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.

Learn to Stop Overspending as a Way to Avoid Uncomfortable Feelings

Overspending as a way to ward off uncomfortable feelings, like anxiety or depression, can quickly lead to being over your head in debt, which can result in increased anxiety and depression.  

Learn to Stop Overspending as a Way to Avoid Uncomfortable Feelings

Overspending Can Become a Vicious Cycle With No End in Sight
Many people get caught in a vicious cycle of increased depressive or anxiety-related symptoms and increased overspending and debt, and they don't know how to get out.

Overspending and the Dopamine Rush

It's not just a matter of avoiding uncomfortable emotions. There's also a dopamine rush.  And the dopamine rush from indulging in overspending can be similar to the rush that people get with other impulse control disorder experiences, including drug abuse, sex addiction and gambling.  The dopamine rush itself is a powerful reinforcer for this cycle.

The problem with the dopamine rush is that it's short lived, so you have to spend again to get the next "hit."  This can fuel an endless cycle of overspending to ward off uncomfortable feelings, increased uncomfortable feelings and then increased overspending, and so on.

You Don't Have to Be in Serious Debt to Have a Problem With Overspending
You don't have to be thousands of dollars in debt to have a problem.  Just like the person who has a problem with alcohol, problems with overspending usually starts small and then become increasingly worse.

Ask yourself:
"Do I tend to go shopping or engage in other excessive spending when I'm anxious, depressed, angry or experiencing other uncomfortable feelings?

If you're honest with yourself and you detect a pattern, you'll admit to yourself that you have a problem and take steps to overcome this problem.

What Can You Do to Stop Overspending?

Acknowledge You Have a Problem
The first step to overcoming the problem of overspending, like any impulse control problem, is to admit that you have a problem.

Until you admit you have a problem, you're not going to be motivated to change.

Be Aware That Denial Can Be a Powerful Defense Against Admitting You Have a Problem
Denial can be very powerful, even when people are in serious debt.  Even after people realize they have a problem, they will often bargain with themselves by telling themselves things like, "This will be the last time I'll go on a spending spree."

Increase Your Awareness of Your Overspending Habits: What's Your Pattern of Overspending?
Admitting that you have a problem is the first step.  The next step is to increase your awareness of your particular pattern.

Everyone has a particular pattern of overspending, so you'll need to pay extra close attention to discover  your pattern.

Keep a Journal
I recommend keeping a journal.

Initially, until you can stop overspending, you might be writing about your spending habits after you've engaged in overspending.  The goal is to, eventually, get the point where you've become so aware of your overspending habits that you catch yourself before you give into the impulse to overspend.

You can set up your journal in whatever way works best for you.  One way that I recommend is to track what uncomfortable emotions came up and under what circumstances so that you can see what triggers the overspending (see details given below in the scenario about Ann):

Keep a Budget
People who overspend often have little to no awareness on how they spend their money.  Part of this lack of awareness is that the overspending is compartmentalized in their mind to keep themselves from feeling the discomfort of how serious their problem really is, which is a form of denial.

When you keep a budget by writing down how much to spend on each category and then track and write down what you actually spent, it can be a real eye opener.   And this can be the beginning of getting out of denial.

Attend Debtors Anonymous
Debtors Anonymous is a 12 Step program that helps people who have problems with overspending.  People who attend Debtors Anonymous meetings provide each other with mutual support.  If you go to the link above, you can find more information about this program and a meeting that is located near you.

The following scenario, which is a composite of many different cases with all identifying information changed to protect confidentiality, is an example of how someone who was able to get help for her overspending problem:

Ann
When Ann first came to see me, she was in serious debt.  She came in because she and her husband were having marital problems because of her overspending.

Initially, Ann didn't think she had a problem with overspending.  She came because she was afraid that all the arguing between her and her husband would lead to a divorce, and she didn't want to lose her husband.  But she made no connection between their arguments and her spending habits.  She felt her husband was overreacting.

Denial was very powerful for Ann.  And, initially, when I asked Ann about her debt, her thinking became fuzzy so she couldn't remember how much in debt she was or the specific information about who she owed money to, etc.

So, I asked Ann to bring in her bills and credit card statements.  This was emotionally painful for Ann because, without realizing it, she was doing everything possible to avoid allowing herself to see how big a problem she had.  She also felt very ashamed.

With the information in hand, we were able to see that she was close to $100,000 in debt, which was shocking to Ann.  It's not that she didn't know this on some level but, until now, she kept herself from allowing this information from really sinking in emotionally.  And, as you would expect, the anxiety of allowing the information to sink made her feel like she wanted to go out and make an impulsive purchase to ward off her anxiety.

So, we worked on helping Ann to develop better coping skills because she was using the rush of overspending to ward off anxiety.  A big part of her developing coping skills, aside from getting more physical exercise and learning to meditate, was keeping a journal to track the triggers to her overspending.

Based on my recommendation on how to set up her journal to understand her pattern of overspending, Ann set up her journal with the following four columns:

• Date and Time
• The Trigger (or Precipitating Event):  What Was Going on at the Time?
• What Emotion Goes With the Trigger?
• How Did I Overspend?

Then, she wrote a narrative about how she felt about this incident of overspending.

When she first began writing in her journal, Ann was writing about the event after the fact most of the time because she was still struggling with her impulse to overspend.

Developing an awareness before she gave into her impulse was very challenging at first.

But even after she was more aware and she realized that she was about to give into the impulse, she would bargain with herself by telling herself that "this would be the last time."  Unfortunately, there were many so-called "last times" before she could get to the point where she could catch herself before she gave into the impulse.

Eventually, Ann was able to write in her journal when she got the urge to overspend and she learned not to give in most of the time.

The challenge after that was for Ann to deal with the uncomfortable feelings that were at the start of her impulsive cycles of overspending, and we did this in her therapy.

Learning to Cope: Developing the Capacity to Tolerate Uncomfortable Feelings
Since the impulse to ward off uncomfortable feelings is usually at the beginning of the cycle of overspending, developing an ability to identify them and the capacity to tolerate uncomfortable feelings is an important part of the work in therapy.

During the course of a lifetime, everyone experiences loss, small trauma and, for many people, big trauma.  If, for whatever reason, you never developed the capacity to tolerate uncomfortable feelings, you can be at risk for engaging in impulsive behavior.  And if you're already engaging in impulsive behavior, it's harder to stop until you develop this capacity.

Getting Help
Along with attending Debtors Anonymous, many people have been helped by working with a licensed psychotherapist who has an expertise in helping people who have problems with overspending, especially when they're attempting to deal with their emotional triggers.

If you have problems with overspending, you owe it to yourself and your loved ones to get help.  Avoiding the problem will only result in the problem getting worse since, like most impulse control problems, problems with overspending is progressive and gets worse over time.

Getting help from a licensed therapist can help you to lead a more satisfying and meaningful life.

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 people to overcome their impulsive habits, including overspending, so they can 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.

Getting Help For Premature Ejaculation

As a sex therapist in New York City, I help individual clients and couples who are having problems with premature ejaculation, erectile dysfunction and other sexual related problems. 

Problems With Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation is a common problem. It's estimated that as many as 1 in 3 men suffer from premature ejaculation at any given time.  

Premature ejaculation is a treatable condition, so if you have been avoiding getting help, please reconsider this because you don't need to continue to suffer with this condition.

If you have premature ejaculation occasionally, it's usually not a cause for concern. However, you might be diagnosed by your doctor with premature ejaculation if:

• You always or almost always ejaculate within 1 to 3 minutes of penetration

• You're unable to delay ejaculation beyond 1 to 3 minutes after penetration

• You avoid having sex because you feel frustrated and ashamed of ejaculating too soon

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is not being able to delay ejaculation beyond 3 minutes during partnered sex or during masturbation.

There are two types of premature ejaculation:

• Lifelong: Lifelong premature ejaculation occurs all the time or nearly all the time since the first sexual encounter.

• Acquired: Acquired premature ejaculation occurs after a period of not having this problem.

What Causes Premature Ejaculation?

Premature ejaculation is often a combination of physical and psychological problems so each person needs to be assessed and diagnosed individually.

What Are the Psychological Factor That Can Contribute to Premature Ejaculation?

The psychological factors might include:

• Early sexual experiences
• A history of sexual abuse or trauma
• Depression
• Poor body image
• Worry or anxiety about premature ejaculation
• Guilt or shame that cause you to rush through sex
• Erectile dysfunction
• General anxiety
• Relationship problems

The biological factors might include:

• Irregular hormone levels or brain chemicals
• Swelling or infection of the prostate gland or urethra
• Inherited factors

What Are the Risk Factors for Premature Ejaculation?

The risk factors might include:

• Stress
• Erectile dysfunction
  

How Can Premature Ejaculation Impact Your Life?

Premature ejaculation can create complications in your personal life including:

• Stress
• Relationship problems
• Fertility issues

When Should You Seek Help From a Medical Doctor?

Problems with premature ejaculation can occur from time to time, but you should seek help from a urologist or a sexual health medical doctor if you always or nearly have problems with premature ejaculation.

Help from a Medical Doctor For Premature Ejaculation

You might feel embarrassed to talk to a doctor about your problem, but urologists and sexual health medical doctors have experience with this common problem, so don't allow embarrassment to keep you from getting help.

When Should You Seek Help From a Sex Therapist?

Since premature ejaculation is often caused by psychological issues, you could benefit from seeking help from a sex therapist to deal with these issues (see my article: What is Sex Therapy?).

Help From a Sex Therapist For Premature Ejaculation

A skilled sex therapist can help you to overcome the psychological problems that prevent you from having a satisfying sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than suffering on your own, seek help from a qualified medical doctor to rule out any physical problems and get help from a sex therapist for the psychological issues that might be contributing to your problem (see my article: What Are Common Misconceptions About Sex Therapy?).

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.