Tips on How to Improve Your Sleep

Good sleep is essential to your health, mental health and overall well being.  

How to Improve Your Sleep

Generally, adults need 7-9 hours of sleep per night.  If you're getting less than that, you might have insomnia.

What is Insomnia?

Insomnia is a sleep-wake disorder which has three primary symptoms:

• Problems Falling Asleep (Onset Insomnia): An inability to fall asleep within 20-30 minutes

Problems Falling and Staying Asleep

• Problems Staying Asleep (Middle Insomnia): Frequent waking up in the middle of the night after sleep onset, which is more than 20-30 minutes, and difficulty falling back asleep after middle of the night awakening

• Early Morning Wakefulness (Late Insomnia): Waking up 30 minutes or more before the desired wake up time and before 6.5 hours of sleep. This often involves an inability to fall back to sleep.

A medical doctor will usually give a diagnosis of insomnia if a patient experiences sleep problems for three nights or more over a period of three months and no other condition is causing the sleep problem.  

There are also two different types of insomnia: 

• Short term insomnia: Lasting at least one month but less than three months

• Chronic insomnia: 
• Persistent insomnia: Lasting three months or longer
• Recurrent insomnia: Two or more episodes within a year

Common Causes of Insomnia

There can be many cases of insomnia, including:

• Anxiety
• Stress (see my article: Are You Experiencing Chronic Stress?)
• Depression
  
• Uncomfortable sleeping conditions (bed, temperature, light)
• Noise
• Drug use
• Alcohol use
• Caffeine
• Nicotine
• Irregular work shifts

Helpful Tips to Overcome Sleep Problems

See your medical doctor to get a diagnosis and rule out any other medical issues that could be causing a sleep problem.

There are also other things you can do on your own (always check with your medical doctor first before):

• Exercise: Daily physical activity at an appropriate level for you can release endorphins, which is good for your overall health and can help to improve your sleep.

Tips to Overcome Sleep Problems

• Practice Sleep Hygiene: Good sleep hygiene habits can help with insomnia, including:

• Wake up and go to sleep at the same time, even on weekends

• Make sure the room where you sleep is quiet, dark, relaxing and at a comfortable temperature

• Remove electronic devices from the bedroom, including the TV, smart phone, computer and other electronic devices

• Limit Napping: If you tend to nap during the day, limit it to 30 minutes or less and don't nap later in the afternoon.
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• Use Your Bed Only For Sleep and Sex: Don't do work while you're in bed. You want your bed to be associated only with sleep and sex. 

• Eat a Healthy Diet: Eat nutritious meals. Avoid alcohol close to bedtime and limit caffeine

Get Help in Therapy

If you doctor has ruled out medical causes and attributes your sleep problem to psychological issues, like anxiety, depression, unresolved trauma or other psychological issues, seek help from a licensed mental health professional.

Get Help in Therapy

Once medical issues have been ruled out, a skilled psychotherapist can help you to determine the underlying issues that are creating sleep problems and help you to work through these issues.

So, rather than struggling on your own, seek help from your medical doctor and, if the problem is related to mental health issues, seek help from a licensed psychotherapist.

About Me

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

I have helped many individual adults and couples to overcome mental health issues (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.

How to Conquer Your Nightmares

In my prior article, Common Nightmares During the COVID-19 Global Pandemic, I began a discussion about common nightmares that many people are having during the current pandemic and gave examples of two dreams.  In this article, I'll discuss how you can conquer your nightmares, whether they're pandemic-related or not.  To show you how to do this, I'll be taking one of the dreams from the prior article, deconstructing it and then showing how you can work with it on your own (see my article: How to Overcome Anxiety Dreams).

How to Conquer Your Nightmares

Deconstructing and Working With a Nightmare
I'm choosing Dream 2 (see below) from the prior article as an example of how you can deconstruct and work with a nightmare on your own. So, here's Dream 2:

     Dream 2  - From My Prior Blog Article
I'm a child of 7 or 8 years old. My mother tells me that we have to escape from where we're living to move back to the US.  Only a few close relatives know because it's a secret.  My mother doesn't want her husband, my stepfather, to know that we're running away because he's abusive and we're escaping from him.  I grab whatever I can quickly because we have to get to the airport fast, and I kiss my relatives goodbye.  I don't have time to say goodbye to a male friend, who has been good to me (I'm older in this part of the dream).  So, I try to text him to tell him that I had to leave due to an emergency, but my phone won't work. I know he's going to be hurt that I left suddenly without an explanation, and I feel terrible about this. Then, my mother, brother and I run to the airport to get on a rescue flight that's been arranged for us by the US government to bring us back to the states. Somehow, I get separated from my mother and brother (I'm a young child again in this part of the dream). I don't know which way to go. I'm scared and I call out to my mother, but I don't see her anywhere. Nothing looks or feels familiar, even though I know I've been to this area many times before. I see other people who are also running and I ask them the way to the airport because I'm lost.  They point the way and I run all the way to the airport. Once I get there, I realize I don't have a plane ticket. I call out to my mother again saying that I don't have a plane ticket.  Even though she's still nowhere to be found, a reassuring male voice tells me over the airport public address system that I don't need a plane ticket because this is a special government rescue flight for my family to escape. When I get to security, I realize that I'm not wearing a face mask so I'm not going to be allowed on the flight. I see everyone else around me wearing a face mask, and I look around to see if there's somewhere I can buy as mask (I'm older again in this part of the dream). Then, I realize that I do have a mask, but I've been wearing it on my chin, so I pull it over to cover my nose and mouth.  When I arrive at the gate, I still don't see my mother or brother, but I feel a little calmer because I know I'm going to make the flight and I'll escape from this place.  Somehow, I see the long document that my mother had to fill out to get approval from the government for this rescue flight. I feel badly that I didn't know before about the abuse that my mother endured at the hands of my stepfather.  While I'm waiting for the flight at the gate, I try to text my male friend again. I desperately want to reach him so he won't feel abandoned by me, but my phone still doesn't work. I feel sad that he's going to feel sad and abandoned.

It's pretty clear what makes this dream a nightmare:

• The dreamer, as a child of 7 or 8, has been told that she and her family must escape from a place in a hurry.
• She has to leave immediately without saying goodbye to her male friend, which she feels badly about.
• She loses her mother and brother as they're running to the airport.
• She fears she won't be let on the plane because she doesn't have a plane ticket.
• She fears she won't get past security because she thinks she doesn't have a face mask.
• She reads the long document about her stepfather's abusive behavior towards her mother that her mother had to fill out to get permission to take a special flight, and she feels sad she didn't know about the abuse before.
• She worries that her male friend will feel abandoned by her because she can't tell him that she must leave in a hurry.

At the same time, it's important to notice that there are points along the way where she actually gets help (see the italicized sentences in Dream 2 above), including:

• People who give her directions when she gets lost while trying to get to the airport.
• The reassuring voice that comes over the airport public address system reassuring her that she doesn't need a plane ticket because this is a special flight that has been arranged for her and her family to get away.
• She thinks, at first, that she doesn't have a face mask and then discovers that, in fact she does have one.
• She finally gets to the gate where her flight will be taking off, so she knows, at that point, that she will get away, presumably, she will be reunited with her mother and brother, and so they will all be safe.

     Learning to Do Lucid Dreaming
In a prior article, Transforming Nightmares Through Creative Dreamwork, I discussed lucid dreaming.  Learning how to become lucid (or conscious) during a dream takes practice.  Some people are fascinated by lucid dreaming and they will take the time and make the effort to develop the skill.

Essentially, what you are doing when you have a lucid dream is you're realizing that you're having a dream while you're dreaming.  You remain in the dream and transform the dream to whatever you want it to be (this is explained in more detail in my article above, Transforming Nightmares Through Creative Dreamwork).

The obvious advantage of learning to do lucid dreaming is that you change the dream while you're in the dream as opposed to when you wake up.  The disadvantage (if you see it as a disadvantage) is that, while some people can learn to have lucid dreams with little effort, most people have to make more of an effort to train themselves to have lucid dreams.  So, if you're interested in learning to have lucid dreams, I recommend that you click on the link above for my article on transforming nightmares.  The article includes a recommendation for a book on lucid dreaming.

    Rewriting the Narrative of Your Nightmare and Embodying the Changes
For people who aren't interested in developing the skill to do lucid dreaming and who prefer a simpler and faster way for dealing with nightmares, I suggest rewriting the narrative of your nightmare after you have written down the original dream the way that it occurred:

• Keep a pen and pad by your bedside so you're ready to write down your dreams as soon as you wake up.
• Before you go to sleep, spend a few minutes giving yourself the suggestion that you will remember your dreams.
• When you wake up and you sense that you have had a dream, remain still for a few minutes.  This means that you don't shift around from the position that you're in when you wake up (e.g., if you're lying on your right side when you wake up, don't turn--just stay still).
• Wait a few minutes until the dream comes back to you. You might find that you remember the dream in sections in reverse order.  In other words, you might remember the last part of the dream (the part that occurred closest to waking up) first, and then you might remember the part before that and the part before that, and so on. Also, since we all have at least 4-5 dreams per night depending upon how long you sleep (whether you remember them or not), you will probably remember your dreams in reverse order too.
• Write down whatever you remember from the dream--even if it's just a snippet or an image.  You can still work with a small part of the dream.  Also, it gives your unconscious mind the suggestion that you're interested in your dreams and make it more likely for you to gradually remember more each time you wake up from your dreams.  Over time, if you keep writing down your dreams, you will remember more details.
• After you have written down your dream, rewrite the dream so that it's no longer a nightmare.

So, for example, if you were the dreamer who had Dream 2 (above), you could rewrite the dream however you want to, including:

• Making it easier for the dreamer, the mother and brother to get to the airport together by having a relative drive them there, so they don't have to run to the airport and the dreamer doesn't get separated from the mother and brother.
• A relative or friend could offer the dreamer his or her phone so that the dreamer can contact her male friend rather than the dreamer trying to rely solely on her malfunctioning phone. This will relieve the anxiety that the dreamer has about hurting her male friend's feelings and causing him to feel that he's been abandoned by her.
• Since the dreamer would be with her mother and brother (rather than losing them, as she did in the dream), the mother can reassure both children that they can get on the plane without a plane ticket so that the dreamer doesn't have to go through worrying she doesn't have a plane ticket.
• The mother can reassure the dreamer that they all have the required face masks to get on the flight.
• The dreamer, mother and brother can all be at the gate together ready to get on the plan.

There are many different ways to rewrite Dream 2.  As an alternative, the dreamer can rewrite the dream so that it's not necessary to escape at all, in the following way:

• The mother tells a relative, who is recognized to be a powerful figure in the family, about the stepfather's abusive behavior and this relative confronts the stepfather and tells him that he must stay away from the mother, dreamer and brother.  The stepfather is fearful of this relative so he never bothers the family again.
• The mother reports the abusive stepfather to the police.  They arrest him and he is no longer a threat.
• And so on.

The second part of reworking the dream is to rehearse and embody the rewritten dream (see my article about The Mind-Body Connection and New Symbolic Memories and The Body Offers a Window Into the Unconscious Mind).

In other words, after you have rewritten the original dream so that it's no longer a nightmare, you spend a little time rehearsing the rewritten dream and noticing the emotions that come up for you and where you feel these emotions in your body.

Feeling the emotions and noticing where you feel these emotions in your body will help you to have a stronger sense of the rewritten dream because you're not just writing and reading what you have written, you're also taking the time, in effect, to rewire this revision of the dream using the mind-body connection.

So, for instance, if you choose to have a relative, who is a powerful person in the family, confront the abusive stepfather, after you have written this and read it, you would take a few minutes to notice what emotions come up for you.  Maybe you have a sense of relief and you notice that you feel that in your gut. Or, maybe you feel gratitude for your relative, a sense of empowerment through this relative and you notice that you feel this in your chest.

If you have someone that you tell your dreams to, whether it's a therapist, a friend or a spouse, telling this person the original dream and the rewritten dream will also be helpful.  You will feel less alone with the dream and hearing yourself tell someone else the original dream and the rewritten dream can be a powerful experience.

By rewriting the dream, you're not denying that you had a nightmare.  Instead, you're a way to conquer the nightmare so you have a sense of relief.  It's also an important recognition that you are the author of your dreams and that you can also be the author of your rewritten dreams.

Getting Help in Therapy

Some people can work on nightmares on your own. Many other people are unable to cope with nightmares because these dreams are related to trauma.

The dreamer and the dreamer's family in Dream 2 are trying to get away from an abusive stepfather, which could indicate a history of unresolved trauma if this dream is related to actual events in the dreamer's life (see my article: How Past Trauma Lives on in the Present).

It's not unusual, whether it's during a pandemic or any other time, for people with traumatic histories to have nightmares, including recurring nightmares. 

If you are struggling with nightmares, whether they are related to a history of trauma or not, you're not alone.  You can get help from a licensed psychotherapist, who has experience helping clients to overcome nightmares.

Rather than struggling on your own, seek help from an experienced mental health professional so that you can live a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Therapy).

I work with individual adults and couples.

One of my specialties is helping clients to overcome trauma (see my article: What is a Trauma Therapist?).

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

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

Common Nightmares During the COVID-19 Global Pandemic

Have you been having nightmares lately? If so, you're not alone. Pandemic nightmares have been common during this COVID-19 pandemic.  Regardless of age, sex, gender, sexual orientation, or nationality, many people have been having pandemic nightmares, which is the subject of this article (see my articles: How to Overcome Anxiety Dreams).

Common Nightmares During the COVID-19 Global Pandemic

These nightmares are so common that Robert Bosnak, a Jungian analyst in Santa Barbara California, has been offering a free online workshop on Friday nights at 6 PM (PST) during the pandemic called the Spooky Dreams Cafe where he uses Embodied Imagination, a method of dreamwork which he developed, to help some people on the Zoom call with these nightmares (see my article: Dream Incubation: Planting Seeds).

Many people, who lived through the crisis of the 9/11 World Trade Center attack, have reported in therapy that they're having similar nightmares during this time to the ones they had in 2001 and beyond (see my article: Tips For Getting Better Sleep).

Common Themes in Pandemic Nightmares
There are certain themes that are common in these COVID-related nightmares, including (but not limited to):

• Anxiety-related events or circumstances in the dream
• Places, which were once known and familiar, suddenly looking and feeling unfamiliar in the nightmare
• A need to escape or run
• Feeling trapped, helpless and/or lost
• A regression to an earlier age (e.g., an adult dreaming that they're a child again)
• Losing someone or something
• Phones and other gadgets malfunctioning
• Other sudden and inexplicable changes 

Typical Nightmares During the COVID-19 Global Pandemic
The following dreams are typical of the type of dreams people have been having during this COVID-19 crisis (as told to me by friends and used with permission):

Dream 1:
I'm in a classroom, which is taking place in my apartment. The instructor, whom I like, is taking things out of my dresser drawer to show the class. These items include a silk scarf I haven't seen in many years.  At one point, he breaks apart the wooden dresser drawer, and I'm fascinated by this (it seems like a deconstruction of some sort). Then, I notice that there's a similar dresser in the room that remains in tact.  I leave the room to go to the rest room, and when I come back, my laptop is gone. Somehow, I know that the instructor gave it away to one of my classmates, and I'm annoyed that he did this without my permission. I look around for it, but I can't find it. I see a male friend, who is sitting in a far off corner of the room. Then, suddenly, the scene changes: I'm walking around in an area of my neighborhood, not far from my home, where I've been many times before. I know that this place is familiar to me, but it looks and feels eerily unfamiliar.  I know I need to get back to class, but I don't know which way to go because I'm lost.  Then, I see a cab and get in it.  There's a couple, who are on their way home from the airport, who are already in the cab.  I don't know where to tell the cab driver to go because I'm lost, but I'm relieved to be in the cab.  The cab stops because the couple have arrived outside their home. I get out too because I realize it's useless to be in the cab if I don't know where I'm going.  The couple tell me that I have to pay thousands of dollars to them for the short distance that I went with them, and I get angry and tell them that I won't pay.  I know that my male friend is back in the class, he has his car and he would come get me if I call him, but I don't know where I am, so I can't tell him. The scene changes: I'm sitting at an outdoor bar with this same friend and our classmates.  We're all dressed up. I suddenly realize that I forgot that he's much taller than me.  I tell my friend about what just happened (that I was lost) and he's surprised and laughs. I'm feeling much better.  The outdoor bar is up on a bridge that overlooks people's homes down below. These people have shallow outdoor pools in front of their homes.  I tell my friend that we could do that too (we could each have outdoor pools).  Then, as I'm gazing out at the water from the bridge, I tell my friend, "Let's pretend that we're on the Arno Bridge in Florence" and he agrees.

Dream 2:
I'm a child of 7 or 8 years old. My mother tells me that we have to escape from where we're living to move back to the US.  Only a few close relatives know because it's a secret.  My mother doesn't want her husband, my stepfather, to know that we're running away because he's abusive and we're escaping from him.  I grab whatever I can quickly because we have to get to the airport fast, and I kiss my relatives goodbye.  I don't have time to say goodbye to a male friend, who has been good to me (I'm older in this part of the dream).  So, I try to text him to tell him that I had to leave due to an emergency, but my phone won't work. I know he's going to be hurt that I left suddenly without an explanation, and I feel terrible about this. Then, my mother, brother and I run to the airport to get on a rescue flight that's been arranged for us by the US government to bring us back to the states. Somehow, I get separated from my mother and brother (I'm a young child again in this part of the dream). I don't know which way to go. I'm scared and I call out to my mother, but I don't see her anywhere. Nothing looks or feels familiar, even though I know I've been to this area many times before. I see other people who are also running and I ask them the way to the airport because I'm lost.  They point the way and I run all the way to the airport. Once I get there, I realize I don't have a plane ticket. I call out to my mother again saying that I don't have a plane ticket.  Even though she's still nowhere to be found, a reassuring male voice tells me over the airport public address system that I don't need a plane ticket because this is a special government rescue flight for my family to escape. When I get to security, I realize that I'm not wearing a face mask so I'm not going to be allowed on the flight. I see everyone else around me wearing a face mask, and I look around to see if there's somewhere I can buy as mask (I'm older again in this part of the dream). Then, I realize that I do have a mask, but I've been wearing it on my chin, so I pull it over to cover my nose and mouth.  When I arrive at the gate, I still don't see my mother or brother, but I feel a little calmer because I know I'm going to make the flight and I'll escape from this place.  Somehow, I see the long document that my mother had to fill out to get approval from the government for this rescue flight. I feel badly that I didn't know before about the abuse that my mother endured at the hands of my stepfather.  While I'm waiting for the flight at the gate, I try to text my male friend again. I desperately want to reach him so he won't feel abandoned by me, but my phone still doesn't work. I feel sad that he's going to feel sad and abandoned.

A Word About These Nightmares
I'm going to deconstruct these nightmares and discuss how to work with nightmares in my next article but, for now, suffice it to say that both of these dreams have many typical features of anxiety dreams and, specifically, many elements typical of current pandemic nightmares (outlined above at the beginning of this article).

Getting Help in Therapy
Nightmares during times of crisis are often a way for the unconscious mind to work through difficult emotions and reconsolidate traumatic memories.

In addition, these nightmares sometimes reveal underlying unresolved trauma (see my article: Before and After Psychological Trauma).

If you've been having nightmares during this global pandemic, you're not alone.

An experienced psychotherapist, who helps clients during times of crisis and who works with dreams, can help you to understand and heal from nightmares.

Rather than suffering on your own, take the first step by calling a licensed psychotherapist for help.  Being able to work through your fears and nightmares can provide you with relief and allow you to feel more empowered.

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

I work with individual adults and couples.

One of my specialties is helping clients to overcome unresolved trauma.

During the global pandemic, like most psychotherapists, I'm providing online therapy, which is also known as teletherapy and telehealth (see my article: The Advantages of Online Therapy When You Can't See Your Therapist in Person).

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.

Empowering Yourself During COVID-19: There Are Things You CAN Control

During the current COVID-19 crisis, many people are feeling powerless. This is understandable given the suddenness and the unprecedented nature of the crisis. Also, many of the social interactions, activities and diversions that would normally be available to people to support their well-being aren't available to them because people are physically isolated and might be lonely.  There are many unknowns about the future and it can feel like everything is out of your control.  But before you give into feelings of hopelessness and helplessness, let's take a look at the things that you can control (see my articles: Coping and Staying Calm During a Crisis, Coping with Loneliness and Social Isolation, and Undoing Aloneness: Staying Socially Connected Even Though We're Physically Disconnected).

Empowering Yourself During COVID-19: There Are Things You CAN Control

There Are Things You Can Control During the COVID-19 Pandemic
The Serenity Prayer, which was written by Reinhold Niebuhr, contains much wisdom and many people, both in and out of the recovery community, find it calming:

"God, grant me the serenity to accept the things I cannot change, courage to change the things I can, and wisdom to know the difference."

Regardless of whether or not you believe in a God, a Higher Power, religion or prayer, these words remind you that, if you're worried about things you have no control over, you can redirect your attention to what you can control.

What You Can Control During the COVID-19 Pandemic
Rather than focusing on what you can't control, let's take a look at some things you can control:

• Stay Informed But Don't Spend Too Much Time Watching the News: 
• Getting reliable information is important to staying informed. 
• It's also important to moderate how much time you spend watching or listening to the news.  
• Much of the news is repetitive throughout the day, and the benefit spending time watching TV or online news is often outweighed by how anxious it can make you feel.
•  So, you need to figure out what's best for you in terms of how much and when you watch the news.  
• If you want to maintain your overall sense of well-being, it's especially important that you don't watch the news before you go to sleep.

• Center and Ground Yourself: 
• Practice doing breathing exercises to help to calm yourself (see my article: Square Breathing to Manage Stress). 
• Practice online yoga at a pace that's right for you if yoga appeals to you. If you're not up to doing a vigorous form of yoga, there are online videos or chair yoga.
• Practice meditation at a regular time. Some people prefer to meditate at night.  Others prefer to meditate when they wake up, and some people do it two or more times a day.  You don't need any special knowledge to quiet your mind to meditate.  You can start by taking a few deep breaths to activate your parasympathetic nervous system, which will calm you down.  There are also many online meditations that you can follow (see my articles: The Mind-Body Connection: Mindfulness Meditation and Calming the Body, Calming the Mind). 
• Calm your thoughts by taking it one day, one hour or even one minute at a time.
• Recognize that all things pass.
• Feel gratitude and appreciation for what you do have right now. 

• Establish a Routine For Yourself: Chances are good that your normal routine has been interrupted since the current crisis began.  A routine can give you comfort and a feeling of stability, so you can establish a new routine for yourself:
• Wake up and go to sleep at the same time everyday.
• Plan your meals.
• Plan some quiet time for yourself, even if it's just a couple of minutes to breathe.
• Make a To-Do list for yourself for the next day so you don't spend all day either in bed or watching news
• A To-Do list can help to organize your day, your week, and your life.
• Try not to be too ambitious with your To-Do list.
• Be gentle with yourself. Recognize that you're probably not going to accomplish everything on the list--and that's okay.
• Appreciate yourself for accomplishing whatever you accomplish on the list.

• Stay Active: Even though you might be physically isolating, there are still ways to be physically active:
• You can find many free workouts and yoga classes online.
• You can also walk or bike outside as long as you take the precautions recommended to stay a healthy distance (at least 6 feet away) from others and follow The Center for Disease Control (CDC) recommendations.

• Accept the Ups and Downs You Feel as a Common Response to a Crisis: You're living through an unprecedented time in modern history.  Chances are that your mood will go up and down at various times. This is a common experience during times of stress and crisis (see my article: Overcoming Your Fear of Your So-Called "Negative Emotions".
• If you feel anxious, sad, fearful or whatever emotion you're experiencing at any given time, you're having a common response to a crisis.
• Rather than judging yourself, accept all your emotions and do whatever you can to alleviate your stress and negative emotions.
• Recognize that you're not alone.  Millions of other people, who are just like you, are experiencing the same thing. We're in this together.

• Eat Nutritiously: Eating the right amount of protein, vegetables, grains and vegetables is important to stay physically and mentally healthy.  

• Get Enough Sleep: Getting proper sleep is essential to your overall health and well-being (see my article: Tips on Improving Your Sleep).

• Stay Connected Socially: Even though you might not be able to see loved ones now, you can still stay connected to them via: 
• Phone calls
• Video chats  
• Games with friends online.  
• Video night with a Netflix Party

• Remember Your Strengths: Whether you realize it or not, your strengths have gotten you through stressful times in the past.  Remembering these strengths can be empowering to you now (see my article: Remember Your Strengths as a Way to Cope With the Current Crisis).

Getting Help in Therapy
Times of crisis can trigger prior trauma and stressors, and it can be difficult to determine what you're reacting to emotionally.  The important thing to know is that you're not alone.

An experienced psychotherapist can help you to get through a stressful time when you feel overwhelmed.

Many psychotherapists, including me, are providing online therapy (also called telehealth, telemental health, and teletherapy) during the current crisis when therapists aren't in their office (see my article: The Advantages of Online Therapy When You Can't Meet With Your Therapist in Person).

Rather than struggling on your own, you could get help from a licensed psychotherapist to overcome the obstacles that are hindering you.

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

I work with individual adults and couples.

I am providing online therapy during the COVID-19 crisis.

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.

Tips For Getting Better Sleep

Getting proper sleep is essential to maintaining good health and emotional well-being.  This is especially true when you're going through a stressful time.

Tips For Getting Better Sleep

The Effects of Poor Sleep

Poor sleep can affect you by:

• Lowering your threshhold for pain
• Increasing your blood pressure
• Affecting your memory and ability to concentrate
• Compromising your immune system, which can increase the likelihood of getting sick
• Increasing the likelihood for impulsive behavior
• Increasing the likelihood for weight gain

Improving Your Sleep Hygiene: Tips for Improving Your Sleep Hygiene

You might not realize that you're not getting enough sleep beausse you've become accustomed to being sleep deprived.  However, if you're not getting 7-8 hours (on average) of quality sleep, you're not getting enough sleep.  Here are some tips for improving your sleep hygiene:

• Exercise at a level that's appropriate for you earlier in the day to relieve stress.  
• Go to bed at the same time every night, including the weekends.
• Avoid bright lights after the sun goes down.  Bright light will inhibit melatonin which prepares you for sleep.
• Sleep about 7-8 hours straight (some people might require more sleep or a little less).
• Don't do work in your bedroom. You want your brain to associate your bedroom with sleep.
• Make your bedroom as comfortable as possible:
• Regulate the temperature so it's comfortable
• Decrease noise
• Don't watch TV, including the news, in your bedroom.
• Don't eat a large meal 3 hours or less before you go to sleep.  Indigestion can interfere with your ability to sleep.
• Don't use alcohol as a sleep aid.  Alcohol might relax you at first because you'll get the sedative effect, but alcohol also disrupts your sleep routine because it will wake you up after a few hours.
• Create a wind down routine to prepare you for sleep.  This might include bedtime rituals:
• Brush your teeth
• Wash your face
• Take a relaxing bath or shower
• Drink a relaxing cup of herbal tea 
• Read for a few minutes before sleep can be relaxing and help you sleep.
• Write in a journal earlier in the day to capture any thoughts that might be worrying you 
• Don't judge yourself if you still can't fall asleep.  
• Give yourself 20 minutes if you're unable to sleep.
• If you still don't fall asleep after 20 minutes, go into another room and do something relaxing to see if you can go back to bed and get sleep.

Getting Help in Therapy

You're not alone.

If you're feeling overwhelmed, you can contact a licensed psychotherapist to help you develop the tools and skills that you need to achieve emotional well-being.

During the COVID-19 crisis, many psychotherapists are offering online therapy sessions during this period when in-office sessions aren't available.

Rather than struggling on your own, contacting a licensed therapist can make all the difference in your overall health and well-being.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Emotionally Focused Therapy for Couples 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.

Tips to Cope With Chronic Worrying

How to Stop Worrying:  What is Chronic Worrying?

Are you a chronic worrier?
With all the economic uncertainty in the world today, many people are worried. However, there's a difference between worrying about a specific problem that spurs you to take action vs. chronic worrying that can paralyze you.

Chronic worrying usually doesn't help. In fact, not only does it not help, it often gets in the way and can have physical as well as emotional consequences.

What is chronic worrying?
If you engage in chronic worrying, you have a negative habit of worrying most of the time. You might be constantly thinking about the "what ifs" in situations where you feel you don't have control. You might also be filled with negative thoughts, anticipating the worst in situations. Breaking the worrying habit can be as difficult as breaking any other habit.

If You Engage in Chronic Worrying, You Have a Negative Habit of Worrying Most of the Time

Why do people engage in chronic worrying?
There are so many reasons--we would need pages and pages to explore them. Let's explore some of the more common reasons:

The illusion of feeling prepared and in control: Many people feel that if they worry about a problem constantly, they'll be more prepared in case their worst fears come true. Of course, this is an illusion. However, this type of distorted thinking can make it very hard to give up chronic worrying.

Worrying as a learned behavior: For many other people, they grew up in a household where their parents worried constantly and, as young children, they integrated this type of thinking without even realizing it.

The need for absolute certainty in an uncertain world: Many people also have a hard time dealing with uncertainty. They need to know what will happen, when it will happen, and how it will happen with as close to 100% certainty as they can get. As a result, these people worry almost all of the time.

What are the consequences of chronic worrying? Chronic worrying can cause insomnia as you toss and turn all night (see my prior post on insomnia). Insomnia, in turn, has negative consequences for your overall health and well being.

One of the Consequences of Chronic Worrying Can Be Insomnia

Chronic worrying can deplete your energy and result in physical problems. For some people, chronic worrying can lead to excessive drinking and drug abuse as a maladaptive way to get relief from stress.

It can make you feel irritable and cause arguments between you and your partner or you and your boss. Unrelenting worrying can also lead to problems with depression (see prior post:  What is the Difference Between Sadness and Depression?). 

There are so many other consequences. Suffice it to say, constant worrying usually doesn't lead to anything good.

In my next post, I'll discuss what you can do to overcome chronic worrying.

I'm a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

To find out more about me, visit my web site: 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:  How to Stop Worrying: Steps You Can Take