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NYC Psychotherapist Blog

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Showing posts with label emotions. Show all posts
Showing posts with label emotions. Show all posts

Tuesday, October 14, 2025

What's the Difference Between Emotional Co-regulation and Emotional Self Regulation?

People sometimes confuse the terms "emotional self regulation" and "emotional co-regulation" so I'm addressing the differences in this article.

Co-regulation vs Self Regulation

What's the Difference Between Co-regulation and Self Regulation?
When caregivers provide external support to their children, this is an example of emotional co-regulation, which is a foundational step for developing emotional self regulation.

Whereas co-regulation is the process in which one person helps another person to regulate their emotions, self regulation is the ability to manage your own thoughts, emotions and behaviors.

Both skills, co-regulation and self regulation, work together throughout life.

Let's break it down further:

Self Regulation
  • Definition: The internal ability to control your own thoughts, emotions and behaviors without relying on others.
  • Examples of Self Regulation:
    • Doing breathing exercises on your own to calm down
    • Managing frustration during an argument by going for a walk to calm down
Co-regulation
  • Definition: The process of two or more people working together to manage emotions and behaviors. This involves providing support, structure and warmth to help someone to calm down and learn coping skills.
  • Examples
    • A parent helping a child to calm down by speaking in a gentle tone and providing comforting hugs
    • One romantic partner helping another to calm down by listening in an attuned way, holding their hand and gently helping them to take relaxing breaths
  • Goal: To help someone to feel safe and understood which, in turn, builds their capacity for self regulation
  • Relationship Between Self Regulation and Co-regulation: Co-regulation is an essential step in helping someone to self regulate. A caregiver or partner's ability to self regulate is necessary in order for them to help co-regulate others. 
Clinical Vignette
The following clinical vignette illustrates the relationship between self regulation and co-regulation and how psychotherapy can help. As always, this vignette is a composite of many different cases to protect confidentiality:

Paul:
Paul was a latchkey kid. Both of his parents worked two jobs each so they weren't around when he came home from elementary school. 

There were times when he was at home alone that he thought he heard noises in the house and he was so scared he hid under his blanket until his parents came home. 

He knew his next door neighbors were at home, but his parents told him to never let them know he was home alone because they might call the child welfare bureau and then he would  be taken him away from his parents due to childhood neglect.

His parents explained to him they didn't want to leave him alone in the house, but they both needed to work and there were no other relatives to take care of him. They also couldn't afford childcare, so he would hide in fear until his parents came home.

Since Paul grew up being alone much of the time, he was often without his parents' emotional support, so he didn't learn how to manage his emotions.

His teacher told his parents that Paul had a difficult time calming himself down in school when he was upet. She suspected his parents weren't helping Paul to manage his emotions so she encouraged them to help him--although she didn't know they were often away from home.

By the time he went away to college, he was so anxious he was having panic attacks.  A college counselor referred him to a psychotherapist for help. 

His therapist used her co-regulate skills to help Paul. She also taught him self regulation skills by teaching him breathing exercises and other coping strategies. 

Eventually, he learned to regulate his emotions on his own.

After he graduated college, the skills he learned in therapy helped Paul to self regulate and co-regulate emotions with his new girlfriend, Sara.

Conclusion
Young children usually learn to co-regulate with their parents so they can develop self regulation skills as they get older.  However, there are times when children don't learn these skills because their parents are not around or the parents never learned to regulate their own emotions when they were growing. up so they can't help their children to develop skills they don't have.

Fortunately, people who didn't learn to regulate their emotions have an opportunity to learn as adults in psychotherapy.

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

I work with individual adults and couples.

As a Trauma Therapist, I have helped many clients to overcome trauma and manage their emotions so they can lead a more fulfilling life.

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

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

Also See My Articles:
























Friday, August 29, 2025

What Are the Benefits of Experiencing Your Emotions?

As a psychotherapist, I work with individual adults and couples to help them to experience and express their emotions in healthy ways.


The Benefits of Experiencing Your Emotions

What Are the Benefits of Experiencing Your Emotions?
The following are some of the benefits of allowing yourself to experience your emotions:
  • Increased Self Awareness: Emotions offer a guide to important information about your needs, experiences and triggers. When you allow yourself to experience your emotions, you gain a deeper understanding of yourself.
  • Better Mental Health: Suppressing emotions can contribute to stress, anxiety and depression. Also, when you suppress uncomfortable emotions, these emotions tend to come back in a stronger way. So, suppressing emotions makes the experience worse. Experiencing emotions can help to ease stress, anxiety and depression.
  • Increased Confidence: Expressing your emotions is a vulnerable act which takes courage. By being courageous and expressing yourself, you can increase your confidence.
The Benefits of Experiencing Your Emotions
  • A More Balanced Perspective: People who express their emotions in a healthy way tend to have a more balanced perspective.
  • Better Physical Health: Suppressing emotions can have a negative impact on your immune system and cardiovascular system. In addition, experiencing emotions can help to improve your overall physical health.
  • Improved Communication: Sharing your emotions in a healthy way provides clarity and context making it easier for you to express your needs and build empathy.
  • Increased Trust: Emotional authenticity can help to increase trust in your relationships.
How Can Therapy Help You to Identify and Express Your Emotions?
As a psychotherapist, I work in an experiential way (see my article: Why is Experiential Therapy More Effective Than Regular Talk Therapy?).

The Benefits of Experiencing Your Emotions

Many of us weren't taught to identify and expression emotions. On the contrary, some of us were actively discouraged from expressing emotions which gives the message that emotions are dangerous (see my article: How Experiential Psychotherapy Can Facilitate Emotional Development in Adult Clients).

The reality is that everyone experiences emotions and, as mentioned above, there are many benefits to experiencing and expressing your emotions.

Psychotherapy with a therapist who works in an experiential way provides the following benefits:
  • Attuned and Compassionate Listening: A therapist who works in an experiential way attunes to her clients and listens with compassion. She also validates your emotions which allows you to be more emotionally vulnerable and deepen your understanding of yourself (see my article: The Healing Potential of the Therapist's Empathic Attunement).
The Benefits of Experiencing Your Emotions
  • Improved Emotional Vocabulary: If you had to suppress certain emotions in your family of origin, you might not have developed the necessary vocabulary to express yourself. Developing emotional vocabulary can increase your confidence.
  • Improved Coping and Emotional Regulation Skills: An experiential therapist can help you to learn better coping skills and emotional regulation by helping you to develop tools and strategies. This tools include:
  • Increased Awareness of Emotional Patterns: An experiential therapist can help you to become more aware of your recurring emotional patterns. When you have developed self awareness about these patterns, you can develop the necessary skills to make changes.
What Are Experiential Therapies?
The following are some of the experiential therapies that I use in my private practice:
Getting Help in Experiential Therapy
Whether you want to work on developing emotional intelligence or overcoming unresolved trauma, you could benefit from working with a licensed mental health professional who is an experiential psychotherapist.

The Benefits of Experiencing Your Emotions

A skilled experiential therapist can help you to develop the skills and strategies you need.

Rather than struggling alone, seek help in experiential therapy so you can lead a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (couples therapist), Somatic Experiencing and Certified 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 (917) 742-2624 during business hours or email me.








Friday, January 17, 2025

Emotional Regulation: What is the Difference Between Being Calm and Being Emotionally Numb?

Over the years, working with clients who have unresolved trauma, I have discovered that many people don't understand the difference between being calm and being emotionally numb (see my article: What is Emotional Regulation?).

Emotional Regulation: Calmness vs Emotional Numbing

Many clients who meditate on a regular basis often think they're calm when, in reality, they're emotionally numb. 

So, I think it's worthwhile to provide information about the difference between being calm and being numb in the current article (see my article: How to Manage Emotions Without Suppressing Them).

What is the Difference Between Being Calm and Being Emotionally Numb?
There is a big difference between the state of being calm and the state of being emotionally numb:

Calmness:
  • A conscious effort to relax, center and ground yourself
Calmness
  • A state of peace and serenity
  • An ability to be aware, acknowledge and manage emotions in an healthy way
Emotional Numbness:
  • A unconscious coping mechanism to avoid overwhelming emotions
  • A feeling of being emotionally detached, shut down, empty
  • An inability to feel positive or negative emotions 
Emotional Numbness
  • An experience of physical and/or emotional flatness
  • The potential to lose interest in people and activities that were enjoyable before
  • An impaired ability to fully participate in life
  • A usual preference for being alone rather than being with others
Note: You don't have to experience all of these symptoms to be emotionally numb.

What Causes Emotional Numbness?
Emotional numbness is usually an unconscious strategy or defense mechanism for coping with overwhelming emotion.

Emotional numbing can develop at any time in life. 

It often develops at an early age when children are in situations that are emotionally overwhelming (e.g., chaotic home life, emotional and/or physical abuse and so on).

Emotional Numbness

Although this unconscious strategy can help a child to survive in an emotionally unhealthy environment because they don't get too overwhelmed, it becomes a hindrance when these children become adults.

As adults, these individuals often have difficulty knowing what they feel about themselves and others. They might also experience difficulty connecting emotionally with others so that even if part of them wants to connect with others, another part of them is afraid.  

These internal parts tend to create conflict between their desire and their dread for connection (see my article: An Emotional Dilemma: Wanting and Dreading Love).

As mentioned earlier, unresolved trauma often plays of significant role for people who are emotionally numb.

Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how emotional numbness creates problems in a relationship and how trauma therapy can help:

Alexa
During the early stage of Alexa's relationship with Jim, she enjoyed getting to know him and spending time with him.

Problems developed after the honeymoon stage of their relationship.

Alexa and Jim

Prior to that, Alexa was aware of her emotions. She also enjoyed sex with Jim.  

However, after the initial stage of their relationship, as they became more emotionally intimate, Alexa felt emotionally and physically flat. She also felt disconnected from Jim.

After she sought help in trauma therapy, Alexa became aware of how her early history of emotional neglect and sexual abuse affected her ability to be emotionally and sexually available with Jim.

Her family history included growing up with parents who were emotionally distant from her. 

In addition, from the age of 10-13, she was sexually abused by her father's brother who took care of Alexa when her parents went out in the evenings.

Whenever her uncle came into her bedroom at night and fondled her, Alexa would freeze and dissociate (i.e., zone out).

In other words, she would become emotionally numb as an unconscious way to protect herself from being overwhelmed by the abuse.

Even when Alexa told her parents about the uncle's sexual abuse, they didn't know how to deal with it because they were intimidated by the father's brother because he was the  oldest brother and he tended to dominate Alexa's father.

As a result, although her parents stopped asking the uncle to take care of Alexa, they never confronted him, so he faced no consequences for the abuse. 

It wasn't until the uncle abused his neighbors' young daughter that he faced legal consequences after his neighbors reported him to the police and he was arrested. 

During her trauma therapy, Alexa processed her unresolved trauma with a combination of EMDR TherapySomatic Experiencing and Parts Work Therapy.

The work involved the abuse by the uncle as well as her parents' neglect.

The work was neither quick nor easy but, over time, Alexa processed the trauma and she was able to be more emotionally self aware and present with Jim.  

Alexa and Jim also sought help in sex therapy to help them both to overcome their sexual problems so they could enjoy sex again.

Conclusion
There is a big difference between being calm and being emotionally numb.

Emotional numbness is often a survival strategy to ward off overwhelming emotions related to unresolved trauma.

Trauma therapy can help clients to work through unresolved trauma. 

Everyone is different in terms of how they process trauma. 

How long trauma therapy takes often depends on many factors, including the depth and complexity of the trauma as well as a client's internal resources and ability to process the trauma.

When there is a history of sexual abuse which affects a relationship, sex therapy is often helpful to assist clients to connect emotionally and sexually in a way that feels safe and pleasurable for both of them (see my article: What is Sex Therapy?).

Getting Help in Therapy
If you're struggling with 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.

Working through trauma helps to free you from your history so you can live a more fulfilling life.

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 20 years of experience, I have helped many clients to overcome trauma, including sexually related 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.













Sunday, October 20, 2024

Relationships: What Do You Need to Feel Closer to Your Partner?

As a psychotherapist who sees individual adults and couples, one of the problems I often hear about from people in relationships is that they would like to feel closer to their partner.

What Do You Need to Feel Closer to Your Partner?

            See my articles:    

What Do You Need to Feel Close to Your Partner?
Every individual is different but, generally, most people in a relationship need to experience:
  • Acceptance: This means feeling accepted as you are right now--flaws and all.
  • Reliability: Knowing you can count on your partner to be there for you when you need them is essential.
What Do You Need to Feel Closer to Your Partner?
  • Emotional Connection: Feeling emotionally connected to your partner and knowing your partner feels emotionally connected to you is important. You and your partner might have short periods of times when you don't feel as emotionally connected because of whatever you're going through as a couple, but feeling emotionally connected most of the time is important in any relationship (see my article: How to Build Trust and Connection in Your Relationship).
  • Understanding: You and your partner need to feel that you understand each other and, even when there are times when you might not understand each other, you both make an attempt to communicate and actively listen so you both work towards feeling understood.
  • Vulnerability: Vulnerability is the pathway in any relationship to emotional and sexual connection. This means being able to listen to your partner's hopes, fears and dreams and your partner also being able to do the same for you. 
         See my articles: 
  • Shared Goals: Having individual goals and relationship goals that you can both support is important.
         See my articles: 
Conclusion
Being able to ask for what you need emotionally from your partner can be challenging, especially if you grew up in a family where you were discouraged, forbidden or even shamed for having emotional needs (see my article: What is Childhood Emotional Neglect?).

What Do You Need to Feel Closer to Your Partner?

If you and your partner are having problems expressing your emotional needs to each other, you could benefit from seeking help in couples therapy.

Getting Help in Couples Therapy
If you and your partner have been unable to resolve problems on your own, you could benefit from seeking help in couples therapy.

Getting Help in Couples Therapy

A skilled couples therapist can help you to understand the underlying issues involved for each of you and help you to develop the necessary tools and strategies to overcome your problems.

Seeking help sooner rather than later can make the difference in being able to resolve your problems.

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.

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.



Sunday, May 26, 2024

Dating: Is a Situationship Right For You?

Situationships have become a lot more common in the dating world in recent years as compared to how dating used to be (see my article: How Does Old School Dating Compare to Contemporary Dating?).

People who want to date without a commitment often feel situationships work for them. 

Dating: Is a Situationship Right For You?

Other people who want an exclusive relationship don't like situationships because the lack of definition, commitment or direction makes them feel uncomfortable.

So, let's explore the pros and cons of situationships in the dating world, but first let's start by defining the term.

What is a Situationship?
The nature of a situationships can vary with different couples.

Generally speaking, a situationship is more than just FWB (Friends With Benefits) and less than an exclusive relationship. 

Dating: Is a Situationship Right For You?

In this respect, as previously mentioned, a situationship involves no commitment. It can occur between people who start out as strangers or people who are already friends.

The basic characteristics of a situation include:
  • The Relationship is Undefined: You and your partner haven't put a label on your non-exclusve relationship. This might be because you just started dating so it's too soon to have "the talk" and, as a result, it hasn't been defined. It might also be because you're both fine with your situation as it is for now and neither of you has any intention to try to define it. It can also be because one of you likes things the way they are and the other is secretly hoping the relationship eventually becomes exclusive. 
  • The Connection is Superficial and Based on Convenience: You and your partner might be sexual, but your conversations are mostly superficial small talk. It's possible that your partner might hardly or never ask you personal questions about yourself. In addition, there's no consistency in how often or when you see each other, so it's based on convenience. You might see each other when neither of you have any other plans or if one of you has plans that have fallen through.
  • There's No Talk About a Future: As compared to people who are in an exclusive relationship, the two of you don't make plans for your relationship. You might not even make plans for future events like getting tickets for a concert or the theater. 
  • The Relationship Isn't Exclusive: As previously mentioned, there's no commitment to be exclusive in a situationship, so each of you can date other people.
  • There's No Follow Up: When you're together, you might really enjoy each other's company, but when you're apart, neither of you might take the initiative to contact the other or follow up with each other.
What Are the Pros and Cons of Being in a Situationship?
The pros and cons of a situationship are very much in the eye of the beholder.

If both people are genuinely interested in being in this type of casual relationship, they might find there are more advantages than disadvantages. 

Dating: Is a Situationship Right For You?

But if one person secretly wants a committed relationship and they're just going along with being in a situationship with the hope it will develop into something more, this can create problems.

The Pros
  • Less Responsibility and Less Emotional Investment: For those who want less responsibility and no need to invest emotionally in a relationship, a situationship can work if both people want this.
  • Freedom: You can enjoy each other's company when you're together, but there are none of the expectations involved with a committed relationship. This means you're both free to see other people.
  • Fun With Less Stress: As long as both people are on the same page, you can enjoy your time together without the stress involved in a committed relationship.
The Cons
  • Instability, Inconsistency and Stress: If Person A begins to develop feelings for Person B and Person B doesn't develop feelings for Partner A, Partner A might find the instability and inconsistency of a situationship to be too hurtful and stressful.
  • Different Expectations: You might both start out liking a situationship but, over time, if Person A develops feelings, Person A might have different expectations. Under those circumstances, Person A needs to communicate. However, a change in the relationship might not suit Person B who might still want to be free and uncommitted.
Tips on How to Handle a Situationship
  • Be Honest With Yourself: First, be honest with yourself. Know what you want. If you know you're not going to be comfortable with an uncommitted, undefined relationship, acknowledge this to yourself. There's nothing wrong with this--it's just who you are at this point in your life. Don't go into a situationship hoping to turn it into an exclusive relationship because it might never turn into that. Similarly, if. you know don't want to be in an exclusive relationship, there's nothing wrong with admitting to yourself that you want a casual relationship.
  • Be Honest With the Other Person: Don't pretend you want something you don't want. Being honest with the other person can save a lot of heartache in the long run even if it creates an initial disappointment.
Dating: Is a Situationship Right For You?
  • Communicate Your Needs Clearly: Along with being honest, communicate your needs clearly to the other person--whether it's at the beginning stage of a relationship or if you experience a change later on. Don't expect the other to know how you feel. 
  • Be Honest, Tactful and Gracious If It Doesn't Work Out: A situationship might work for a while, but there's no way to know how feelings might change over time for one or both people. Many relationships run their course whether they're committed relationships or casual relationships. No relationship is emotionally risk free, so if it's no longer working for one or both of you, end it by being your best self.
Conclusion
It's important to know yourself. Situationships aren't for everyone and that's okay.

At certain points in your life, you might an uncommitted, undefined relationship because it's what suits you at the time with a particular person. 

At other times in your life, you might not want a situationship.

You might also be someone who would never want such a casual, undefined relationship and that's okay too.

Just be honest and open about your needs and consider the other person's needs when you're trying to decide what kind of relationship you want.

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.






Wednesday, December 6, 2023

Relationships: Being Emotionally Vulnerable is a Strength

In a prior article I discussed vulnerability in terms of it being a pathway to intimacy.  However, I'm aware that a lot of people think of vulnerability as a weakness and their reluctance to allow themselves to be open and vulnerable in their relationship creates disconnection in their relationship.

Emotional Vulnerability is a Strength


What is Emotional Vulnerability in a Relationship?
Emotional vulnerability in a relationship is a state of being open by acknowledging and taking a risk to expose your feelings to your partner.  This allows you to love them and to be loved by them.

Emotional vulnerability allows you and your partner to connect and deepen your relationship.  

What Are Examples of Emotional Vulnerability?
The following are some of the most common examples of emotional vulnerability:
  • Telling your partner you love them
  • Talking honestly and openly about your emotional needs
  • Talking about your hopes, fears and dreams
  • Apologizing for your mistakes 
  • Sharing your feelings of grief
  • Sharing your feelings of disappointment
  • Sharing your feelings of shame
  • Telling your partner why you're angry
  • Telling your partner why you're sad
  • Making an effort to work through problems in your relationship
Why is Emotional Vulnerability Important in a Relationship?
According to Dr. Brene Brown, author and social work researcher, "Vulnerability is the birthplace of love, belonging, joy, empathy and creativity."

Dr. Brown goes on to say, "To love is to be vulnerable, to give someone your heart and say, 'I know this could hurt so bad, but I'm willing to do it; I'm willing to be vulnerable to love you."

Vulnerability allows you to grow as a person. It helps to build trust, empathy, honesty and a stronger bond between you and your partner.

What is Fear of Emotional Vulnerability?
Fear of vulnerability is common for adults.

But no one is born with a fear of vulnerability.  Generally, young children are open and free with their emotions if they grow up in an atmosphere of emotional safety.  

But if they grow up in an environment where they experience emotional neglect or abuse or they witness family members being emotionally or physically abused, they learn that the world is a painful place and they need to protect themselves by closing themselves off (see my article: Children's Roles in Dysfunctional Families).

In other words, fear of emotional vulnerability is a learned experience.  It's not that anyone necessarily tells children this explicitly--it's a matter of them internalizing the emotional pain they experience or witness in the family.  This often leaves them feeling ashamed and unlovable.

For example, children who grow up in a family where one or both parents are alcoholic (or dysfunctional in other ways) might see a loving sober parent become an angry, abusive parent when they're drunk.  

They might also see their sober parent in emotional pain and taking on the full mental and emotional load of raising them because their alcoholic or dysfunctional parent can't do it.

What this communicates to a young child is that when they grow up, they can't trust their partner. Instead, they think they have to learn to be completely "independent," but in reality, this is a pseudo-independence because it's a denial of their emotional needs (see my article: Is This "Independence" or Shame?).

Often the person who grows up with a fear of vulnerability due to their childhood experiences over-functions for their partner. They might do most or all the household chores, take on the complete responsibility of raising their children and managing the finances.  

Underneath this over-functioning is often a mistrust that their partner will be there for them emotionally, mentally and practically.  This might actually be the case in reality if they chose someone who is unable or unwilling to be there for them or it might be a false perception they would have for any partner.

Consequences of Not Being Vulnerable
Building a protective emotional wall around yourself might make you feel momentarily safe, but there are long term negative consequences for you and your relationship.

An inability and/or an unwillingness to be emotionally vulnerable with a partner sets a limit in your relationship in terms of how the relationship can grow and deepen.  It's harmful to you as an individual and it's hurtful to your partner.

Over time, a lack of vulnerability between two people in a relationship can cause emotional disconnection.

Getting Help in Therapy
If you struggle to be emotionally vulnerable, you might already be aware of the negative consequences this has in your life.

Rather than struggling with your fear and shame on your own, seek help from a licensed mental health professional.

Learning to be emotionally vulnerable in a healthy relationship can help you to lead 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.