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NYC Psychotherapist Blog

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Showing posts with label imagination. Show all posts
Showing posts with label imagination. Show all posts

Wednesday, October 29, 2025

Healing in Trauma Therapy: It's Never Too Late to Give Yourself a Good Childhood

Many people weren't lucky enough to have a good childhood because of childhood trauma. 

If you are like millions of other people who experienced childhood trauma, you might be relieved to know that you can overcome your traumatic childhood experiences through trauma therapy.

Healing in Trauma Therapy

As an Adult, How Can You Give Yourself a Good Childhood?
Since it's obvious that none of us can actually go back in time to change circumstances related to childhood trauma, you might wonder how you can heal so that you can give yourself a good childhood.

The answer is Experiential Trauma Therapy including:
and other trauma therapies can help you to work through psychological trauma with tools and strategies, like Imaginal Interweaves, to heal the traumatized younger parts of yourself (see my article: Imaginal Interweaves).

All of the therapies mentioned above are Experiential Therapies which differ from traditional psychotherapy because these therapies involve the mind-body connection (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?)

Healing in Trauma Therapy

This means that you gain more than just intellectual insight. Instead, you have a more integrated mind and embodied experience that produces better results than traditional talk therapy (see my article: Healing From the Inside Out: Why Insight Isn't Enough).

With regard to reimagining your childhood, Imaginal Interweaves, which were developed by Dr. Laurel Parnell for Attachment-Focused EMDR Therapy, allows you to use the mind-body connection to heal trauma by providing you with healing experiences.

Clinical Vignette
The following clinical vignette illustrates how Experiential Therapy, including Imaginal Interweaves, can heal childhood trauma:

Tom
After several painful breakups, Tom sought help with an Experiential Therapist to try to understand why he was having problems in relationships (see my article: How Trauma Can Affect Relationships).

He had been in traditional talk therapy before where he gained intellectual insight into how his trauma childhood had affected his ability to be in romantic relationships. He understood the connection between his childhood emotional neglect and abuse and his inability to connect with romantic partners. But even though he understood his problems, nothing changed. He continued to have the same relationship problems.

Whenever he began seeing someone new, he felt excited and open to the new relationship. However, as the relationship became more emotionally intimate, he had problems remaining emotionally available and open to his partner (see my article: What Does It Mean to Be Emotionally Available?).

Tom understood how the increasing emotional intimacy created anxiety for him and he knew it wasn't related to the particular woman he was in a relationship with--it was his own childhood experiences and his family history.

While he was in traditional talk therapy, whenever he felt himself shutting down with his partner, he tried to remember that his fear was coming from the past and not the present, but this didn't help him to remain emotionally open to his partner (see my article: Why is Past Trauma Affecting You Now?).

Healing in Trauma Therapy

Feeling frustrated, Tom sought help in EMDR Therapy, a type of Experiential Therapy, hoping he would have a different experience where he could do more than just understand his problem--he wanted to heal and to be emotionally vulnerable in his next relationship.

As part of EMDR therapy, his therapist used a combination of Imaginal Interweaves and Parts Work Therapy when he got stuck processing his childhood trauma (see my article: Using Imagery as a Powerful Tool in Trauma Therapy).

His trauma therapist told him that Imaginal Interweaves were one of many tools in Experiential Therapy and that these interweaves were in no way saying that he had a different experience in his childhood. Instead, these interweaves allowed him to have a new healing experience.

Tom imagined himself as an adult talking to his younger self who experienced his parents' emotional neglect and abuse. 

He reassured his younger self that he would protect him and he saw his adult self confront his parents about the abuse and take his younger self to a safe place where he comforted him.

His therapist reinforced and helped him to integrate his new positive experiences with EMDR Bilateral Stimulation using EMDR tappers.

Afterwards, Tom felt a sense of relief--as if his experience of himself began to shift.

In another session, Tom imagined he had ideal parents who were nothing like his actual parents. They were kind, loving and patient with him. 

Healing in Trauma Therapy

This work, which involved many sessions with Imaginal Interweaves, was neither quick nor easy. But over time Tom had a new sense of himself as a person who was more open and capable of emotional intimacy in his next relationship.

Instead of closing off emotionally, as he usually did, he was able to remain open and emotionally available with his new girlfriend as he healed from the source of his problems.

Conclusion
While you can't actually go back in time to change a traumatic childhood, you can heal and have a new experience of yourself using your imagination in Experiential Therapy.

The new experience in Experiential Therapy isn't just an intellectual process. It's an integrated mind-body oriented experience where you can experience yourself as free from the effects of your traumatic history.

Getting Help in Trauma Therapy
If you have unresolved trauma which has had a negative impact on your relationships and traditional therapy hasn't healed your trauma, you could benefit from seeing a licensed mental health professional who does Experiential Therapy (see my article: Healing Trauma Creatively).
Getting Help in Trauma Therapy

Rather than struggling on your own, seek help in Experiential Therapy to heal from unresolved trauma so you can live a more meaningful life.

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

As a trauma therapist, I have helped many individual adults and couples to heal from 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.















Thursday, October 23, 2025

What Are Imaginal Interweaves in Trauma Therapy?

In prior articles I provided a basic explanation for Imaginal Interweaves in Trauma Therapy (see my articles Imaginal Interweaves - Part 1 and Part 2).

In the current article, I'm taking a deeper dive to explain Imaginal Interweaves, an intervention I often use in trauma therapy.

What Are Imaginal Interweaves in Trauma Therapy?
Imaginal Interweaves are techniques used in trauma therapy.

Imaginal Interweaves in Trauma Therapy

I learned how to do Imaginal Interweaves in an advanced Attachment Focused EMDR Therapy training about 20 years ago from EMDR expert Laurel Parnell, Ph.D.and I have found them to be an effective way to help clients to heal.

Imaginal Interweaves are techniques used in EMDR and other Experiential Therapies where a trauma therapist guides clients to use their imagination to connect with different aspects of themselves (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?).

This often includes imagining their younger child self (often called "inner child"). This is especially helpful if clients become stuck when they're processing unresolved trauma. 

Examples might be imagining their current adult self:
  • Comforting their younger self
  • Defending their younger self from someone who was abusive
  • Taking their younger self away from an unsafe, abusive environment to a place where their younger self feels safe
Imaginal Interweaves are:
  • Specific therapeutic interventions used in trauma therapy, like EMDR therapy, AEDP, Parts Work Therapy and other Experiential Therapies.
  • A tool to process trauma when a client gets stuck during the processing
  • Guided imagery the therapist facilitates
  • A technique for self connection 
Imaginal Interweaves work by:
  • Bridging different perspectives including a gap between a more vulnerable part of a client and a more capable adult self
  • Facilitating new emotional responses by using the imagination to work through overwhelming feelings related to trauma
What Are Some Examples of Imaginal Interweaves?
There are many different types of Imaginal Interweaves.

Imaginal Interweaves in Trauma Therapy

Here are examples of a few:
  • Adult-Child Interactions: The adult self comforts the child self to provide a sense of present-day safety and reassurance.
  • Expressing Anger: The adult self can be imagined as holding the perpetrator so the child self can express anger while feeling safe.
  • Direct Communication: After asking the client's permission, the therapist can speak directly to the child self to find out what the child self needs.
Making a Distinction Between What Actually Happened and An Imaginal Interweave
Trauma therapists make the distinction with the client about what actually happened during their trauma and an Imaginal Interweave.

Imaginal Interweaves in Trauma Therapy

In no way would I try to get a client to believe that something different happened from what actually happened.

The purpose of Imaginal Interweaves is to give clients a new embodied experience using their  imagination while continuing to know that what is being imagined didn't actually happen.

An embodied experience means the client experiences a mind-body connection during an Imaginal Interweave which helps with the integration of the new experience.

To help them to experience an embodied experience, I will help the client to have a felt sense where they feel the new imagined experience in their body. 

This serves as an anchor for the experience in an embodied way rather than just being an intellectual process (see my article: The Mind-Body Connection: Developing a Felt Sense of Your Internal Experiences).

Using an embodied approach facilitates healing.

How Can Imaginal Interweaves Help to Free You From Your Traumatic History?
By processing unresolved trauma using Imaginal Interweaves, you can free yourself from your traumatic history by:
  • Overcoming unresolved trauma that keeps you stuck in your current life
  • Overcoming false negative beliefs you have about yourself
  • Connecting you to your inner resources
  • Integrating various internal parts of yourself to achieve improved mental health
  • Gaining self confidence to cope with past, current and future challenges
Getting Help in Trauma Therapy
Traditional talk therapy can help you to gain insight into your problems, but it doesn't always help you to heal from trauma.

Experiential Therapy that includes Imaginal Interweaves provides you with a mind-body oriented experience that is a more holistic way to heal.

Rather than struggling on your own, seek help in Experiential Therapy so you can heal and live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to work through unresolved 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.





 

Thursday, September 11, 2025

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 TherapySex 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 MindsetA 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
  • 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.



Sunday, April 27, 2025

Combining Hope With Action For Meaningful Change

I wrote a prior article about hope entitled 5 Reasons Why Hope is Essential to Your Well-Being.

In this article I'm focusing on how the combination of hope and taking action can lead to meaningful change.

Combining Hope With Action For Meaningful Change

    First a recap of my prior article:

5 Reasons Why Hope is Important to Your Sense of Well Being
There are many reasons why hope is important to your sense of well-being, including that it can provide: 
  • 1. An Openness to New Possibilities: When you feel hopeful, you're more likely to be open to new and better possibilities for the future.  Even if there's just only a glimmer of hope, it can be enough for you to envision a better future for yourself (see my article: Being Open to New Possibilities).
Combining Hope With Action For Meaningful Change

  • 2. A Sense of Motivation: Hope can motivate you to take action because when you feel hopeful--even if you also feel some dread--you're more likely to take positive steps towards the challenges you're facing (see my article: Developing Internal Motivation).
Combining Hope With Action For Meaningful Change
  • 3. A Willingness to Persevere: Goals often require perseverance and perseverance is easier to sustain if you feel hopeful that your goals are achievable. This is especially true for long term goals where you might not always see progress immediately. Hope can sustain you through rough times when you might be tempted to give up (see my article: Achieving Your Goals With Perseverance).
Combining Hope With Action For Meaningful Change
  • 4. A Willingness to Overcome Setbacks: With many long term goals, there are often setbacks because progress isn't linear. This is true of many longer term goals. It's also true for psychotherapy.  When you feel hopeful, you're more likely to take temporary setbacks in stride rather than letting setbacks deter you from your goals (see my article: Setbacks Are a Normal Part of Therapy on the Road to Healing).
  • 5. An Improvement to Health and Well-Being: A sense of hope can improve your physical and mental well-being. When hope reduces stress, it can improve your immune system. Hope can also reduce anxiety and sadness.  In addition, it can increase your confidence.  Feeling hopeful and wanting to remain in a state of hopefulness can encourage you to surround yourself with like-minded people.
How to Cultivate Hope in Yourself
  • Give yourself permission to be hopeful--even when you're facing tough odds.
Combining Hope With Action For Meaningful Change
  • Set clear goals for yourself so you have a sense of purpose and direction.
  • Seek support for your goals from supportive loved ones.
  • Learn from other people's experiences--whether these are friends, family or inspiring people in history--to motivate yourself.
Why Does the Combination of Hope With Action Create Meaningful Change?
The stereotypical portrayal of psychotherapy is that therapy is all talk and no action (see my article: Common Myths About Psychotherapy: Therapy is All Talk and No Action).

Hope can be a powerful motivator, but hope alone won't bring about change without taking action.

Combining Hope and Action:
  • People are more likely to take action when they feel hopeful--even when they're faced with significant obstacles.
Combining Hope With Action For Meaningful Change
  • Just as hope can inspire action, action can inspire increased hope by giving people an increased sense of their own empowerment so there can be an upward spiral (see my article: Empowering Clients in Therapy).
Getting Help in Therapy
If you feel stuck and unable to motivate yourself, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to overcome the obstacles that keep you stuck.

Rather than remaining stuck, seek help so you can achieve your goals and live a meaningful life.

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

I have over 20 years of experience helping individual adults and couples (see my article: The Therapeutic Benefits of Integrative Therapy).

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

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










Sunday, November 12, 2023

It's Common and Normal to Have Fantasies

In prior articles, I've discussed many different aspects of romantic and sexual fantasies (see my articles: The 7 Core Sexual Fantasies and Exploring and Normalizing Sexual Fantasies Without Guilt or Shame).

Fantasies Are Common and Normal

The current article focuses on how and why sexual fantasies are normal and common.  

What Are Fantasies?
There are many definitions for fantasies.  

Basically, fantasies are imaginary scenarios that people play out in their mind.  Sometimes these fantasies are new or recurring scenarios and/or they might be based on memories.

Many fantasies are never acted upon, but they can still be enjoyed in your mind.

In general, fantasies can be about anything, including but not limited to:
  • Imagining winning the lottery
  • Thinking about what it would be like to be famous
  • Imagining what it would be like to travel around the world
  • Imagining being someone else--either someone you know in real life or a character in a TV program, movie or book
  • Imagining having certain super powers
  • Having thoughts about having an affair you have no intention of doing real life
  • Imagining being in a more interesting job
  • Entertaining yourself while you're bored
  • Playing with "what if...." scenarios in your mind: "What if he likes me the way I like him?" or "What if I accept that new job offer?" or "What if I take a risk?"
  • Imagining what you would do in a worst case scenario as a form of mental rehearsal
  • Imagining what you might have said or might say to someone in a conversation
  • Imagining how you'll feel if you accomplish a goal that's important to you
  • Having thoughts about what your life might be like under different circumstances
And so on.

What Are the Benefits of Fantasizing?
In general, there can be many benefits to having fantasies whether they are enacted or not.

Fantasies Are Common and Normal

Here are just a few:
  • Helping you to get to know yourself better by seeing yourself in new and unfamiliar situations
  • Helping you to see alternatives to the way you are now
  • Coming up with creative solutions to problems
  • Using a fantasy as a mental rehearsal before acting on it in real life
  • Acting as a compensatory wish you derive satisfaction from--even though you won't do it in real life
  • Boosting your mood
  • Getting yourself out of a rut
  • Becoming open to new experiences
  • Providing you with a temporary escape from your current situation
  • Energizing you mentally, emotionally and physically

Why Are Some People Afraid of Their Fantasies?
From an early age, many people are taught (implicitly or explicitly) that fantasizing, in general, is wrong.

For instance, young students are often scolded for not paying attention in class if they're daydreaming.  And, although it's important that students learn their lessons in class, it's also important for young minds to explore and create in their fantasies.  After all, play--whether it's children's play or adult play--is about being creative.

Many people are taught at a young age that having daydreams and fantasies are a waste of time.  They're taught that actively doing is more important than imagining. 

While it's true that if you only daydream about your hopes and dreams and never do anything to bring them to fruition you won't get very far, the seeds of creative ideas often begin with a daydream or fantasy that can be the start of fulfilling your dreams.

Why Are Some People Afraid Specifically of Their Sexual Fantasies?
Having sexual fantasies is common and normal as I have been reiterating.  In fact, research on sexual fantasies has revealed that 3 out of 4 people have sexual fantasies.

So, if sexual fantasies are common, why are some people uncomfortable with the idea of them?

Discomfort and fear of sexual fantasies are often based on certain religious, cultural or familial prohibitions that indicate that sex in general shouldn't even be thought about--much less engaged in--before marriage.  

However, these prohibitions can have a lasting effect.  For many people it's not like flipping a switch after they get married to suddenly feel comfortable with sex and sexual fantasies.  They might still have a vague feeling that it's wrong.

For many people sexual fantasies can cause fear, confusion, anxiety, guilt, shame and ambivalence.  On a certain level, some people might enjoy a sexual fantasy--even one they have no intention of carrying out--but on another level they feel bad about it.

On the other hand, other people find it exciting to engage in sexual fantasies that are taboo, so it depends on the individual (see my article: A Cornertone of Eroticism: Violating Prohibitions By Breaking the Rules).

What Are the Benefits of Sexual Fantasies?
As mentioned earlier, fantasies are normal and common.

The mind is creative and exploratory, so having fantasies, sexual or otherwise, is one way that people can satisfy their needs and wants.

Fantasies Are Common and Normal

People have sexual fantasies regardless of gender, sex, sexual orientation, age, race, marital status, ability/disability or other factors.

Sexual fantasies often help to promote sexual arousal.  

For instance, if you and your partner have scheduled time to have sex in a few days, having fantasies about it can help to build sexual anticipation and excitement (see my article: Creating Sexual Desire Using the Sex Drive Simmer Technique and Anticipation and Longing as an Erotic Aphrodisiac).

Sexual fantasies can also help to boost sexual confidence in many ways, including having a fantasy of being able to initiate and enjoy sex.

Should You Share Your Sexual Fantasies With Your Partner?
Sharing a sexual fantasies with a partner can be empowering and fun if your partner is open to talking about fantasies.

Typically, sharing sexual fantasies can strengthen the bond between partners.  

However, if your partner tends to be judgmental or unsure, it could have the opposite effect.

Sometimes the problem is with the word "fantasy" so, instead, you can ask what your partner might be curious about sexually (see my article: Substituting the Words "What's Your Fantasy?" With "What Are You Sexually Curious About?").

What Can You Do and Your Partner Aren't on the Same Wavelength About Sexual Fantasies?
Some people like sharing their fantasies with their partner and others like to keep it private.  

If you do want to share your sexual fantasies, be aware that it's not unusual for individuals in a relationship to have differences when it comes to sexual fantasies.

Just like anything else, including the kinds of food you each like, sexual fantasies can be unique for each person.  

What one person enjoys, the other person might not.  Or one of you might have a rich sexual fantasy life and the other might not be comfortable with sexual fantasies at all.

Others might want to talk about their fantasies, but they don't know how (see my article: How to Talk to Your Partner About Sex - Part 1) and Part 2).

If you feel the differences between you and your partner are getting in the way of having a pleasurable sex life, these differences can often be negotiated and worked out in sex therapy.  

Getting Help in Sex Therapy
Sex therapy is a form of talk therapy for individuals and couples (see my article: What is Sex Therapy?).

People seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

There is no physical exam, nudity or sex during a sex therapy session (see my article: What Are Common Misconceptions About Sex Therapy?).

If you're struggling with sexual issues, you could benefit from seeking help in sex therapy to have a more fulfilling sex life.

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

I work with individual adults and couples.

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

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