Overcoming Loneliness

Loneliness is not defined by how many people you have in your life. You can have hundreds of people in your life, but if your connections with them aren't deep and authentic and if these connections aren't meaningful to you, you will experience loneliness.

Overcoming Loneliness

Loneliness is a subjective feeling. It's usually defined by the gap between the social connections you wish you had compared to what you actually have.

Loneliness isn't about being physically alone. It's a feeling--not a physical state. It doesn't matter how many people are around you, if your connections are shallow, you will probably feel lonely. 

Clients often describe their sense of loneliness as feeling emotionally disconnected from others and, in some cases, feeling misunderstood.

What Causes Loneliness?

Loneliness can be caused by many internal and external factors including:

    Internal Factors:

• Mental Health Conditions: Depression, anxiety (including social anxiety),a low sense of self worth and other mental health conditions can make it difficult to develop and maintain relationships.

Overcoming Loneliness

• Past Unresolved Trauma: Unresolved trauma where your trust was violated can make it difficult to trust people.

• Personality: For some people, personality is a factor. For instance, people who are very introverted might find it difficult to form and sustain friendships. 

    External Factors:

• Loss: The death of a loved one, divorce, a breakup or other types of loss can create a sense of loneliness (see my article: Coping With the Loss of a Loved One).

• Life Changes: Moving to a new area, retirement, starting a new job or school or becoming a new parent can disrupt social networks (see my article: Being Open to New Experiences).

Overcoming Loneliness

• Social Isolation: Living alone in a remote area, having a disability that impacts mobility and the ability to have social interaction as well as other circumstances, can have a big impact on loneliness.

• Economic Factors: Financial struggles can make it difficult to participate in social activities.

• Cultural and Societal Pressures: An overreliance on technology instead of having more direct human contact, career stress and discrimination often contribute to loneliness.

What is the Difference Between Loneliness and Solitude?

There are fundamental differences between loneliness and solitude (see my article: What's the Difference Between Loneliness and Solitude?).

• Loneliness: As previously mentioned, loneliness involves wanting to have deeper connections with people but not having them. It can also involve an involuntary separation from meaningful relationships.

• Solitude: Solitude is a voluntary state where people are alone but they enjoy their time alone. They continue to have social relationships with others that they can return to when they want to reconnect with them. Their time alone can be balanced with their time with others.

How to Prevent or Overcome Loneliness

Overcoming loneliness requires making a conscious effort to make a change in your life.

Here are some suggestions that might work for you:

• Be aware that everyone experiences loneliness at some point, but it you feeling lonely most of the time, it's an indication that you need to make a change in your life (see my article: Developing the Internal Motivation to Change).

• Understand the impact that loneliness is having on your health, mental health and overall well-being.

Overcoming Loneliness

• Talk to someone in your life you can trust--a family member, friend or someone else you consider trustworthy.

• Get involved in community service or an activity you enjoy where you can connect with others in a meaningful way.

Overcoming Loneliness

• Anticipate the best from people instead of expecting to be rejected.

Overcoming Loneliness

• Focus on developing quality friendships with people who have similar attitudes, interests and values.

• Strengthen existing connections. While it's important to develop new connections, it's also important to strengthen current connections. Maybe there's a friend or family member you haven't spoken to in a while. Reach out to them.

Get Help in Therapy

Therapy can help you to overcome loneliness.  

Get Help in Therapy

Therapy provides a supportive environment to understand the root causes of loneliness including how mental health issues, coping skills, social skills, negative beliefs and prior traumatic experiences among other issues might be getting in your way.

Therapy can also help you to set and follow through on goals to overcome loneliness and deal with internal blocks which might be unconscious (see my article: Overcoming Emotional Blocks).

Rather than struggling on your own, contact a licensed mental health professional to develop a more meaningful life with deeper connections.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work Therapy (IFS and Ego States Therapy), Somatic Experiencing and a Certified Sex Therapist.

I have helped many individual adults and couples to overcome loneliness.

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

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

Also See My Articles:

Why Are Close Friendships Important?

Making Changes: The Need For Emotional Connection and a Sense of Belonging

Vulnerability as a Pathway to Emotional Intimacy  

Feeling Lonely in a Relationship

Why Do Heterosexal Men Tend to Have Fewer Friendships Than Women?

Why Medication Alone Can't Solve Most Psychological Problems

Many people who are taking medication ask why medication alone isn't solving their psychological problems (see my article: Medication Alone Isn't As Effective as Psychotherapy).

Medication Alone Can't Solve Most Psychological Problems

Why Can't Medication Solve Most Psychological Problems?

There are times when medication might be necessary and helpful to deal with the symptoms of a psychological problem. However, when medication is needed, a better approach to consider is combining medication with psychotherapy.

Here's why:

• Medication Targets Symptoms, But It Can't Get to the Root Cause of Your Problem: Whereas psychotherapy can get to the root cause of your problem, medication  alone can help to alleviate symptoms while you're on the medication. Medication doesn't address the underlying causes of your problem. For instance, if you choose to take medication for anxiety or depression, your symptoms might improve, but it doesn't address the underlying psychological and emotional factors involved so problem isn't resolved. 

Medication Alone Can't Solve Most Psychological Problems

• Medication Doesn't Teach You Tools, Strategies or Coping Skills: Medication might reduce your symptoms, but it doesn't help you to change negative thoughts or to improve emotional regulation. It doesn't help you to develop the necessary coping skills and internal resources. It also doesn't help you to work through unresolved trauma. Psychotherapy can help you with these issues and more (see my article: Developing Internal Resources and Coping Skills).

• Medication Doesn't Provide Provide Psychological Interventions: Psychological issues require psychological interventions. For instance, unlike psychotherapy, medication alone doesn't address the following issues or a variety other psychological problems:

• Grief

• Poor communication skills

• Dysfunctional relationship patterns

• Unresolved trauma

• Medication Doesn't Help You to Develop Internal Resources: Psychotherapy can help you to develop the necessary internal resources and coping skills related to your problem. In many cases, when you have developed these internal resources, it's possible you won't be as reliant on medication or you might not need it (always consult with your psychiatrist before you reduce or stop your medication). Medication is usually for symptom reduction. While medication can reduce symptoms, psychotherapy can help you to develop the following skills and internal resources and more:

• Develop self reflective capacity

• Develop a personal growth mindset

• Develop personal resilience

Conclusion

Medication can be a tool for managing symptoms and creating stability, but psychotherapy addresses the underlying issues at the root of your problem, helps you to develop coping skills and promotes positive change.

For many psychological issues, the combination of psychotherapy and medication can be effective. 

Always consult with a mental health professional who has the necessary expertise about this.

Getting Help in Therapy

If you have been struggling with unresolved problems, you could benefit from working with a skilled psychotherapist who can help you to develop the tools and strategies to overcome your problem.

Getting Help in Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who has the expertise to help you to lead a more meaningful life.

Note: Never reduce or stop medication without consulting with your psychiatrist.

About Me

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

I am also 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.

Why Are Close Friendships Important?

According to a 2021 American Perspectives Survey, Americans tend to have fewer close friends in recent years than they did in years past (see my article: Overcoming Loneliness and Social Isolation).

The survey also found that Americans talk to friends less often and rely on friends less for emotional support than they did in the past (see my article: Emotional Support From Your Family of Choice).

Close Friends Are Important For Your Overall Well-Being

According to the survey, there are reasons for this, including:

• Americans are more mobile than they were before so this makes it difficult to maintain friendships with the consistency that these relationships need.

• Americans are working and traveling more for work which doesn't leave time to develop and foster friendships.

• American parents are spending more time with their children than previous generations so this doesn't allow much time for friendships.

Why Are Close Friendships Important to Your Mental Health?

Close friendships can improve mental health because friendships:

• Reduce Loneliness and Social Isolation: Spending time with friends can help prevent loneliness and social isolation which can have mental health benefits.

• Provide Emotional Support: Friends can help with getting through difficult times and to cope with anxiety, depression, stress and major changes.

Close Friends Are Important For Your Overall Well-Being

• Improve Self Esteem: Positive interactions with friends can improve self esteem.

• Foster a Sense of Belonging: Close friends can increase feelings of belonging and community which can help with feeling connected and supported (see my article: The Need For Emotional Connection and a Sense of Belonging).

• Increase Happiness and Satisfaction with Life: Close friends can contribute to overall happiness and satisfaction with life.

• Help With Personal Growth: Friendships can challenge you to learn, grow and become a better version of yourself.

• Provide a Sense of Purpose: Close friendship can contribute to a sense of meaning and purpose in life (see my articles: A Search For a Meaningful Life and Living a Meaningful Life).

Why Are Close Friendship Important for Your Physical Health?

Close friendships can improve your physical health benefits because friendships can:

• Improve Cardiovascular Health: Having supportive friends can contribute to having healthier blood pressure and reduce the risk of cardiovascular problems.

Close Friendships Are Important to Your Overall Well-Being

• Enhance Immune Functions: Social support from friends can potentially enhance immune functions which reduce the risk of illness.

• Help Increase Life Expectancy: Studies have indicated that people with strong social connections tend to live longer.

Future Articles:

I'll continue to explore the importance of friendships in future articles.

About Me

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

I have over 20 years of experience helping 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.

Why Are Many Men Reluctant to Get Help in Therapy When They Need It?

As a psychotherapist in private practice in New York City, I'm seeing more men seeking help now than I did 20 years ago, but many men are still reluctant to get help in therapy when they need it.

Why Are Many Men Reluctant to Get Help in Therapy?

According to a 2020 survey, even though more men seek help now than before, there are many men who need help who don't seek it. In addition, fewer men seek help in  therapy compared to women.

Men Who Are Reluctant to Get Help in Therapy

Even though many well-known male athletes and celebrities have spoken openly about seeking help in therapy, there's still a stigma about men seeking help (see my article: Mental Health Awareness: Reducing the Stigma of Getting Help in Therapy).

Here are some of the most common reasons why men avoid getting help in therapy:

• A belief they must conform to traditional gender roles and that "being a man" means never showing emotional vulnerability

• They don't know how to show emotional vulnerability

• They're not sure what they feel

• Even if they know what they feel, they don't know how to talk about it

• A belief that going to therapy means they're "weak" (see my article: A Common Myth: Going to Therapy Means You're "Weak")

• Going to therapy makes them feel ashamed (see my article: Overcoming Shame)

• Going to therapy makes them feel embarrassed

• A belief they should know how to handle their problems on their own without getting help

• Psychotherapy is out of reach for them due to a lack of mental health services in their area or they can't afford it (in New York there are sliding scale therapy services in psychotherapy institutes with therapists in training who are supervised by senior therapists, including Institute For Contemporary Psychotherapy which also takes some health insurance).

How Can Men Learn to Talk About Their Problems?

Over the years, I have worked with many men who seek help in therapy because their partner encouraged them and, in some cases, insisted that they get help.

Here are some of the things I do to help men who seek help:

• Normalizing the Need For Help: Since I know many men don't know how to talk about their feelings, I start by trying to help them to get comfortable talking in sessions and normalizing how awkward it can be, at first, for anyone to talk to a therapist. I also provide them with psychoeducation about therapy including letting them know that many people start therapy with a degree of anxiety and ambivalence (see my article: Starting Therapy: It's Not Unusual to Feel Anxious and Ambivalent).

Men Who Are Reluctant to Get Help in Therapy

• Creating a Safe Space in Therapy Sessions: In order for clients to feel comfortable talking in therapy, I create a safe space for them by being compassionate, nonjudgmental and going at a pace that works for them.  

• Helping Clients to Relax: For clients who are anxious, I often start the session with a breathing exercise to help them transition from wherever they came from so they can relax and be present in the room.

• Starting Wherever They Want to Start: In our culture, it's generally considered more acceptable to talk about "stress" than anxiety or depression, so a lot of men (and women too) start therapy by saying they're experiencing "stress" and they just need some tips on how to manage their stress.  I will start wherever a client feels most comfortable, so if they want to talk about ways to manage stress, I'll start there.  But what usually happens, after these clients get comfortable talking to me, is that they begin to open up and talk about what is causing them stress including problems in their relationship, problems with their children, elder care issues, issues at work, unresolved trauma and so on.

Men Who Are Reluctant to Get Help in Therapy 

• Choosing Whether or Not to Work With Goals: Some clients like to set goals early in therapy. Others feel that setting specific goals feels like too much pressure. So, I allow clients to decide how they want to work.  At the same time, I want the sessions to be meaningful to them so we might need to find a balance so the therapy doesn't just "drift" in a scattered way.

• Helping Clients to Identify Their Feelings: Many men have been raised since early childhood to suppress or ignore their feelings so that, as adults, it's difficult for them to know what they feel. Therefore, helping these clients to recognize and identify feelings is often a significant part of the work.

Men Who Are Reluctant to Get Help in Therapy

• Using Humor and Lightheartedness: Using humor, when appropriate, can help clients to relax and open up. 

• Encouraging Self Compassion: This is an essential part of the work in therapy, especially for clients who have internalized harsh messages from early childhood about what it means to "be a man" (see my article: Acceptance and Self Compassion).

• Encouraging Self Care: Many men who are reluctant to get help in therapy are also reluctant to take care of their physical health and overall well-being, so encouraging self care is often an important part of the work (see my article: Self Care Is Not Selfish).

• Encouraging Support Outside of Therapy: The problem for many men is they don't talk to anyone about how they feel even if they have people in their life who would be supportive. In addition, many men don't have partners or close friendships, so encouraging them to develop an emotional support system outside of therapy is important (see my article: Overcoming Loneliness and Social Isolation).

Suicide Rates For Men

Men's mental health struggles often go undiagnosed because they avoid getting help.

In the United States, men represent about 79% of all suicides, which is four times higher than women.

Approximately 36,000 men commit suicide every year in the U.S. due to undiagnosed mental health and/or substance misuse problems.

Many of these deaths could have been prevented with professional help.

Note: If you or someone you know needs immediate help for suicidal thoughts, call 988, which is the suicide prevention lifeline or go to your nearest emergency room.

Getting Help in Therapy

The first step, which is making an appointment, is often the hardest.  

Getting Help in Therapy

If you have been struggling on your own, you could benefit from getting help from a skilled mental health professional.

Most clients who are initially reluctant to start therapy usually discover that therapy helps them to overcome their problems so they can lead a meaningful life.

About Me

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

I have over 20 years of experience helping individual adults and couples for a variety of issues, including 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 Cope With News Anxiety

Do you feel overwhelmed by the news? (see my article: Living With Uncertainty).

Coping With News Anxiety

If you do, you're not alone. 

I'm hearing about news anxiety from almost everyone I know who is anxious about what they're hearing on the news (see my article:  Self Care During Turbulent Times).

How News Anxiety Can Affect You

News anxiety can affect your mental health in many ways including:

• Feeling frustrated, powerless and helpless
• Having sleep problem (see my article: Tips to Improve Your Sleep)
• Feeling depressed
• Feeling anxious
  
• Anxiety-related health problems
• Over or under-eating
• Other anxiety-related symptoms

How to Cope With News Anxiety

• Make Self Care a Priority: It's important to have self care routines including:
• Meditation
  
• Listening to music
• Doing a breathing exercise

Make Self Care a Priority

• Taking a relaxing bath
• Reading or listening to a book you like
• Enjoying your favorite movie, podcast or TV program
• Engaging in hobbies you enjoy

Staying Physically Active

• Staying physically active
• Eating nutritious meals
• Getting good sleep
• Walking in nature (see my article: Walking in Nature Can Improve Your Mood)

• Choose a Reliable Source of Information: Use good judgment when you're selecting your news source. Choose a news source which is known to be reliable. Don't rely solely on social media because there's a lot of misinformation on social media.

• Limit the Time You Watch or Listen to the News: It's important to be well informed, but that doesn't mean listening or watching the news for hours. In many cases, the same news is being rebroadcast over and over again. That means that you're watching or listening to the same disturbing information multiple times and possibly seeing the same disturbing images. 

• Avoid Doomscrolling: Don't spend a lot of time scrolling negative posts on social media. 

Put Your Phone Away at Night to Get Better Sleep

• Turn Your Phone Off and Put It Away at Night: Have a wind down routine before going to sleep. Scrolling on your phone, texting or reading or listening to the news at night when you need to relax can make you anxious and keep you up. Turn off your phone and put it away so you can get the rest you need.

• Try to Find Positive News Story: While it's true that there's lots of bad news, there are also positive stories. Try to find positive and inspiring stories so you don't feel like everything is doomed.

• Maintain Positive Social Connections: It's easy to feel alone and overwhelmed by the news, so it's important to stay connected with friends and loved ones. If you can't see them in person, give them a call or meet online.  

Maintain Positive Social Connections

• Get Involved to Feel Empowered and Make a Difference: There are many positive advocacy and social justice organizations where you can donate your time and money. Find the ones you like and find out what they're doing to overcome problems. When you get involved, you're can make a difference. When you feel you're making a difference, you're less likely to feel helpless and hopeless. You will also be around other like-minded people so you won't feel alone.

Get Involved to Feel Empowered

• Be Aware That the News Might Be Triggering Unresolved Trauma: If you have unresolved trauma, listening to disturbing news can not only increase your anxiety--it can also trigger unresolved trauma. This can increase feelings of anxiety, hopelessness and helplessness. If this is happening to you, you could benefit from working with a trauma therapist to resolve your trauma so it no longer gets triggered (see my article: How Does Trauma Therapy Work?).

Getting Help in Therapy

News anxiety can have a negative impact on your mental health including triggering unresolved trauma. 

Get Help in Therapy

If unresolved trauma is getting triggered, you could benefit from working with a trauma therapist.

        See my article: How Trauma Therapy Can Help You Overcome Unresolved Trauma

Rather than struggling on your own, seek help from a licensed mental health professional who has the training and expertise to help you to overcome unresolved trauma so you can lead a more fulfilling life free of your trauma.

Also see my article: Strategies For Coping With Post-Election Stress

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.

As a trauma therapist with over 20 years of expertise, I have helped many 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.

 

What is the Connection Between Anxiety and Depression?

Although anxiety and depression often look different, they're more closely connected than most people think (see my article: What is the Difference Between Fear and Anxiety?)

The Connection Between Anxiety and Depression

While anxiety is usually considered a high energy state, depression is usually perceived as a low energy state. 

Even though they appear to be different, it's not unusual for a person with depression to also experience anxiety, including panic attacks, and vice versa.

How Are Anxiety and Depression Connected?

Anxiety is more than just common worry and nervousness. 

Anxiety can cause debilitating fear beyond what most people might experience.  

People who experience debilitating anxiety usually know that many of their anxious thoughts aren't rational, but they might not be able to stop these thoughts. 

Over time, this constant sense of dread can lead to depression.

What is the Cycle Between Anxiety and Depression?

When people feel highly anxious and they're unable to overcome or control their anxious thoughts, they often feel they have failed, which can lead to depression (see my article: Looking Happy on the Outside But Feeling Broken on the Inside).

The typical cycle between anxiety and depression can include one or more of the following:

• The chance of becoming depressed is much higher if you're already grappling with anxiety. About 50% of people who suffer with major depression also suffer from debilitating anxiety.

• Anxiety and depression can trigger each other.

The Connection Between Anxiety and Depression

• People who have unresolved trauma including PTSD (posttraumatic stress disorder) are prone to depression.

• Many people have a genetic predisposition for anxiety and depression so that, without therapy, these conditions are passed on from one generation to the next. This includes intergenerational trauma.

What Are the Signs of a Combination of Anxiety and Depression?

Symptoms of anxiety and depression include (but are not limited to):

• Persistent irrational fears and worries

• Feeling helpless or powerless

• Feeling hopeless

• Difficulty falling and staying asleep

• Feeling tired and irritable

The Connection Between Anxiety and Depression

• Changes in eating habits including overeating or eating too little

• Memory problems

• Difficulty making decisions

• Problems concentrating

• Loss of interest in former activities or hobbies

• Problems relaxing

• Problems with being in the moment

• Suffering with panic attacks

Getting Help in Therapy to Overcome Anxiety and Depression

There are many different types of therapy to overcome anxiety and depression.

If your anxiety and depression are rooted in unresolved trauma, Experiential Therapy is safer and more effective than regular talk therapy (see my article: Why is Experiential Therapy More Effective Than Talk Therapy to Overcome Trauma).

Getting Help in Therapy For Anxiety and Depression

Experiential Therapy includes therapy modalities that work due to the mind-body connection (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Experiential therapy includes the following types of therapy:

• EMDR (Eye Movement Desensitization and Reprocessing) Therapy

• Somatic Experiencing
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Parts Work including IFS (Internal Family Systems) and Ego States Therapy

• Clinical Hypnosis (also known as Hypnotherapy)
  

Instead of struggling on your own, seek help from a licensed mental health professional who can help you overcome anxiety and depression so you can lead a more fulfilling life.

About Me

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

I work with individual adults and couples.

I have helped many clients to overcome anxiety and depression, including problems related to 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 me.