Helpful Tips on How to Make the Most Out of Your Couples Therapy

Couples therapy can be a transformative experience (see my article: What is EFT Couples Therapy?).

A skilled couples therapist can help you and your partner to overcome challenges in your relationship.

How to Make the Most Out of Couples Therapy

To get the most out of couples therapy, it's important to understand that it's common to feel a certain amount of anxiety and ambivalence, especially if you don't know what to expect (see my article: It's Not Unusual to Feel Anxious and Ambivalent at the Start of Therapy).

To help reduce your anxiety, it's helpful to know how to approach couples therapy so you can get the most out of it. 

What Do Couples Talk About in Couples Therapy?

Couples can talk about a variety of issues (see my article: What Do Couples Talk About in Couples Therapy?).

Here are just a few of the issues that couples talk about in couples therapy:

• Communication problems

• Fear of intimacy
  

• Moving in together or getting married

• Sharing the mental load

• Infertility issues

• Grief and loss related to miscarriages

• Grief and loss due to the loss of a child

• Parenting issues

• Blended family issues

• Different perspectives about managing money

• Sexual issues

• Opening up your relationship to see other people (see my article: What is Consensual Nonmonogamy?)

• Aging

• Infidelity
  

• Problems with in-laws

• Retirement issues

• Divorce and co-parenting

• Taking care of aging parents

• Other major issues 

What Are the Do's and Don'ts in Couples Therapy

Do's in Couples Therapy:

• Approach Couples Therapy With Curiosity and Openness: It's important to state your feelings openly and honestly to your partner and to the couples therapist in session.

• Talk About What You Want: Being able to tell your couples therapist and your partner what you want to get out of couples therapy will help to define your goals. You might even be surprised that your partner might have different goals and these differences might need to be negotiated.

How to Make the Most Out of Couples Therapy

• Set Realistic Goals: Once you and your partner have agreed to what you want to get out of therapy, set realistic goals for the couples therapy. When you have goals, the couples therapy has direction and you can assess your progress. However, it's also important to know that progress in therapy isn't linear. This means that setbacks (where you take two steps forward and one step back) are a normal part of the process, so don't get discouraged (See my article: Progress in Therapy Isn't Learner).

• Practice Active Listening in Your Sessions: Learning to actively listen to what your partner and your couples therapist say is an important part of couples therapy (see my article: The Importance of Active Listening in Your Relationship).

• Practice the Skills You Learn in Couples Therapy Between Sessions: Use the skills you learn in couples therapy between sessions so you can continue to hone your skills in your daily life with your partner.  If you run into obstacles, talk about it at your next couples therapy session so you can continue to develop these skills.  There might also be some topics that you and your partner will only discuss in couples therapy sessions until you both develop the necessary skills to talk about these issues between sessions.

Don'ts in Couples Therapy:

• Don't Wait Too Long to Start Couples Therapy: Many couples wait until they're ready to end the relationship to get help. Getting into couples therapy becomes their "last ditch effort". By then, it's often too late. The sooner you get help the better.

• Don't Focus on "Fixing" Your Partner: Focus on what you want to change about yourself in the relationship instead of having the attitude that you're there to "fix" your partner.

How to Make the Most Out of Couples Therapy

• Avoid Critical, Contemptuous or Defensive Behavior: You and your partner need to learn to approach your problems as a team rather than pointing fingers or blaming one another (see my article: Improve Communication in Your Relationship By Avoiding the "Four Horsemen of the Apocalypse").

• Avoid Trying to "Fix" Your Partner: You and your partner need to approach your problems like a team, as previously mentioned. Instead, focus on the areas where you can grow.  Couples usually have negative patterns that each partner contributes to in their dynamic. So, part of the work in couples therapy is for you and your partner to learn work together as a team to change the negative patterns.

• Avoid Contacting the Therapist Privately Without Your Partner's Knowledge: Most couples therapists do individual sessions to get family and relationship history. However, other than those individual sessions, avoid speaking, texting or emailing the therapist without your partner's knowledge because this can undermine the therapy.  The couple is the client in couples therapy--not the individuals in relationship. Contacting the therapist privately without the other partner's knowledge often occurs when one person is trying to get the couples therapist to align with them against the partner, which a skilled couples therapist will not do.

• Avoid Keeping Secrets From Your partner and Your Therapist: Most couples therapists will not keep an individual's secrets in couples therapy. Keeping secrets from the therapist or your partner will become an obstacle to progress in therapy. For instance, if you're having a secret affair, most couples therapist will not work with you and your partner because the affair would be undermining your relationship.

Conclusion

Couples therapy can be beneficial for couples who are experiencing problems in their relationship.

You and your partner can learn to come together as a team in couples therapy to overcome the obstacles in your relationship.

If you and your partner decide that it would be best to end the relationship, a couples therapist can help you both to end the relationship as amicably as possible and come to an agreement about how to talk to your children about the end of the relationship and how to co-parent if these issues are applicable.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: What is Sex Therapy?).

I have over 20 years of experience working 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.

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.

• Use your imagination to visualize the positive outcome you want.
• See my articles: 
• Using Your Imagination as a Powerful Tool For Change

• Using Imaginal Interweaves to Overcome Trauma

• 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

• Hope provides individuals with a belief that they can persevere in taking action even in the face of obstacles (see my article: Overcoming Obstacles to Make Changes in Your Life).

• 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.

What is a Growth Mindset vs a Fixed Mindset?

How we think about ourselves and the world around us, including whether we think in terms of a growth mindset or a fixed mindset, affects every area of our lives.

The Difference Between a Growth Mindset and a Fixed Mindset

People with a growth mindset see abilities and talents as learnable and capable of improvement over time.

The Difference Between a Growth Mindset and a Fixed Mindset

People who have a fixed mindset see these same qualities as stable and unchangeable over time.  

Someone with a fixed mindset who is considering becoming a business owner wouldn't believe they could develop the necessary skills and abilities they don't currently have. 

They would tell themselves, "I never had good business skills and that won't change, so there's no point in even trying."

Someone with a growth mindset who is considering the same endeavor would believe they could develop the necessary skills and abilities.  

They would tell themselves, "Even though I don't have business skills right now, I can learn and develop those skills over time so I can accomplish my dream."

A Growth vs a Fixed Mindset in Life

We used to think the brain stopped developing in childhood, but now we know the brain continues to evolve throughout the course of life so it's possible to grow new neural networks by having new experiences, learning new skills and expanding our knowledge.  

The Brain Can Evolve Throughout the Course of Life

Someone with a fixed mindset believes whatever they have developed already can't be expanded, but someone with a growth mindset believes there can be expansion through effort and learning throughout life.

What Are the Qualities of a Growth Mindset?

People with a growth mindset

• Believe their intelligence, talents and abilities can expand and improve by taking relevant action and making an effort 

• Believe in lifelong learning

• Believe they can achieve mastery

• View constructive feedback as a learning experience and a source of information

• Accept challenges

• Believe setbacks are a temporary phase before achieving their goals

• Become motivated and inspired by others' success

What Are the Qualities of a Fixed Mindset?

People with a fixed mindset

• Believe personal traits don't change no matter how much effort is applied

• Believe intelligence, abilities and talents are static and don't change

• Believe making an effort to change intelligence and abilities is a waste of time

• View constructive feedback as personal criticism and they often become defensive

• Avoid challenges to avoid the possibility of failure

• Hide the areas they need to improve because they're afraid they will be criticized

• Give up on their goals relatively easily

What are the Advantages of a Growth Mindset?

People who have a growth mindset  

• Experiment and try new things

• Develop a sense of determination

• Correct their mistakes along the way instead of seeing them as obstacles

• Bounce back from mistakes

• View challenges as opportunities

• Try new learning strategies

• Allow their accomplishments to speak for themselves rather than seeking approval from others

• Enjoy the learning process

• Utilize constructive criticism as a way to learn and grow

• Allow themselves to feel proud of their accomplishments

Next Article: How Can a Growth Mindset Improve Your Relationship?

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.

How to Keep the Momentum Going in Your Therapy

In my last article, 4 Reasons Why Attending Sessions Consistently is Important For Your Progress in Therapy, I focused on why consistency is essential to success in therapy.  

I mentioned that motivation to change is what brings people into therapy and keeping the momentum going is how people make changes.

Keeping Up the Momentum in Therapy

What is Momentum?

The Merriam-Webster dictionary defines momentum as the strength or force gained by motion or by a series of events.

A common example of momentum is the snowball effect, which refers to the effect of events building on each other as a result of momentum. 

What is Psychological Momentum?

Researchers who study psychological momentum describe it as a perceptual force that changes human behavior and performance.

Psychological momentum is linked to the concept that "Success breeds success." 

Keeping Up the Momentum in Therapy

The concept of psychological momentum is often discussed in sports when a team is on a "winning streak." 

Winning gives the team the mental and physical power to keep going. While they're winning, they gain confidence and feel unstoppable.

In politics, psychological momentum often occurs when a candidate wins a string of political races, gains confidence and the perception that victory is inevitable.

What is Psychological Momentum in Psychotherapy?

Clinical Vignettes

The two examples below are both composites of many different cases.  

The first case shows how inconsistency and lack of motivation has a negative impact on therapy and the client's goals.

The second case shows how consistency and motivation leads to psychological momentum which enables the client to be successful in achieving his goals.

Jim

In an effort to overcome low self esteem, Jim began weekly therapy.  After a few sessions, he started cancelling appointments even though he had to pay for the cancellations.  When his therapist told him it was important to come consistently to make progress in therapy, Jim ghosted his therapist. He didn't respond to her outreach. After a few months, he started therapy with a different therapist and repeated the same pattern.  When his friend, Joe, asked Jim how therapy was going, Jim told him that he thought therapy didn't work.  

Joe

When he heard his friend, Jim, say that therapy didn't work, Joe was surprised.  He told Jim that he had been going to therapy consistently for a year and he felt he was making progress in learning how to be assertive.  He also told Jim that, at first, he had his doubts as to whether he would ever learn to assert himself but, over time, his therapy gained momentum and he was happy with the progress he was making.  

Conclusion

To experience psychological momentum in therapy, it's important to be motivated and consistent.

Many people start therapy with good intentions and then become discouraged when they have to put in an effort to make changes and they leave therapy prematurely (see my article: Why Do People Leave Therapy Prematurely?).

Eventually, many of those people return to therapy because trying to cope with their unresolved problems is much harder than doing the work in therapy.

Getting Help in Therapy

If you have been struggling with unresolved problems on your own, you could benefit from working with a licensed mental health professional.

If you're motivated and consistent in therapy, a skilled psychotherapist can help you to build momentum to overcome the obstacles that are keeping you from reaching your goals.  

Motivation, consistency and a willingness to do the work in therapy often leads to psychological momentum and a positive ripple effect in other areas of your life.

So rather than struggling on your own, seek help from a licensed psychotherapist.

About Me

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

I have helped many individual adults and couples to overcome their problems, including unresolved trauma (see my article: What is a Trauma Therapist?).

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

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

4 Reasons Why Attending Sessions Consistently is Important For Your Progress in Therapy

Many clients ask at the start of therapy how often they need to attend therapy. 

Since most of us have busy lives, this is a legitimate question.  

Consistency is Important For Progress in Therapy

It's also common for people to feel anxious and ambivalent at the start of therapy (see my article: It's Not Unusual to Feel Anxious and Ambivalent at the Start of Therapy).

Research indicates that attending therapy sessions on a weekly basis is essential to make progress in therapy.

The importance of attending weekly sessions is something I discuss with clients at the start of therapy because it's important for clients to know that therapy is a big commitment and the reasons why weekly sessions are essential.

4 Reasons Why Being Consistent is Important For Your Progress in Therapy

• Building Trust and a Connection With Your Therapist: Establishing trust in your therapist is essential to a successful therapy. Building trust doesn't happen immediately, especially if you have unresolved trauma from childhood and you couldn't trust your family due to trauma.  It takes time for you and your therapist to build trust and a therapeutic connection. Weekly sessions also allows your therapist to create a holding environment to create the emotional safety you need to open up in therapy (see my article: Why Establishing Safety For Clients is So Important in Therapy).

Consistency is Important For Progress in Therapy

• Developing Internal Resources to Work on Problems: Most therapists, especially trauma therapists, help clients to develop the necessary tools needed to work on unresolved problems.  This is called resourcing. During weekly sessions, your therapist can help you develop the necessary internal resources before you delve into trauma work. Weekly sessions also allows you and your therapist to discuss which resources are working best for you.  If you skip sessions, you're delaying the resource process which also delays working on your problems (see my article: Developing Internal Resources and Coping Skills in Therapy).

• Keeping Momentum Going: Motivation to change is what brings most people into therapy. Momentum in therapy is how you make changes (see my article: Developing Internal Motivation to Change).

• Accountability: Usually goals are set at the beginning of therapy and you and your therapist talk about how you're progressing in terms of what you want to accomplish in therapy.  It's easier to track your progress if you're coming weekly than if you skip appointments.  Cancelled sessions often leads to a decrease in motivation and a reduced sense of accountability.  This is one of the reasons why most therapists have a cancellation policy.

Getting Help in Therapy

Are you considering therapy?

Before I meet with clients for an initial appointment, I talk to them on the phone for 10-15 minutes to get an idea of what they want to work on and whether I have the expertise to help them.  There is no charge for this brief talk on the phone.

After that, if clients want to set up an initial appointment, I schedule an appointment for them either in person or online.  

During the first appointment, they can see whether they feel comfortable with me to continue coming for weekly sessions.

Working on your issues in therapy provides you with an opportunity to overcome the obstacles that stand in your way from having the life you want.

About Me

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

With over 25 years of experience, I have helped many individual adults and couples to achieve their goals (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.

10 Relationship Goals to Create a Stronger Relationship

In my prior article, 7 Tips For Creating a Stronger Relationship With Relationship Goals, I introduced the concept of creating relationship goals.  This article is a continuation with suggestions for 10 relationship goals that can strengthen your relationship.

10 Relationship Goals to Create a Stronger Relationship

10 Relationship Goals to Create a Stronger Relationship

Although each couple will have their own priorities in terms of the goals that are important to their relationship, the following goals are essential to most successful long term relationships.

• Make Each Other a Priority: Life is often so hectic and stressful that couples often forget to make each other a priority, especially couples in long term relationships. Consistent love and attention are an important part of any successful long term relationship.

• Show Mutual Respect: You and your partner might not see eye-to-eye on everything, but showing each other mutual respect is essential.  When you treat each other respectfully--even when you disagree--you're both letting each other know that your relationship is solid enough to allow for differences.

• Be a Friend: Strengthen the bond of your relationship by doing things that you both enjoy together.  Whether it's taking a class, learning a new skill or hanging out and relaxing, being friends with each other is an important part of building your relationship.

• Create Emotional and Sexual Intimacy: It's not easy to allow time for emotional and sexual intimacy when circumstances become stressful and hectic. If you find that you're not spending as much time together as you each need and your emotional and sexual relationship has suffered, you might need to reassess your priorities (see my articles:    What's the Difference Between Emotional and Sexual Intimacy? and Relationships: Understanding Your Sex Script).

• Make an Effort to Understand Each Other: Setting relationship goals and negotiating these goals helps you and your partner to understand each other.  Understanding means really listening to each other and, as mentioned above, showing mutual respect.  You and your partner might agree on many goals, but you might also have different approaches for how to get there (see my articles: What Are the 5 Love Languages and What to Do If You and Your Partner Have Different Love Languages).

• Align Your Core Values and Beliefs: As you and your partner work on relationship goals, you both have an opportunity to understand each other's core values and beliefs.  You might not agree with all of your partner's values and beliefs, but you can respect them (see my article: Living Authentically Aligned With Your Values).

• Embrace Imperfection: Accept that both you and your partner are imperfect beings--just like everyone else.  Practice patience and tolerance with each other, and recognize that real life relationships are different from relationships in movies or on social media.  

• Be Nonjudgmental: To form an honest, trusting relationship, you and your partner need to feel emotionally safe, so along with embracing imperfection, don't talk down to your partner or be judgmental (see my article: Creating an Emotionally Safe Space For Each Other in Your Relationship).

• Improve Communication: One of the keys to a successful relationship is good communication.  Recognize that you and your partner grew up in different family environments and, most likely, you each learned your style of communication in those environments.  If you were lucky enough to see good communication modeled for you by your parents, you're more fortunate than many people.  If not, you'll need to learn to improve your communication skills.  When you communicate anger or hurt, speak from your own experience rather than criticizing your partner (see my article: Improve Communication in Your Relationship: Eliminate the 4 Horsemen of the Apocalypse: Criticism, Contempt, Defensiveness and Stonewalling).

• Be Emotionally Supportive During Tough Times: It's easy to be in a relationship when things are going well, but when you're going through a rough patch, getting through it successfully means that you're each emotionally supportive of one another.  You're both pulling together and going in the same direction.

Getting Help in Therapy

If you're having problems overcoming challenges, you're not alone.  Help is available to you.

Rather than struggling on your own, seek assistance from a licensed mental health professional who can help you to develop the tools and skills you need to overcome your problems.

When you're free from the obstacles that are holding you back, you can lead a more fulfilling life.

About Me

I am a licensed New York City 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.

7 Tips For Creating a Stronger Relationship With Relationship Goals

New relationships can be fun and exciting as the two of you are carried along with the dopamine high of new relationship energy.  But after that initial stage of novelty and excitement, if you want a long term relationship, you and your partner will need to do more to ensure that your relationship remains strong and gets through the inevitable rough patches that all long term relationships go through (see my article: Relationships: Creating a Safe Haven For Each Other).

One way to ensure that your relationship remains healthy and strong is to create relationship goals.  This article is the first in a series to focus on this topic.

Creating Relationship Goals

What is a Relationship Goal?

A relationship goal is a mutual value, outcome or viewpoint that you share with each other.  You and your partner can use relationship goals to inspire and motivate you as a couple, and give you something worthwhile to look forward to together.  Aside from enhancing your relationship, relationship goals prioritize your relationship and provide meaning and direction  to strive together for a better future.  

Why Create Relationship Goals?

A couple is made up of two separate individuals with their own wants and needs.  If you're going to succeed as a couple, you both need to be on the same page, which means that your focus needs to be "we" while maintaining your own individuality (see my article: Growing as an Individual While in a Relationship)

When you create goals for your relationship, you get to know each other on a deeper level by exploring what's important to each of you.  Rather than assuming you know what your partner wants, you both get specific about what you want for your life together, and part of that process might involve compromise, which is an important skill to develop in a long term relationship (see my article: What Are the 5 Love Languages? and What If You and Your Partner Have Different Love Languages?).

Relationship goals can also help you to get through the inevitable challenges that everyone faces in life.  By knowing what's most important to you as a couple, you can prioritize where you focus your attention.  Also, knowing what your goals are as a couple enables you to support each other's hopes and dreams.

Tips on How to Create Relationship Goals

Although every couple will have a different set of goals for their relationship depending upon each individual's wants and needs, their ages and life stage, the stage of their relationship and particular circumstances, here are some basic tips for creating relationship goals:

• Take Time Individually to Think About What You Want: Before you get together as a couple to talk about your hopes and dreams for the future, take some time on your own to think about what's most important to you in the next year, five years and longer term.  Try to be specific but also be flexible.

• Choose a Time and Place: Choose a time and place where you'll have privacy without distractions or interruptions to discuss your individual lists (put away the phones, turn off the computer and TV).  Decide beforehand how much time you want to spend during your first discussion and recognize that you'll probably need to have at least several discussions to come up with specific plans.  

• Stay Openminded and Respectful as You Listen to Your Partner's Goals: It's important that each person feel respected and heard, so instead of interrupting, listen to your partner respectfully (see my article: Improve Your Communication in Your Relationship).

• Have Fun Setting Your Goals: Although goal setting is important, it doesn't have to be too serious.  Appreciate how you're coming together to strengthen your relationship and enjoy the excitement that comes with planning a life together.

• Strive For Compromise: If you and your partner aren't on the same page about a particular goal, try to compromise on goals as best as you can without compromising yourself.  

• Make a Plan For Larger Goals: After you have both agreed on your goals as a couple, make a plan for each of your larger goals.  Goals that lack specificity and a plan will be vague and are less likely to succeed.

• Be Flexible as Change Occurs: It's important to be specific and concrete, but goal setting doesn't have to be carved in stone. It's more of a road map to get you to where you want to go.  When circumstances change, you can revisit your goals together and make adjustments as changes are needed.

In my next article I'll continue the discussion with examples of relationship goals: 10 Relationship Goals to Create a Stronger Relationship).

Getting Help in Therapy

If you've been struggling on your own, know that you're not alone.

A skilled psychotherapist can help you to overcome obstacles that are keeping you from maximizing your potential.

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

About Me

I am a licensed NYC 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.

Breaking an Unhealthy Habit With Pattern Interruption

Breaking an unhealthy habit can be challenging, especially a longstanding habit.  As I discussed in an earlier article about smoking cessation, one way to break a bad habit is using a pattern interrupt, which is the topic of this article.

Breaking an Unhealthy Habit With Pattern Interruption

Healthy habits and routines are a valuable part of life because they get reinforced automatically after a while.  For instance, relaxing, reading a book or listening to calming music might be part of the pattern that reinforces healthy sleep hygiene.  

In the same way that healthy habits get reinforced through certain patterns, unhealthy habits get reinforced in the same way.  So, although there is no one way to break bad habits that works for everyone, one method that works for many people is to interrupt the pattern.

Steps to Breaking an Unhealthy Habit

The following method is one that I use when I work with clients who want to stop smoking. Although I use it with clinical hypnosis, it can be used without hypnosis for almost any unhealthy habit that you want to change:

• Set Up a Chart For Yourself: Get clear on what you want to change.  Focus on one unhealthy habit rather than trying to change two or more at the same time.  At the top of a chart write down what you want to change (e.g., smoking habit, nail biting, stress eating, etc). It doesn't have to be a fancy chart. It can be something simple, which has the following columns:
• Date and Time
• Trigger and Emotion
• Reward
• Small Change You Can Make

• Get Curious: Rather than being critical, get curious about your habit. If you find yourself getting judgmental, ask yourself if you would be as judgmental towards your best friend who was making an effort to change (see my article: Overcoming the Internal Critic).
• 
  
• Fill Out the Chart With the Date, Trigger (or Cue) and Emotion: For instance, if you want to stop biting your nails, write down the date and time you bit your nails, the trigger that came just before you bit your nails (e.g., you had a confrontation with a coworker, you argued with your spouse, etc), and the emotion(s) you experienced with that trigger (anxiety, anger, sadness, etc).

• Identify the Reward: This can be challenging because rewards don't always look like rewards, so you might be unaware of them. But there is almost always a payoff for engaging in the bad habit. For instance, if you bite your nails whenever you get anxious, you might momentarily dissociate (zone out) from whatever is making you anxious, so biting your nails provides temporary relief.  Also, if you bite your nails very low, you might experience an endorphin release.  

• Identify a Small Change You Can Make: Rather than trying to stop engaging in the bad habit altogether, identify one small change you can make.  This can help you by not setting you up for failure by trying to make too big a change at once or eliminating the habit altogether. For smokers, a small change might be changing a brand or, if you smoke just before breakfast, change that habit so that you smoke after breakfast.  

• Identify Your Successes: Recognize that breaking an unhealthy habit can take time and effort, so don't focus on trying to do it "perfectly."  For example, if you're trying to stop biting your nails and you're able to do it for two days (when you've never been able to stop it before), identify this as a success and renew your efforts (see my article:  Achieving Your Goals: Learn to Celebrate Small Wins Along the Way).

Getting Help in Therapy

There are often unconscious reasons why people develop unhealthy habits, and these underlying reasons are difficult to identify on your own.

A skilled psychotherapist can help you to identify the unconscious reasons that make it difficult to change and provide you with tools to succeed.

By seek help from a licensed mental health professional, you can make positive changes so you can lead a more fulfilling life.

About Me

I am a licensed NYC 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.