Coping With Stress During the Holidays

Often, along with the joy of the holiday season also comes stress.

Coping With Stress During the Holidays

It's not surprising, given all the demands of holiday time, that people often feel emotionally overwhelmed at this time of year.

Shopping, entertaining, and attending holiday parties can take an emotional toll. But with some foresight and planning, you can learn to manage the stress of the holidays and actually enjoy this time of year.

Taking Care of Yourself During the Holidays

Knowing that the holiday season can be a stressful and emotional time and taking some preventive steps can help you from getting overwhelmed.

If you've had losses, like a death of a loved one, a breakup or loved ones are far away, it's normal to feel sad. Throughout the holiday season we're given explicit and implicit messages that we "should" be happy.

Coping With Stress During the Holidays

So, if we're having a difficult time, we can feel out of step with the rest of the world at this time. It might seem that everyone else is enjoying the holidays and we're stuck in a funk. But it's okay to feel your feelings, whatever they are, whether this means crying or expressing your feelings to a friend or loved one.

Coping With Stress During the Holidays: Taking Care of Yourself 

A Time for Gratitude

If you're alone during the holiday season, you can have a sense of community at a religious or community gathering.

If you're not religious or spiritual, you can volunteer your time at a soup kitchen, hospital or nursing home. Often, when we volunteer to help those less fortunate than ourselves, we not only help others--we also feel a sense of gratitude for what we do have in our lives, even if we're having a difficult time.

If you're fortunate enough to have good friends and family around, remember that the holidays don't have to be perfect.

When we have good memories of the holidays from childhood, sometimes our current experiences can feel flat as compared to those earlier times.

But we must acknowledge that things change. Rather than holding onto unrealistic expectations for the holidays, appreciate the people who are in your life now. Let go of unreasonable expectations of yourself and others. This will go a long way to helping prevent disappointments or misunderstandings.

When it comes to spending for the holidays, many people are scaling back what they would normally spend. If you budget ahead of time and stick to your budget, you'll avoid the stress of big credit card bills after the holidays.

Time well spent with loved ones or a homemade gift is so much more meaningful than exceeding your budget with an expensive gift.

Planning your time well can also help alleviate stress during the holidays. Once again, be realistic about what you can do. It's okay to tactfully say "no" to others when you know you'll be overextending yourself beyond what you can do.

Know Your Limits

It's also important to take breathers during the holiday season. Rather than pushing yourself beyond your physical or emotional limits, take breaks during the day.

A few minutes of mindfulness meditation or just closing your eyes and breathing can make the difference between your getting through the holidays feeling emotionally and physically in tact and feeling overwhelmed and stressed out.

About Me

I am a licensed New York City psychotherapist. 

I provide psychotherapy, EMDR, clinical hypnosis, and Somatic Experiencing therapy services in my private practice in Manhattan. I work with individuals and adults.

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.

Strategies For Coping With Post Election Stress

Many people are under a lot of stress during this post election time (see my article: Developing Calmness and Balance During Stressful Times).

Coping with Post Election Stress

Fear and anxiety are running high and many people don't know how to cope with their emotions. 

This is especially true for people who feel the future is very uncertain and there's nothing they can do about it (see my article: Living With Uncertainty).

The purpose of this article is to provide suggestions which can help you to get through this difficult time.

Strategies For Coping With Post Election Fear and Anxiety

• Acknowledge and Accept How You Feel Right Now: The first step to coping with any uncomfortable feelings is to acknowledge and accept that this is how you're feeling right now rather than denying it or trying to push down your feelings. Also, be aware that how you feel right now might not be how you feel over time, especially if you take steps to take care of yourself.

Coping with Post Election Stress: Accept Your Feelings

• Know You're Not Alone: When you're feeling anxious and fearful, you might feel like you're alone--even though you know rationally that there are millions of people who feel the same way. But you're not alone. (see my article: Steps to Overcome Loneliness).

• Seek Connection With Like-Minded People: Instead of isolating, seek connection with others who have similar feelings. There is comfort in knowing you're not alone with your anxiety and fear. Talking with others who feel as you do can help, especially if your conversations lead to new ways of coping and taking action for yourself and others.

Coping With Post Election Stress: Seek Connection

• Take Care of Yourself: Eating nutritious meals, getting good sleep, exercising at a level that's right for you and taking care of your mental health are all important, especially when you're under stress (see my article: Self Care Is Not Selfish).

• Take Part in Enjoyable Activities: Whether you enjoy walks in the park, getting together with friends and family or engaging in activities that uplift you, make the time for these activities.

Coping With Post Election Stress: Enjoy Activities

• Take Breaks From the News: It's important to be well informed, but watching hours and hours of broadcast news can make you feel even more anxious, so taking breaks from the news is important.

Coping With Post Election Stress: Volunteer

• Volunteer With Advocacy Groups: Volunteering is a way to feel less isolated. Volunteering can also help to reduce your feelings of hopelessness, helplessness and apathy. There are plenty of groups, including climate change groups, groups to preserve democracy, women's rights groups, LGBTQ groups and other advocacy groups that can use your help and help you to feel like you're making a difference (see my article: Overcoming Loneliness and Isolation).

Coping With Post Election Stress: Seek Help From a Psychotherapist

• Get Help From a Licensed Mental Health Professional: If you feel you're struggling with fear, anxiety or depression and self help strategies aren't helping you, seek help from a licensed mental health professional. A skilled psychotherapist can provide you with the tools and strategies you need to achieve calm and balance in your life (see my article: Common Myths About Psychotherapy: Going to Therapy Means You're "Weak").

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

With over 25 years of experience as a psychotherapist, I have helped many clients to overcome fear, anxiety and unresolved 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.

Improving Communication in Your Relationship: How to Stop "Kitchen Sinking" Your Partner

In my prior article about improving communication in a relationship, What's the Difference Between Complaining and Criticizing? , I focused on a common problem that many couples have when they argue, which is criticizing their partner's personality or character instead of complaining about a particular action or behavior (see my article: Improve Communication in Your Relationship By Eliminating the Four Horsemen of the Apocalypse).

In the current article, I'm focusing on another common problem: "kitchen sinking."

What is "Kitchen Sinking" in a Relationship?

"Kitchen sinking" involves bringing up unrelated issues or past grievances when a couple is arguing about a particular issue.

Stop "Kitchen Sinking" Your Partner

Metaphorically, "kitchen sinking" refers to when one or both partners throw everything at each other except the kitchen sink. 

An Example of "Kitchen Sinking"

Betty (sounding frustrated): "I felt disappointed when I woke up this morning and found the same dirty dishes in the sink you said you would wash.  We talked about the ant problem and how important it is not to leave dirty dishes in the sink because we just got over an infestation."

Ray (defensively): "Yeah, well, you're not perfect either. Last week you forgot to make a payment on our credit card and we were charged interest."

Betty (annoyed): "What does that have to do with the dishes in the sink? Can we stick to that topic?"

Stop "Kitchen Sinking" Your Partner

Ray (defensively): If you're going to complain to me about something I didn't do, I'm going to complain about something you didn't do. Not only that--we agreed that you would take care of making travel arrangements for our trip that's coming up in two months and you haven't done that either. You also didn't get an estimate from the electrician yet. And don't think I forgot about how you kept me waiting at the restaurant for 20 minutes last month."

Betty (even more frustrated): "I don't know why you're bringing up all these other things that we've already discussed? And you know I already apologized for keeping you waiting last month and you accepted my apology. Why do you keep bringing up all these unrelated things?"

Ray (as he's walking out the door): "Oh forget it! I can't talk to you. I'm going to see my friend, Mike. Don't wait up for me."

Betty (exasperated as she watches Ray walk out the door): "I'm so overwhelmed and tired of these arguments" (referring to ongoing arguments where Ray has a tendency to "kitchen sink" her).

Why is "Kitchen Sinking" a Problem?

The problems with "kitchen sinking" includes:

• Diverting attention away from the current problem
• Cluttering the current topic with a list of unrelated problems
• Muddling the current topic
• Escalating the discussion from a complaint to criticism
• Making it difficult to get back to the original problem
• Making it difficult to resolve the original problem
• Creating resentment and frustration
• Creating stress and emotional overwhelm

In the example above, Betty starts the conversation with a complaint about Ray's behavior when she expresses her disappointment that he didn't follow through on their agreement that he would wash the dishes.

Note that she's using an "I message" about how she feels and she's not criticizing his personality or character. Her complaint is specific regarding his behavior (or in this case about something he agreed to do and didn't).  

She also referred to why it was important to wash the dishes because it's connected to a problem they're trying to avoid, which is a reoccurrence of an infestation of ants.

Ray, who felt defensive about not doing what he said he would do, chose to respond by criticizing Betty when he told her she's "not perfect." 

Consciously or unconsciously, he's hoping to divert the discussion away from his behavior to Betty's character ("not perfect") and a list of unrelated grievances he has against her, including her lateness from last month after he already accepted her apology and, supposedly, forgiven her for being late.

How to Stop "Kitchen Sinking" Your Partner

The following suggestions could help you and your partner if one or both of you have a tendency to engage in "kitchen sinking":

• Regulate Your Emotions: If you know you have a tend to fly off the handle, get defensive and divert discussions from the topic at hand to unrelated topics, learn to regulate your emotions by:

• Slowing down

• Recognizing and learning to cope with your triggers

• Using effective strategies to cope with heated discussions with your partner

• Focusing on the present moment and the current problem

• Taking a break if you feel yourself getting overwhelmed, but do so by having an agreement with your partner beforehand about when you'll resume the discussion at a mutually agreed upon time. Then, follow through with that agreement by getting back to the discussion after you have calmed down.

• Be Intentional: Before you and your partner engage in a discussion, agree to what you'll both be discussing and then stick to that topic.  Avoid criticizing or bringing up unrelated topics. Communicate with "I" messages ("I feel guilty that I didn't do what I said I would do").

• Take Responsibility: Instead of trying to divert the discussion into unrelated areas, take responsibility if you know you made a mistake. This can help to avoid long drawn out arguments. And, if you're the partner who is complaining, practice compassion and forgiveness, when appropriate, especially if the problem is relatively minor.

Focus on Problems as a Team

• Focus on the Problem as a Team: Instead of criticizing and blaming each other, focus on resolving the problem together as a team.

Get Help in Therapy

When "kitchen sinking" has become an ingrained pattern for a couple, it often becomes part of a negative cycle in a relationship (see my article: Breaking the Negative Cycle in Your Relationship With Emotionally Focused Therapy For Couples).

If you and your partner have been unable to improve your communication on your own, you could benefit from working with a couples therapist who knows how to help couples to overcome communication problems.

A skilled couples therapist can help you to develop the skills and strategies you need to improve your communication so you can have a more fulfilling relationship.

About Me

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

I work with individual adults and couples and I have helped many clients to communicate more effectively in their relationships.

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.

How Can Trauma Therapy Help to Cope With Family Estrangements?

Many people believe that family bonds are unbreakable, and yet many parents, adult children and adult siblings are choosing to have minimal or no contact with each other.

Coping With Family Estrangement

Family estrangements, whether they involve no contact or minimal contact, often bring a sense of:

• Loss
• Grief
• Sadness
• Shame
• Guilt

These feelings come up even when people who have chosen to be estranged believe that estrangement is best for everyone involved.

Coping With Family Estrangement

Since family estrangement often goes against many people's basic assumptions and values about what family relationships should be, there is often a stigma attached to choosing to have little or no contact with family members.

The estrangement is difficult enough, but dealing with the stigma adds another emotional burden.  As a result, people often seek help in trauma therapy to cope with their feelings.

Family estrangements can be for a finite amount of time and it's possible, under certain circumstances, for family members to work out their problems (see my articles: Healing Mother-Daughter Relationships and Healing Father-Son Relationships).

Other types of family problems cannot be worked out either because one or more family members are unwilling and/or unable to work out their problems or because doing so would be emotionally or physically harmful to one or more people involved.

Each case is different and, as previously mentioned, a family estrangement doesn't necessarily mean a total cutoff. It can be a decision for minimal contact. 

How Can Trauma Therapy Help to Cope With Family Estrangements?

Assuming you and your therapist are a good therapeutic fit and your therapist has experience helping clients to deal with the trauma of family estrangements, trauma therapy can help you to:

• Develop Insight and Understanding: Choosing to be estranged from your family can be a confusing and guilt-ridden process even when you know that it's what's best for your mental health. It's also equally true that being the family member who hasn't chosen estrangement and who wants a reconciliation can be just as difficult. Therapy can help you to develop insight and understanding about your family situation so that whatever decision has made (or you are considering making) makes sense to you--even though it brings emotional distress.  

• Feel Emotionally Supported: A skilled therapist will be objective and not intrusive. She won't try to influence your decision-making process or try to get you to change your mind or advocate for a particular course of action. She will listen with empathic attunement and provide you with emotional support.

• Develop Tools and Strategies: A skilled psychotherapist will help you to develop the necessary tools and strategies to cope with your situation--no matter if you're the person who has chosen estrangement or the person who wants a reconciliation. Depending upon your needs, these tools and strategies might include helping you to: 

• Increase your self esteem

• Communicate your personal needs

• Set appropriate boundaries with family members (see my article: How to Set Boundaries Without Guilt)

• Develop relationship skills

• Cope With Grief: Family estrangements are often traumatic for everyone involved. Even when you're the one who has chosen to be estranged from your family, you can still experience grief, sadness and loss. The estrangement can also trigger unresolved trauma. If you're the person who didn't choose the estrangement, you might feel helpless and hopeless to deal with the situation, which can also bring up unresolved trauma.

• Heal Emotionally: Emotional healing can mean different things for different people. There are certain types of psychotherapy, which were developed specifically to help clients heal from trauma, including family trauma, which a trauma therapist can use, including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing) Therapy

• AEDP (Accelerated Experiential Dynamic Psychotherapy) 

• Ego States Therapy (also known as Parts Work)
• 
  
• Somatic Experiencing

• Take the Next Step in Your Life and Avoid Stagnation: Whether you have chosen the estrangement or you feel it has been imposed upon you, you might struggle with how to move on in your life. Moving on doesn't mean that you won't feel sad or angry. It means you recognize that, although your family situation is difficult, you know that getting  stuck indefinitely is detrimental to your well-being. So, you might need tools and strategies to avoid indefinite stagnation.

My Next Article on This Topic:

Estrangements Between Parents and Adult Children

Getting Help in Therapy

As previously mentioned, family estrangements are often traumatic for everyone involved. 

Getting Help in Trauma Therapy

No matter what your role is in a family estrangement, you could benefit from working with a skilled trauma therapist who has experience helping clients with this issue. 

Rather than struggling alone, seek help from a licensed mental health professional who has the skills and experience to help you.

About Me

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

One of my specialties is helping clients to overcome trauma, including family 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.

How to Use Pattern Interruptors to Stop Overthinking

This article is the second part on the topic of overthinking (see my article: Tips on How to Stop Overthinking).

What is Overthinking?

Overthinking or worrying can include overanalyzing and rumination about negative thoughts.

Overthinking, Worry and Rumination

Overthinking can also result in chain reaction thinking where someone worries about the future in terms of "What if...." thinking (see my article: Are You Catastrophizing?).

In other words, they worry about all the things that could go wrong--even when there's no objective reason to worry about these things:

• "What if I get sick? Then I can't work. Then I can't pay my bills. Then I'll lose my apartment and I'll be homeless."

• "What if my partner leaves me? Then I'll be all alone. Then I'll never meet anyone else. Then I'll be alone forever and I'll feel like a loser."

If someone gets stuck in overthinking and chain reaction thinking this often results in procrastination because the person gets stuck in a cycle of rumination and worry. 

In addition, someone can become mentally and emotionally paralyzed because chain reaction thinking leads to a pessimistic outlook on the future, which can leave them feeling helpless and hopeless as they anticipate everything that could possibly go wrong.

People who overthink often try to eliminate any possibility of failure and external judgment or criticism. This can keep them in an ongoing cycle of worry and overthinking without making a decision (see my article: Fear of Making Decisions: Indecision Becomes a Decision With Time).

What is at the Root of Overthinking?

For many people the root of overthinking and excessive worrying is fear of separation or loss.

Using Pattern Interruptors to Stop Overthinking

People who have a history of trauma often don't know how to manage their fears, especially when they're triggered in ways that bring them back emotions related to unresolved trauma (see my article: How Unresolved Trauma Can Affect You).

How Can You Manage Your Fears to Stop Overthinking and Worrying?

Managing a fear that can develop into overthinking and worry can be challenging, especially if this is an ingrained pattern for you.

Here are some suggestions that might work for you:

Managing Your Emotions: An important part of managing fear so you don't get stuck in overthinking and rumination is learning to learn emotional self regulation (see my article: How to Manage Your Emotions).

De-identifying With Your Fear: De-identifying with your fear involves being able to separate who you are at your core from your fear. This allows you to cope with your fear by maintaining equanimity.  De-identification from your fear can include:

• Doing Mindfulness Meditation: Rather than getting stuck in chain reaction thinking, you observe your fears in a calm and centered way (see my article: How to Practice Mindfulness Meditation).

• Tuning Into Your Senses: When you bring your awareness to your body,  you can tune into your senses in terms of what you're seeing, hearing, smelling, feeling and tasting (if taste is applicable). This can help you to calm yourself and separate yourself from your rumination (see my article: What is Somatic Awareness?).

• Doing a Body Scan Meditation (see my article: How to Do the Body Scan Meditation)

• Grounding and Centering Yourself (see my article: How to Use Grounding to Calm Yourself)

Regaining Perspective

• Asking Yourself: How would I feel about this 5 years from now?

• Asking Yourself: How would a friend I admire (someone who doesn't get stuck in worry and rumination) handle this?

• Looking at Google Earth: Looking at your neighborhood and zooming out to a larger view where you can see the Earth floating in space helps you to put your problem in perspective.

• Looking at the Ocean: Standing on the shore and looking at the vastness of the ocean could put your problem in perspective.

• Remembering Experiences With Past Worries: Can you think of times from the past when you got stuck worrying about problems that either never materialized or were minor compared to what you feared? Is it possible that the current problem might be similar?

• Becoming Aware of What You Can and Can't Control: The Serenity Prayer can remind you of the things you can and can't control. If the problem is something you can't control, this can take some of the pressure off you. If it's something you can control or there are aspects of the problem you can control, you can take action.

How Can Ego States Therapy/Parts Work Help?

As I've mentioned in prior articles about Ego States Therapy, a form of Parts Work, we are all made up of a multiplicity of selves (see my article: How Parts Work Therapy Helps to Empower You).

Getting Help in Therapy

Most people are familiar with this concept based on John Bradshaw's writing about the Inner Child. However, the Inner Child is only one part of the many parts that make up who we are.

When I work with clients who have a tendency to overthinking things, I help them to identify the worrying part as one aspect of themselves. The worrying part is not all of who they are. It's just one part.

There are also other parts of the self that can be related to the worrying part as well as other parts that can empower clients.

If a client has a tendency to overthink, worry and get stuck in rumination, that part often has a long history going back to unresolved trauma. So, there is probably a particular part that gets activated in certain situations.

Clinical Example of Using Ego States Therapy/Parts Work to Overcome Overthinking

The following fictional vignette is based on composites of real situations with all identifying information removed to protect confidentiality:

Jane

Jane got highly anxious whenever tax season rolled around. Whenever she gathered her tax information, she felt highly anxious and fearful. She would ruminate about filing taxes, procrastinate to avoid doing them, and then rush to get the taxes filed at the last minute, which created even more stress and anxiety. 

When she spoke to her therapist about this, Jane discovered that doing taxes activated a young part of her who watched her parents get into huge arguments about taxes and finances in general. 

Her therapist used Ego States Therapy to give that younger part a voice. Then, she helped Jane to use the adult part of her, the part who knew objectively that she had nothing to worry about, to talk to her younger part to reassure her.  

This type of reassurance is something Jane never experienced when she was a child and as she and her therapist continued to work in this way, Jane felt her younger self relaxing, especially when Jane's adult self reassured her younger self by saying, "It's okay. You don't have to worry about this. The problems your parents had are in the past. I'm taking care of this now so you don't have to worry about it."

Over time, Jane discovered other parts of herself through her work in Ego States Therapy, and she felt empowered. 

Gradually, she overcame her fear of filing taxes and other similar fears.

Conclusion

Overthinking, rumination and worry are common problems for many people.

You can learn to interrupt your pattern of overthinking and worrying by using the tools discussed in this article.

If you find that the self help tools in this article aren't enough to help you overcome your problem, you can seek help from an Experiential Therapist who does Parts Work or other types of experiential therapy that involve the mind-body connection (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy to Overcome Trauma).

Getting Help in Experiential Therapy

Experiential therapy includes mind-body oriented therapies including:

• EMDR (Eye Movement Desensitization and Reprocessing)

• Ego States Therapy/Parts Work/Parts Work
• 
  
• AEDP (Accelerated Experiential Dynamic Psychotherapy) 

• Somatic Experiencing and other similar therapies.

A skilled Experiential therapist can help you to overcome the thought patterns that are disrupting your life.

Rather than struggling on your own, seek help from an Experiential therapist so you can free yourself from your traumatic history and live a more fulfilling life.

About Me

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

I work with individual adults and couples.

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

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

How to Use "Anchors" to Cope With Trauma-Related Triggers - Part 2

In Part 1 of this topic, I defined anchors and how they are used to cope with psychological triggers based on a history of trauma. 

If you haven't read Part 1, I suggest you read that article first to understand the current article.

How to Use Anchors to Cope With Triggers

In the current article, I'm providing examples of how anchors can be used for trauma-related triggers as well as other situations where you might feel anxious, emotionally overwhelmed or stressed.

Anchors can be used between therapy sessions to help you cope with disturbing thoughts, feelings or memories that might come up for you. 

Note: If you're in therapy, always speak to your therapist first before you try using anchors or any other type of resource or coping skill.

Examples of How to Use Anchors to Cope

As mentioned in my prior article, anchors can be used any time you're experiencing distress. Your experience doesn't need to be trauma related.

Here are two examples of how to use external and internal anchors (the cases presented below are composites of many cases with different names and all identifying information removed to protect confidentiality):

    Panic Attacks

Panic attacks bring intense fear and physical reactions, including symptoms of depersonalization (a condition where the person feels disconnected from their body, emotions and environment) where there is no real danger or apparent cause. Panic attacks are frightening. Some people feel they are losing control or even dying when they have a panic attack (see my article: Tips For Coping With Panic Attacks).

    Using An External Anchor

    John

John can usually sense when he's about to have a panic attack because he starts to feel disconnected from his body. 

His panic attacks have been much less frequent since he started working with an Experiential Therapist.  However, he still gets them from time to time, so his therapist recommended that he carry a small stone in his pocket which is meaningful to him because he found the stone when he was a child looking for an unusual stone with his grandfather. 

When he feels the onset of a panic attack, John holds the stone in his hand and it brings back happy memories of feeling safe and secure with his grandfather, and it helps to ground and calm him. 

Journaling Between Therapy Sessions

Once he is calm again, he writes about his experience in his journal to put words to his experience and to be able to discuss what happened at his next session with his psychotherapist (see my article: The Benefits of Journaling Between Therapy Sessions).

    Using an Internal Anchor

    Alice

Since she started EMDR Therapy, Alice rarely has panic attacks anymore. 

Prior to EMDR therapy, she would have a panic attack whenever she visited her parents. She would feel like she was a helpless and hopeless child again (see my article: Feeling Like a Helpless Child Again During Family Visits).

However, even though she is coping better with triggers involved with being around her parents, there are still times she feels like she regresses when her parents criticize her.

Her therapist taught her to use an internal anchor based on the Somatic Experiencing concept of pendulation, which is also called oscillation in Sensorimotor Psychotherapy (see my article: Coping with Emotional Distress By Using the Somatic Experiencing Technique of Pendulation).

Pendulation is similar to Babette Rothschild's concept of Dual Awareness which she writes about in her book, The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment.

Similar to a swinging pendulum or watching a pendulum on a grandfather clock, pendulation involves shifting your awareness back and forth between a sense of safety in one part of your body to the emotional activation in another part of your body.

In Alice's case, she learned in therapy how to use her felt sense in her body to identify a place of safety. Most of the time, her place of safety is in her heart area.  She also learned to identify areas in her body of anxious activation which usually involves her stomach.

Pendulation For Coping

When she is on the verge of having a panic attack or she is actually having a panic attack, Alice senses into her place of safety, her heart, and she senses the feeling of safety. Her heart area is her internal anchor. 

Then she senses briefly into the area where she feels anxious, her stomach, and she shifts her awareness back to her chest, her place of safety. She continues to pendulate her awareness back and forth between her place of safety and her place of anxious activation until she is able to calm herself. 

Then she talks about what triggered her in her next therapy session so she and her therapist can work on this issue.

Other Examples of When to Use Anchors:

As previously mentioned, you can also use anchors for temporary relief when you feel 

• Anxious
• Stressed
• Emotionally overwhelmed or flooded 
• Other types of emotional distress

Internal Anchors vs External Anchors

The external anchors tend to be easier for most people to use because they are meaningful concrete objects that you can carry with you: a stone, a shell, a picture of a relaxing place, and so on.

The internal anchors take practice to learn. If you're adapt at sensing emotions in your body, you can learn to detect where you feel safe in your body and where you feel activated.  If not, you will need to practice sensing emotions and activation in your body with a therapist who works in an embodied/experiential way.

Sensing emotions and activation in your body is one of the skills Experiential Therapists help clients to develop. It's a very useful skill because you can use it on your own between sessions or whenever you need it. 

If you're trying this on your own, you might want to start with an external anchor, especially if you haven't yet developed the felt sense skill.

Getting Help in Therapy

If you have been struggling on your own, you could benefit from seeking help from an Experiential Therapist.

Experiential Therapy is an umbrella term for mind-body oriented therapy modalities like:

• EMDR (Eye Movement Desensitization and Reprocessing) therapy
• AEDP (Accelerated Experiential Dynamic Psychotherapy)
• Somatic Experiencing
• Hypnotherapy
• Emotionally Focused Therapy, among others

Getting Help in Experiential Therapy

A skilled Experiential Therapist can help you overcome obstacles that keep you from living a  meaningful and more fulfilling life.

About Me

I am a licensed New York City experiential psychotherapist, hypnotherapist, EMDR, AEDP, Emotionally Focused Therapist for couples, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples (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.

 

8 Tips For Coping With Emotional Triggers

In a prior article, Becoming Aware of Emotional Triggers, I began a discussion about how to become aware of emotional triggers. 

Coping with Emotional Triggers

In the current article, I'm focusing on tips for coping with emotional triggers.

What Are Emotional Triggers?

A trigger is a person, place, thing or situation that causes an unexpected intense emotional reaction that is rooted in the past.  

For people, who have unresolved trauma or post-traumatic stress disorder (PTSD), a trigger can lead to their re-experiencing the past trauma as if it were occurring in the present (see my article: Overcoming Emotional Trauma: Learning to Separate "Then" From "Now").

Coping with Emotional Triggers

Any type of sensory stimulus, including what you see, hear, smell, touch or taste, can be a potential trigger.  

The sensory stimulus you experience, which is usually a non-threatening experience in the present, can trigger an trauma response including:

• Fight: The fight response is controlled by the sympathetic nervous system which is part of the autonomic nervous system. You can feel angry, irritable and even rageful. You can experience increased heart rate and heavier breathing as part of your survival instinct to to protect yourself from danger. If you were experiencing a real danger in the present, the fight response would be essential to protect yourself from a dangerous predator. But when you're experiencing an emotional trigger, you're usually not experiencing a threatening situation in the present.  Instead, you're reacting to memories of unresolved trauma as if it were occuring in the present.

Coping with Emotional Triggers

• Flight: In the flight response, you want to flee to avoid perceived danger. The flight response is also controlled by the sympathetic nervous system but, unlike the fight response, the driving emotion is fear (instead of anger) along with the possibility of worry and anxiety. In some particularly intense situations, you might experience terror.  

• Freeze/Immobilization: The freeze response is a combination of the sympathetic nervous system and dorsal vagal activation (dorsal vagal activation is part of the vagus nerve and responds to danger). Fear is the driving emotion with the freeze/immobilization response but, as opposed to the flight response, the desire to run is overtaken by a sense of immobilization. Outwardly, you might appear calm to others because the freeze response often includes emotional numbing, but internally your experience is fear.

• Fawn: With the fawn response, you're trying to avoid a confrontation as you enter into a dorsal vagal shutdown (related to the vagus nerve). You feel overwhelmed and this can  cause absent-mindedness, dissociation or depersonalization (depersonalization is feeling detached from your body). Overwhelming feelings can lead to a sense of helplessness or hopelessness. In a severe case, you might even pass out or lose consciousness. The fawn response is also referred to as the "please and appease" response (see my article: Trauma and the Fawn Response).

What Are Common Emotional Triggers?

Common emotional triggers include but are not limited to:

• Past Trauma:Traumatic events or situations from the past can be one-time events like an accident or physical attack or they might have been ongoing events, like developmental trauma from childhood or complex trauma, including abuse or emotional neglect.

• Painful Negative Memories: Painful negative memories can include memories associated with disappointment, fear, failure and shame and guilt, to name just a few. When you experience a similar situation in the present, these memories can get triggered--even if you don't consciously remember them. In other words, there can be explicit memories that you remember and there can be unconscious memories outside your immediate awareness.

Painful Negative Memories

• Fear and Phobias: Fear can be an emotional trigger. Fear can trigger strong emotional and physical reactions.  Similarly, phobias, such as fear of flying or fear of heights, can also act as triggers.

• Stressful Situations: Stressful situations can trigger anxiety and stress.  Examples of stressful situations can include personal or work-related stressors. 

• Relationship Problems: Current interactions with certain people can trigger intense emotions including sadness, anger or frustration related to the past.

• Loss or Grief: Certain anniversaries, such as the anniversary of the death of a loved one, can be an emotional trigger for sadness and feelings of loss. 

• Major Life Changes: Major life changes, even positive ones, can elicit anxiety and stress as well as emotional triggers. This can include moving, changing jobs, getting married, getting divorced, giving birth, health issues and so on (see my article: Navigating Major Life Transitions).

8 Tips For Coping With Emotional Triggers

Just a word about coping versus overcoming triggers: Coping with emotional triggers is important to your day-to-day living, but overcoming emotional triggers requires working with a trauma therapist who can help you to work through the underlying issues related to your triggers so you don't continue to get triggered (more about this later on in this article).

Until you can get help to resolve these underlying issues, you can learn to cope with triggers when they occur.

Here are 8 tips for coping with triggers that can be helpful:

• 1. Learn to Identify Physical Symptoms Associated With an Emotional Trigger: Since your mind and your body are connected, every emotional trigger has at least one  accompanying physical symptom. By recognizing and identifying the physical symptoms, you can respond with self care instead of reacting in a way that keeps you stuck or activates you even more. Physical symptoms can include but are not limited to:

• Heart racing
• Heavy breathing 
• Difficulty breathing
• Pain or muscle soreness in your neck, back, stomach or other parts of your body
• Sweating
• Dizziness
• Crying
• Other physical reactions

• 2. Learn to Pause: By learning to pause when you can recognize when you're getting triggered, you're taking a break to allow yourself to respond instead of react to the trigger. Pausing also allows you to use various coping strategies. Pausing is a skill that takes practice because triggers occur in a fraction of a second and it takes practice to be aware of the need to take a break while the trigger is occurring. So, until you learn to pause, practice patience and self compassion.

Coping With Emotional Triggers

• 3. Learn to Develop Healthy Coping Skills: Once you have paused, you can learn to use healthy coping strategies, including breathing exercises and grounding exercises to slow down and to calm your mind and your body instead (see my article: The Mind-Body Connection: Calming the Mind and Calming the Body). 

• 4. Acknowledge Your Emotions: Once you have calmed yourself, acknowledge your emotions--no matter what they are. You might be tempted to suppress your emotions because they feel so uncomfortable, but being aware and acknowledging your emotions is an important part of your healing. When you suppress emotions, they come back even stronger.

• 5. Keep a Journal: Write about your emotions in a journal. Journal writing can help to calm you. It can also help you to detect certain emotional and physical patterns when you get triggered.

Journal Writing to Cope With Emotional Triggers

• 6. Establish Healthy Boundaries: People who have experienced significant trauma often have a hard time establishing healthy boundaries with others. This is often because they experienced boundary violations when they were younger. It's important to your sense of well-being to be able to say no when you need to take care of yourself. In addition to being able to respond assertively to reduce the likelihood of getting triggered, it's also important for you to be able to express your emotional needs to people in your life who are supportive (see my article: Setting Healthy Boundaries).

• 7. Develop a Strong Emotional Support System: Supportive loved ones can provide empathy and give you a different perspective on your situation. Talking to supportive loved ones can also help reduce feelings of helplessness, hopelessness, loneliness and isolation.

Coping With Emotional Triggers 

• 8. Seek Help From a Skilled Trauma Therapist: As mentioned earlier, you can learn to cope with triggers as they arise, but to overcome the underlying traumatic issues related to the triggers, seek help from a skilled trauma therapist. Trauma therapy is a broad category for different types of mind-body oriented psychotherapy, which is also known as Experiential Therapy including:

• EMDR Therapy
  
• 
  
• Accelerated Experiential Dynamic Psychotherapy (AEDP)
• 
  
• Somatic Experiencing
  
• 
  
• Parts Work/Ego States Therapy
  
• 
  
• Hypnotherapy (also known as Clinical Hypnosis)

What Are the Benefits of Getting Help From a Trauma Therapist?

A trauma therapist is a licensed mental health professional who has training, expertise and experience in various forms of trauma therapy. 

Unlike therapists who are generalists, trauma therapists are specialists who have gone beyond the basic mental health training to learn specific forms of trauma therapy (as mentioned above).

Getting Help in Trauma Therapy

Trauma therapy is different from most forms of talk therapy because it uses specific techniques and strategies to help clients to overcome trauma.  

As a trauma therapist, as a first step, I prepare clients for trauma therapy by helping them to develop the necessary internal resources to cope with whatever comes up during the therapy session or  between sessions (see my article: Developing Internal Resources and Coping Strategies in Trauma Therapy).

As memories are processed in trauma therapy, the client can experience a reduction and, eventually, an elimination of emotional triggers related to trauma.

If you're experiencing emotional triggers, you could benefit from seeking help from a trauma therapist to overcome unresolved trauma and live a more meaningful life.

About Me

I am a licensed New York City psychotherapist, trauma therapist (using EMDR, AEDP, Somatic Experiencing, Ego States Therapy/Parks Work and Clinical Hypnosis), couples therapist and sex therapist.

I work with individual adults and couples.

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

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