes.  It's often true that people who have compassion for the mistakes of others have little to none for themselves because they believe they don't deserve it.  So, practicing self compassion can be challenging.  Start by challenging yourself whenever you berate yourself ("I'm such an idiot for making that mistake").  Ask yourself if you would be as hard on someone else as you are on yourself.  Accept that you're human and, like everyone else, you're going to make mistakes.  Practice have compassion for yourself (see my article: Self Compassion: Loving Yourself Even in the Places Where You Feel Broken).
Getting Help in Therapy
Sometimes habitual negative thinking is linked to a history of trauma. 

When negative thinking is linked to trauma, trying to challenge your negative thoughts on your own often doesn't change them.

A crisis or a stressful event in the present can trigger unresolved trauma that requires the help of a trauma therapist (see my articles: Becoming Aware of Triggers Related to Unresolved Trauma and What is a Trauma Therapist?).

Many therapists are providing online therapy (also known as teletherapy and telehealth) during the COVID-19 crisis (see my article:  The Advantages of Online Therapy When You Can't See Your Therapist in Person).

Rather than getting stuck in a cycle of negativity, you could get help from a licensed psychotherapist who can help you to get through a difficult time and work through any underlying trauma.

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

I work with individual adults and couples.

I'm currently providing online therapy while I'm out of the office due to the global pandemic.

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

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















Monday, April 6, 2020

How to Stay Calm and Stop Catastrophizing During a Crisis

During a crisis, like the pandemic we're currently experiencing, it's easy to catastrophize and have thoughts like, "It's the end of the world!" or "We're all going to die" (see my article: Common Reactions to COVID-19: Fear and Anxiety). It's easy to understand how someone might get so panicky and filled with dread because we're in an unprecedented time in modern history (see my article: Are You Catastrophizing?Living With Uncertainty and Tips For Coping With Panic Attacks).

How to Stay Calm and Stop Catastrophizing During a Crisis

What is Catastrophizing?
  • Catastrophizing is an Overreaction to a Current or Anticipated Situation
  • Catastrophizing is More than Just Feeling Afraid or Anxious
    • It goes beyond being afraid and involves persistent worry and heightened anxiety.
  • Expressing Catastrophic Thoughts to Your Loved Ones Can Heighten Their Fears and Anxiety 
    • It's important for your peace of mind and well-being as well as your loved ones to recognize and overcome your distorted thinking.
  • Catastrophizing Clouds Your Ability to Cope and Think Clearly 
    • It makes it difficult to cope, thinking creatively and plan.
    • Depending upon how overreactve you become, it can also psychologically paralyze you to the point where you can't think or act on your behalf or on the behalf of your loved ones.
Tips on How to Stop Catastrophizing
While it's important to take the current pandemic seriously, as previously mentioned, overreacting will get in the way of your coping effectively.  So, it's essential that you get a handle on your distorted thoughts in the following ways:
  • Calm Your Body, Calm Your Mind:
    • Be proactive in terms of calming your mind and your body rather than allowing distorted thinking to make you increasingly anxious.
    • Engage in mindfulness meditation (see my article: Mindfulness Meditation).
    • Do breathing exercises (see my article: Square Breathing).
    • Get physical: Exercise or do yoga based on a level that's right for you. 
    • Use your imagination in a positive way rather than imagining end of the world scenarios (see my article: Using Your Imagination as a Powerful Tool For Change).
  • Maintain Your Perspective: Step Back and Question Your Distorted Thoughts:
    • Write down your thoughts. Be specific so they are clearly defined rather than just nebulous thoughts floating around in your mind.  After you've written them down, take a step back from your thoughts and ask yourself about each one objectively and how likely it is that your worst thoughts will come true.  Once you've written them down and you gain some perspective about your thoughts, you might realize that your fears are exaggerated.
    • If you still believe your thoughts, imagine you can put each thought individually on a large screen 20 feet away from you and examine it. If 20 feet isn't enough, imagine putting the screen further back.  Now that your thought can be viewed at a distance outside of you, how does it seem?  Once again, ask yourself how realistic it is compared to reliable information that you're receiving.  In other words, you're externalizing your thought so you can be more objective.
  • Recognize That Your Thoughts Aren't Facts and You're Not Defined By Your Thoughts:
    • Your thoughts can also shift from one extreme to another.  You might go from catastrophizing to being overly optimistic while you try to get a handle on your thoughts.
      • Remember you might experience your thoughts as very powerful and real, but remember they're only thoughts. Thoughts aren't facts.  
    • Pay Attention to the Sources of Information that You Listen to and How Often:
      • Listen to reliable information.  There's a lot of misinformation circulating around, so use good judgment when you watch, listen or read the news.
      • Don't spread unreliable news because it could have an adverse effect on you and others.
      • Take a break from watching, listen to or reading the news.
    • Recognize That You're Not Powerless:
      • Remember other times when you were in a crisis and you were effective in dealing with the problem at hand. 
      • Remember the sense of agency you had in those prior situations and ask yourself how you can use those same skills in the current situation.
    Getting Help in Therapy
    Social isolation and loneliness can take a toll on most people's psychologicalwell-being.  So if you're feeling overwhelmed, you're not alone.

    Many therapists, including me, are working online to provide you with online therapy, which is also called teletherapy, telemental health and telehealth (see my article: The Advantages of Online Therapy When You Can't See Your Therapist in Person).

    Rather than struggling on your own, get help from a licensed psychotherapist, especially if you're having difficulty getting a handle on your catastrophic thinking or you have unresolved trauma that's getting triggered by the current crisis.

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

    I am providing online therapy sessions during this crisis.

    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 5, 2018

    How to Stop Jumping to Conclusions and Personalizing Other People's Behavior

    One of the most challenging lessons to learn in life is to not jump to conclusions and personalize other people's behavior, which is the topic of this article (see my article: How Psychotherapy Helps You to Understand and Change Distorted Thinking).

    Stop Personalizing Other People's Behavior

    Why Do We Jump to Conclusions and Personalize Other People's Behavior?
    When people feel rejected, criticized or neglected in some way, they often feel insecure or anxious and this can trigger other earlier traumatic experiences that made them feel the same way.

    Most people won't recognize that their earlier experiences are getting triggered and assume that what they're feeling has to do exclusively with the current situation.

    Other people have difficulty distinguishing their feelings from objective facts (see my article: Discovering That Your Feelings Aren't Facts).

    How to Keep Yourself From Personalizing Other People's Behavior
    It's so easy to jump to conclusions about what's going on with someone else and what it means about you.

    But before you personalize someone else's behavior that feels hurtful to you, it's important to stop your thoughts from getting ahead of you so that you don't distort the situation and project your insecurities onto the situation.

    It's also important to consider that whatever this person did (or didn't do) might have nothing to do with you.

    Fictional Clinical Vignette:  Learning Not to Take Other People's Behavior Personally
    The following fictional clinical vignette illustrates how personalizing someone else's behavior represents distorted thinking and how to handle this type of situation better:

    Ann
    After being broken up for over a year, Ann decided to contact her former boyfriend, Alex, after she heard from mutual friends that he was having some medical problems.

    On the one hand, just the thought of contacting Alex was enough to make Ann feel anxious and insecure with regard to how Alex would respond to her.  But on the other hand, she knew Alex was kind to her and, when she could be objective about it, she thought he probably would respond well, especially since they were on relatively good terms when she broke up with him.

    After she left a message on his voicemail, she waited to hear back from him.  But after several days went by, she began to think that Alex might be angry with her after all, and he might not want to talk to her.

    When she checked with a mutual friend, Ann found out that Alex had recuperated, he was doing relatively well, and he was back to work again.  This only fueled even more of Ann's insecurity and anxiety.

    As each day passed, Ann became even more convinced that she had made a mistake by leaving a message for Alex.  She felt ashamed about reaching out to him. Her thoughts veered to earlier situations when she felt rejected and ashamed, including times when her father pushed her away as a child when she tried to hug him when he came home from work.

    After two weeks had passed, Ann confided in her close friend, Rina, that she was feeling ashamed and angry that Alex hadn't returned her call.  Rina, who knew Alex, told Ann that there was probably a good reason why Alex wasn't calling.  She said she doubted that Alex was angry with her, and she advised Ann not to personalize Alex's lack of response.

    By the third week, Alex called Ann and apologized profusely for not getting back to her sooner.  He told her that he had lost his phone with all his personal contacts, and he had only recently found it.  He said he really appreciated hearing from her and he was feeling much better.

    Conclusion
    Jumping to conclusions and personalizing other people's behavior is a common problem for many people, especially people who have an early traumatic history of being neglected or abused.  When people are triggered, it can be difficult to distinguish the current issue from the past.

    It helps to develop the ability to stop your thoughts, which might be distorted, and question the conclusions that you've jumped to about the other person and the situation.

    Being patient and getting more information is also helpful so that you don't automatically feel anxious or insecure when, in fact, the other person's behavior might have nothing to do with you.

    This applies to personal situations as well as work-related situations (e.g., where a supervisor might seem angry with you but, in fact, is angry because of personal problems).

    Getting Help in Therapy
    If you find that you have a tendency to personalize other people's behavior due to your own early history, you could benefit from seeing a skilled psychotherapist who can help you to make distinctions between the past and the present and also assist you to work through your early traumatic history.

    Getting help in therapy for this issue can help you to have a more fulfilling and meaningful life without the distorted thoughts that can cause so much angst.

    About Me
    I am a licensed NYC psychotherapist, hypnotherapist, EMDR, Somatic Experiencing and Emotionally Focused 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, February 20, 2018

    How Psychotherapy Can Help You to Change Distorted Thinking

    In my prior article, I described the various forms of cognitive distortions that often create unhappiness.  In this article, I'm focusing on how psychotherapy can help you to overcome cognitive distortions.

    How Psychotherapy Can Help You to Change Distorted Thinking

    Psychotherapists are trained to detect cognitive distortions, which, as I mentioned in my prior article, include:
    • Taking things personally
    • Jumping to conclusions
    • Catastrophizing
    • Overgeneralization
    • Fallacy of fairness
    • Blaming or Externalizing
    • Emotional reasoning
    • A need to be right
    • All or nothing thinking
    • Filtering
    Aside from bringing these distortions in thinking to a clients' attention, a psychotherapist will often help clients to identify the origin of these thoughts and help clients to change their pattern of thinking so that it is healthier and more effective.

    Fictional Clinical Vignette: How Psychotherapy Can Help You to Change Distorted Thinking

    Sam
    Sam began psychotherapy at the suggestion of his wife after they had another argument where Sam insisted that he was right and his wife was wrong.

    Subsequently, Sam realized that they each had a different way of looking at the situation that they were arguing about and, as it turned out, his wife was correct, which disturbed Sam very much.

    Sam told his psychotherapist during their initial consultation that he hated to be wrong because it made him feel "stupid" and ashamed.  Although he apologized to his wife, he realized that there were many times when he had arguments with his wife when he insisted that he was right and afterwards he realized that his wife was correct.

    In hindsight, Sam recognized that none of these arguments were about anything important.  They were about everyday issues, but he had such strong feelings about being right and it disturbed him greatly when it turned out that he had made a mistake (see my article: Overcoming Your Fear of Making Mistakes).

    He realized that his need to be right was having a negative impact on his marriage, and he feared that if he didn't overcome this problem, his marriage might not survive.

    During his next therapy session, Sam revealed that his need to be right started when he was a young child.  Growing up with two highly critical parents, Sam learned early on that they became upset whenever he made a mistake, especially his father.

    Whenever Sam made a mistake, whether it was at school or at home and no matter how small the mistake was, his parents let him know that they were disappointed in him.  They would withdraw emotionally from him, which led to his feeling ashamed whenever he was wrong.

    As a result, whenever there was a possibility of Sam being wrong, he would become highly anxious because he didn't want to make his parents unhappy.  He especially didn't want them to withdraw from him emotionally.

    Since his childhood, he felt it was unacceptable for him to be wrong.  Logically, he understood that everyone makes mistakes but, on an emotionally level, he would panic if he thought there was even a possibility of being wrong or making a mistake.

    Rather than admit that he might be wrong or he might have made a mistake, he would insist that he was right.  It was like a knee jerk reaction that he had, which was preferable to him than considering the possibility that he might be wrong and all that this implied for him.

    This created problems for him in his career as well as in his friendships.  Now, it was creating problems between Sam and his wife because she was fed up with it.

    Over time, Sam's psychotherapist helped Sam to recognize that panicky feeling by helping him to be aware of what he was feeling physically in his body at those times.

    At first, Sam had difficulty with this because he wasn't accustomed to identify where he felt emotions in his body.  But, over time, using the mind-body connection and a recent memory of having an argument with his wife when he insisted that he was right, Sam's therapist helped him to identify that he felt panic in his stomach.

    As time went on, Sam's therapist helped him to make the emotional connection between his current panic and how anxious he felt as a child whenever his parents criticized him for his mistakes.

    Sam and his therapist also used EMDR therapy to work through his childhood trauma.

    Since EMDR therapy addresses the past, present and future, eventually, Sam was able to work through the past and tolerate being wrong in the present with his wife and others.  He no longer had the need to insist that he was always right, and he and his wife got along better.

    Conclusion
    Cognitive distortions can create personal unhappiness as well as problems in relationships.

    The fictional vignette above addresses a particular type of cognitive distortion, the need to be right, and shows how therapy helps clients to work through the underlying issues involved as well as address current and future circumstances.  A skilled psychotherapist can address other forms of cognitive distortion as well.

    Getting Help in Therapy
    Even when you have insight into your distorted thinking, it's difficult to change these problems on your own (see my article: The Benefits of Psychotherapy).

    A skilled psychotherapist can help you to work through the underlying issues that created the distortions and help you to free yourself from a difficult personal history (see my article: How to Choose a Psychotherapist).

    Rather than struggling on your own, you could benefit from getting help from a licensed mental health professional so 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 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.










    Monday, February 19, 2018

    How Psychotherapy Can Help You to Become Aware of Distorted Thinking

    Psychotherapy can help you to become aware of a distorted pattern of thinking, which could be contributing to your unhappiness.  Prior to beginning psychotherapy, most clients are unaware of their particular pattern of thinking.  A skilled psychotherapist can assist clients to change their distorted thinking (also called cognitive distortions).  In Part 1 of this topic, I'm focusing on the various types of cognitive distortions.  In Part 2, I'll discuss how psychotherapy can help to overcome cognitive distortions.

    How Psychotherapy Can Help You to Become Aware of  Distorted Thinking 
    Distorted Thinking/Cognitive Distortions
    There are many ways that a particular pattern of thinking can create problems without people even realizing it.  These patterns are distortions in thinking and often begin early in life.  Another term for distorted thinking or cognitive distortions is errors in thinking.

    Here are some of the most common cognitive distortions:
    • Taking Things Personally:  People who tend to take things personally see others' words and deeds as being directed at them when they're not.  For instance, if your boss comes to work in a bad mood and seems annoyed, someone who takes things personally might think that the boss is angry with him.  But, in reality, the boss is looking annoyed because he had an argument with his wife before he came to work, and his mood has nothing to do with anyone else.
    • Jumping to Conclusions:  People who jump to conclusions will make assumptions without having objective facts, and they will assume that they're right.  The example that I gave above about the moody boss is one way of jumping to conclusions.  
    • Catastrophizing: Simply put, catastrophizing is when a person expects the worst in most situations. His fears are usually exaggerated without sufficient evidence for this type of fear. An example of catastrophizing would be if a person hears a weather report that indicates there will be 1-2 inches of snow and makes the assumption that there will be a gigantic snowstorm where he might not be able to leave the house.  The weather report becomes exaggerated in his mind and he becomes highly anxious when there is no objective reason to believe there will be a storm.
    • Overgeneralization:  People who engage in overgeneralization often take one or two instances of something happening and make the assumption that this is how it is always.  For instance, if someone has a negative encounter with a postal employee at the post office and, based on that one experience, he says that all postal employees are rude.  This is an overgeneralization.  
    • Fallacy of Fairness:  Many children grow up thinking that the world should be "fair" and, as adults, when they encounter situations which are "unfair," it contradicts their way of thinking.  Without even realizing it, many people carry this belief from childhood into adulthood.  This type of belief can be very subtle, and it's ingrained in our culture that if you are "good," good things will come to you and if you're "bad," bad things will come your way. As an example, someone who believes that he lives in a world where justice prevails might be disillusioned and confused when someone who assaulted him suffers no legal consequences because of a technicality in the law. 
    • Blaming or Externalizing:  When people have a tendency to engage in blaming others (also known as externalizing), they don't take responsibility for their own thinking, feelings or actions.  Instead of looking at themselves first, they point the finger at someone else to avoid taking responsibility.  An example of this is when someone drives while intoxicated after having an argument with his significant other.  Rather than taking responsibility for using poor judgment by drinking and driving, he blames his significant other for "making" him angry.
    • Emotional Reasoning: Emotional reasoning is when a person assumes that his thoughts and feelings are facts.  An example of this would be a person has strong feelings about a coworker and makes the assumption based solely on his emotions that his feelings are true without having objective facts (see my article:  Discovering That Your Feelings Aren't Facts).
    • The Need to Be Right:  The need to be right involves a need to prove that one's opinion, feelings or actions are correct even in the face of contrary facts.  As an example, a person who needs to be right often won't listen to what her significant other is saying because she "knows" that what she's thinking is right and her significant other is wrong.  The need to be right goes beyond having a different opinion.  This person's shaky sense of self worth is based on being right.
    • Filtering:  Filtering involves paying attention to only certain aspects of a situation and not to others.  For instance, a person who tends to engage in filtering might only pay attention to the negative side of a situation rather than looking at the whole picture which includes positive aspects because the negative side confirms his opinion.  
    In my next article, I'll discuss how psychotherapists help clients to overcome cognitive distortions: How Psychotherapy Can Help You Change Distorted Thinking.

    Getting Help in Therapy
    Psychotherapy can help you to overcome psychological obstacles that are getting in the way of your maximizing your potential (see my article: The Benefits of Psychotherapy).

    A skilled psychotherapist helps clients to overcome problems that keep clients feeling stuck whether it's related to a history of psychological trauma or more recent problems (see my article: How to Choose a Psychotherapist).

    Rather than suffering on your own, you could work with an experienced mental health professional who can help you to overcome your problems so you can lead a more fulfilling life.

    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.

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

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







    Monday, April 3, 2017

    How Psychotherapy Helps You to Understand and Change Distorted Thinking

    Generally, most people don't spend a lot of time trying to understand their particular style of thinking.  Many people are unaware that they engage in distorted thinking (also known as cognitive distortions).  But when you're in therapy, you have a unique opportunity to understand and change distorted thinking (see my article: The Benefits of Psychotherapy).

    How Psychotherapy Helps You to Understand and Change Distorted Thinking

    What is Distorted Thinking?
    Here's a list of cognitive distortions and definitions:
    • Catastrophizing
    • All of nothing thinking
    • Taking things personally
    • Jumping to conclusions
    • Overgeneralization
    • Fallacy of fairness
    • Blaming or externalizing
    • Emotional reasoning
    • The need to be right
    • Filtering

    Catastrophizing
    When people catastrophize, they tend to exaggerate situations.  They can expect a disaster when, objectively, there is no reason to expect disaster.  

    Distorted Thinking: Catastrophizing

    For instance, a person who catastrophizes can hear a weather report for a few inches of snow and this builds in her mind until she is convinced that there will be a huge snowstorm even when there is no evidence of this.  She will usually go around in a state of anxiety and excitedly tell others to expect a big snowstorm (see my article: Are You Catastrophizing?)

    All or Nothing Thinking (see my article: Overcoming All or Nothing Thinking)

    Taking Things Personally
    People who tend to take things personally see others' words and deeds as being directed at them when it's not.

    Distorted Thinking: Taking Things Personally

    An example of this might be:  A new policy is announced that changes the way sales managers are compensated.  The person who tends to take things personally will think that the policy is aimed at her when, in fact, it's for everyone on the sales team.

    Jumping to Conclusions
    People who jump to conclusions will make assumptions without having objective facts, and they will assume that they're right.  For instance, someone who runs into a neighbor, who looks angry, might assume that the neighbor is angry with him--when in fact the neighbor is angry about something that has nothing to do with him.  

    Overgeneralization
    People who engage in overgeneralization often take one instance of something happening and make the assumption, based on that one instance, that this is how it is always.  For instance, if a writer submits an article to be published and her article is rejected, she assumes that this is how it will always be when she submits articles.  She is engaging in overgeneralization.

    Fallacy of Fairness
    Many children grow up thinking that the world should be "fair" and, as adults, when they encounter situations which are "unfair," it contradicts their way of thinking.

    Distorted Thinking: Fallacy of Fairness

    But, as we know, the world isn't "fair."

    Blaming or Externalizing
    When people have a tendency to engage in blaming (also known as externalizing), they don't take responsibility for their own thinking, feelings or actions.  

    Distorted Thinking: Blaming or Externalizing

    Instead, they put the responsibility on others.  An example of this is a person who didn't complete an assignment.  Instead of taking responsibility for not completing the assignment, he blames a coworker for distracting him.

    Emotional Reasoning
    Emotional reasoning is when a person assumes that whatever he feels must be true.  An example of this would be a person who feels that a person doesn't like her based on her own emotions rather than anything objective that is happening with the other person or the situation.  Reasoning is based solely on emotion.

    The Need to Be Right
    The need to be right involves a need to prove that one's opinion, feelings or actions are correct even  in the face of contrary facts.  

    Distorted Thinking: The Need to Be Right

    Someone who needs to be right will argue his opinion regardless of what the other person says.  Being right is more important than the relationship with the other person, how it makes the other person feel or whether or not it's objectively true.

    Filtering
    Filtering involves paying attention to only certain aspects of a situation and not to others.  For instance, a person who tends to engage in filtering might only pay attention to the negative side of a situation rather than looking at the whole picture which includes positive aspects.

    How Cognitive Distortions Create Problems
    As you can see from the descriptions above, these cognitive distortions can be rigid and applied across the board to many different situations.

    The problem is that the person who engages in cognitive distortions is usually unaware of it and it can cause many problems for himself as well as others due to his lack of awareness.

    How Cognitive Distortions Create Problems

    Due to a person's tenacity in using cognitive distortions and their ingrained nature, there is little possibility for change if s/he cannot take in new information from the outside.

    Other people, including a spouse, sibling, friend or a supervisor can try to help the person to see how his thinking is distorted, but this is often disregarded by the person using cognitive distortions.

    Not only do cognitive distortions create problems for others--they also create internal problems for the person who engages in them.

    For instance, in the example above on overgeneralization, the writer, who believes that her writing will always be rejected, might give up too soon and stop writing or stop submitting her writing.  In doing so, she deprives herself of the joy of writing or the anticipated joy of seeing her work published.  She also deprives potential readers of the satisfaction of reading her writing.

    How Psychotherapy Helps You to Understand and Change Distorted Thinking
    When you're in therapy, your therapist is usually trained to detect cognitive distortions, among other things.

    While your family or friends might actually believe in the same cognitive distortions that you do or they might get tired of trying to get you to see the distortions, a skilled therapist will be attuned to distorted thinking and help you in a tactful way to be aware of it and to change it.

    How Therapy Helps You to Understand and Change Distorted Thinking

    Changing distorted thinking isn't always easy.  You need to feel safe enough in your relationship with your therapist to hear her and also be open to looking at your own way of thinking and relating.  

    Even if you feel comfortable with your psychotherapist and you're open to self reflection, there might be other obstacles getting in your way.

    It's the psychotherapist's job to help you to identify the underlying reasons why you might be ambivalent about change.  And, let's face it, most people are at least somewhat ambivalent about change even when they come to therapy to make specific changes.

    For example, the writer who overgeneralizes based on one rejection will have to look at what it would mean if she let go of this cognitive distortion.  

    How Psychotherapy Helps You to Understand and Change Distorted Thinking

    One possibility might be that if she opens up to the possibility that she is the one who is getting in her own way of writing or submitting work to publishers, she would need to face her own internal fears, whatever they might be.  

    There can be many deeper levels involving the unconscious that will need to be unearthed, exposed to the light of day, and explored.  The underlying unconscious reasons might have nothing to do with what the writer identifies as her conscious reasons.

    For example, staying with the same example of the writer:  What if her mother always wanted to be a writer, but because she was a stay at home mom, her lifelong dream of being a writer never materialized?  As a result, the writer feels guilty that she might succeed as a writer and her mother did not.

    If these feelings of guilt come up as the deepest layer of unconscious material, the writer might assume that she will ruin her relationship with her mother by succeeding where her mother did not.  And, since she doesn't want to ruin her relationship with her mother, she stops writing, not realizing this underlying unconscious reason.

    The writer's assumption (that she will ruin her relationship with her mother by succeeding) might also be a distortion because it's possible that, contrary to what the writer thinks, her mother might be delighted to see her daughter succeed as a writer.

    But if this unconscious material is never exposed, the writer and the therapist could go round and round for a long time just talking about how the writer is using overgeneralization.

    To get to the unconscious material, a skilled therapist must be trained in how to get to these underlying emotions, whether the therapist uses psychodynamic psychotherapy, clinical hypnosis, Coherence Therapy or any one of a number of modalities that deals with unconscious thinking and emotions.

    So, it's not enough to identify the particular cognitive distortion.  A skilled psychotherapist must also be able to get to the deeper underlying causes of the problem, otherwise the therapy will remain superficial.

    Getting Help in Therapy
    If you suspect that your style of thinking could be getting in your own way or compromising your interpersonal relationships, you owe it to yourself and your loved ones to get help in therapy.

    Freeing yourself from cognitive distortions and the underlying unconscious thinking and emotions that are driving them will change your life and the lives of those you love.

    Rather than suffering on your own, get help from a licensed psychotherapist who is skilled in helping clients to identify their cognitive distortions, get to the root cause of the problem, and make healthy changes.

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

    My original training is in psychodynamic psychotherapy.  I also use cognitive behavioral therapy when it is needed.

    I have helped many clients to overcome their own cognitive distortions and make lasting changes so they can lead a more fulfilling life.

    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, July 28, 2014

    How Therapy Can Help You to Develop a New Perspective About Yourself and Others

    In a prior article, Gaining a New Perspective in Therapy About Yourself and Others, I discussed how ingrained negative thoughts can impact the assumptions that you make about yourself and others.  I also discussed that therapy can help you to develop a new perspective.

    In this article, I'll be expanding on these ideas and giving examples of how therapy can be helpful to overcome these problems.

    Let's take a look at an example, which is, as always, a composite of many different cases:

    Bob:
    At the point when Bob came to therapy, he was having problems with his self esteem and forming new interpersonal relationships.

    How Therapy Can Help You to Develop a New Perspective About Yourself and Others

    Although he had a good career where he mostly worked on his own, he wasn't happy.  He came to therapy because he felt completely frustrated and wanted to learn how to develop better social skills.

    Bob was in his late 20s and he was fairly isolated in his personal life. Although he dated occasionally, he had never been in a serious relationship.

    He had a few friends from his college days when he was thrown together with other students at the dorm.  But these friends were in relationships now and he didn't see them as much as before, so Bob was pretty lonely.

    He wanted to make new friends and have a girlfriend, but he didn't know how to go about forming anything other than superficial relationships in his personal life.

    One of Bob's former college buddies, Andy, suggested that Bob begin therapy.

    Although they rarely saw each other any more, they talked on the phone, and Bob used Andy as a sounding board. Andy helped Bob to see that his poor sense of self and his generally negative opinions about others were distorted.

    Whenever Bob talked to Andy about a particular situation, he knew that what Andy told him made sense and he was able to develop a new perspective about the situation at hand.  But whenever Bob found himself in a new situation and he tried to deal with it on his own, he often misjudged the situation.  He recognized this in hindsight, but his recognition didn't carry over to the next situation.

    As Bob talked to me about his family history, he recalled a chaotic household where his parents frequently argued and had little time for Bob.

    Whenever he would try to talk to his parents about all the arguments they had with each other, they would deny that there were problems.  They would tell Bob that there was nothing wrong so that, over time, he came to mistrust his own judgment about what was going on.  He felt uneasy and confused.  He also didn't feel close to his parents, who remained preoccupied with themselves.

    Bob grew up feeling uneasy around new people.  He was able to make a few friends in high school, but it was usually because other people made an effort to get to know him.

    Bob did well in college academically and, once again, he made friends with students who sought him out.  He also dated a little, but he lacked confidence most of the time to ask women out on dates.

    After he graduated, he developed a successful career.  Even though he felt awkward around his coworkers, created problems with forming work relationships, he had excellent technical skills.  So, his bosses tended to overlook his interpersonal shortcomings.

    But trying to cope with his own lack of confidence and skittishness around others was becoming exhausting for Bob.  And, even though he made a lot of money, he wasn't happy.  He felt lonely and his life lacked meaning.

    During the initial stage of therapy, Bob often seemed on the verge of leaving.  He knew, on an intellectual level, that it would take time to develop a rapport with me in therapy.  On an emotional level, he wondered if therapy was really going to help him and if he could trust me or any therapist.

    Since Bob had never been in therapy before, I provided him with psychoeducation about therapy in general and, specifically, how I work as a therapist.

    Over time, Bob started to get more comfortable in therapy and we began to explore the negative thoughts he had about himself and others.

    Since he lacked trust in his own ability to understand what was going on interpersonal situations, he took a defensive stance and he assumed the worst about people as a way of protect himself emotionally.

    Gradually, Bob was able to see the connection between his current life and his family history:  As a child, his family life was chaotic, his parents were emotionally neglectful with him.  Since he was unable to form an emotional bond in his earliest relationships with his parents, he had difficulty later on forming attachments with others.  And, since he was told constantly by his parents that nothing was wrong at home, he doubted his own perceptions.

    There was no quick fix for these problems.  But, once Bob felt more comfortable with me and the psychotherapy process, we were able to use EMDR to work on the problems from his family history as well as the current situation.

    We also used clinical hypnosis and Somatic Experiencing to help him to build a greater sense of self esteem.

    After a while, as Bob developed more self confidence, he became less defensive about meeting new people and he began to socialize more easily.

    How Therapy Can Help You Develop a New Perspective About Yourself and Others

    Since he was feeling more comfortable around others, he no longer had the need to defensively see them in a negative light.  Therapy helped him to free himself from his history so that he was able to develop a new perspective about himself and others.

    Getting Help in Therapy
    If you're having problems with self doubt that impacts your interpersonal relationships, you can free yourself from your history by getting help from a licensed mental health professional who has expertise in this area.

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

    I have helped many clients to overcome their emotional problems so they could lead more fulfilling lives.

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

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