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NYC Psychotherapist Blog

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Showing posts with label empowerment. Show all posts
Showing posts with label empowerment. Show all posts

Sunday, April 27, 2025

Combining Hope With Action For Meaningful Change

I wrote a prior article about hope entitled 5 Reasons Why Hope is Essential to Your Well-Being.

In this article I'm focusing on how the combination of hope and taking action can lead to meaningful change.

Combining Hope With Action For Meaningful Change

    First a recap of my prior article:

5 Reasons Why Hope is Important to Your Sense of Well Being
There are many reasons why hope is important to your sense of well-being, including that it can provide: 
  • 1. An Openness to New Possibilities: When you feel hopeful, you're more likely to be open to new and better possibilities for the future.  Even if there's just only a glimmer of hope, it can be enough for you to envision a better future for yourself (see my article: Being Open to New Possibilities).
Combining Hope With Action For Meaningful Change

  • 2. A Sense of Motivation: Hope can motivate you to take action because when you feel hopeful--even if you also feel some dread--you're more likely to take positive steps towards the challenges you're facing (see my article: Developing Internal Motivation).
Combining Hope With Action For Meaningful Change
  • 3. A Willingness to Persevere: Goals often require perseverance and perseverance is easier to sustain if you feel hopeful that your goals are achievable. This is especially true for long term goals where you might not always see progress immediately. Hope can sustain you through rough times when you might be tempted to give up (see my article: Achieving Your Goals With Perseverance).
Combining Hope With Action For Meaningful Change
  • 4. A Willingness to Overcome Setbacks: With many long term goals, there are often setbacks because progress isn't linear. This is true of many longer term goals. It's also true for psychotherapy.  When you feel hopeful, you're more likely to take temporary setbacks in stride rather than letting setbacks deter you from your goals (see my article: Setbacks Are a Normal Part of Therapy on the Road to Healing).
  • 5. An Improvement to Health and Well-Being: A sense of hope can improve your physical and mental well-being. When hope reduces stress, it can improve your immune system. Hope can also reduce anxiety and sadness.  In addition, it can increase your confidence.  Feeling hopeful and wanting to remain in a state of hopefulness can encourage you to surround yourself with like-minded people.
How to Cultivate Hope in Yourself
  • Give yourself permission to be hopeful--even when you're facing tough odds.
Combining Hope With Action For Meaningful Change
  • Set clear goals for yourself so you have a sense of purpose and direction.
  • Seek support for your goals from supportive loved ones.
  • Learn from other people's experiences--whether these are friends, family or inspiring people in history--to motivate yourself.
Why Does the Combination of Hope With Action Create Meaningful Change?
The stereotypical portrayal of psychotherapy is that therapy is all talk and no action (see my article: Common Myths About Psychotherapy: Therapy is All Talk and No Action).

Hope can be a powerful motivator, but hope alone won't bring about change without taking action.

Combining Hope and Action:
  • People are more likely to take action when they feel hopeful--even when they're faced with significant obstacles.
Combining Hope With Action For Meaningful Change
  • Just as hope can inspire action, action can inspire increased hope by giving people an increased sense of their own empowerment so there can be an upward spiral (see my article: Empowering Clients in Therapy).
Getting Help in Therapy
If you feel stuck and unable to motivate yourself, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to overcome the obstacles that keep you stuck.

Rather than remaining stuck, seek help so you can achieve your goals and live 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 (see my article: The Therapeutic Benefits of Integrative Therapy).

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, November 14, 2021

How to Use the Wheel of Emotions

The Wheel of Emotions was developed by Dr. Robert Plutchik, who was a professor at Albert Einstein College of Medicine and an adjunct professor at the University of Florida.  His research included the study of emotions (see my articles: Learning to Sense Your Emotions and How Experiential Psychotherapy Can Enhance Emotional Development in Adults).

The 8 Primary Emotions
According to Dr. Plutchik, there are eight primary emotions:
  • Anger
  • Fear
  • Sadness
  • Disgust
  • Surprise
  • Anticipation
  • Trust 
  • Joy
These emotions are considered primary, according to Dr. Plutchik, because they have survival value (see my article: Understanding Primary Emotions).

For instance, fear has survival value because when this emotion is triggered, it can save your life due to the flight-fight response.

What is the Wheel of Emotion?

Plutchik's Wheel of Emotions


Plutchik's Concepts:
  • Limbic System/Midbrain: The midbrain (or limbic system) of humans is similar to the midbrain of other mammals.  Humans and other mammals experience the same emotions.
  • Evolutionary History: Emotions developed long before humans existed.  They have evolutionary value as part of survival.
  • Survival Role: Survival is the primary evolutionary role of emotions.
  • Combinations of Emotions: Combining primary emotions will create new emotions.  For example, joy and trust = love.
  • Opposites: As can be seen from the Wheel of Emotions, each emotion has its opposites.  For instance, sadness is the opposite of joy, and so on.
  • Intensity of Emotions: The change in the intensity of emotions can be seen on the Wheel of Emotions: Trust goes from acceptance to admiration, joy goes from serenity to ecstasy, and so on.
Characteristics of the Wheel of Emotions (click on image to make it larger):
  • Color: The eight emotions are arranged by colors for similar emotions.  
  • Layers: Moving to the center of the circle intensifies the emotions.
  • Relationships of Emotions: Emotions are arranged on the Wheel of Emotions with regard to their relationship to each other.  For instance, note the position of polar opposite emotions.
How to Use the Wheel of Emotions
Many people have problems identifying their emotions.  They might have a sense that they feel "off" or "bad," but they don't know what emotions are causing them to feel this way.

The Wheel of Emotions:
  • Provides an image or visual tool to get curious about yourself.
  • Helps you to be attuned to yourself.
  • Normalizes your emotions.
  • Increases your self awareness.
  • Helps you to stop judging yourself.
  • Helps you to identify your emotions.
  • Helps you to verbalize the emotions you are experiencing.  
  • Helps you to feel empowered.
  • Helps you to gain self confidence.

Getting Help in Therapy
If you're having problems identifying and expressing your emotions, you're not alone.

Working with an experiential psychotherapist can help you to develop and enhance your ability to identify your feelings for your own self awareness as well as to improve your communication with others (see my article: Psychotherapy Can Help You to Stop Sweeping Uncomfortable Emotions Under the Rug).

Rather than struggling on your own, seek help from a licensed mental health professional who has expertise in experiential therapy (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

About Me
I am an experiential psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing 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 or email me.


















Tuesday, March 31, 2020

Empowering Yourself During COVID-19: There Are Things You CAN Control

During the current COVID-19 crisis, many people are feeling powerless. This is understandable given the suddenness and the unprecedented nature of the crisis. Also, many of the social interactions, activities and diversions that would normally be available to people to support their well-being aren't available to them because people are physically isolated and might be lonely.  There are many unknowns about the future and it can feel like everything is out of your control.  But before you give into feelings of hopelessness and helplessness, let's take a look at the things that you can control (see my articles: Coping and Staying Calm During a CrisisCoping with Loneliness and Social Isolation, and Undoing Aloneness: Staying Socially Connected Even Though We're Physically Disconnected).

Empowering Yourself During COVID-19: There Are Things You CAN Control

There Are Things You Can Control During the COVID-19 Pandemic
The Serenity Prayer, which was written by Reinhold Niebuhr, contains much wisdom and many people, both in and out of the recovery community, find it calming:

"God, grant me the serenity to accept the things I cannot change, courage to change the things I can, and wisdom to know the difference."

Regardless of whether or not you believe in a God, a Higher Power, religion or prayer, these words remind you that, if you're worried about things you have no control over, you can redirect your attention to what you can control.

What You Can Control During the COVID-19 Pandemic
Rather than focusing on what you can't control, let's take a look at some things you can control:
  • Stay Informed But Don't Spend Too Much Time Watching the News
    • Getting reliable information is important to staying informed. 
    • It's also important to moderate how much time you spend watching or listening to the news.  
    • Much of the news is repetitive throughout the day, and the benefit spending time watching TV or online news is often outweighed by how anxious it can make you feel.
    •  So, you need to figure out what's best for you in terms of how much and when you watch the news.  
    • If you want to maintain your overall sense of well-being, it's especially important that you don't watch the news before you go to sleep.
  • Center and Ground Yourself: 
    • Practice doing breathing exercises to help to calm yourself (see my article: Square Breathing to Manage Stress). 
    • Practice online yoga at a pace that's right for you if yoga appeals to you. If you're not up to doing a vigorous form of yoga, there are online videos or chair yoga.
    • Practice meditation at a regular time. Some people prefer to meditate at night.  Others prefer to meditate when they wake up, and some people do it two or more times a day.  You don't need any special knowledge to quiet your mind to meditate.  You can start by taking a few deep breaths to activate your parasympathetic nervous system, which will calm you down.  There are also many online meditations that you can follow (see my articles: The Mind-Body Connection: Mindfulness Meditation and Calming the Body, Calming the Mind). 
    • Calm your thoughts by taking it one day, one hour or even one minute at a time.
    • Recognize that all things pass.
    • Feel gratitude and appreciation for what you do have right now. 
  • Establish a Routine For Yourself: Chances are good that your normal routine has been interrupted since the current crisis began.  A routine can give you comfort and a feeling of stability, so you can establish a new routine for yourself:
    • Wake up and go to sleep at the same time everyday.
    • Plan your meals.
    • Plan some quiet time for yourself, even if it's just a couple of minutes to breathe.
    • Make a To-Do list for yourself for the next day so you don't spend all day either in bed or watching news
    • A To-Do list can help to organize your day, your week, and your life.
    • Try not to be too ambitious with your To-Do list.
    • Be gentle with yourself. Recognize that you're probably not going to accomplish everything on the list--and that's okay.
    • Appreciate yourself for accomplishing whatever you accomplish on the list.
  • Stay Active: Even though you might be physically isolating, there are still ways to be physically active:
    • You can find many free workouts and yoga classes online.
    • You can also walk or bike outside as long as you take the precautions recommended to stay a healthy distance (at least 6 feet away) from others and follow The Center for Disease Control (CDC) recommendations.
  • Accept the Ups and Downs You Feel as a Common Response to a Crisis: You're living through an unprecedented time in modern history.  Chances are that your mood will go up and down at various times. This is a common experience during times of stress and crisis (see my article: Overcoming Your Fear of Your So-Called "Negative Emotions".
    • If you feel anxious, sad, fearful or whatever emotion you're experiencing at any given time, you're having a common response to a crisis.
    • Rather than judging yourself, accept all your emotions and do whatever you can to alleviate your stress and negative emotions.
    • Recognize that you're not alone.  Millions of other people, who are just like you, are experiencing the same thing. We're in this together.
  • Eat Nutritiously: Eating the right amount of protein, vegetables, grains and vegetables is important to stay physically and mentally healthy.  
  • Get Enough Sleep: Getting proper sleep is essential to your overall health and well-being (see my article: Tips on Improving Your Sleep).
  • Stay Connected Socially: Even though you might not be able to see loved ones now, you can still stay connected to them via: 
    • Phone calls
    • Video chats  
    • Games with friends online.  
    • Video night with a Netflix Party

Getting Help in Therapy
Times of crisis can trigger prior trauma and stressors, and it can be difficult to determine what you're reacting to emotionally.  The important thing to know is that you're not alone.

An experienced psychotherapist can help you to get through a stressful time when you feel overwhelmed.

Many psychotherapists, including me, are providing online therapy (also called telehealth, telemental health, and teletherapy) during the current crisis when therapists aren't in their office (see my article: The Advantages of Online Therapy When You Can't Meet With Your Therapist in Person).

Rather than struggling on your own, you could get help from a licensed psychotherapist to overcome the obstacles that are hindering you.

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

I work with individual adults and couples.

I am providing online therapy during the COVID-19 crisis.

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

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


















Saturday, March 28, 2020

Remembering Your Strengths as a Way to Cope With a Crisis

In a prior article, Grieving Losses and Healing During a Crisis, I discussed the grief and loss that most people are feeling during this  COVID-19 crisis.  To an extent, one of the losses that some people feel is a certain erosion of a sense of self confidence (see my article: Understanding the Different Aspects of Yourself That Make You Who You Are).  Remembering your strengths during a time of crisis can help you to get through the current crisis (see my article: A Strengths-Based Perspective in Psychotherapy).


Online Therapy: Remembering Your Strengths as a Way to Cope With a Crisis

Remembering Your Strengths That Helped You During Prior Crises
Remembering your strengths is an inner way of knowing yourself and believing in your own self efficacy.  Sometimes, this sense of self comes to you with memories of your thoughts, feelings and behavior during a prior crisis.

As an example, during the last few days, I've been remembering the survivor instinct I felt during the 9/11 World Trade Center attack.  My daytime office was on Rector Street off of West Street in Downtown Manhattan, just two blocks from where the South Tower stood.

I remember that I was in early that morning and there were only a few colleagues there when we felt our building suddenly sway as the lights went off and back on. It felt like something big hit our building, and we were all confused at first about what had just happened.

I had a radio in my office and turned it onto the news as a colleague stood in my office and we both listened. We heard that a plane had hit the World Trade Center. My first thought wasn't that this was a terrorist attack.  I had no frame of reference for that.  I actually thought that the pilot of the plane must have been sick or impaired in some way and lost control of the plane.  We had no details at that point, so I was picturing a small plane--not a jumbo jet.

Then, I remember that we saw many pieces of paper that were torn and burnt floating in the air outside our windows, and it all felt very strange and surreal.  Soon after that, we heard the sirens of the fire engines and police cars.

Even though this was 19 years ago, the part of the memory that is most vivid for me is after we found out that the World Trade Center had been attacked and, after the second plane attacked the World rade Center, we were advised by our managers that the mayor said we should evacuate the building and walk north away from Downtown Manhattan.

I remember walking with two colleagues from our building and momentarily standing on the corner of Rector and West and looking at the South Tower. There was a jagged line of fire on the upper floors of the tower.  There were also many people around us who were standing there watching in disbelief.  But my immediate thought was, "We need to get out of here.  That building could fall."

I wasn't thinking the building would collapse in a pancake way, as it did.  I was actually thinking the top of building with the jagged line of fire could fall off and tumble down onto the street on top of us.
At the time, from our perspective, it looked like a real possibility.

Even though I was just as curious, if not more curious, as everyone else who was standing there looking at the South Tower, I had an overriding sense that we had to save ourselves in that moment and we should continue to walk north.

In times of crisis and during traumatic events, there can be a narrowing of the senses to deal with the immediate moment and one's own self preservation.  Many people have described this narrowing of the senses, especially a narrowing of vision, as if they had blinders on, that keeps them focused on what they need to do next.  And the usefulness of this survival strategy is obvious--it keeps you focused on what's most important: Staying alive.

It's difficult to describe what that narrowing of focus feels like if you haven't experienced it before.  The way that I experienced it was that any other extraneous thoughts and feelings fell far away, as if my colleagues and I were single-mindedly on a mission to walk north.

We eventually walked to the South Street Seaport. Fom there, after the collapse of the first tower, which shook the seaport, when it was safe to keep going, we headed to a colleague's husband's office, which was a media company.  It was there that we saw vivid images on giant screens on the wall of what had actually happened earlier that day.

Until then, we had little information.  We had heard that there might have been another plane with terrorists who were about to attack. So, we were confronted with this tragic news and had to figure out our next steps: Could we make it home safely? If there was another plane about to attack, was it safe enough to walk over the bridge or to take one the subway trains that were still running?

When I think about my own sense of self during that time, even though I was afraid and confused about what was happening, I had this inner sense that I had to stay focused and that I was going to survive.  That's the best way I could describe it.  I don't know where it came from, but it felt like a very deep and determined part of myself that emerged during this crisis. And, of course, my inner sense of knowing was right--I did survive.

Our work group was displaced for several weeks in a cramped conference room that belonged to another company.  Even though the conference room was cramped, we each worked at gathering information so that, as clinical social workers, we could provide important information to our clients, like: how to stay calm in a crisis, different ways to engage in self care or how to talk to children about the World Trade Center attack.  Soon after that, we were each conducting groups for employees all over New York City.

Even though I had my own concerns, I remember feeling like I was on a mission and staying focused on what needed to be done.  It felt good to be useful and provide some comfort to others.  While I was doing this, for the most part, I forgot about my own concerns and focused on our clients. Of course, there was plenty of time at night when things were quiet for my own concerns to emerge.  But while I was helping others and feeling useful, I was focused on what I needed to do.

When you think back to prior times when you went through a crisis, even if you were confused and frightened or you wish you had behaved differently, you can now look back and put your thoughts, emotions and behavior in perspective: The prior crisis had a beginning, a middle and an end, and you can now look back on it and realize that you survived.

Remembering that you survived and that the experience is in the past is an important part of the memory, especially during the current crisis where time can feel distorted. For instance, many people have said that the week or so that just passed feels more like a month or more.

I suspect that this distortion in time and space is occurring because the mind is still trying to rap itself around the magnitude of the worldwide effect of COVID-19.  Also, even though experts are making projections, we don't know when it will end.  We just know that it will end one day and we will look back on our experiences one day as a memory.

People With a History of Trauma Often Forget Their Inner Strengths
Many people who have a history of trauma, especially complex trauma where the trauma occurred early and on an ongoing basis, can lose their perspective even after the trauma is over (see my article: Reacting to the Present Based on Your Traumatic Experiences From the Past).

The trauma was so profound for them that when they have a new traumatic experience, the old trauma gets triggered and it becomes difficult to distinguish feelings from the past from feelings in the present.

As a trauma therapist, when I work with a client who has developmental trauma, which is trauma that occurred over time in childhood, aside from helping clients to process the past, present and their fears about the future, I help them to distinguish "then" from "now" (see my article: Working Through Psychological Trauma: Learning to Separate "Now" From "Then").

These individuals often lose their perspective of the present and have a hard time sorting out past and current feelings.  If it becomes overwhelming for them, I help them to distinguish "now" from "then."

So for instance, I might ask them how they're different now as compared to back in their childhood when they experienced the trauma.  Or, if they're stuck, I'll help them by reminding them that, as children they were powerless to stop the trauma, but I remind them that now, as adults, they now have inner resources and capabilities that they didn't have back then, and I'll list these skills and capabilities if they're unable to do so themselves.

I'll remind them that, as compared to back then when they were children, now, as adults, they can defend themselves or choose to walk away from situations that are hurtful and harmful to them.

Of course, on some level, these are things that they know logically when they're feeling less anxious, but they might not feel it on an emotional level when anxiety overtakes them.  When they're upset, people who are traumatized sometimes forget that they're not powerless any more like they were as children.

When they're reminded that what happened to them was in the past and that they're much more powerful and capable now, they get a sense of relief and feel more empowered.  Then, I work with them to strengthen these feelings of being empowered.

For some people, especially people who come to therapy for a trauma that involved a single incident, like an incident of getting robbed or attacked, trauma therapy, like EMDR therapy, can help resolve the trauma relatively quickly (approximately, 10-12 sessions or so).  These are cases where there are no underlying developmental trauma that gets triggered.

This type of single incident trauma is often referred to as shock trauma, and it's less complex than trauma that occurred over a period of time in childhood, known as developmental trauma (see my article: The Difference Between Shock Trauma and Developmental Trauma).

However, the majority of clients who come to therapy have developmental trauma or they have shock trauma with underlying developmental trauma as part of their history, which is more complicated.

The reason why most clients who come to therapy have developmental trauma, as opposed to single incident, might be because single-events of trauma (or shock trauma) can sometimes resolve itself without a clinical intervention.

For instance, if people who are in a car accident are often initially afraid to drive to the area where the accident occurred.  However, many people are eventually able to get back in their car and drive each day passed that spot, even though they're anxious.

If they can do that, they're learning to desensitize themselves to their traumatic experience.  So, even though their initial reaction is one of fear, over time, they overcome their fear through repeated experiences of going to that spot and and having the experience of "I'm okay now."

Developmental trauma rarely if ever resolves on its own.  To resolve this type of trauma, someone needs to work through these experiences with a trauma therapist who uses specific types of trauma therapy that have been proven to be effective.

Experiential therapy, like EMDR, helps to resolve developmental trauma.  Even though the length of time is longer than it would be for shock trauma, the good news is that, generally speaking, EMDR (or any experiential therapy) is shorter and more effective than regular talk therapy (see my article: Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

Getting Help in Therapy
Remembering your strengths to cope with a current crisis can be challenging when the crisis is as unprecendented as the current COVID-19 crisis.

Healing usually occurs on a dyadic level, which means on a one-on-one level with an experienced clinician, rather than by yourself.  So, if you're feeling overwhelmed, you're not alone.  Help is available to you.

Many psychotherapists, like me, are conducting therapy sessions online to make sessions accessible to clients.

Rather than suffering on your own, if you feel overwhelmed, get help from a licensed psychotherapist who can help you to get through this difficult time.

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

For couples work, I use Emotionally Focused Therapy, a well-researched and effective form of couples therapy.

I'm currently providing confidential online therapy sessions.

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

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









































Monday, January 23, 2017

Empowering Yourself When You Feel Disempowered

Life presents many challenges that can lead to your feeling discouraged and disempowered.  Often, the key to feeling empowered is to take action, even if it's a small step, because, as the saying goes, "A journey of a thousand miles begins with one step" (see my article: What's Holding You Back From Achieving Your Goals?).

Empowering Yourself When You Feel Disempowered

When you feel disempowered, you might feel that whatever step you take will be inconsequential compared to the larger goal.  It's easy to talk yourself out of taking action if you try to imagine what your steps should be from beginning to end.

This can leave you feeling discouraged and stuck.  But it's important to remember that, along the way, life will present opportunities that you can't know about right now.

That's why it's so important to maintain a sense of hope, which will help you to get from one step to another and help you to feel empowered enough to maintain your course.

Helpful Tips:
  • Take Action: The action doesn't have to be big.  You can start by writing down your goal and then defining what steps you need to take to get there.  Then, break down those steps into smaller, more manageable steps and take some step every week to get closer to your goal.  You can also start by talking to someone who has already accomplished what you want to do.  Ask questions about what worked and what didn't work.  Talk to supportive friends and family members who will encourage you.
  • Appreciate the Journey:  Often, people who have worked on long term goals, have remarked that the journey to accomplishing their goals turned out to be more valuable than the end goal.  Along the way, they met interesting people and learned new things.  The journey itself helped to them to broaden and grow (see my article: Being Open to New Experiences).
  • Keep Things in Perspective: Although things might seem bleak at the moment, change your focus to the long view.  Rather than telling yourself all the reasons why you can't accomplish what you want, imagine yourself in a few years time and what it would feel like once you have accomplished your goals (see my article: Experiencing Happiness as Part of Your Future Self).  Hold onto that good feeling and sense of accomplishment to get you through.  Most things that are worth accomplishing take a while to accomplish.  Also, remember other times when you have felt discouraged and things worked out for you (see my article: Staying Positive and Focused on Your Goals). 
  • Spend Time With Others Who Are Positive and Working Towards Their Goals:  Naysayers can give you many reasons why you can't accomplish what you want.  They will reinforce your own self doubts.  But people who are persevering in their goals, even when there are challenges, are inspiring to be around and can help to motivate you to work on your goals even during challenging times (see my article: Finding Inspiration and Motivation to Accomplish Your Goals).
  • Cultivate a Mentor in Your Life:  Having the support of a mentor can make all the difference in terms of your accomplishing your goals, especially when you feel discouraged.  A mentor can see qualities in you that you might not see or appreciate.  
  • Stop Comparing Yourself Unfavorably to Other People:  Being around positive people, who are persevering in their goals, despite obstacles, is inspiring.  But some people, who don't feel good about themselves, compare themselves unfavorably to these people.  Remember:  It's not a competition.  When you find yourself comparing yourself unfavorable to others, notice it, recognize it as self defeating and switch your attention back to yourself (see my article: How to Stop Comparing Yourself Unfavorably to Others).
  • Don't Get Discouraged If You Stumble:  Thomas Edison had to work out almost 3,000 theories about electric light and only two of his experiments worked.  He said, "Many of life's failures are people who did not realize how close they were to success when they gave up" (see my articles: When Self Doubt Keeps You Stuck and Overcoming Your Fear of Making Mistakes).
  • Acknowledge Yourself For Each Step Towards Your Goal:  Some people don't feel that they deserve any recognition as they take steps towards their goal.  But this can be discouraging, especially if it's a goal that will take years.  So, it's important to give yourself credit for each step that brings you closer to your goal.  Celebrate each milestone (see my article: Achieving Your Goals: Learn to Celebrate Small Successes Along the Way to Your Final Goal).

Getting Help in Therapy:
People who have experienced emotional trauma, especially early childhood trauma, or who suffer from depression or anxiety can find it too overwhelming to empower themselves, so the tips outlined above might not be helpful.

Empowering Yourself: Getting Help in Therapy

These tips might even have the effect of making them feel ashamed that they can't use these tips to overcome their obstacles.

If you're struggling and feeling disempowered and stuck, you could benefit from seeking help from a licensed psychotherapist who can help you to develop the capacity to overcome your history and to take positive steps for the future (see my article: Therapists Who Empower Clients in Therapy).

Everyone needs help at some point in his or her life.  Sometimes, you need a specialist who has skills that your friends and family don't have to help you overcome your problems (see my article: Learning to Feel Hopeful in Therapy: Developing a Stronger Sense of Self).

Rather than struggling on your own, get help to overcome your personal history so you can accomplish your goals and lead a more fulfilling life.

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

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

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















Monday, March 9, 2015

Empowering Clients in Therapy - Part 2: Clinical Issues

In Empowering Clients in Therapy - Part 1, I began discussing some of the basic ways that psychotherapists can empower clients in therapy.  In this article, I'll discuss clinical issues involved with empowering clients.

Empowering Clients in Therapy

Empowering Clients Clinically 
Empowering clients clinically is often one of the goals of therapy.

There are many ways to do this in therapy--too many to write about in one article.  So, I'll focus on how I do this using EMDR therapy, which stands for Eye Movement Desensitization and Reprocessing (see my articles:  What is EMDR?How Does EMDR Work? Part 1: EMDR and the Brain and How Does EMDR Work? Part 2: Overcoming Trauma).

Many of the clinical strategies that I'm about to describe are used in other times of therapy.  The ones that I've chosen are the ones that I've often found to be most effective.

Helping Clients to Develop Internal Resources
What are internal resources? See my article:  Psychotherapy: Developing Internal Resources).

On the most basic level, internal resources are coping strategies.

Most people have developed some coping strategies just to survive, but it's useful to develop new internal resources that help clients to go beyond just surviving.  This is especially true when clients are about to begin processing traumatic emotional experiences in therapy.

Before processing traumatic experiences, I help clients to develop internal resources that they can use to calm and soothe themselves in session as well as between sessions.

A Safe or Relaxing Place:
Being able to close your eyes and to see in your mind's eye a relaxing place provides a respite from difficult material in therapy or at any time when you're feeling anxious or uncomfortable (see my article: Wellness: Safe or Relaxing Place Meditation).

Empowering Clients in Therapy:  A Safe or Relaxing Place

It helps you to breathe more easily and decide if you want to resume processing a traumatic memory or if you want to take a break in the therapy session.

Butterfly Taps:
This is a resource that I learned in training with Laurel Parnell, Ph.D., who is a world-renown expert, based in California, in EMDR therapy.  It's another resource that clients can use either in session or between sessions.

To do butterfly taps, you place your right hand on your left upper arm and your left hand on your right upper arm (so arms are crossed) and you alternate taps rhythmically at a speed that feels comfortable for you.  The tapping is soothing and helps you to calm down.

Interweaves
Using interweaves is another resource that I learned from Laurel Parnell, Ph.D.

Most of the time, interweaves are used in EMDR when clients feel stuck in the processing of traumatic material.

Interweaves help to:
  • integrate memory networks
  • differentiate memory networks
  • create a coherent narrative
  • create a broader perspective
To determine which interweave would be best to use, the therapist asks the client what s/he needs at that moment.   The client is usually the best judge of what s/he needs.

Sometimes, when clients are stuck, they're not sure what they need at that moment, so the therapist, being attuned to the client, can different suggestions to see if any of them resonate with the client.

There are many different types of interweaves, including imagining:
  • nurturing figures
  • protector figures
  • inner wisdom figures
  • other types of figures that the client feels would be helpful
The reason why resource interweaves are developed before the actual processing of the trauma memory is that the therapist wants the client to have these interweaves in mind if the processing becomes difficult.
Empowering Clients in Therapy:  Resource Interweaves:  A Protector Figure

In case the client gets stuck, s/he can use the resource interweave to get the therapeutic work back on track.

So, for instance, if a client is processing a memory using EMDR therapy about childhood physical abuse and she feels stuck because she is in touch with her "child self" and she feels frightened by the person who abused her, she can call on a protector figure in her mind to imagine that person protecting her in the situation.

This protector figure can be someone real (someone from the past or the present) or imagined (from a movie, TV program, book, and so on).  The protector figure could also be the client's "adult self" who helps his or her "child self" in the client's mind's eye.

The "Ideal Mother" Interweave
Another example of an imaginal interweave is imagining an ideal mother who is loving, attuned, soothing and protective as well as powerful (or whatever qualities a client would need in an ideal mother).

An ideal mother is usually the type of mother that the client wishes s/he had.  If the client feels stuck in processing a traumatic memory, s/he can imagine an ideal mother with all the attributes that s/he wished she had.

Like all of these resources, they can be used even if the client isn't in EMDR therapy.


Empowering Clients in Therapy:  Imaginal Interweave:  Ideal Mother 

If you haven't experienced using imaginal interweaves, they might sound silly, fantastic or unrealistic.  But most clients feel soothed by the ideal mother and it "makes sense" to the emotional part of the brain.   In effect, it creates a new symbolic memory in the emotional part of the brain (see my article:  Healing Trauma With New Symbolic Memories).

It doesn't effect narrative/biographical memory which, of course, knows who the actual mother was when the client was a child.

Sometimes, clients feel guilty imagining an ideal mother because they feel that they're being disloyal to their actual mother.  In that case, a client can imagine that the ideal mother is a co-mother, as Laurel Parnell suggests.

There are times when clients feel enmeshed with their parents and the idea of imagining an ideal mother feels like they're abandoning their actual mother, so they can imagine giving their actual mothers an ideal mother as well.

This can also be used for earlier generations so that the client can imagine that the grandmother had an ideal mother so that the grandmother could have been nurturing to the mother and mother could have been nurturing to the client.

Most clients respond very well to imaginal resources, but there are some clients who say, "But I know that I didn't have an ideal mother," to which I respond, "Try suspending disbelief and see how it feels." Almost always, if the client can suspend disbelief, s/he feels relieved by the imaginal resource and the work gets back on track.

What Does the Client Need?
Everyone is different.  The particular client's needs determine the type of clinical intervention used to empower him or her.

Sometimes, clients come up with their own resources.

They might use art work, prose, poetry, dance or some other creative endeavor to empower themselves.

Empowering Clients in Therapy:  Keeping a Journal Between Sessions

Many clients find journal writing to be empowering and an important bridge between sessions, and this is something that I recommend.

The possibilities are endless.

Empowering Clients in Therapy
People often come to therapy because they're feeling disempowered in one way or another in their lives--either due to their history, their current situations or some combination of both.

When the client is assisted in therapy to be more empowered, the client usually feels better able to tackle problems, overcome traumatic memories and have a sense of a hopeful future.

Discovering that they had the power within themselves all along is one of the best discoveries that a client can make in therapy.

Getting Help in Therapy
If you've been on the fence about starting therapy, you're not alone.

If your own efforts to overcome your problems haven't worked out for you, you could benefit from working with a licensed mental health professional whose priority is helping to empower clients.

When you find a skilled and empathic therapist who is a good match for you, you might be surprised to discover the progress that you can make in therapy.

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

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

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






















































Monday, March 2, 2015

Empowering Clients in Therapy - Part 1

Many people, who are depressed, anxious or traumatized, avoid coming to therapy because they feel ashamed of their problems, they fear they'll be overwhelmed by opening up emotionally in therapy or they feel a sense of helplessness related to a history of trauma (see my article: Overcoming Feelings of Helplessness Related to Childhood Trauma).

Empowering Clients in Therapy
As compared to the number of people who need mental health treatment, only a small percentage actually come to a therapist's office.

This is all the more reason why it's so important for psychotherapists to find way to empower the clients who, although apprehensive, come to therapy.

Empowering Clients in Therapy
There are many ways to empower clients in therapy, including:

Helping Clients to Feel Safe
As I've mentioned before, for many people coming to therapy is an act of courage.  It's not easy coming for a consultation with a stranger, not knowing what to expect.

The therapist sets the tone, especially at the start of therapy, and it's important that s/he create a safe, comfortable, respectful environment (see my article:  The Creation of a Holding Environment in Therapy).

An emotionally attuned therapist can make all the difference to clients who feel apprehensive.  Empathy and respect are the hallmarks of good therapy and help clients to feel comfortable (see my article:  The Therapist's Empathic Attunement Can Be Emotionally Reparative to Clients in Therapy).

Providing clients with information
Many clients who have never been in therapy before don't know what to expect.  They might not understand about the treatment frame regarding regular appointment times, lengths of sessions, fee arrangements, therapist's education and skills, and so on.

Empowering Clients in Therapy

Even if clients have been in therapy before, each new experience will be different.

After therapists get to know clients, clients need help to understand their problems.  If they've never spoken to anyone about their problems, they might feel that they're the only ones who feel this way or who have had these experiences.

As much as possible, it's important for therapists to normalize clients' experiences so they know that they're not the only ones who have ever gone through these problems before and that other people have been able to work through these issues in therapy.

This empowers clients so they don't feel ashamed and guilty about their problems.  It might also help them to feel hopeful that they can also work through their problems.

Talking to Clients About Their Expectations and Goals
Clients who are new to therapy (or new with a particular therapist) might not know what to expect in treatment or they might come with misconceptions.  For instance, they might think that the therapist will provide them with "answers" to their problems rather than being someone who facilitates their development and growth in treatment.

Even if they've been in therapy before, they might have had bad experiences and they are, once again, summoning their courage to give it another try.

Empowering Clients in Therapy

Discussing their expectations and what they would like to accomplish in therapy encourages them to be active participants in their own treatment.  This is something which might be new and unfamiliar at first but, ultimately, it can empower them.

Some clients might need help formulating goals and strategizing how to accomplish their goals.  They might need help to understand that, for some people, setting goals are a work in progress, and that's okay.

Other clients might not even feel that they are entitled to want anything or to set goals because of their early history of being subjugated in their families.  Just the idea that they have choices might be a new experience.

Offering Clients Choices in Therapy
There is no one-size-fits all treatment, especially when it comes to mental health issues.

It's important for therapists to be skilled in different treatment modalities so that clients have choices.

This can be empowering for clients in therapy, especially since many clients didn't have choices when they were growing up.

Listening to the Client
Many people have never had the experience of really being listened to by another person before they came to therapy.

It's important that therapists be willing to listen to what is being said and also to what is not being said, which could be just as important.

It's also important for a therapist to learn from clients (see my article:  Psychotherapy: Listening and Learning From the Client).

For instance, the client might have a different perspective about a situation because s/he is from a different culture.  No therapist can know about every culture, so listening and learning from the client can help the therapist to see things from the client's point of view.

Repairing Ruptures Quickly When They Occur
Even the best therapist will make mistakes at times.  No one is perfect.  It's important for therapists to repair ruptures in treatment as soon as possible.

Empowering Clients in Therapy:  Ruptures and Repairs in Therapy

This can be empowering to clients, especially clients who grew up in households where they were hurt, emotionally or physically, by parents who never made amends.

Often, after a rupture is repaired between a client and a therapist, the therapeutic relationship is strengthened and it is better than before the rupture (see my article: Psychotherapy: Ruptures and Repairs in Therapy).

Aside from these basic ways of empowering clients in therapy, there are also clinical ways to empower clients, which I'll discuss in my next article:  Empowering Clients in Therapy - Part 2: Clinical Issues

Getting Help in Therapy
Asking for help is never easy.

Considering therapy might be a new idea that you've never considered before or you might be returning to therapy after having been away for a while.

There are many different types of therapies and many psychotherapists with different orientations to therapy and different levels of skill and experience, so I recommend that, if you're considering therapy, ask for a consultation first to find out about the therapist, to see if you're comfortable with him or her, to give an overview of the issues that you would like to work on, and to ask questions.

You might need to see a few therapists before you find someone that you're comfortable with, and most therapists will understand this.

For more information, see my article:  How to Choose a Psychotherapist.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works 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 24, 2014

Feeling Empowered to Create a Joyful Holiday

During the holiday season, many people think about the childhood holidays they had with their families, which were disappointing.  As a adults, they look back on those times and feel sad as the holidays approach.

Usually, when clients talk about this in their therapy sessions with me, I remind them that, as children, there wasn't much they could do about miserable holidays because the adults were in charge.  But now, as adults, they have the power to create their own joyful holidays and their own traditions.  They're no longer dependent upon the adults to create the holiday occasion.  They can now use their own creativity to create the holiday they want.

Feeling Empowered to Create a Joyful Holiday
If spending time with your family of origin during the holidays is difficult, why not create your own holiday traditions with your family of choice--possibly, your significant other and your friends?

Developing your own holiday traditions and rituals can be fun as you use your imagination and creativity to have the kind of holiday that you desire.

I know people who consider their new holiday traditions with their spouses and friends to be their "real holiday" as opposed to their visits with their families.  Exchanging gifts, Christmas tree trimming, or Christmas caroling in their neighborhoods are among the traditions that they've incorporated with the people that they enjoy being with on the holidays.

Of course, there are many people who enjoy being with their families.  Not everyone had disappointing holidays.  But if you're someone who dreads the holidays because it brings up sad memories, remember that you're now empowered, as an adult, to create the kind of holiday that you want.

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing 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.


photo credit: andrihilary via photopin cc

Thursday, December 6, 2012

Self Soothing Techniques to Cope With Stress

As I've mentioned in prior blog posts, usually when clients begin psychotherapy with me, I like to know what emotional resources they already have before we begin trauma work.  I also like to know how resilient they are already or if they need help to develop resilience.  

Self Soothing Techniques to Cope With Stress 

If they have little in the way of internal and external resources, I usually teach them ways to take care of themselves between sessions, including meditation, certain self help EMDR therapy techniques, and using pleasant memories and images of relaxing places to help them relieve unpleasant emotional and physical activation between sessions.

I'm also continually amazed at what clients already know on an intuitive level with regard to self care. They might not even realize that what they're doing is calming themselves because they do it so  automatically with little or no awareness.

For instance, some clients know instinctively to put their hands over their hearts or their stomachs as a way to sooth themselves.  

When they're doing this, they often don't realize that they've touched themselves to soothe themselves.  

But, sitting across from them, I can see that, after they've made this gesture, their faces look calmer, their breathing is easier, there's more color in their faces, and they appear more present in the room.

When I point this out to clients and ask them to verbalize how they experience these gestures, they usually say that they're surprised that they're feeling better.  

Often, these gestures seem so basic, but they can be powerful in terms of transforming how they feel physically and emotionally.  

By verbalizing the experience, clients learn what's useful and it can become an emotional resource that they can use in the future.  Also, the act of verbalizing it helps the client to integrate the experience on both a physical and emotional level.

Other simple movements that can be soothing emotionally and physically include:  moving your neck (looking from side to side to help alleviate muscle tension in the neck and a feeling of emotional constriction); pressing your feet on the floor to feel more grounded; feeling the back of the chair against your back and how supportive this feels; and feeling how the weight of your body is supported by the chair you're sitting in.

Dance therapists know that movement can be very healing.  In order to use movement as a self soothing technique, you don't have to be a dancer or go to a dance therapist.  Very simple movements can shift how you feel.  

For instance, if you're feeling emotionally and physically constricted in your chest, you might try slowly and gently moving your arms out to your side and then raising your arms up along the sides of your ears (keeping your shoulders down).  

If you've ever done the Sun Salutation in yoga, you'll recognize this simple movement.  Most people find that moving your arms in this way helps to open up their chest, giving some relief on both a physical and emotional level.

Likewise, loosening up the joints, where a lot of tension is often stored, can help to release the tension.  Both yoga instructors and Reiki practitioners know we often hold a lot of emotion in our joints and simple, very gentle movements can be so beneficial.

The simple act of exhaling can also release stress and agitation.  Most of us will let out large sighs, sometimes without even realizing it, when we're experiencing stress or agitation.  The exhalation is a form of emotional and physical discharge.

In a prior blog post, I discussed Square Breathing as another form of self soothing that people can use when they're anxious or having a panic attack (see my article: Learning to Relax With Square Breathing).

We all need supportive people in our lives for our well-being, especially during distressing times.  

But knowing that there are self soothing techniques that we can use when other people might not be around is, in itself, empowering because we know that we can take care of ourselves. 

And self care is an important part of maintaining our well-being.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing 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  consultation, call me at (917) 742-2624 during business hours or email me.