What Are the Unspoken Expectations Between Some Mothers and Adult Daughters?

The relationship between some mothers and daughters can be complex (see the links for previous articles on mothers and daughters at the end of this article).

Expectatons Between Mothers and Adult Daughters

What Are the Unspoken Expectations Between Some Mothers and Adult Daughters?

Unspoken expectations between mothers and adult daughters are silent "rules" that create deep emotional friction when one or both them think these rules have been broken.

Here are some of the most common unspoken expectations that dictate many mother-daughter relationships:

The Expectation of a Shared Identity

• The Emotional Mirror: While many mothers expect their adult daughters to mirror their core values, life choices and morals, many adult daughters expect their mothers to validate every feeling they have.

• The Mind-Reading Rule: Many mothers and adult daughters assume that just because they share a genetic and historical bond, they should automatically know what the other needs without explicit communication.

Expectations Between Mothers and Adult Daughters

• The "Am I You?" Trap: Some mothers expect their adult daughters to live out the dreams the mothers never achieved. They might view a different path as being a personal rejection.

The Obligation of Availability

• The Priority Shift: Many mothers expect that they will continue to be their adult daughter's main confidante. This can lead to resentment for the daughter's partner, spouse and friends who become the daughter's emotional support.

• The Caregiver Default: There is often an unspoken assumption that the mother will be the babysitter for the adult daughter's children. This can cause resentment if the mother has other ways she might want to spend her time. Conversely, a mother might assume she will take care of the daughter's children and become hurt and disappointed when the daughter chooses to hire a nanny instead. In addition, there might be an unspoken assumption by the mother that her daughter will be her physical caretaker as the mother ages. This can cause the mother to feel resentful if the daughter either can't or won't take care of her and the daughter might feel guilty--even if she knows she can't do it.

• The Open Door Policy: There might be an unspoken expectation by both mothers and adult daughters that boundaries don't apply between them so that there can be visits without calling ahead to see if it's convenient.

The Burden of Perfection

• The Flawless History: Adult daughters often expect their mothers to be completely healed, rational and "perfect". They might forget that their mothers can be flawed individuals with their own history of unresolved trauma. Mothers, in turn, might expect that their adult daughter's childhood history became automatically healed because the trauma occurred when the daughter was a child. They think "it happened a long time ago" so their daughter shouldn't still be affected by the trauma.

• The Unconditional Approval: Adult daughters might silently expected unconditional approval for their lifestyle, career or parenting choices. At the same time, mothers might expected their advice to be accepted without question.

Expectations Between Mothers and Adult Daughters

• The Legacy Preservation: Mothers might expect adult daughters to maintain specific family traditions, holidays and ways of communicating exactly as they had been when their daughter was growing up. When a daughter makes decisions about what she wants, which might be different from what the mother wants, the mother might feel sad and resentful. In addition, adult daughters might expect that their mothers will always remain the same and they might become disappointed if mothers want to make changes.

How Can Mothers and Adult Daughters Break These Patterns?

Breaking unspoken expectations requires shifting from an automatic emotional reaction to intentional communication.

This process involves shifting from a mother-child interaction to an adult-to-adult relationship.

Here are some guidelines that might be helpful in making this shift:

Identify the "Trigger and Trend"

Before speaking to each other, identify the patterns between you to understand exactly what is happening:

• Name the Unspoken Rule: Pinpoint the exact expectation (e.g., "Mother expects me to call her every day at the same time and, if I don't, she thinks there's something wrong between us).

Expectations Between Mothers and Adult Daughters

• Notice Your Physical Reaction: Pay attention to when you feel guilty, angry or resentful and notice the physical sensation in your body. Physical reactions about these types of issues often indicate a boundary violation.

• Separate Love From Compliance: Remind yourself that disagreeing with a choice or setting a boundary with a family member doesn't mean you love them less.

Transition From Unspoken to Spoken

Bring the hidden expectations into the light using neutral, non-accusatory language.

• Use "I" Statements: Focus on your experience rather than blaming the other person's behavior.

• Call Out the Silent Expectation Gently: Instead of blaming and accusing, you can make an observation. For instance, you could say something like, "I've noticed that when I don't call you every day, you think there's something wrong between us."

• Acknowledge the Good Intention: Validate the love behind the behavior before shifting it. For instance, if your mother gives unsolicited parental advice which you don't agree with, you can say something like, "I know you're offering this advice because you love the kids, but I need to figure this out myself."

Establish Clear Behavioral Boundaries

Replace the unspoken rules with a clear, predictable boundary so both of you know what to expect.

• Define Communication Patterns: Instead of waiting for a stressful, angry call from the other person, set a predictable pattern: "Let's get caught up with each other with a phone call every Wednesday night" (or however you want to structure it).

• Set Topic Boundaries: Decide what is "off limits" if certain topics create conflict. For example, you can say something like, "I love you, but I'm not willing to talk to you about my finances."

• Keep the Boundaries: Old habits are often hard to change. If the "off limits" topic comes up, politely remind the other person about the agreement. For instance, you can say, "We agreed not to talk about this" and if the other person persists, you can say, "I'm going ot hang up now. We can talk next Wednesday."

Practice De-Enmeshment (Differentiation)

De-enmeshment is a psychological process of accepting that you are two separate individuals with different minds, feelings, values and lives (see my article: Enmeshed Families).

• Allow Them to Be Disappointed: You cannot control their emotional reaction to your boundary setting. Allow them to sit with their discomfort without trying to 'fix" it.

• Let Go of the Need For Approval: Stop asking for validation for choices you have already made. If you decide to tell them about your decisions, state these decisions as facts rather than a proposal for their approval.

• View Them as a Peer: Remind yourself that your mother is a flawed human being (just as we all are) and that she had a life before you. If you're a mother, remind yourself that your daughter is a grown adult who. must make her own decisions and deal with any mistakes.

Shift From Reacting to Responding

When old patterns come up, pause before you fall back on old patterns.

• Take a Time-Out: Do not respond immediately to an angry text or phone call. Wait 20 minutes to cool down and respond instead of reacting (see my article: Responding Instead of Reacting).

• Use Deflection: Keep a few phrases handy for when boundaries are pushed. This might involve saying something like, "That's an interesting perspective" or "We just see things differently and that's okay."

Clinical Vignette

The following clinical vignette is a composite of many different cases:

Janet and Ann

When Janet brought home her boyfriend, Tom, to meet her mother, Ann, Janet could tell immediately that Ann didn't approve of him.

Ann raised Janet in a strict Christian home and she expected that Janet would maintain the same religious traditions. When Janet was in her early 20s, she let her mother know that she no longer believed in these strict traditions and religion was no longer important to her.  Although Ann was very disappointed, she thought that she could convince Janet to change her mind. 

Problems Between Mothers and Adult Daughters

When Ann asked Tom about his religion, initially, he was surprised by this intrusive question, but he maintained his composure and told her that he didn't follow any religion. This disturbed Ann, who later told Janet that she believed Tom was "influencing her in the wrong direction."

Janet bristled at this comment and reminded her mother that she had made up her mind about religion long before she met Tom and she didn't want Janet to blame him.

After a few heated arguments, Janet told her mother that she loved her, but this was a topic that was "off limits" between them.

Janet had always struggled to set limits with her mother without feeling guilty. She knew she and her mother were enmeshed and she began therapy to work on this.

Gradually, Janet learned to maintain boundaries that she set with her mother. It wasn't easy at first because she felt guilty about it. But after a while, she felt more entitled to be her own person and to remind her mother that they were two different individuals.

Initially, Ann struggled with Janet's boundary setting. She felt she knew what was best for her adult daughter and she wanted to spare Janet from making mistakes she would regret. But, over time, she realized that if she wanted to maintain a healthy relationship with her daughter, she needed to respect her daughter's boundaries.

Conclusion

The vignette in this article is about how a mother has problems with her adult daughter's boundaries but, as I mentioned earlier, the problem is just as likely to be an adult daughter who doesn't respect a mother's boundaries.

Although this article focuses on mother and daughters, there can be similar dynamics between mothers and sons, fathers and sons and fathers and daughters.

Get Help in Therapy

If you are having problems working out issues on your own, you could benefit from working together in mother-daughter therapy.

Get Help in Mother-Daughter Therapy

You might also need to work on issues individually either as a preliminary step before you participate in mother-daughter or even if you never attend this therapy with your relative.

Rather than struggling on your own, seek help from a licensed mental health professional so you can free yourself from old habitual patterns and you can lead a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS/Parts Work Therapist, Somatic Experiencing, EFT Couples Therapist and Certified Sex Therapist.

I have helped many individuals, couples and mothers and daughters over the years.

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

I offer a free 10-15 minute phone call before setting up an appointment either in person or online.

You can reach me at (917) 742-2624 during business hours or email me.

Also See My Articles:

Ambivalence and Codependence Between Mothers and Adult Daughters

Mother-Daughter Relationships: Early Bonding 

Life Stages in Mother-Daughter Relationships 

Healing Adult Mother-Daughter Relationships 

 

Adults Who Were Traumatized As Children Are Often Afraid to Experience Their Feelings - Part 2

In my prior blog article,  Adults Who Are Traumatized As Children Are Often Afraid to Feel All Their Feelings  - Part 1, I began a discussion about how difficult it can be for traumatized adults to allow themselves to feel all their feelings.  Today, I would like to continue this discussion and focus on some of the consequences for adults when they continue to suppress uncomfortable feelings.

Traumatized and Afraid of Emotions

Suppressing Uncomfortable Feelings Can Have Many Negative Consequences
As I mentioned in my prior article, traumatized children often have no choice but to suppress their feelings.  It's often an adaptive thing to do because allowing themselves to feel uncomfortable feelings related to the trauma would be too overwhelming for them in most cases.

But when these same people become adults, if they continue to suppress uncomfortable feelings, it isn't useful any more.  As adults, suppressing uncomfortable feelings can cause all kinds of other emotional, physical and interpersonal problems.

Suppressing Uncomfortable Feelings Can Lead to the Following Emotional, Medical, Marital, Family, Career and Interpersonal Problems:

Depression and Anxiety 
When you suppress uncomfortable feelings, it can lead to depressive and anxiety-related disorders.  Why does this happen?  Well, when you suppress your feelings, these feelings don't just go away.  They often intensify.  The more you try to push them down, the more intense they become.  It becomes a vicious cycle that for many people can lead to serious episodes of depression and anxiety.

Medical Problems
Medical problems like migraines, high blood pressure, diabetes, heart problems, IBS (irritable bowel syndrome), insomnia, muscle aches, joint stiffness, and a compromised immune system are among the many physical problems that can result from suppressing feelings. 

Marital and Family Problems

Think of the employee at work who feels he must do everything possible to suppress his anger at his boss while he is at work.  Then, he comes home and he often loses his temper with his wife and children.  It's often not intentional--he just can't contain his feelings any more.  There can be misunderstandings between him and his wife or between him and his children because he's so distracted by his pent up feelings.

Career Problems

There can be so many ways that suppressed feelings can cause problems in a career.  It can cause poor communication with your boss or colleagues.  You also might not be picking up on social cues because all of your energy and focus is going into keeping your feelings down.  This can have disastrous consequences for your career.

Substance Abuse, Sex Addiction, Gambling and Other Impulsive and Addictive Behavior
Many people, who try to suppress feelings, turn to alcohol, drugs, gambling, sex and other forms of addictive behavior in an effort not to feel their feelings.  Aside from the physical problems that addictive behavior can create, addiction ruins lives for those who are addicted as well as their loved ones.  Without help, it usually leads to a downward spiral 

Problems with Feeling Inauthentic to Yourself and to Others
Suppressing feelings can also make you feel disconnected from the core of who you are as a person.  It can make you feel inauthentic to yourself as well as to others, especially if you're trying to "put on a happy face" to hide your true feelings.  This often doesn't work because others can sense that there's something amiss.

Developing the Capacity to Feel and Accept Your Feelings: Clinical Hypnosis and Somatic Experiencing
When you've spent a lifetime suppressing feelings that you're uncomfortable with, you need to learn how to develop the capacity to feel and accept your feelings.  I will address this in more detail in future blog posts but, for now, I'll close by saying that, I've found the combination of clinical hypnosis and Somatic Experiencing to be one of the most gentle and effective ways to develop this capacity.  

Clinical hypnosis and Somatic Experiencing allow the therapist and client to work with manageable segments of the problem in a way that's usually tolerable for the client.  In my experience, these two treatment modalities, which emphasize the body-mind connection, help the clients to deal with traumatic experiences and work through these issues so that clients learn to feel and accept all their feelings.

Getting Help in Therapy
If you have unresolved trauma, you owe it to yourself to get help from a licensed mental health professional who has expertise in trauma work.

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 clients to work through their trauma 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.

Healing Mother-Daughter Relationships

In my prior two blog posts, I provided some background information about life stages in mother-daughter relationships and I also discussed how early infant bonding and attachment affect mother-daughter relationships: Life Stages in Mother-Daughter Relationships and Mother-Daughter Relationships: Early Bonding. 

Healing Mother-Daughter Relationships

In this blog post, I will discuss how mother-daughter relationships can be healed using a composite vignette, which does not represent any one particular case with no identifying information.

Clinical Vignette

The following vignette is based on a composite of many different cases with all identifying information removed to protect confidentiality:

Ellen:
Ellen was a married woman in her early 50s when she first came to see me. She came because she and her adult daughter, Sandy, had difficulties in their mother-daughter relationship since Sandy was an infant. Ellen felt very sad and frustrated that she and Sandy never had a good relationship, and she felt that they were both stuck in a dysfunctional pattern or relating that neither of them knew how to change. Sandy was her only child, and Ellen wanted very much to heal their relationship.

Ellen had given birth to Sandy when Ellen was 18. She hid the pregnancy from her family through most of her pregnancy because she was ashamed and afraid to tell her parents. By her eighth month, she could no longer hide the pregnancy, despite wearing baggy clothes, and she had to tell her parents that she was pregnant. 

Both of her parents were very upset, and they wanted to confront the boy's parents, but Ellen refused to tell them who the father was. She told me that the father was a young man in his early 20s who was visiting NYC, on leave from the Army, and he left for his home town and never knew about her pregnancy.

Ellen's parents decided that they would raise the baby and, Ellen, who dropped out of school in her eighth month, could focus on getting her GED and going to college. She described this time in her life as being very tumultuous. She was aware that her parents were very disappointed in her and they felt that she had "ruined" her life with this pregnancy.

Since all of her parents' relatives lived on the West Coast, Ellen's parents told them that the baby was Ellen's mother's and that she had kept the pregnancy secret because she wasn't sure she would be able to carry the baby to term due to her age. This was the first secret related to Sandy's birth.

When Sandy was born, Ellen's mother took over. Her mother would hardly allow Ellen to hold the baby and she didn't allow her to breast feed the baby. Ellen said that when Sandy was born, she looked upon her more as a doll than as a live baby. Ellen said she felt a deep shame about having a baby out of wedlock, and it was easier for her to go along with her parents' lies than to deal with the truth.

Before she went away to college, Ellen said she remembered many nights when Sandy cried for hours by herself by herself in her crib. Ellen's mother didn't believe in picking up Sandy when Sandy was in distress because she thought that this would spoil her. Her mother also wouldn't allow Ellen to go to her. So, most nights, Sandy cried until she was exhausted without anyone to comfort her. Ellen said this was excruciating for her, and she was glad to go away to college so she didn't have to hear Sandy cry any more.

While she was in college, Ellen visited home occasionally on weekends. She remembers thinking that Sandy was a sullen, irritable, anxious child. Sandy's basic needs (in terms of being feed, bathed and clothed) were taken of, according to Ellen, but Ellen's parents didn't spend much time talking to Sandy or playing with her. 

 She was left in the crib most of the day by herself. Ellen said that her parents were never overly affectionate people, but their behavior was in stark contrast to how they behaved with her when she was younger. She felt that they were not emotionally prepared to take care of Sandy, and they resented it.

According to Ellen, Sandy grew up thinking that Ellen was her older sister. By the time Sandy was old enough to walk and talk, Ellen said she had also convinced herself of this deception too because it was easier for her to live with. She described the difficulties that Sandy had in school. Although she was bright, Sandy had difficulty making friends with other children and she didn't relate well to her teachers.

After Sandy was evaluated and it was determined that she didn't need a medical intervention, the school recommended counseling. Ellen's parents were opposed to counseling, especially after they heard that the whole family had to be involved in the counseling sessions, so they refused at first. 

 But the school administration continued to pressure them and warned that they would contact the Bureau of Child Welfare if they didn't comply with their recommendations, and Sandy might be taken away from them. The principal felt that Sandy was having basic problems relating interpersonally, and if she didn't get help, this could be a lifelong problem for her. So, Ellen's parents relented very reluctantly.

During family counseling, Ellen's parents finally revealed their secret--that Ellen was really Sandy's mother. Ellen said that her mother broke down one day and told the family therapist the truth. 

 The family therapist helped the family to get through this very difficult time. She told Ellen and her parents that Sandy needed to be told. Ellen and her parents struggled with this for a few months but, with the family therapist's help, they prepared themselves to talk to Sandy in session to tell her, in a way that a child might understand, that Ellen was her real mother.

Ellen told me that she felt retraumatized when she and her parents had to reveal the truth to Sandy. Until then, she had gone into a sort of state of denial about being Sandy's mother, and she felt like she was being confronted with it all over again.

According to Ellen, after she was told, Sandy became very angry and she began acting out in school and at home. She stopped talking to Ellen and she vacillated between clinging to Ellen's mother and pushing her away. She behaved in much the same way with Ellen's father. 

During those sessions when Sandy was told the truth about Ellen being her real mother, she was also told that her father lived far away and no one had contact with him. 

Over and over again, the family tried to reassure her that she was much loved by them (even if Ellen's parents had difficulty showing it), but Sandy's school work suffered. Her therapy sessions were increased to three times a week so the family therapist was able to help her get through this crisis.

Soon after that, Ellen moved out of the household to get her own apartment with roommates, and she only went home occasionally to visit her family. She said she made efforts over the years to reconcile with Sandy, but Sandy was very resistant to this. Sandy completed high school and she went on to college. 

She made a few close friends, but she had a lot of problems in her relationships with young men. She tended to choose men who were emotionally unavailable and she was constantly trying to win their affection. According to Ellen, these relationships usually ended in the young men abandoning Sandy.

By now, Sandy was in her mid-30s. As a college graduate, she was underemployed as an office clerk, and she had a succession of roommates over the years. She had not been in a relationship for several years. 

Ellen called Sandy about once every couple of weeks to find out how she was doing, but she said, most of the time, she got Sandy's answering machine and Sandy rarely returned her calls. Whatever she knew about Sandy, she knew from a cousin who moved to NY and who befriended Sandy.

In the early stage of our work together, I helped Ellen to understand what might have gone wrong with Sandy in the early attachment phase when she was an infant. In order for babies to learn how to bond and develop a secure attachment to their primary caregiver (in this case, Ellen's mother), they need to have consist nurturing and care.

Based on Ellen's description of her mother's interactions with Sandy as an infant, it appeared that Sandy's basic needs were taken care of, but there wasn't a lot of nurturing or affection. As a result, Sandy grew up to feel insecure and had difficulties forming relationships. 

I assured Ellen that this didn't mean that Sandy was doomed to continue in this way, but she had to be willing to get psychological help. 

 I told her that the family therapy was probably helpful to her when Sandy was younger, but it seemed, based on Ellen's account, that Sandy probably had a lot of unspoken anger, hurt and resentment towards her. If they were going to heal their relationship, Ellen would have to learn to forgive herself and make amends with Sandy. Sandy would also have to be willing to reconcile.

Our early work together involved helping Ellen to develop emotional resources for herself. Her husband was her main source of external support. She also had supportive, close friends. 

During this period of our work, Ellen grieved for the loss that she felt for not being closer to Sandy when she was a baby. 

She felt that she really missed out on having these early years with her daughter. Ellen also learned to be compassionate with the teenage part of herself who was obviously not equipped on any level to take care of an infant and who had no choice but to go along with her parents' wishes with regard to Sandy.

When she felt ready, she tried to contact Sandy by phone to ask to see her and talk to her, but
Sandy remained unresponsive to her. So, Ellen wrote Sandy a letter in which she expressed her deep sorrow and regret for what happened between them. She asked Sandy to forgive her and told her that she hoped they could develop a better relationship.

Much to Ellen's surprise, Sandy agreed to come in for a therapy session to meet with Ellen and me. It was a very emotional session with lots of anger and tears on Sandy's part and much anguish and pain for Ellen. Sandy agreed to come back for another session a week later. 

Since Ellen had no expectations of how the session would go, she was able to come into her next session with me and talk about how she felt. Even though it was very painful to hear Sandy's anger and pain, Ellen felt that, at least, they were talking in an honest way and the lines of communication were finally open. But she also knew that she could not force Sandy to have a mother-daughter relationship if she was not open to it. At that point, Sandy seemed highly ambivalent.

Ellen and Sandy met with me for several months. It was very rocky at first, but I saw some hope in that they both wanted to continue the process. During our sessions, Sandy developed a psychological curiosity about her own emotional process, and she also began her own individual sessions with a psychotherapist.

Gradually, Ellen and Sandy began to make some progress. 

Just like most psychological changes, it was not a steady line of progress. It was more like two steps forward and one step backwards, but it was progress nonetheless. They began going for coffee after their sessions and, after a while, they were having dinner together. 

Although Sandy was guarded and very cautious at first about opening up, she also seemed, underneath it all, to have a real need for the compassionate, nurturing mother that she never had. By now, Ellen's parents were in their mid-70s and they never really bonded with Sandy.

With Sandy's consent, I also maintained contact with her individual therapist. Her therapist reported that Sandy had formed a rapport with her, and she was making slow, steady progress in treatment. She was beginning to let go of some of her fears about starting to go out with men again, and she eventually met a man that she really liked and who was very interested in her, and emotionally available.

When there is this type of emotional rupture in the mother-daughter relationship, the work tends to be slow. Healing doesn't happen over night, if it happens at all. Trust must be regained over time for both the mother and the daughter.

For mothers and daughters to make amends in these types of situations, there usually needs to be an overarching motivation to transcend their differences. A therapist never knows in advance how this will go in the treatment. 

Healing Mother-Daughter Relationships

Fortunately, for Ellen and Sandy, they were eventually able to develop a belated mother-daughter relationship that they could both feel comfortable with over time. There was nothing magical about it--it involved a lot of sustained, hard work on both of their parts and a willingness to be emotionally vulnerable.

Sandy also tracked down her father who, at that point, was divorced with adult children. After the initial shock of hearing that he had a daughter that he never knew about, he wanted to meet her. Over time, Sandy began taking steps to develop a belated relationship with her biological father.

Conclusion
I hear from both mothers and daughters in this type and other types of relationships. Sometimes, they decide to come in after many years of estrangement. 

Often, mothers and daughters, who might have been reluctant to heal their relationship earlier on, will have a change of heart as the mother ages. Often, they see it as their last chance to reconcile before the mother becomes too frail or before she dies. Other times, as daughters become mothers themselves, they develop more compassion and empathy for what their own mothers might have gone through with them.

There are times when mothers or daughters cannot heal their relationship for a variety of reasons. Sometimes, one or the other of them is not willing or able. Other times, one of them is no longer alive and so the person remaining has to heal her own internal mother-daughter relationship on their own in therapy.

At times, whatever occurred in the mother-daughter relationship might have been so abusive that the relationship is just still too toxic to heal, especially if the mother is unable to own up to the abuse (if she was the abuser) or unable to accept that abuse occurred (if the abuser was someone else). 

Often, these are instances where there was physical and/or sexual abuse that remains unacknowledged and unresolved. At those times, you might need help to overcome the trauma of what occurred without involving the other person.

Getting Help in Therapy
As I've mentioned in prior blog posts, the mother-daughter relationship is the most intense family of origin relationship. This can make it the most rewarding as well as the most painful relationship.

If you and your mother or daughter are having problems healing your relationship on your own, you might consider getting professional help to assist you with this process, whether you decide to do this on your own or with your mother or daughter.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, Somatic Experiencing therapist and EMDR therapist (see my article: What is a Trauma Therapist?).

I work with individual adults and couples.

I have helped many clients to work through mother-daughter issues as well as other family of origin problems so that they can lead meaningful and 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.