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NYC Psychotherapist Blog

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Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Monday, May 12, 2025

Why Do Men Tend to Have Fewer Close Friends Than Women?

I discussed the importance of friendship, sense of community and belonging in two prior articles. 

The Importance of Close Friendships

In my article,  Why Close Friendships Are Important, I discussed the health and mental health benefits of close friendships including:
  • Reduced loneliness and social isolation
  • A source of emotional support
  • Increased self esteem
  • A sense of belonging and community
  • Increased happiness and satisfaction with life
  • A sense of purpose
  • Improved cardiovascular health
  • Enhanced immune functions
  • Potential increase in life expectancy
Why Do Men Tend to Have Fewer Close Friends Than Women?
When looking at why heterosexual men tend to have fewer close friends than women, I realize this isn't the case for all men. 

Men Tend to Have Fewer Close Friends Than Women

There are many men who prioritize friendships and make an effort to develop and maintain their male friendships.

However, research indicates that many men have fewer friendships than women for a variety of reasons:
  • Traditional Masculinity: Men are taught to suppress emotional vulnerability and expression, especially among other men. This makes it difficult to develop and maintain close friendships.
  • The Stigma of Male Bonding Among Heterosexual Men: There is still a stigma for heterosexual men to show affection and emotional vulnerability with other heterosexual men. This can get in the way of having male friendships with deeper connections.
  • A Focus on Career: Many men prioritize building their career over making and keeping friends.
Many Men Prioritize Work Over Friendships
  • Limited Time: Work demands limit the time for friendships. Also, if men are in a relationship, they often want to spend whatever limited time they have with their partner and children.
  • Moving Around the Country and the World: Whether it's for college, graduate school or work, men (and women) are more mobile than ever before, so this makes it difficult to make and keep close friends.
Increased Work Travel Makes It Difficult to Make and Keep Friends
  • Fewer In-Person Opportunities to Make Friends: There are fewer in person opportunities now to make friends. This can increase loneliness and social isolation.
  • A Different Definition of Friendship: Compared to women, men tend to have a looser definition of a friend and expect less from the people they call friends.
  • Casual Connections: Whereas women tend to seek deeper connections from their close friends, men tend to have more casual connections when it comes to people they identify as their friends. Casual connections are also important, but deeper connections are more important in terms of the benefits of close friendships.
Why Your Romantic Partner Isn't a Substitute For Close Male Friendships
Heterosexual men tend to seek their emotional connection with their romantic partners than they do with male friends.  They also tend to be better at allowing themselves to be emotionally vulnerable with women.

The problem is that when men seek emotional connection exclusively from their  partner, they're putting a strain on the relationship because they expect their partner to fulfill all their emotional needs. 

A Strain on the Relationship 

They might also expect that their partner will fulfill all their social needs including relying on her to do the planning for their social life (see my article: Relationships: Sharing the Mental Load).

In addition, many of these same men expect to have a ready made group of friends from their partner's friendships.

It's important to have other sources of emotional support and not rely exclusively on a romantic partner which can also put a strain on the relationship.

In addition, if the relationship ends, these men not only lose their partner--they lose their friend group because these friends were really the partner's friends.

How Men Can Build and Maintain Close Male Friendships
  • Start small and don't put too much pressure on yourself or on others at the beginning.
  • Participate in an activity that you enjoy including working out at the gym, working on a community project, participating in a book club, joining others for a team sport, taking an improv class, and so on, to meet other potential male friends.
Building and Maintaining Close Male Friendships
  • Transition from the initial banter to more meaningful topics as you get to know them a little better. This might include what they like about their job, community or other activities. As you get to know them even better, you can attempt to be more vulnerable by asking them about what's important to them in their life and sharing your feelings.
If face-to-face encounters are difficult for you at first, you might find a less direct approach more comfortable like talking about someone's workout routine at the gym.

Conclusion
There are a variety of complex reasons why heterosexual men have problems making and developing close male friendships.

Building and Maintaining Close Male Friendships

The health and mental health benefits of making close friends are significant.

Be patient with yourself and others while you're developing these new skills and recognize that these skills might not come naturally to the other men you're trying to befriend.

Also See My Related Article


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.

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

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













Sunday, May 11, 2025

Why Are Close Friendships Important?

According to a 2021 American Perspectives Survey, Americans tend to have fewer close friends in recent years than they did in years past (see my article: Overcoming Loneliness and Social Isolation).

The survey also found that Americans talk to friends less often and rely on friends less for emotional support than they did in the past (see my article: Emotional Support From Your Family of Choice).


Close Friends Are Important For Your Overall Well-Being

According to the survey, there are reasons for this, including:
  • Americans are more mobile than they were before so this makes it difficult to maintain friendships with the consistency that these relationships need.
  • Americans are working and traveling more for work which doesn't leave time to develop and foster friendships.
  • American parents are spending more time with their children than previous generations so this doesn't allow much time for friendships.
Why Are Close Friendships Important to Your Mental Health?
Close friendships can improve mental health because friendships:
  • Reduce Loneliness and Social Isolation: Spending time with friends can help prevent loneliness and social isolation which can have mental health benefits.
Close Friends Are Important For Your Overall Well-Being

  • Increase Happiness and Satisfaction with Life: Close friends can contribute to overall happiness and satisfaction with life.
  • Help With Personal Growth: Friendships can challenge you to learn, grow and become a better version of yourself.
Why Are Close Friendship Important for Your Physical Health?
Close friendships can improve your physical health benefits because friendships can:
  • Improve Cardiovascular Health: Having supportive friends can contribute to having healthier blood pressure and reduce the risk of cardiovascular problems.
Close Friendships Are Important to Your Overall Well-Being
  • Enhance Immune Functions: Social support from friends can potentially enhance immune functions which reduce the risk of illness.
  • Help Increase Life Expectancy: Studies have indicated that people with strong social connections tend to live longer.
Future Articles:
I'll continue to explore the importance of friendships in future articles.

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.

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 20, 2025

Self Care During Turbulent Times

Self care is important in the best of times, but it's especially important during turbulent and stressful times whether it involves stress in your personal life or beyond (see my article: Post Election Stress and Anxiety).

Self Care During Turbulent Times

Many people think self care is selfish, but this couldn't be further from the truth. 

In fact, self care is essential to everyone's well-being (see my article: Is Self Care Selfish?).

What Does Self Care During Turbulent Times Mean?
Self care during turbulent and stressful times means engaging in behavior that prioritizes your physical and emotional health including:
  • Health Eating: Nutritious meals and good hydration
Self Care: Good Sleep
Self Care: Meditation and Breathing Exercises

Self Care: Journaling

Self Care: Maintaining Social Connections

How to Approach New Self Care Habits
  • Be Flexible: New habits can take a while to develop, so strive to be consistent, but also be flexible instead of trying to be perfect (see my article:  Overcoming Perfectionism).
Self Care: Be Flexible and Start Small

  • Start Small: Start small and progress in a manageable way over time. 
Getting Help in Therapy
If you're struggling with problems you have been unable to resolve on your own, seek help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to work through unresolved issues, so rather than struggling on your own, seek help so you can lead a more meaningful life.


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

I work with individual adults and couples.

    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.






 

Sunday, April 14, 2024

Understanding the Negative Impact of Cognitive Dissonance For You and Your Loved Ones

What is Cognitive Dissonance?
Cognitive dissonance is the psychological discomfort you feel when you hold contradictory thoughts, beliefs values, or attitudes as it relates to your decisions and behavior (see my article: Living Authentically Aligned With Your Values).


What is Cognitive Dissonance?

When there's discomfort due to inconsistencies in what you believe and how you behave, you tend to do whatever you can to minimize your discomfort.

You might attempt to relieve your discomfort by avoiding, rejecting, minimizing or explaining away any information that highlights the fact that your behavior and your beliefs aren't in alignment (see my article: Understanding Internal and External Defense Mechanisms - Part 1 and Part 2.

What Are the Telltale Signs of Cognitive Dissonance?
  • You feel uncomfortable before you make a decision or take action which goes against your values and beliefs.
  • You try to rationalize a decision or an action you have taken (this includes rationalizing to yourself as well as others).
Telltale Signs of Cognitive Dissonance
  • You feel embarrassed or ashamed of a decision you have made or an action you have taken so you try not to think about it and you also try to hide it from others.
  • You feel regret, guilt or shame about something you have done in the past.
  • You do things that are against your values and beliefs due of social pressure and because you don't want to feel left out.
What Are Examples of Cognitive Dissonance?
The following are examples of cognitive dissonance, which you might recognize in yourself:
  • You know that smoking cigarettes (or vaping) is harmful to your health, but you rationalize continuing to smoke (or vape) by telling yourself that you're experiencing a lot of stress and you'll give up tobacco tomorrow.
  • Your doctor told you that you need to stop drinking because you have liver damage, but you find ways to justify continuing to drink by telling yourself you'll give up drinking as part of your New Year's resolutions. But you don't stop by the deadline you've given yourself.  Despite the fact you haven't stopped, you tell yourself (and others) you can stop at any time.
Cognitive Dissonance Related to Your Health and Well-Being
  • You want to lose weight, but you consistently overeat and tell yourself you'll start the diet next week. 
  • You value your personal integrity, but you're having an extramarital affair and you're lying to your spouse about what you're doing when you're with your affair partner (see my article: The Allure of the Extramarital Affair).
  • You made a commitment to your spouse to tackle a task at home, but while your spouse is out, you spend the day on your computer. When your spouse gets home, you say you'll get started on the project tomorrow, but you keep finding ways to put off doing it. You also get annoyed when your spouse wants you to be accountable.
  • You make a commitment to yourself that you'll save a certain amount of money by a specified date, but you spend any extra cash you get before you save it.
What Kinds of Situations Can Lead to Cognitive Dissonance?
  • External Pressure and Expectations: You might feel forced to comply with external expectations from your work, school or in a social situation that go against your beliefs, values or attitudes. Here are examples:
    • Your boss says you must lie to a client you value and put your relationship with the client in jeopardy in order to increase your sales (see my article: Coping With a Difficult Boss).
Cognitive Dissonance and External Pressure
    • You're with friends who are engaging in racial slurs and, even though you feel uncomfortable because racism is against your values, you don't say anything because you fear being ostracized from the group, but you also feel ashamed of yourself.
    • You're in a monogamous relationship and being faithful to your partner is an important value to you. But you're at a bar with your buddies, they pressure you to pick up a woman at the bar and take her home. Initially, you refuse and they respond by calling you "whipped" and a "wuss." So, you go along with taking a woman home and cheating on your partner because you can't handle your friends' pressure and derogatory comments. Afterwards, you feel ashamed, but you justify your decision by telling yourself that you're not married so you can sleep with other women--even though you promised your partner to be faithful (see my article: Are Toxic Secrets Ruining Your Relationship?)
  • Decisions: You're in conflict about two options when you're trying to make a decision. You can only choose one option, which makes you feel uncomfortable.  After you make a choice, you realize you made the wrong decision. You try to make yourself feel better about the conflict by justifying why you made a particular choice.
  • New Information: You receive new information about a decision you made that reveals you didn't take into account all the information relevant to your decision. To ward off feelings of discomfort, you either discredit the information or find other ways to justify your behavior--even though you know the choice you made was harmful to you and others.
What is the Impact of Cognitive Dissonance?
Cognitive dissonance makes you feel uncomfortable, and the greater discrepancy between your behavior and your attitudes, beliefs and values, the more uncomfortable you're likely to feel.

Your discomfort can include the following:
  • Anxiety
  • Guilt
  • Shame
  • Embarrassment
  • Sadness
  • Regret
  • Anger towards yourself
  • Disappointment in yourself
  • Stress
Over time, cognitive dissonance can erode your sense of self and impair your self esteem.

You might try maladaptive ways to reduce your discomfort by:
  • Engaging in denial by convincing yourself you didn't behave in a way that was against your values or beliefs
  • Maintaining toxic secrets and hiding your behavior from your partner, your family and other significant people in your life
  • Seeking only information that conforms to your behavior, which is called confirmation bias, and which has a negative impact on your ability to think critically.
Coping With Cognitive Dissonance in a Healthy Way
So far, I've provided maladaptive examples of how you might be trying to deal with cognitive dissonance.

Here are more adaptive ways of coping:
  • Slow Down and Develop Greater Self Awareness: Instead of finding ways to deny your internal conflicts, become aware of these conflicts and the negative impact they have on you and your loved ones. You can try doing this through a mindfulness meditationjournaling or seeking emotional support from a trusted friend who can be compassionate and objective.
Coping with Cognitive Dissonance in a Healthy Way
  • Clarify Your Beliefs, Attitudes and Values: Take time to think carefully and make a list about what's important to you in terms of your beliefs, attitudes and values.
  • Practice Self Compassion: Instead of beating yourself up, practice self compassion, which is essential for emotional healing.
  • Make a Plan For Real Change: After you have clarified what's most important to you, make a plan for real change. For example, if you want to stop smoking (or vaping), make a plan to get help that will be effective and one that you can maintain.
  • Engage in Self Care: Reflect on what you need to do to take care of yourself without making excuses and then stick with your plan.
  • Get Help in Therapy: Coming to terms with the conflicts between your behavior and your values can be difficult, especially if you're in the habit of making excuses, deceiving yourself and others or finding loopholes for your behavior.  A skilled therapist can help you to:
    • Discover the underlying issues that have created this problem
Get Help in Therapy

    • Develop a plan to make changes
    • Help you to stick with your plan and avoid the pitfalls and obstacles from the past
About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFTSomatic 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.












Sunday, March 17, 2024

What is Toxic Stress?

Stress is a common response to daily experiences in life--both positive and negative.  It can be beneficial when it motivates you to make positive changes in your life.  

What is Toxic Stress?

However, when stress is chronic and overwhelming and you don't have internal resources or emotional support to deal with stress, it can become toxic stress (see my article: Responding Instead of Reacting to Stress).

This article will focus on the connection between toxic and trauma as it begins in early childhood and continues into adulthood (see my article: Stress Management: Taking Time For Self Care).

What Are the Different Types of Stress?
  • Positive Stress: Positive stress is also known as eustress. Positive stress responses are normal responses to infrequent, short lived and mild stressful experiences. During childhood, if a child is given emotional support to deal with positive stress, the child develops motivation and resilience.  Over time, as a child develops skills to deal with positive stressors, the child also develops self confidence.  Examples of positive stress for children include:
    • Meeting new people
    • Learning a new task
    • Learning a new game or hobby
  • Tolerable Stress: Tolerable stress is more frequent, sustained and severe.  Tolerable stress has more of an impact on the mind and body as compared to positive stress. With emotional support, once the tolerable stress is removed, a child's mind and body usually return to their normal level of functioning.  Examples of tolerable stress for children include:
    • Parental divorce
    • Death of a loved one
  • Toxic Stress: Toxic stress often begins in childhood where prolonged exposure to stress has a damaging effect on a child's mind and body. When children are exposed to unrelenting stress without emotional support, the mind and body are often unable to recover. Toxic stress is related to adverse childhood experiences (see below) also known as ACEs. Examples of toxic stress include:
What Are Adverse Childhood Experiences (ACEs)?
Adverse childhood experiences (ACEs) are potentially traumatic events, as mentioned above, that occur in childhood (ages 0-17 years) that can result in toxic stress.

Toxic stress related to ACEs can result in health and mental health problems especially if these experiences are unmitigated by emotional support from loved ones.

How Common Are Adverse Childhood Experiences (ACEs)?
Unfortunately, ACEs are common.

Adverse Childhood Experiences and Toxic Stress

Approximately 64% of adults reported they had at least one experience with ACEs and about 17.3% of adults reported having four or more experiences as children with ACEs. 

All children are potentially at risk for ACEs, but ACEs are more likely to occur with girls, racial minorities and in families where adults are unemployed or unable to work.

What is the Effect of ACEs and Toxic Stress?
Without emotional support ACEs and toxic stress can result in one or more of the following problems:
  • Permanent damaging effects to brain architecture
  • Epigenetic change alteration (modifications to DNA which determine whether genes are turned on or off)
  • Long term health consequences, including
    • Immune dysregulation
    • Persistent inflammatory state and health conditions related to inflammation
    • Increased risk for cancer and heart disease
    • Other chronic health problems
    • Long term mental health consequences, including:
      • Anxiety
      • Depression
      • Emotional dysregulation
      • Other mental health problems
    How Do ACEs and Toxic Stress Effect Adults?
    Adults who grew up exposed to ACEs without emotional support are more likely to get into unhealthy relationships.

    Toxic Stress and Adult Relationship Problems

    Without emotional and mental health support, this can have a traumatic intergenerational traumatic impact where one generation after the next form unstable relationships.

    Adults who experienced ACEs as children have an increased risk for having an unstable work history, financial problems, debt and other related problems.

    How to Reduce the Risk of ACEs and Toxic Stress
    Adverse childhood experiences (ACEs) are preventable.  

    The Centers for Disease Control and Prevention (CDC) is the national public health agency for the U.S.  It is a federal agency under the Health and Human Services Department.

    The CDC recommends the following steps to prevent ACEs:
    • Strengthening family financial security
    • Implementing family-friendly work policies
    • Promoting public education campaigns to educate people about ACEs
    • Promoting legislative approaches to reduce corporal punishment
    • Promoting bystander approaches
    • Promoting men and boys as allies in prevention
    • Implementing early childhood programs to ensure a strong start for children
    • Implementing high quality child care
    • Promoting preschool enrichment with family involvement
    • Teaching social-emotional learning
    • Teaching safe dating and relationship skills
    • Teaching parenting and healthy family relationship skills
    • Developing mentor programs
    • Developing after school programs
    • Developing enhanced primary care
    • Developing victim-centered services
    • Developing treatment approaches to reduce the harm of ACEs
    • Developing treatment to prevent problem behavior and future involvement in violence
    • Developing family-centered treatment for substance abuse
    Getting Help in Therapy
    As an adult, if you have been impacted by toxic stress, you could benefit from seeking help in therapy.

    Getting Help in Therapy

    Working with a skilled psychotherapist, who has an expertise with toxic stress and trauma, can help you to overcome the damaging effects of toxic stress.

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

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

    As a trauma therapist, I have helped many individual adults and couples overcome the impact of toxic stress and 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.













        










    Monday, February 26, 2024

    5 Reasons Why Hope is Essential to Your Well-Being

    Life can be so challenging at times that you might find yourself balancing feelings of hope and dread (see my article: Focusing on Your Personal Strengths to Get Through Stressful Times).

    Hope is Essential to Your Well-Being

    While it's important not to be overtaken by dread, it's also important not to live on false hope, which will be discussed later on in this article.

    This article will also discuss the role of unresolved trauma and how it can get in the way of having a sense of hope for the future.

    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 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).
    • 2. A Sense of Motivation: Hope can motivate you to take action because when you feel hopeful enough--even if you also feel some dread--you're more likely to take positive steps towards the goals or challenges you're facing (see my article: Developing Internal Motivation).

    Hope is Essential to Your Well-Being

    • 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).
    • 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 long terms projects. 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.
    Avoiding False Hope and Unrealistic Expectations
    Being hopeful doesn't mean that you latch onto false hope or unrealistic expectations.

    It also doesn't mean "never giving up on your dreams" if your dreams aren't achievable or they're based on toxic positivity.

    For example, if you have a dream of being an Olympic swimmer, but you never learn to swim, your dream is rooted in false hope and unrealistic expectations.  Or, if you want to become a concert pianist, but you hardly ever practice the piano, you're not going to fulfill your dream.

    The examples given above are easy to see, but it's not always clear when you're indulging in false hope. 

    For example, if you're in a relationship that has long-standing problems, you might not have a sense of whether your relationship can be salvaged or if it's beyond repair.  

    In that case, a couples therapist, who is a relationship expert, can help you both to assess how you feel about the relationship and whether you each feel it's still viable.

    Seeking Help in Therapy
    If you have unresolved trauma, you might find it challenging to feel hopeful even under the best of circumstances because your prior traumatic experiences can cloud your perspective (see my article: Overcoming Trauma: Separating Then From Now).


    Seek Help in Therapy

    If you feel you're constantly "waiting for the other shoe to drop" even when there's nothing in your current circumstances to warrant your concern, you could benefit from seeking help from a trauma therapist.

    A skilled trauma therapist can help you to free yourself from your traumatic history so you can live a more hopeful and meaningful life.

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

    As a trauma therapist, I have helped many individual adults and couples to overcome their traumatic history (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.