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NYC Psychotherapist Blog

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Showing posts with label grieving. Show all posts
Showing posts with label grieving. Show all posts

Monday, November 27, 2017

Grief: The Emotional Impact of Losing Both of Your Parents

Even if you think you're prepared for the deaths of your parents, the actual experience can be emotionally challenging and change how you feel about yourself (see my other articles about death and grief: 



Holding Onto Grief as a Way to Stay Emotionally Connected to a Deceased Loved One).

Grief: The Emotional Impact of Losing Both of Your Parents

Most people, who have lost their last parent, say that they never anticipated feeling like an "orphan."

You might think that once you're an adult and you begin seeing your parents' health deteriorate, something you anticipated for a long time, that you would be prepared yourself for it emotionally, but the actual experience is different from what most people expect.

A Fictional Vignette: The Emotional Impact of Losing Both Parents

Ted
Ted's father died when Ted was in his late 40s.

Ted and his father were close, and it was difficult to see his father struggling with dementia during the  last several years of his father's life.

During his father's early struggle with dementia, Ted moved closer to his parents, and he and his younger sister took turns helping their parents with basic daily activities of life.

All the time that he was spending with his family put a strain on his marriage, which was already falling apart.  This eventually led to his wife asking him for a divorce.  Even though Ted would have liked to salvage his marriage, his wife had already made up her mind.

Ted understood that they both had been unhappy in their marriage for a long time, but he felt it was especially thoughtless for his wife to leave at that point when he was already struggling emotionally.

When the end came, Ted grieved for the loss of his father, and he was flooded with many early memories of their good times together.

He also spent more time with his mother, whose health also began to deteriorate.

Ted noticed that, after his father died, his mother was having serious memory lapses, and her doctor confirmed that, similar to his father, his mother was suffering with dementia.

There were times when his mother thought that Ted was his father.  There were also other times when she seemed to be completely lucid, and Ted cherished those times.

The emotional burden of ending a 20-year marriage, taking care of his mother, who was gradually slipping away into advanced dementia, and maintaining a stressful full time job weighed heavily on Ted.

He knew he could talk to his sister and to friends, but Ted realized that he needed more than that--he needed help from a psychotherapist.

Grief: The Emotional Impact of Losing Both of Your Parents

By the time he began therapy, Ted had already lost 20 pounds and he was looking gaunt (see my article: Self Care For Caregivers).

He knew he wasn't taking care of himself, and he needed emotional support.

He told his therapist that he always anticipated and feared this stage of his life, but going through it now was much worse than he anticipated.

Before his father's health deteriorated, Ted looked up to him as a strong, wise, vibrant man.  He admired his father's wisdom, and he often sought his father's advice.

He told his therapist that if his father was still alive, they would have discussed his mother's condition and come up with a plan, but his father was gone and, even with his sister's help, Ted felt alone, especially after his wife left him.

Watching his mother deteriorate almost seemed unreal to him.  When she was in good health, she was very sharp, and she had always been an active and admired member of their community.  Now, he could hardly believe this was the same woman.

Having the emotional support of his psychotherapist helped Ted to get through this difficult time.  He also began taking better care of himself.

A year later, Ted could no longer maintain his mother at home, and he and his sister placed her in a skilled nursing facility.  By that time, his mother no longer recognized either of them, but they both went to visit her every week.

Two years later, Ted got the call from the nursing facility that his mother died.  He went through the motions with his sister of arranging for her funeral.

A week after the funeral, Ted felt lost.  He had never experienced anything like this before.  Not only did he miss his parents, but he also felt like a young, vulnerable child again who was unprotected in a potentially dangerous world.

The reality was that Ted was functioning much better on a day-to-day level compared to how he was doing before he went to therapy.  But his inner emotional experience was that he felt so young, lonely and vulnerable--as if he wouldn't survive without his parents.

His therapist helped Ted to understand that he was going through a normal stage of grieving that most people experience after their second parent dies.

Ted spent many sessions talking to his therapist about feeling lost and dreams that he had about being young and being with his parents.

He suddenly realized that now that both of his parents were dead, they had taken a part of him with them.

With his parents and aunts and uncles gone, there was now no one who knew him as a young child.

His sister, who was 10 years younger than Ted, remembered certain aspects of his adolescence and they could talk about their parents, but Ted felt the loss of those early childhood experiences with his parents.

Ted also began thinking more about his own mortality, which he used to avoid doing in the past.  He kept thinking, "Now that my parents are gone, I'm next."

He realized how precious time is, and he felt like he was wasting time in a job that he hated.

More than ever, he felt the need to be doing something that he really liked, so he went for training to become a graphic artist, something that he had always wanted to do (see my article: Reclaiming a Lost Part of Yourself and Finding Personal Meaning in Your Life).

To deal with his grief, Ted went to the cemetery once a week to visit his parents' grave.  At first, he felt awkward about what to do.  But as time went on, as he stood by the grave, he had conversations with his parents.

Ted wasn't sure if he believed in an afterlife or not or if he was really communicating with his parents, but he felt soothed by these conversations.

As he continued to talk to his therapist about his experiences with grief, Ted began to realize that his relationships with his parents didn't end after their death.  By remembering them, talking about them and having these conversations at the grave site, he was continuing to develop his inner experience of his relationship with his parents.

As time went on, Ted developed a different perspective about each of his parents.  He could now understand how they felt about the deaths of their parents and the sacrifices they made to maintain a good life for him and his sister even when they were grieving.

He knew that his friends meant well, but some of them weren't very tactful--telling him things like he shouldn't feel as bad because his parents were both in their 90s when they died (see my article: Expressing Condolences in a Caring and Tactful Manner).

Ted knew that they didn't understand because they hadn't experienced the loss of both of their parents yet.

Other friends, who hadn't lost either parent yet, seemed to be avoiding Ted, as if they were trying to avoid thinking about the eventual deaths of their own parents and their own death.

So, having a time and place in therapy was very helpful to Ted, especially his  friends and family members stopped calling him as much to find out how he was doing.

Ted also found it very helpful to write about his feelings in a journal (see my article: Writing to Cope With Grief) and The Benefits of Writing Between Therapy Sessions).

Grief: The Emotional Impact of Losing Both of Your Parents

A year later, Ted was working at a job that he really loved.  He was also dating a new woman and their relationship was getting serious.

Although the emotional pain wasn't as acute as it had been after his parents died, Ted still thought about them every day and wondered what they would think as he was making changes in his life.

His weekly ritual of visiting his parents grave site and seeing his therapist continued to soothe him, as he went through his grieving process.

Conclusion
Many people experience the loss of their last parent as a loss of a part of themselves.

It often comes as a surprise that they feel as if they have been orphaned and a younger part of themselves feels more vulnerable.

They develop a different perspective of their lives, realizing that life is finite.  This can lead to making major changes in life to live a happier life.

People who haven't experienced the loss of the last parent often don't understand what it's like.  Although they might be well-meaning, their lack of understanding often causes them to say tactless things or to avoid contact.

It's also not unusual for marriages that are already struggling to fall apart during this time as the emotional impact of grieving puts extra stress on a marriage.

Having a place where you can talk about your loss and the internal changes you're going through can be soothing.

Getting Help in Therapy
If you're going through a difficult time grieving the loss of your parents, you could benefit from seeing a skilled psychotherapist who can help you through the stages of mourning (see my article: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

Everyone goes through the mourning process in his or her own way.  There is no "right way" to do it.

An experienced psychotherapist knows that mourning is a unique experience and can help you through the process so you don't get stuck in complicated grief (see my article: Unresolved Grief and Complicated Mourning).

Family members and friends, who are uncomfortable with the thoughts of their parents' and their own mortality, might tell you to get "get over it" or to "move on" with your life.  Even though they might be well-meaning, this can cause you to feel ashamed of your feelings.

Rather than suffering alone, you could benefit from working with a skilled psychotherapist, who has experience helping clients through the mourning process.

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

I have helped many clients to work through the mourning process.

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

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

Also, see my other articles about grief: Articles About Grief - by Josephine Ferraro, LCSW.















Monday, February 6, 2017

Coping With a Breakup When Closure With Your Ex Isn't Possible

In an ideal world, couples would work out the end of their relationship in a mutually respectful way that would allow for closure.  While this is possible for some couples, for many couples this isn't possible, for a variety of reasons, and each person in the former relationship has to find closure in his or her own way (see my article: Overcoming the Heartbreak of a Breakup).

Coping With a Breakup When Closure With Your Ex Isn't Possible

In a situation that is volatile or when one or both people feel unable or unwilling to communicate with each other, closure might not be possible for the couple.  But most of the time, people feel a need for closure and it becomes frustrating when this isn't possible.  It can also prolong the grieving process after the breakup.

Let's take a look at a fictionalized scenario which is representative of one of these situations:

Ina and Ted
Ina and Ted were in a relationship for five years.  They lived together for the last three years.

Although they loved each other very much, one of their ongoing problems was that Ted didn't like to talk about his feelings and he became impatient when Ina wanted to talk about her feelings or about the relationship.

Ina felt very frustrated by Ted's refusal to talk about feelings, and he felt annoyed by Ina's need to talk  (see my article:  Are Your Emotional Needs Being Met in Your Relationship?).

Ina was aware that Ted came from a family where the only emotion that was expressed was anger.  Ted's father was especially volatile when he got angry and, although he never hit Ted, Ted was frightened by his father's angry outbursts.

He also grew up being frightened by his own anger or any strong emotions that he experienced.  Whenever he experienced a strong emotion, his first impulse was to push it down.

It took Ted a while to tell Ina that he loved her, and throughout their relationship, it still made him feel uncomfortable.

Since Ted wouldn't allow any strong emotions, after five years, the relationship felt "flat" to Ina.  When she tried to talk to Ted about this, he walked into another room.

Coping With a Breakup When Closure With Your Ex Isn't Possible

A few days later, Ina came home and she was shocked to discover that all of Ted's possessions were gone.  At first, she thought they had been robbed.  But when she saw that many valuable items were still in the apartment and all of her things were still there, she realized that he had moved out without a word.  There was no message--not even a note.

Ina tried to call Ted on his cellphone and at his work number, but he didn't pick up and he didn't respond to her messages.

Although she knew that Ted didn't like to deal with strong emotions, she couldn't believe that he would end the relationship this way.  She still loved him, and she hoped that they would be able to work things out.

After a few days, he sent her a text in which he told her that she needed to "move on" with her life because things weren't working out between them.

Coping With a Breakup When Closure With Your Ex Isn't Possible

Ina was shocked, angry and hurt that, after five years, this is all he had to say to her and that he was saying it in a text message.

She tried, in vain, to get Ted to speak with her, but he resisted all of her efforts.

Not knowing what else to do, Ina started therapy because she felt overwhelmed by the breakup, how it occurred and that Ted refused to speak with her.  She knew he wasn't communicative about his feelings, but she never would have guessed that he would do something like this.

Ina found herself ruminating about what might have happened that caused Ted to break off their relationship in this way.

She felt a rapport with her therapist and felt safe being vulnerable in therapy.  She realized that she really missed feeling heard and understood in her relationship.

After a few weeks in therapy, Ina admitted that the relationship had been on the rocks for a while and it was bound to end.  But she still felt a need to have closure.  She would have preferred to have closure with Ted, but she knew that this wasn't going to be possible.

In her therapy sessions, her therapist asked Ina to imagine talking to Ted about her feelings and to say out loud what she was feeling.

At first, Ina felt awkward doing this, but as she opened up, she felt how freeing it was to express her feelings "to Ted" (even though he wasn't really there).  She told him how hurt she was and how disappointed she felt that he ended their relationship this way and refused to speak with her.

As she expressed her feelings, she had a realization that, all along, she had been asking Ted to do something that he was incapable of doing--to listen to her express her feelings and for him to express how he felt.

On some level, she always knew this, but when she spoke out loud, as if Ted was in the room with her, she had a deep awareness of it.

In time, this helped Ina to inwardly forgive Ted, even though they never spoke again.  Realizing that he was incapable of doing what she wanted and needed allowed her to let go of her anger.

Coping With a Breakup When Closure With Your Ex Isn't Possible

Over the next several months, Ina felt that she was able to have her own sense of closure about the breakup in therapy, and she realized what she needed emotionally in her next relationship (see my article: Learning From Past Romantic Relationships).

Conclusion
There are many reasons why closure isn't possible within a relationship.

The scenario above presents one example, but there are numerous reasons.

Just because you can't have closure within the relationship doesn't mean that you can't have closure within yourself.

Even when two people are able to talk about the end of their relationship, one or both people might still feel that there's no closure.

Sometimes, one person in the relationship can use the idea of closure in order to maintain contact with the other person and this can lead to a form of harassment (see my article:  Breakup: When Closure at the End of a Relationship Leads to Harassment).

Therapy allows for another possibility for closure.

Getting Help in Therapy
Working with a skilled psychotherapist can help you to have closure around the end of a relationship even when you can't have closure with your ex (see my article: How to Choose a Psychotherapist).

This doesn't mean that all the loose ends are tied up in a neat bow or that it will be quick or easy, but it does mean that you can emotionally heal without being in a protracted state of grief after a breakup.

If you're going through a breakup and you need emotional support, you owe it to yourself to get help in therapy.

Friends and family might be supportive, but they're not trained to help you to work through your sadness, anger and grief (see my article: Talking to a Psychotherapist Is Different From Talking to a Friend).

Getting help in therapy can allow you to heal emotionally.

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, January 7, 2013

When Our Emotional Attachment to Our Possessions Becomes a Problem For Our Loved Ones

During the last few years, there have been many more articles, books, and even a TV program about hoarding.  There have even been articles about how children of hoarders have been affected by a mother's or father's hoarding. 

All of these stories serve to highlight our emotional attachment to our possessions and how possessions can become imbued with personal symbolic meaning.  Even when our emotional attachment to our possessions doesn't reach the level of hoarding, it can be a psychological problem that causes distress for the person with the problem as well as loved ones who live with him or her.  But this problem can be worked through in  therapy.

Emotional Attachment to Our Possessions Become a Problem For Our Loved Ones


The following fictionalized scenario, which is a composite of many cases with all identifying information changed to protect confidentiality, is an example of how one person's emotional attachment to his possessions can be a problem that can get worked through in therapy:

Joe:
Joe became depressed after his girlfriend of 10 years, Mary, broke up with him.  The breakup occurred four years before, but Joe still missed her everyday.  When they were living together, Mary was the neat one and Joe tended to be more messy.

But after Mary left, Joe went from being messy to accumulating clutter.  The things he accumulated in the house were mostly clothes, books, and mementos from the relationship.  Other than that, he cleaned the house and never accumulated any garbage, the place was habitable, and he had people over.  It never reached the level of "hoarding," but it was still becoming a problem and he feared that this problem might get worse.

Our Emotional Attachment to Our Possessions Becomes a Problem

When he began therapy, he talked about other big losses in his life, including losing both of his parents at an early age.  Prior to Mary leaving, Joe didn't think about their deaths as much as an adult.  But after Mary left, Joe began having dreams of himself as a child searching for his parents.

It became apparent in therapy that the loss of his relationship with Mary triggered this early childhood trauma, and his emotional attachment to his possessions took on a new meaning for him with the triggering of this early trauma.  His possessions became imbued with a personal meaning that he never felt before.  It was as if his possessions were like beloved friends and family members, and he couldn't bare to part with them.

On the one hand, having them around him gave him a certain amount of emotional comfort.  But, on the other hand, the clutter increased his anxiety.  He also felt ashamed about it.  His bedroom closet was filled with clothes that he no longer wore, but they had come to have meaning to him because they were purchased for him by Mary.  His desk and his floor were littered with books and papers that he also associated with Mary.

During his therapy, Joe mourned the loss of his relationship and the loss of his parents.  He learned to nurture the "inner child" in him that he had ignored for years and who was feeling emotionally deprived.

Joe Learned to Mourn His Losses and Nurture His Inner Child So He Could Let Go 


Gradually, he started letting go of the possessions he was accumulating.  In order to let them go, he did a simple ritual in which he thanked each possession for what it "gave" him on a symbolic level.  It was still hard for Joe to let them go, but he did.  Although it was sad for him, he also began to feel less anxious because he could now relax more in his environment.  He also began to take steps to meet other women.

When Possessions Take on a Personal Symbolic Meaning and You Can't Let Go of Them:
In the above scenario, the accumulation of possessions never reached the level of hoarding as we've come to define it.  I think it's important to recognize that people can go through stages in their lives where they develop an emotional attachment to their possessions that isn't hoarding per se but is still problematic.

I believe there's a difference between clutter and hoarding, and it's important to recognize the symbolic meaning of possessions.  Often, possessions take on a symbolic meaning of being like a friend or loved one that provides comfort after a loss.  Under these circumstances, the person usually has mixed feelings about these possessions because, even though they provide a degree of emotional comfort, the clutter also creates anxiety.

Mourning and Problems with Letting Go of Possessions that Belonged to a Loved One
Many people go through a similar feeling when someone close to them dies and they have to get rid of  clothing and other possessions.  Sometimes, they have to wait a while before they can do it because it's just too hard.  They might spend time holding and smelling certain items of clothes that still have the scent of their deceased loved one.  But, eventually, they usually let go of these things because they know they have to do it or they'll remain stuck emotionally.  It's part of the mourning process.

Not Just "Messy" - The Importance of Understanding the Meaning of Holding On
It's not unusual for possessions to take on this symbolic meaning without the person who is affected  realizing it at first.  

A person who begins to accumulate clutter might just see him or herself as "messy" at first without realizing that the possessions have taken on a new meaning.  At that point, it becomes hard to get rid of these things  because who wants to throw out a "loving friend" or "family member"?

This problem is a lot more common than hoarding.   Overcoming this problem isn't easy.  It begins with an awareness that the possessions have become imbued with emotional meaning that goes beyond their functional status.  Then, overcoming the problem involves working on a deeper level, as in the scenario above.

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


Children of Hoarders on Leaving the Cluttered Nest