Hello Impostor Syndrome My Old Friend

Back in 2015 I wrote an article about Overcoming Impostor Syndrome and I'm revisiting this topic today from a personal perspective, which I hope will be helpful to you.

What is Impostor Syndrome?

Impostor syndrome is a psychological experience of feeling like a fraud either in an intellectual or professional setting. 

Impostor syndrome is a subjective experience of self doubt about one's abilities or  accomplishments as compared to others and despite evidence to the contrary.

There is often a fear of being exposed as a fraud. This can include feeling undeserving of success or luck. 

Impostor Syndrome

Although impostor syndrome isn't listed in the Diagnostic and Statistical Manual as a psychiatric diagnosis, it's a real phenomenon.  

It's not a mental disorder--it's a syndrome.

What is Impostor Syndrome For Psychotherapists?

Impostor syndrome often occurs for new therapists or therapists in training at various times in their career when they're learning new skills.

I remember feeling impostor syndrome when I began psychoanalytic training in 1996. 

I was just out of graduate school without much clinical experience, so I felt unprepared to jump into clinical work at the postgraduate clinic where I was assigned clients. 

Just before I met my first client, I felt like I was standing high up on a diving board waiting to dive in. I felt anxious and unprepared. 

As I sat in my newly assigned psychotherapy office, which was the size of a monk's cell, I read over the client's intake which was performed by a graduate student intern.

By the time I finished reading the intake, I felt like I had little to nothing to offer this client who had serious interpersonal problems. 

After reading her intake, I felt a deep feeling of compassion for the client before I even met her.

During that first session, as I listened to the client, I wished she could have been seen by an experienced therapist instead of a beginner like me. But, by the end of the session, she told me she felt the session went very well. She said she felt I was attuned to her--she felt seen and heard by me. She also said she felt my compassion for her and she looked forward to our next session.

During my four years of psychoanalytic training, as I developed therapeutic skills, I felt increasingly more confident, but I still had times when I felt impostor syndrome, which I discovered was common for new therapists.

As I gained clinical experience and with the help of individual and group supervisors, my own personal psychoanalysis, and classes, I discovered I had a natural ability for being a psychotherapist. 

I also realized that no one, no matter how experienced, has all the answers and the point of being a psychotherapist isn't to "fix" clients or to have all the answers (see my article: Why It's Important For Your Therapist Not to Have All the Answers).

What's important is the ability to help clients to become curious and compassionate about themselves so I can guide them to find their own path to healing.

Over the last 30 years as a licensed mental health professional, I have gone on to do many other advanced trainings, including EMDR, AEDP, Somatic Experiencing, EFT Couples Therapy, Sex Therapy and Parts Work (IFS and Ego States Therapy).

I have also learned a lot from my clients by being attuned to them and joining them wherever they were in their healing journey.

I consider myself a curious and compassionate lifelong learner who continues to learn and grow personally and professionally, but I'll never forget my early experiences. 

I have a great deal of empathy for clients and new therapists because I have been both and I know the journey can be challenging, but it can also be very rewarding.

What Are Some Ways to Overcome Impostor Syndrome?

Here are some tips for overcoming impostor syndrome which might be helpful for you:

• Challenge Negative Thoughts: Challenge negative self talk that contributes to impostor syndrome.  Be realistic and remind yourself it's okay to be new at a particular endeavor.

• Remind Yourself of Your Capabilities: You might be new on a particular path, but you probably have evidence of prior success, achievements and positive feedback. Stay curious and open to new experiences.

Self Compassion

• Practice Self Compassion: Know and accept that impostor syndrome is a common phenomenon that many people experience at some point. Treat yourself with kindness and avoid comparing yourself to others.

• Develop a Growth Mindset: A growth mindset will help you to realize you can learn and grow over time. Embrace new challenges as opportunities for growth. Set goals and along the way celebrate your successes.

• Take Action: Don't let impostor syndrome overwhelm you. Although you might be pushed out of your comfort zone, be aware you have overcome other challenges in the past and that moving out of your comfort zone will help you to grow.

• Keep a Journal: Writing about your thoughts and emotions can help you to reflect on where you are in the moment and where you want to be. 

Use Your Imagination

• Use Your Imagination: Using your imagination to visualize yourself to see yourself as already having achieved your goals can be helpful.

• Seek Support: Talk to trusted friends and loved ones. They will probably tell you they have had similar feelings about impostor syndrome at some point in their lives. If possible, join groups where people are having similar experiences and learn how they are coping with these experiences. For instance, before I started graduate school in 1993, I joined a group of people who were working on making various changes in their lives and we were mutually supportive of one another, which was very helpful for me.

About Me:

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

As of this writing, I also teach a class, Countertransference and Sex Therapy II, for second year sex therapists in training at the Institute For Contemporary Psychotherapy.

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 Psychotherapy Can Help You to Change Distorted Thinking

In my prior article, I described the various forms of cognitive distortions that often create unhappiness.  In this article, I'm focusing on how psychotherapy can help you to overcome cognitive distortions.

How Psychotherapy Can Help You to Change Distorted Thinking

Psychotherapists are trained to detect cognitive distortions, which, as I mentioned in my prior article, include:

• Taking things personally
• Jumping to conclusions
• Catastrophizing
• Overgeneralization
• Fallacy of fairness
• Blaming or Externalizing
• Emotional reasoning
• A need to be right
• All or nothing thinking
• Filtering

Aside from bringing these distortions in thinking to a clients' attention, a psychotherapist will often help clients to identify the origin of these thoughts and help clients to change their pattern of thinking so that it is healthier and more effective.

Fictional Clinical Vignette: How Psychotherapy Can Help You to Change Distorted Thinking

Sam
Sam began psychotherapy at the suggestion of his wife after they had another argument where Sam insisted that he was right and his wife was wrong.

Subsequently, Sam realized that they each had a different way of looking at the situation that they were arguing about and, as it turned out, his wife was correct, which disturbed Sam very much.

Sam told his psychotherapist during their initial consultation that he hated to be wrong because it made him feel "stupid" and ashamed.  Although he apologized to his wife, he realized that there were many times when he had arguments with his wife when he insisted that he was right and afterwards he realized that his wife was correct.

In hindsight, Sam recognized that none of these arguments were about anything important.  They were about everyday issues, but he had such strong feelings about being right and it disturbed him greatly when it turned out that he had made a mistake (see my article: Overcoming Your Fear of Making Mistakes).

He realized that his need to be right was having a negative impact on his marriage, and he feared that if he didn't overcome this problem, his marriage might not survive.

During his next therapy session, Sam revealed that his need to be right started when he was a young child.  Growing up with two highly critical parents, Sam learned early on that they became upset whenever he made a mistake, especially his father.

Whenever Sam made a mistake, whether it was at school or at home and no matter how small the mistake was, his parents let him know that they were disappointed in him.  They would withdraw emotionally from him, which led to his feeling ashamed whenever he was wrong.

As a result, whenever there was a possibility of Sam being wrong, he would become highly anxious because he didn't want to make his parents unhappy.  He especially didn't want them to withdraw from him emotionally.

Since his childhood, he felt it was unacceptable for him to be wrong.  Logically, he understood that everyone makes mistakes but, on an emotionally level, he would panic if he thought there was even a possibility of being wrong or making a mistake.

Rather than admit that he might be wrong or he might have made a mistake, he would insist that he was right.  It was like a knee jerk reaction that he had, which was preferable to him than considering the possibility that he might be wrong and all that this implied for him.

This created problems for him in his career as well as in his friendships.  Now, it was creating problems between Sam and his wife because she was fed up with it.

Over time, Sam's psychotherapist helped Sam to recognize that panicky feeling by helping him to be aware of what he was feeling physically in his body at those times.

At first, Sam had difficulty with this because he wasn't accustomed to identify where he felt emotions in his body.  But, over time, using the mind-body connection and a recent memory of having an argument with his wife when he insisted that he was right, Sam's therapist helped him to identify that he felt panic in his stomach.

As time went on, Sam's therapist helped him to make the emotional connection between his current panic and how anxious he felt as a child whenever his parents criticized him for his mistakes.

Sam and his therapist also used EMDR therapy to work through his childhood trauma.

Since EMDR therapy addresses the past, present and future, eventually, Sam was able to work through the past and tolerate being wrong in the present with his wife and others.  He no longer had the need to insist that he was always right, and he and his wife got along better.

Conclusion
Cognitive distortions can create personal unhappiness as well as problems in relationships.

The fictional vignette above addresses a particular type of cognitive distortion, the need to be right, and shows how therapy helps clients to work through the underlying issues involved as well as address current and future circumstances.  A skilled psychotherapist can address other forms of cognitive distortion as well.

Getting Help in Therapy
Even when you have insight into your distorted thinking, it's difficult to change these problems on your own (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist can help you to work through the underlying issues that created the distortions and help you to free yourself from a difficult personal history (see my article: How to Choose a Psychotherapist).

Rather than struggling on your own, you could benefit from getting help from a licensed mental health professional so you can lead a more fulfilling and meaningful life.

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

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 Psychotherapy Can Help You to Become Aware of Distorted Thinking

Psychotherapy can help you to become aware of a distorted pattern of thinking, which could be contributing to your unhappiness.  Prior to beginning psychotherapy, most clients are unaware of their particular pattern of thinking.  A skilled psychotherapist can assist clients to change their distorted thinking (also called cognitive distortions).  In Part 1 of this topic, I'm focusing on the various types of cognitive distortions.  In Part 2, I'll discuss how psychotherapy can help to overcome cognitive distortions.

How Psychotherapy Can Help You to Become Aware of  Distorted Thinking 

Distorted Thinking/Cognitive Distortions
There are many ways that a particular pattern of thinking can create problems without people even realizing it.  These patterns are distortions in thinking and often begin early in life.  Another term for distorted thinking or cognitive distortions is errors in thinking.

Here are some of the most common cognitive distortions:

• Taking Things Personally:  People who tend to take things personally see others' words and deeds as being directed at them when they're not.  For instance, if your boss comes to work in a bad mood and seems annoyed, someone who takes things personally might think that the boss is angry with him.  But, in reality, the boss is looking annoyed because he had an argument with his wife before he came to work, and his mood has nothing to do with anyone else.

• Jumping to Conclusions:  People who jump to conclusions will make assumptions without having objective facts, and they will assume that they're right.  The example that I gave above about the moody boss is one way of jumping to conclusions.  

• Catastrophizing: Simply put, catastrophizing is when a person expects the worst in most situations. His fears are usually exaggerated without sufficient evidence for this type of fear. An example of catastrophizing would be if a person hears a weather report that indicates there will be 1-2 inches of snow and makes the assumption that there will be a gigantic snowstorm where he might not be able to leave the house.  The weather report becomes exaggerated in his mind and he becomes highly anxious when there is no objective reason to believe there will be a storm.

• Overgeneralization:  People who engage in overgeneralization often take one or two instances of something happening and make the assumption that this is how it is always.  For instance, if someone has a negative encounter with a postal employee at the post office and, based on that one experience, he says that all postal employees are rude.  This is an overgeneralization.  

• Fallacy of Fairness:  Many children grow up thinking that the world should be "fair" and, as adults, when they encounter situations which are "unfair," it contradicts their way of thinking.  Without even realizing it, many people carry this belief from childhood into adulthood.  This type of belief can be very subtle, and it's ingrained in our culture that if you are "good," good things will come to you and if you're "bad," bad things will come your way. As an example, someone who believes that he lives in a world where justice prevails might be disillusioned and confused when someone who assaulted him suffers no legal consequences because of a technicality in the law. 

• Blaming or Externalizing:  When people have a tendency to engage in blaming others (also known as externalizing), they don't take responsibility for their own thinking, feelings or actions.  Instead of looking at themselves first, they point the finger at someone else to avoid taking responsibility.  An example of this is when someone drives while intoxicated after having an argument with his significant other.  Rather than taking responsibility for using poor judgment by drinking and driving, he blames his significant other for "making" him angry.

• Emotional Reasoning: Emotional reasoning is when a person assumes that his thoughts and feelings are facts.  An example of this would be a person has strong feelings about a coworker and makes the assumption based solely on his emotions that his feelings are true without having objective facts (see my article:  Discovering That Your Feelings Aren't Facts).

• The Need to Be Right:  The need to be right involves a need to prove that one's opinion, feelings or actions are correct even in the face of contrary facts.  As an example, a person who needs to be right often won't listen to what her significant other is saying because she "knows" that what she's thinking is right and her significant other is wrong.  The need to be right goes beyond having a different opinion.  This person's shaky sense of self worth is based on being right.

• All or Nothing Thinking: (see my article: Overcoming All or Nothing Thinking).

• Filtering:  Filtering involves paying attention to only certain aspects of a situation and not to others.  For instance, a person who tends to engage in filtering might only pay attention to the negative side of a situation rather than looking at the whole picture which includes positive aspects because the negative side confirms his opinion.  

In my next article, I'll discuss how psychotherapists help clients to overcome cognitive distortions: How Psychotherapy Can Help You Change Distorted Thinking.

Getting Help in Therapy

Psychotherapy can help you to overcome psychological obstacles that are getting in the way of your maximizing your potential (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist helps clients to overcome problems that keep clients feeling stuck whether it's related to a history of psychological trauma or more recent problems (see my article: How to Choose a Psychotherapist).

Rather than suffering on your own, you could work with an experienced mental health professional who can help you to overcome your problems so you can lead a more fulfilling life.

About Me

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

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.

Are You Sabotaging Yourself With Negative Self Talk?

Negative self talk can become so automatic and persistent that you don't even realize that you're sabotaging your own efforts by giving yourself negative messages.  When negative self talk becomes so habitual, the more you engage in it, the more you reinforce this negativity.

Are You Sabotaging Yourself With Negative Self Talk?

What is Negative Self Talk?
Everyone has his or her own version of negative self talk.

Some people compare themselves to others unfavorably to others and then tell themselves that that they could never measure up to these other people.

Here are some examples:

• Comparing yourself to pictures of models in magazines and then berating yourself for being overweight or being as attractive as the models
• Comparing how much money you make to other people's high income, and telling yourself that you'll never have financial success
• Comparing other people's success and telling yourself that you'll never amount to anything

Aside from comparing yourself unfavorably to others, there are many other kinds of negative self talk that can act as an saboteur:

• Criticizing yourself when your efforts don't bring success immediately rather than trying again
• Telling yourself that you're unlovable or worthless
• Telling yourself that you're stupid

And so on

Where Does This Negative Self Talk Come From?
For many people, negative self talk starts in their family of origin.  If they had a critical parent when they were growing up, they internalized these negative messages.  Then, as adults, they continued to give themselves the same messages--often without even realizing it.

How Can You Change Negative Self Talk?

• Becoming More Self Reflective and Aware

The first step to changing negative self talk is to become aware that you're doing it.   In order to become more aware, you need to become more self reflective and begin to pay attention to your internal self talk.

Do you offer yourself encouragement or discouragement?

Step back and observe yourself.

If you realize that you've developed a persistent habit of being self critical, you need to also be aware that this habit is an obstacle in your path.

• Admitting to Yourself that Your Negative Self Talk is a Problem

Once you've become aware of your problem, the next step is to start making the connection between your negative self talk and the consequences that it has had in your life.

While external factors might play a role in your feeling stuck, in order to change, you need to also admit to yourself that you're sabotaging yourself.

• Taking Action to Change

Once you've become aware and admit to yourself that your persistent negative self talk has become an obstacle for you, you need to take action to change.  Awareness alone, although a very important first step, isn't enough.

Begin to challenge yourself, whenever you engage in negative self talk, as if you were someone else questioning your own negativity.  Ask yourself for objective evidence that what you're telling yourself is true.  Engage in your own internal debate.

Ask yourself what a good friend, who knows you well, might tell you.

"Act as if" the negative self talk isn't true.  So, for instance, if you're telling yourself that you'll never be able to complete a project for work, acknowledge that this is how you're feeling, but put that aside and act as if you can.

In my opinion, "acting as if" is different from "fake it 'til you make it" because by"acting as if," you'll eventual discover that you're not faking it at all--you're really doing it.

By "acting as if," you're opening yourself up to new possibilities both within yourself as well as in external your world.

Getting Help in Therapy
If these tips for overcoming negative self talk don't work for you, you could benefit from seeking help from a licensed mental health professional.

For many people, negative self talk is linked to childhood trauma where there was emotional and/or physical abuse.  As a result, the trauma keeps getting triggered in their lives now as an adult and often shows up in negative self talk.

There are licensed psychotherapists who specialize in providing therapy to overcome trauma, and finding a therapist with expertise in trauma can help you to work through the trauma and also help you to stop engaging in negative self talk.

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

I work with individual adults and couples, and one of my specialties is helping clients to overcome the effects of trauma.

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.

Overcoming "All or Nothing" Thinking

When you engage in all or nothing thinking, you're limiting your possibilities and, possibly, the possibilities of those around you.  Sometimes, referred to as "black and white" thinking, when you engage in all of nothing thinking, you leave out a lot of the "grey" area.  And, let's face it, most of life falls in that "grey" zone.

Overcoming "All or Nothing" Thinking

All or nothing thinking is known as a cognitive distortion because it represents a distortion in the way you think either about yourself, someone else or a situation.

Developing Awareness About How You Think and Approach Life
In order to make any changes, first, you need to be aware of your particular pattern of thinking.

How can you recognize if you're engaging in all or nothing thinking?

Here are some examples:
"Nothing ever goes right for me."
"I'm a total loser."
"I'm always wrong."
"What's the use of even trying?  Life is always so hard."
"You never listen to me."

How Does All or Nothing Thinking Affect You?
As I mentioned earlier, engaging in all or nothing thinking limits your options to either "yes" or "no" or "always" and "never."  While there are times in life when you're clear that your response is an absolute like "yes," "no," "always," or "never," if this is your pattern most of the time, then you're dealing with a cognitive distortion in your views.

The following vignette is a fictionalized scenario where a person engages in nothing thinking:

Ed:
Ed, who was in his late 20s, had low self confidence.  It was hard for him to try anything new because he had so many self doubts.  It took a lot for him to take risks, whether they were  risks in his personal life or in his career.  He had to work hard to push aside his negative thoughts about himself in order for him to make a move.

When he met Karen at a party, he really wanted to get to know her.  He hesitated to ask her for her telephone number because he assumed that she would reject him.  He thought: "She'd never be interested in me" and "I'm such a loser."  He had to really summon his courage to ask her for her telephone number so he could ask her out on a date.  Ed was shocked when Karen smiled and gave him her number.

A couple of days later, Ed began dialing Karen's number, but he kept hanging up before the phone rang.  His fear of rejection escalated as his negative thoughts almost got the best of him: "She probably gave me the number because she felt too uncomfortable to say no, but she'll never go out with me."

Once again, Ed pushed aside his negative thoughts and redialed.  When he got Karen's voicemail, he almost hung up but, despite his fear, he left a message.

When a day passed and Karen didn't call back, Ed berated himself, telling himself, "You see?  She's not interested.  You're a loser."

Overcoming All or Nothing Thinking

Then, Karen called Ed the following day, telling him that she was having problems with her phone and she just got his message.  She also told him that she would love to go out with him, which surprised and delighted Ed.

Overcoming All or Nothing Thinking

 
He felt good for a few minutes, and then his self doubt crept in again and he felt sure that Karen wasn't going to enjoy being with him.

Overcoming All or Nothing Thinking
If you recognize yourself as engaging in all or nothing thinking, you can practice trying to reframe situations for yourself.

For instance, in the vignette above, Ed was certain that Karen didn't call back on the same day because she wasn't interested in him.  He never considered other possibilities, including that there were problems with Karen's phone.

If you see yourself as having a similar pattern, you can begin by challenging yourself in every day situations by coming up with other possibilities.

At first, you might not believe that there could be any other possibilities, except for the negative thoughts you're having.  But just practice.  If nothing else, it will help you to develop a greater awareness of how often you engage in all or nothing thinking.

In the above vignette, even if Karen didn't return Ed's phone call, there could be lots of other reasons:  Maybe she was sick.  Maybe she liked Ed, but she was too shy to call him back.  And so on.

Often, it's easier to see other people's distorted thinking.  If you happen to notice other people engaging in all or nothing thinking, you could challenge their assumptions in your own mind and come up with different options.

Getting Help in Therapy
Often, people who are depressed or anxious engage in all or nothing thinking, feeling they have few options.  

If you think you're anxious or depressed, you could benefit from getting help from a licensed mental health professional so you can live a more fulfilling life.

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.

Also, see my article:  Making Changes: Overcoming the Voice of Negative Prediction

How to Stop Comparing Yourself Unfavorably to Others

All of us compare ourselves to others at one time or another.  From the time we're born, someone is comparing us to others--if we were bigger or smaller than our siblings, how we behaved compared to other babies, and so on.  The comparisons continue throughout childhood ("Why can't you be more like your brother?").  So, is it any wonder that many people spend their lives comparing themselves unfavorably with others? 

Stop Comparing Yourself Unfavorably to Others

The problem is that when you make a habit out of comparing yourself unfavorably to others, you make yourself feel inadequate:

• "She's so much thinner than I am."
• "He makes more money than I do."
• "He's funnier than I am."
• "She's prettier than I am."

When you find yourself always on the losing end of the comparison, you're reinforcing a negative habit that will keep you immersed in shame.

Some Tips to Stop Comparing Yourself Unfavorably With Others:

• Recognize that everyone is different and each of us has unique qualities.

• Be aware that, even though you might think that you're being "objective" in your comparisons, people often project their own sense of self doubt into their comparisons.

• Transform feelings of envy toward others into admiration, and if there's something that you can learn from someone that might help you to make a positive change, be open to discovering it.

Learn to Develop a Sense of Gratitude 

When you allow yourself to be consumed by envy, you're making yourself miserable.  Envy can be very corrosive, and it has a way of feeding on itself.

If you're constantly comparing yourself to people that you think have more than you do, try comparing yourself to others who have less.  When you recognize that you might be more fortunate than many other people, you have an opportunity to develop a sense of gratitude for what you do have rather than yearning for what you don't.  

Keep a gratitude journal where every day you write down three things that you're grateful for--no matter how small.  This will help to realize how many things you have to be grateful for in your life that you might be overlooking.

A Worthy Challenge:  From Envy to Gratitude

Changing an ingrained habit isn't easy.  But changing an ingrained negative habit of comparing yourself unfavorably to others and developing a sense of gratitude for what you do have is worth the effort.  

Getting Help in Therapy

Certain ingrained habits are difficult to change on your own, especially when longstanding habits are rooted in shame.

A skilled psychotherapist can help you to overcome the obstacles that you can't overcome on your own, so rather than struggling on your own, seek help from a licensed mental health professional.

About Me

I am a licensed New York City 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.

Keeping a Gratitude Journal

A gratitude journal is a daily diary where you write about the people, places and events in your life that you feel grateful about.

Keeping a Gratitude Journal

It can change your perspective about your life and the world around you, especially when you are feeling down or if you have developed a habit of looking at yourself and the world in a negative way.

It's Easy to Keep a Gratitude Journal
At the end of the day, write down 5 things that you feel grateful about. At first, you might feel that this would be a waste of time, but I invite you to do it for a week.

Even if, at first, you come up with two things, overtime, as you continue this process, you will probably begin to notice that you will come up with more and more items to write in your daily gratitude journal.

Your journal entries can be as basic as being grateful for the food you eat, your clothing, that you have a roof over your head or that you are alive.

How Can Keeping a Gratitude Journal Help You?
Keeping a gratitude journal helps you to be more aware of your view of yourself and the world around you:

• Do you tend to see things as being mostly negative? 
• Is the glass always half empty rather than half full? 
• Do you tend to engage in all-or-nothing thinking? 
• Are you overlooking the blessings in your life, no matter how simple they might be? 
• Have you taken for granted friends and family who are loving and supportive?

As your awareness expands with your gratitude journal, you can learn to let go of negative patterns of thinking that have held you back.

You may begin to feel more inspired to open yourself up to new opportunities. 

Remember, this is a process. Many of my clients have used a gratitude journal with success. It has helped them to overcome old negative habits that have kept them stuck and allowed them to have more of what they want in their lives.

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.

Psychotherapy: You're Not Defined By Your Diagnosis

As a psychotherapist in New York City, I see many clients who have been in psychotherapy before. People who have a lot of experience with psychotherapy will often start their initial session by saying, "I'm depressed" or whatever they've been told their diagnosis might be. Whenever I hear this, I often have an internal experience where I feel the weight of this client carrying around this identification and self concept, in some cases, for many years.

You're Not Defined By Your Diagnosis

It's Useful to Know There's a Name for What You Feel

Now don't get me wrong: I'm not completely against diagnoses. If you're a person struggling with depression (or some other diagnosis), it's useful to know that. Knowing that there's a name for what you feel and thousands of other people have similar experiences can be comforting and indicates that you're not alone.

...But Your Diagnosis is Not Your Identity
But taking on a diagnosis as a permanent identity is a different story.  When you say, "I'm depressed" almost like you're saying, "I'm Mary" (if that's your name),it's almost as if you're claiming the symptoms of depression as part of your permanent identity as if it's never going to change. Now, we know that, depression, for instance, can be overcome with treatment, whether it's psychotherapy or the combination of psychotherapy and medication. It's not a permanent part of your identity that can't be changed like, possibly, your ethic background or some other unchangeable part of who you are as a person.

Your Diagnosis Isn't Your Identity

When you strongly identify with and embrace your diagnosis by saying "I'm depressed" as opposed to "I'm a person with depression," you're giving yourself a message that this is who you are and it's not going to change. And the more you say it, the more ingrained it becomes in your mind.

What I'm proposing in this blog post is NOT that people should be in denial about what they're experiencing. Instead, I'm proposing that your relationship to your diagnosis doesn't have to be a permanent one. If the reason you come to therapy is to change, if you're constantly giving yourself the message that you are your diagnosis, it's going to be that much harder to change because you've accepted that this is who you are on the most basic and core level. It's giving yourself the message that you're not going to change.

What I'm discussing, about how people label themselves with diagnoses, is more than semantics. it's a way of thinking and holding onto something that you say you want to change by coming to therapy. So, in a way, the internal message that you're giving yourself contradicts what you're trying to change, so you're at odds with yourself.

It's like the opposite of saying self affirmations. Instead of giving yourself positive messages, you're giving yourself a negative message--over and over, so it becomes part a habitual negative thinking.

This is all aside from the fact that, even though there are diagnostic categories, no two people with depression (or any other diagnosis) are the same. And, of course, you're a whole person who is much more than a diagnosis. So, to limit your self identification to your diagnosis is like putting yourself in a small box. What about all the other wonderful parts of you that aren't related to the diagnosis? It becomes easy to overlook all of those positive aspects when you become overly identified with your diagnosis.

It might take a while to develop this type of awareness about yourself but, in the long run, it's much more affirming to who you are as a complete person, beyond labels.

About Me

I am a licensed New York City psychotherapist with expertise in Somatic Experiencing, clinical hypnosis, EMDR, and psychodynamic psychotherapy.

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.

Overcoming Habitual Negative Thinking

Have you ever taken the time to observe your thought patterns? Stepping back to observe how you think and the kinds of thoughts that might be dominating your conscious mind can provide an interesting window into what might be driving your attitudes and behaviors about yourself and others as well the types of decisions you're making.

Overcoming Habitual Negative Thinking

Very often, we might not notice these patterns in ourselves and we might not think about it until someone else, usually a person who is close to us, points it out to us. That person might point out that we are compulsive worriers or that we tend to engage in a lot of negative thinking or some other type of habitual thinking.

How to Develop the Ability to Observe Your Own Thoughts:
Developing the ability to observe our own thought patterns might sound like it would be easy. But it assumes that you have developed a certain awareness in yourself and that you're able to step back from your own habitual ways of thinking to look at your own thought process. For most people who are learning to do this, initially, they might find it easier to recognize their thought patterns after the fact.

For instance, a person who has just had an argument with his or her spouse, might think about what lead to the argument in the first place once the situation has calmed down. In one situation, a husband might realize that he was already feeling irritable when he snapped at his wife. In another situation, a wife might realize that she was anticipating that her husband was about to say something that would annoy her, so she reacted with anger. Whatever the situation might be, it requires an ability to temporarily let go of your reactions and the content of whatever you reacted to in order to turn inward to observe what's going on inside you.

Overcoming Habitual Negative Thinking: Developing the Ability to Observe Your Thoughts

Many people develop this ability of turning inward with relative ease. Usually, these are people who tend to be psychologically minded and curious about their own thought process and how if affects their behavior. They might have learned to do this as part of their own psychological development while they were growing up. Perhaps their parents taught them to think about their behavior when they were growing up. Or, if they didn't grow up with this ability, they might have learned it as part of their psychological development in psychotherapy or through a meditative practice. However this ability is developed, it's very useful to help us grow and develop within ourselves as well as in our relationships.

What is Habitual Negative Thinking?
Well, first of all, habitual means that it tends to be a recurring pattern. These thoughts aren't the occasional, random thoughts that might pop up in your head. They're ongoing and persistent ways of thinking that tend to be negative without any objective or verifiable evidence to substantiate them.

Examples of habitual negative thinking might be: "Nothing ever goes right." "Whenever I try to do something, something always goes wrong." "I'm never going to amount to anything, so why bother to try." And I'm sure you can think of many others. As you can see from just these few examples and others that you might think of, it's a negative way of looking at yourself, others, and the world in general.

Why Is Habitual Negative Thinking Harmful?
If we think of our thoughts as determining our action, we can begin to see how habitual negative thinking can become a major obstacle in our lives. So, if your particular habitual thought pattern is that "Nothing ever goes right," you can begin to see how this would affect you if you're thinking about making changes in your life, in your relationships, your career, and so on. Before you can even take the first step to make changes that might be necessary and important, you'll feel discouraged because "if nothing ever goes right," why bother? These habitual negative thoughts keep you stuck in whatever situation you might find yourself in, leaving you feeling hopeless and without a solution.

The following fictionalized scenario is an example of how habitual negative thinking is a problem, how it developed, and how it can be overcome:

Tom:
As an only child, Tom grew up in a household with two very angry parents. His parents were constantly arguing with each other, hurling accusations at each other and, after their arguments, often not talking for days at a time. When Tom was a young child and his parents began arguing, he would go into his room and put his pillow over his ears. But, try as he might, these arguments were so loud that he could still hear them.

Whenever this happened, Tom would get very frightened, but there was no one to talk to about it because his parents were consumed with their anger for each other. Even after the loud arguments stopped, each of his parents would be smoldering in separate parts of the house. When the loud arguing stopped, Tom would open his door a crack and listen for a minute, and if he didn't hear any more arguing, he would tiptoe out of his room gingerly, hoping to go unnoticed. His parents never hit him or physically abused him in any way. They provided for his basic needs. But they were totally unaware of how their heated arguments affected Tom.

Once Tom felt the coast was clear, he would come downstairs. Often, he would sit at the kitchen table and watch his mother cook. After one of those loud arguments, his mother would often bang pots on the stove and slam cabinet doors, making Tom wince. He would sit quietly, waiting to see what happened next before he dared to say anything. Often, at those times, his mother would say, "Life stinks" or some other similar comment. Tom was never quite sure if she was talking to him or talking to herself because his mother had a far away look in her eyes. At the same time, his mother would put a glass of milk in front of him and encourage him to drink it so even though she wasn't looking at him, he knew that she was aware of his presence.

Afterwards, he usually went down to the basement where his father had his tool shop to see what his father was doing. His father would usually retreat to his tool shop after one of these arguments and tinker around. Tom would sit at the edge of one of the steps and watch his father work. When his father realized that Tom was there, he would often say to him, "Don't ever get married Tommy. You'll regret it. Nothing you do will ever be right, according to your wife. "

These scenes occurred with such frequency that Tom grew up to be a very anxious child and a pessimistic young man. Not only were his parents giving him these ongoing negative messages, but they were so consumed and angry with each other that they weren't present for Tom emotionally. They were so overburdened by their own unhappiness that they didn't take the time to encourage him in any way or to give him hope about his future.

Without realizing it, these constant arguments and negative messages formed Tom's way of thinking about himself, others and the world in general. Tom went through life just "getting by." He was an average student in school, and he made a few friends along the way, but he had no hopes or dreams for the future. His expectations for himself and for others remained low. He didn't try out for sports or initiate any projects on his own because his thought, "Why bother? It's not going to work out."

All of this came to a head when he was in his mid-20s and he met Carol. He was attracted to Carol and sensed that there was something special about her, but he was too anxious to ask her out. Being an outgoing and confident young woman, Carol liked Tom and she asked him out on a date. As they continued to see each other, Carol was the one who continued to initiate steps to take their relationship to the next level. But, after a while, she became frustrated with what she sensed was Tom's ambivalence and fear to develop a relationship with her. She also began to see how pessimistic he was and how he held himself in general. So, she talked to him about it and suggested that he start psychotherapy.

The idea of participating in psychotherapy was daunting to Tom and, at first, he brushed it off by telling Carol that he didn't believe in psychotherapy and he didn't think it would make a difference for him. But Carol persisted and, after a while, Tom realized that his relationship with Carol was on the line and he didn't want to lose her. So, very reluctantly, Tom sought out a psychotherapist for individual therapy.

At first, Tom's motivation was external and was driven by his fear of losing Carol. But as his therapy progressed and Tom learned to observe his own thoughts and how they affected him and his relationship, he became more internally motivated. This didn't happen over night. It was more of a gradual process. But as he began to realize that he had particular negative thoughts that were habitual, he became curious about his internal world. He also began to realize why he often felt anxious and fearful much of the time.

As he became more self observant and curious, he started questioning his perceptions about himself, others and about life. He began to see the distortions in his thinking and that, often, there was no objective evidence for why he thought the way that he did.

Overcoming Habitual Negative Thinking

It was hard, at first, to make changes in his thought patterns because they were so ingrained in him. As he did this, he began to open up to new experiences, both emotionally in his internal world as well as externally in his relationship with Carol and his attitudes about the world around him. He found it to be a liberating experience as he let go of the thoughts and attitudes that he internalized from his parents and developed his own way of thinking. This, in turn, helped to improve his relationship with Carol and enabled Tom to venture out more into the world to take risks. Overall, he felt happier than he had ever been.

The above example is one way that a person can develop negative habitual thinking. It's relatively easy to see a connection between Tom's home environment when he was growing up and how formative it was in his development. However, often, it's not as obvious to see. Sometimes, the factors that influence of the development of negative habitual thinking are much more subtle and not as obvious to see. Often, these connections are hard to make on your own without the help of a trusted friend or partner or the help of a licensed mental health professional.

Overcoming Habitual Negative Thinking:

The first step in overcoming any negative habit is to become aware of it. Often, it takes courage to step back from your own ingrained way of thinking to question yourself about whether your way of thinking has distortions and if, objectively, they're accurate.

Often, people wait until there is the potential for some loss, either involving a relationship or a career before they seek help to overcome habitual negative thinking. Sometimes, it takes a crisis or the threat of a crisis to bring people into therapy to work on this issue. It's not ideal in terms of overcoming a problem but, for many people, it's what finally motivates them to get help.

Many people learn to overcome habitual negative thinking. They might start out with a lot of mixed feelings about the process, but if they have a sense of curiosity and a willingness to look at their own thought process to make changes, they're often successful.

Getting Help in Therapy
If you think you engage in habitual negative thinking, you could benefit from working with a licensed mental health professional to overcome this problem. Often, just starting the process of talking to a psychotherapist can begin to open up your mind to new possibilities. It takes a certain amount of courage and hope that you might not readily feel, but often taking the first step can lead you to take other important steps along the way.

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.

Overcoming Low Self Esteem: Watch Out For Negative Self Talk

When people have low self esteem, negative thoughts about themselves often come so much easier than positive thoughts. In part, that's because it has become a habit. Like any habit, it might take a while to overcome.

Overcoming Low Esteem: Watch Out For Negative Self Talk

Why do people with low self esteem engage in negative self talk?
There are so many reasons. Often, they have internalized what was told to them when they were growing up ("You'll never amount to anything" or "You're just as useless as your father" or "You're so stupid" or "Children should be seen and not heard").

After a while, no one has to say these things any more because people who have developed low self esteem begin to say it to themselves and, worse still, they believe it.

What to do to stop the negative self talk:
The first thing to do is to become aware that you're doing it.

That can be a challenge because it's so automatic. The other thing is that if you really believe these negative things about yourself, you can convince yourself that it's not negative self talk--it's the way it really is ("It's not a negative thought--I really am useless").

Overcoming Low Self Esteem:  Watch Out For Negative Self Talk

Learn to Observe Your Thoughts to Identify Distorted Thinking
Learn to observe your own thoughts and identify distorted thinking.

If you have difficulty doing this, ask a supportive friend to help you by pointing out (gently and tactfully) when they hear you engaging in self criticism. Someone else might see it more easily than you do at first.

The next thing you can do is to make an effort to change these negative thought patterns by stepping back, challenging yourself and developing some perspective.

Ask Yourself:

Do I really believe this about myself?

Is there even a small part of me that has a more positive view sometimes?

What might a more objective person say about it? If an objective person has a more positive view, can I practice trying to look at it from this person's view?

Could there be some other reason why things might not have worked out for me in a particular area (rather than thinking of yourself as lazy or stupid)?

What would I say to a close friend or loved one if they told me that they usually have negative thoughts about themselves? (Chances are, you would be kinder to your friend than you are to yourself.)

Getting Help in Therapy
If low self esteem is still getting you down, you might want to seek professional help. In particular, clinical hypnosis and psychotherapy can be very effective to overcome low self esteem.

You Can Overcome Low Esteem

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, please see my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

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