Self Help Tips For Coping With Anxiety

Experiencing occasional anxiety is common.  At any given time at least 30% of people experience anxiety.  In this article, I'm focusing on self help tips you can use for anxiety relief (see my articles:  What is the Difference Between Fear and Anxiety? , Coping with Anticipatory Anxiety and Tips to Cope With Chronic Worrying).

Coping With Anxiety

Common Symptoms of Anxiety

Let's start by defining some of the symptoms of anxiety:

• Feeling nervous, restless or tense
• Having a sense of impending danger, panic or doom
• Having problems concentrating on anything other than your present worry
• Wanting to avoid anything that triggers your worry
• Having an increased heart rate
• Having problems sleeping (either falling or staying asleep)
• Trembling
• Sweating
• Breathing rapidly (hyperventilation)
• Having gastrointestinal (GI) problems

Common Forms of Anxiety

Here are some common forms of anxiety:

• Generalized Anxiety

• Panic Attacks (see my article: Tips on Coping With Panic Attacks)

• Posttraumatic Stress Disorder (see my article: Reacting to the Present Based on Your Past and Experiential Therapy, Like EMDR, Can Achieve Emotional Breakthroughs)

• Social Anxiety (see my article: Overcoming Social Anxiety)

• Adult Separation Anxiety (see my article: Overcoming Adult Separation Anxiety)

• Agoraphobia

• Phobias (see my article:What Are Phobias?)

Self Help Tips For Coping With Anxiety

If you experience occasional anxiety, which isn't causing significant problems in your life, here are some self help tips.

• Start Your Day With a Sense of Well Being: How you start your day can set the tone for the rest of your day and make a big difference in how you feel (see my article: Tips For Starting Your Morning With a Sense of Well Being and The Power of Creating Personal Rituals).

• Keep Physically Active: Whether you walk, dance, work out at the gym or engage in other healthy physical activity, keeping physical can be a powerful stress reliever.  Develop a physical routine for yourself that takes into account your ability to be active in a healthy way.  Consult with your doctor before making any significant changes to your physical activity.

• Use Stress Management and Relaxation Techniques: Meditation, visualization, yoga and other forms of stress management can help reduce anxiety (see my articles: Stress Management: Finding Moments of Peace and Relaxation,  Stress Management and Self Care, Mindfulness Meditation, Safe Place Meditation and Creating Quiet Times For Yourself).

• Remember to Breathe: When you're anxious, you might breathe in a shallow way, which can increase anxiety.  So you could benefit from being aware of your breathing and using relaxing breathing techniques (see my article: Square Breathing).

• Make Sleep a Priority: Most people need 7-8 hours of sleep per night (see my articles: Tips For Better Sleep and Conquering Your Nightmares).

• Spend Time in Nature: Spending time in green places can help relieve stress and anxiety (see my article: Walking in Nature Can Improve Your Mood).

• Eat a Balanced Diet: A balanced diet incorporates fruits, vegetables, whole grains and proteins.  Always consult with your doctor before changing your diet.

• Reduce or Avoid Alcohol: The stimulative effect of alcohol can increase anxiety, so be aware of how much you're drinking (see my articles: Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations).

• Avoid Recreational Drugs: Certain recreational drugs can increase anxiety, including cannabis.  

• Cut Back or Eliminate Caffeinated Beverages: Caffeine can make anxiety worse, so be aware of your caffeine intake and take steps to either reduce or eliminate caffeinated beverages.

• Quit Smoking: Nicotine can make anxiety worse so take steps to stop smoking (see my article: Becoming a Successful Nonsmoker)

• Keep a Journal: Keeping a personal journal can help you to become aware of what's causing you anxiety and what helps to reduce your anxiety (see my article: Journal Writing Can Reduce Stress and Anxiety).

• Identify Your Triggers: Along with keeping a journal, being able to identify your triggers can help you to deal with your anxiety (see my article: Coping With Triggers).

• Get Emotional Support: Instead of isolating, stay social and get emotional support from trusted friends, family and a significant other (see my article: Overcoming Your Discomfort With Asking For Emotional Support).

When Self Help Isn't Enough

The suggestions above can help to reduce anxiety, but when you're experiencing persistent anxiety self help might not be enough.  

In my next article, I'll discuss how psychotherapy can help you to overcome anxiety (see my article: Getting Help in Therapy For Anxiety).

Getting Help in Therapy

Anxiety can reduce the quality of your life and overall sense of well-being.

If anxiety is a persistent problem, seek help from a licensed mental health professional.

Getting help in psychotherapy for your anxiety can improve the quality of life for you and for your loved ones who might be affected by your anxiety, so don't hesitate to seek help (see my article: Your Anxiety or Depression Could Be Having a Negative Impact on Your Loved Ones).

About Me

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

I work with individual adults and couples.

I have helped many clients to overcome persistent anxiety.

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.

Breaking an Unhealthy Habit With Pattern Interruption

Breaking an unhealthy habit can be challenging, especially a longstanding habit.  As I discussed in an earlier article about smoking cessation, one way to break a bad habit is using a pattern interrupt, which is the topic of this article.

Breaking an Unhealthy Habit With Pattern Interruption

Healthy habits and routines are a valuable part of life because they get reinforced automatically after a while.  For instance, relaxing, reading a book or listening to calming music might be part of the pattern that reinforces healthy sleep hygiene.  

In the same way that healthy habits get reinforced through certain patterns, unhealthy habits get reinforced in the same way.  So, although there is no one way to break bad habits that works for everyone, one method that works for many people is to interrupt the pattern.

Steps to Breaking an Unhealthy Habit

The following method is one that I use when I work with clients who want to stop smoking. Although I use it with clinical hypnosis, it can be used without hypnosis for almost any unhealthy habit that you want to change:

• Set Up a Chart For Yourself: Get clear on what you want to change.  Focus on one unhealthy habit rather than trying to change two or more at the same time.  At the top of a chart write down what you want to change (e.g., smoking habit, nail biting, stress eating, etc). It doesn't have to be a fancy chart. It can be something simple, which has the following columns:
• Date and Time
• Trigger and Emotion
• Reward
• Small Change You Can Make

• Get Curious: Rather than being critical, get curious about your habit. If you find yourself getting judgmental, ask yourself if you would be as judgmental towards your best friend who was making an effort to change (see my article: Overcoming the Internal Critic).
• 
  
• Fill Out the Chart With the Date, Trigger (or Cue) and Emotion: For instance, if you want to stop biting your nails, write down the date and time you bit your nails, the trigger that came just before you bit your nails (e.g., you had a confrontation with a coworker, you argued with your spouse, etc), and the emotion(s) you experienced with that trigger (anxiety, anger, sadness, etc).

• Identify the Reward: This can be challenging because rewards don't always look like rewards, so you might be unaware of them. But there is almost always a payoff for engaging in the bad habit. For instance, if you bite your nails whenever you get anxious, you might momentarily dissociate (zone out) from whatever is making you anxious, so biting your nails provides temporary relief.  Also, if you bite your nails very low, you might experience an endorphin release.  

• Identify a Small Change You Can Make: Rather than trying to stop engaging in the bad habit altogether, identify one small change you can make.  This can help you by not setting you up for failure by trying to make too big a change at once or eliminating the habit altogether. For smokers, a small change might be changing a brand or, if you smoke just before breakfast, change that habit so that you smoke after breakfast.  

• Identify Your Successes: Recognize that breaking an unhealthy habit can take time and effort, so don't focus on trying to do it "perfectly."  For example, if you're trying to stop biting your nails and you're able to do it for two days (when you've never been able to stop it before), identify this as a success and renew your efforts (see my article:  Achieving Your Goals: Learn to Celebrate Small Wins Along the Way).

Getting Help in Therapy

There are often unconscious reasons why people develop unhealthy habits, and these underlying reasons are difficult to identify on your own.

A skilled psychotherapist can help you to identify the unconscious reasons that make it difficult to change and provide you with tools to succeed.

By seek help from a licensed mental health professional, you can make positive changes so you can lead a more fulfilling life.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT 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 or email me.

An Unconscious Identification with a Loved One Can Create an Obstacle to Change

People who start therapy often wonder why it's so hard to change, so I want to address one of the major reasons why people have problems changing, which is an unconscious identification with a loved one.

An Unconscious Identification With a Loved One Can Create an Obstacle to Change

From the time that we're infants, we learn to identify with our caregivers, usually our parents.  Even as adults, we can continue to identify with loved ones.

The identification can include values, opinions, thoughts, feelings, habits and lifestyle choices.

The following fictional vignette, which is a composite of many different cases, provides an example of someone who comes to therapy to make a change, but who encounters an obstacle within himself that makes it difficult for him to change.

Rick
Rick came to therapy after his doctor advised him to stop smoking or he would face increasingly debilitating health consequences in addition to the ones he was already experiencing, including severe headaches, problems breathing and a persistent cough that wouldn't go away (see my article:  Do You Want to Stop Smoking?).

Struggling with Health Consequences of Smoking 

Before coming to therapy, Rick tried to stop smoking on his own.  But even though he wasn't feeling well because he was smoking two packs of cigarettes a day for several years, he couldn't stop.

He tried the nicotine patch and nicotine gum.  He tried to go "cold turkey," but nothing worked for him.  His wife pleaded with him to stop, to no avail.

Rick came for clinical hypnosis as a last resort.  He didn't have much faith that hypnosis would help him, but he was feeling desperate and decided to give it a try.

I began, as I often do with people who want to stop smoking, by asking Rick about his motivation to stop smoking.  He told me that he knew that he "should" because of his doctor's warning and his wife was also unhappy about his smoking.

Based on Rick's tone and the shrug of his shoulders, I could tell that his internal motivation wasn't strong, and he admitted this.  His motivation was mostly external as opposed to a strong internal motivation that is often needed to help people to stop smoking or to make other difficult changes.

 I took a history of Rick's use of tobacco, including his many attempts to stop on his own (see my article:  Becoming a Successful Nonsmoker).

We also discussed his pattern of smoking (when he smokes, what time, how often, etc) with the idea of using "pattern interruption" as a way to help him to break his habit.

As part of the pattern interruption, Rick agreed to change cigarette brands and to change where he smoked.  Interrupting the pattern in the rituals that Rick had for smoking was somewhat successful.  He was able to reduce his use from two packs to a pack a day and, a few sessions later, he reduced it to half a pack per day.

This was more than Rick had ever been able to do on his own.  He was also surprised that his cravings were reduced.  But, try as he might, he couldn't stop smoking altogether, and I realized that there was probably a strong unconscious underlying reason that was undermining our efforts.

In order to discover what Rick liked about smoking, he agreed to allow me to do a hypnotic induction.  While in a light hypnotic state, Rick expressed feeling very relaxed and, at the same time, he maintained a dual awareness of both his relaxed state and that he was sitting on a couch in my office.

I asked Rick to go back in his mind to the first time that he smoked and enjoyed it.  Rick remembered a pleasant summer day sitting on his grandfather's porch with his father and grandfather.  He remembered that it was after a great dinner that his grandmother had made and his grandfather was telling funny stories about his childhood.

He remembered how they all joked and laughed and how he realized that day how much he loved his father and grandfather.  He was particularly aware on that day of the strong bond he felt with them and how being allowed to sit with them, while the women in the family were in the house, made him feel proud, as if he was part of this exclusive "club"for the men in the family.

Many other similar happy memories of being with his grandfather and father came to his mind.  Just thinking of those memories brought tears to Rick's eyes.

Afterwards, as part of the debriefing in the session, Rick talked about how surprised he was to realize that when he smoked, he continued to feel a bond with his father and grandfather, both of whom he missed very much since they died.

No wonder it was so hard for Rick to give up smoking.  He had an unconscious identification with his father and grandfather through smoking cigarettes and it helped him feel connected to them even though they were both dead.

As he continued to talk about these two important men in his family, Rick said they were the two most important people in his life.  Then, he cried to think that he might give up this habit that kept him feeling connected to them.

During the next session, Rick and I talked about the strong bond that he felt with his teenage sons.  He often spent a lot of time with his sons and it was obvious that he was proud of them and loved them very much.

I asked Rick how he would feel if his sons began smoking.  Rick dismissed this idea.  He said that, even though he smoked, he had always told his sons not to smoke, and they promised him they never would start.  The idea of his sons smoking was so disturbing to him that he couldn't even consider the idea.

I told Rick, as tactfully as I could, that children learn more from what they see their parents do than what their parents tell them to do.  And, just like he started smoking as a way to bond with his father and grandfather, his children could do the same.

Rick acknowledged that this could happen, but he doubted that it would.  But if it did, he would never want to pick up a cigarette again because seeing his sons smoke would upset him too much.

By the end of that session, Rick began thinking about his place in the family--now that his father and grandfather were gone, he was the patriarch in the family and he wanted to set a good example for his sons.

When Rick came back the following week, he looked upset.  He told me that he was shocked to learn from his wife that his younger son, John was smoking and he had been keeping it a secret--until Rick's wife found a pack of cigarettes in John's pants pocket as she was sorting the laundry.

He said that after she told him about their son smoking, he sat by himself in the kitchen for a long feeling sad and upset.

How an Unconscious Identification with a Loved One Can Create an Obstacle to Change

He knew that if he confronted his son in an angry way, it would seem hypocritical to John.  So, he decided that, once and for all, he was going to give up smoking.  Hearing that his younger son had taken up smoking provided Rick with the motivation he needed to stop.  With the help of hypnotic suggestions, and his motivation to change Rick was able to stop smoking.

Several months later, when I followed up with Rick, he told me that he continued to be a successful nonsmoker and, shortly after he stopped, his son, John, also stopped.  Rick told me how proud he felt that he could "kick the habit" and he thought that his father and grandfather would also be very proud of him.  That feeling--that his father and grandfather would be proud of him--was another strong motivator for him to remain a successful nonsmoker.

Conclusion
Although the vignette above is a composite of many different cases, it has been my experience that, in many instances, an unconscious identification with a loved one can create an obstacle to change.

These identifications are usually not apparent at first.  A therapist, who is skilled at doing discovery work, can help clients to uncover the unconscious obstacle.

An Unconscious Identification with a Loved One Can Create an Obstacle to Change

As in the case with "Rick," a behavior or habit that represents a strong identification is often hard to change.

But, similar to the vignette above, if clients discover an even more compelling reason to change, as "Rick," that reason can help to transcend the original obstacle.

Getting Help in Therapy
Obstacles to change often include conscious and unconscious factors.

It is usually difficult to discover the unconscious factors on your own, which is one of the reasons why people come to therapy.

If you've having difficulty making changes, you could benefit from working with a skilled therapist who has experience helping clients to discover and overcome unconscious obstacles.

Discovering the unconscious obstacle is an initial step.  Developing the motivation to transcend the obstacle is what often leads to transformation.

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

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

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

Making and Keeping New Year's Resolutions

As a psychotherapist and hypnotherapist in New York City, this is the time of year when I see new clients coming to therapy because they've decided to make important changes in their lives. This is the time of year when many of us take stock, think about our lives, and make New Year's resolutions about the things that we want to change about ourselves. 

Making and Keeping New Year's Resolutions

Clinical hypnosis (also known as hypnotherapy) is a safe and effective way to change old habits and create new and positive changes. Whether you want to develop better communication skills in your relationship, change old eating habits, stop smoking, or create an overall healthier lifestyle, clinical hypnosis has helped thousands of people to overcome obstacles that were keeping them from making those changes on their own.

At the beginning of the New Year when people make their New Year's resolutions, many people start with enthusiasm, motivation and determination to make the changes that they want to see in their lives. However, after a month or two, many of those same people get frustrated and discouraged when they don't see the changes happening fast enough, and they abandon their efforts. When you work with a licensed mental health professional who has advanced training in clinical hypnosis, you're able to work more deeply on the unconscious issues that keep you from making the changes that you want to make. It's not as much of a struggle as when you try to do it on your own.

If you, like many others, are at the point when you've made your New Year's resolutions and you feel determined to make those changes, here are some tips that might be helpful:

Recognize that Change is a Process:
Since change is a process that happens over time, and usually not a one-time event, recognize that making changes, especially if you're trying to do it on your own, might take longer than you think.

Focus on Changing Your Behavior:
Instead of focusing on specific results (e.g., wanting to lose a specific amount of weight by a specific date), focus on changing your behavior. So, for instance, instead of saying, "I want to lose 15 lbs. by March 1st," focus on eating healthier and more nutritious meals. When you focus on healthier eating habits, your goal will be a broader change that will be longer lasting, more holistic and more effective than planning for particular weight loss. You're also more likely to keep off any weight that you've lost when you have a broader goal.

Choose Only One or Two Changes at a Time:
If you overwhelm yourself with too many New Year's resolutions at a time, you are probably setting yourself up for failure. Choosing one or two behaviors that you would like to change is more likely to be effective. As you see positive changes in those one or two areas that you want to change, you'll feel more confident about yourself. Then, after you've consolidated your gains in these areas, you can consider other areas that you'd like to change.

Decide What You'd Like to Add to Your Life As Well:
When you decide to make a change in yourself, decide what you'd like to add to your life as well. So, for instance, if you want to stop smoking and you know that you tend to smoke when you get anxious, think about what pleasant activities you can substitute for your old smoking habit when you feel triggered by anxiety. Attending a yoga class, going to the gym, talking to a friend, learning to meditate, or some other healthy activity that you would enjoy, might be among the activities that you choose to add to your life. So, it's not just about "giving up smoking." The overall goal is to lead a healthier life, you're learning new coping skills for when you get anxious, and you're also adding healthy activities to create greater happiness in your life.

Recognize that You Might Slip Back into Old Behaviors:
This gets back to the idea that change is a process. So, it's better not to engage in all-or-nothing thinking when you're trying to make changes in your life. Recognize that you might slip back into the old behaviors that you're trying to change. Plan for these slips so that you're prepared if and when they occur. For many people, this is the time when they become frustrated and they give up on their New Year's resolutions. So, rather than berating yourself and giving up, acknowledge that you're human, you had a slip, recommit to your goal and move on.

Consider Clinical Hypnosis:
If you've tried all of the above suggestions and you find that you're still struggling to keep those New Year's resolutions that are so important to you, you might want to consider attending clinical hypnosis sessions with a licensed mental health professional who has advanced training in hypnotherapy.

Remember, there's a big difference between a lay "hypnotist" and a licensed mental health professional who is a hypnotherapist. While the "hypnotist" might know some hypnotic techniques, the licensed mental health professional who is a hypnotherapist has advanced therapeutic training and is recognized as a licensed professional in your State.

I am a licensed psychotherapist and hypnotherapist in NYC. I have helped many clients to make positive changes so they can lead more fulfilling lives.

I wish everyone a Happy and Healthy New Year.

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.

Clinical Hypnosis and Perception of Time

There was an article in the New York Times' Science section called, "Where Did the Time Go? Do Not Ask The Brain" by Benedict Carey that discussed our perception of time (http://www/nytimes.com/2010/01/05/health/05mind.html). 

Clinical Hypnosis and Perception of Time

The article reminded me that our perception of time is also different when we experience clinical hypnosis, also known as hypnotherapy.

As a psychotherapist and hypnotherapist in NYC, clients, who experience clinical hypnosis in my private practice, will often tell me that they experience time differently in hypnosis.

Even though clinical hypnosis clients maintain a dual awareness (meaning that they are in a relaxed state and they are aware of everything going on in the here-and-now around them as well as what they are experiencing in the hypnotic state), they often experience a certain timelessness in hypnosis.

This is essentially because clinical hypnosis helps to access the unconscious mind, and there is no time in the unconscious. The unconscious is timeless. Whether we're experiencing what happened 20 years ago or what happened yesterday, the unconscious doesn't make a distinction.

The other phenomenon that occurs in clinical hypnosis is that, whereas it might take weeks, months or even years to resolve certain problems (phobias, smoking cessation, anxiety, depression, and other problems) in regular talk therapy, including cognitive behavioral therapy (CBT), very often, issues are resolved in 1-3 sessions in clinical hypnosis, depending upon the complexity of the issue.

This is is because, through clinical hypnosis, our unconscious minds can access the answers to our problems. We often don't know exactly how it happens, but it's not unusual, after a clinical hypnosis session, for the answers to our problem to come to us, seemingly, out of the blue. Of course, it's not really out of the blue or magical at all. It's the power of our own unconscious mind to access the solution through clinical hypnosis.

Getting Help in Therapy
Remember, when considering clinical hypnosis, there is a big difference between a lay "hypnotist" and a hypnotherapist with regard to training, skills, clinical expertise, and licensure. 

Always choose a licensed mental health professional who has advanced training in clinical hypnosis.

About Me

I am a psychotherapist and hypnotherapist in NYC. I have helped many clients overcome problems through clinical hypnosis.

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.

Clinical Hypnosis and the Mind-Body Connection

During the last 15-20 years mental health and medical experts have become increasingly aware of the strong connection between our emotions and our physical health and well-being. 

Clinical Hypnosis and the Mind-Body Connection

As medical experts become more knowledgeable about the mind-body connection, clients with certain physical problems that were once treated by doctors solely as medical disorders are now being referred to licensed mental health professionals with an expertise in clinical hypnosis (also known as hypnotherapy) due to a more sophisticated understanding of how our emotions affect us physically and the effectiveness of clinical hypnosis.

The following vignettes, which are composites of actual cases, with all identifying information changed to protect confidentiality, illustrate the connection between medical problems, the mind-body connection, and the effectiveness of clinical hypnosis:

Migraines and other Headaches:
When Lisa began having severe, debilitating headaches, she went to her medical doctor for help. She explained to her doctor how her headaches got so bad at times that she was unable to get out of bed. This resulted in significant time off from work as well as her husband having to take over most of the household responsibilities. These headaches were also starting to make her feel depressed and anxious. She tried most of the over-the-counter medications, to no avail.

When her medical doctor could not find any physical reason for her headaches, he referred her to a neurologist who conducted a battery of tests and tried various prescription medications to alleviate Lisa's headaches. But her neurologist ruled out any physical reason for her headaches and, not only did the medications not work, but they produced many annoying side effects.

As a result, the neurologist consulted with the medical doctor and they both agreed that whatever was causing Lisa's headaches had its origins in some emotional issue. They both concluded that Lisa could benefit from seeing a hypnotherapist to get rid of her headaches. Since Lisa knew nothing about hypnotherapy, at first, she was stunned and somewhat leery of their recommendation.

Clinical Hypnosis and the Mind-Body Connection

But her primary care doctor explained that many physical symptoms are derived from emotional issues, and he took the time to explain the mind-body connection of many different medical issues. He also explained the difference between stage hypnosis and clinical hypnosis (also known as hypnotherapy). He told her that when hypnotherapy is performed by a licensed mental health professional who is a trained hypnotherapist, it is an effective and well-respected form of treatment. He explained how Lisa would be in a relaxed state during hypnosis and in control at all times, maintain a dual awareness of the here-and-now as well as whatever she and the hypnotherapist were working on.

Lisa trusted her primary care physician, and she accepted his referral to a local hypnotherapist. She was a little anxious at first, but the hypnotherapist helped to set her mind at ease by patiently answering all of her questions during the initial consultation. Lisa was amazed that, within three sessions, her headaches were gone. Even more amazing to her, the hypnotherapist taught her how to do self hypnosis so that she could proactively manage her stress levels and prevent further occurrences of her debilitating headaches. Her hypnotherapist followed up with her in a month and then again in three months, but there was no recurrence of Lisa's headaches. At this point, it has been over three years since Lisa has had a headache. She continues to use self hypnosis to manage her stress. She no longer feels depressed or anxious, and she is grateful to be fully engaged in her life again.

Back Pain:
Robert woke up every morning with severe back pain in his lower back. When his primary care physician, his chiropractor, and a physical therapist could not find any medical reason for his back pain and medication only provided temporary relief, they all agreed that the origin of Robert's back pain probably had an emotional connection. They also all agreed that Robert could benefit from seeing a hypnotherapist.

Robert didn't know anything about clinical hypnosis and, even with their detailed explanations and the literature that they provided to him, Robert didn't feel comfortable seeing a hypnotherapist. He began taking painkillers, which helped for a while. But he soon found that he had to take higher and higher doses to get temporary relief from his back pain.

Clinical Hypnosis and the Mind-Body Connection

His primary care doctor warned him that the painkillers were addictive and Robert needed to be careful not to become addicted to the drugs. So, Robert stopped taking the medication and he decided to tough it out for a while. But after a week, he could barely get out of bed, he could no longer have sex with his wife, and he was falling behind in his work because he could hardly sit still at his computer, due to his excruciating back pain.

Reluctantly, he asked his doctor for a referral to a hypnotherapist. Robert approached his initial consultation with the hypnotherapist with a lot of skepticism, but he was desperate for a solution to his back pain so he listened attentively and tried to keep an open mind as the hypnotherapist explained the mind-body connection. The hypnotherapist answered all of his questions and concerns. Robert was especially fearful that he would lose control during the hypnotic state, and being in control at all times was very important to him.

To help ease Robert's mind, with Robert's permission, the hypnotherapist helped Robert to get into a relaxing, hypnotic state. Robert was amazed--this was the most relaxed that he had ever felt in his life. He was aware of the ticking clock in the office, the sounds coming from the street outside the office, and he felt that, if he wanted to, he could get up and leave at any time. It was just as the hypnotherapist had said--he was able to maintain a dual awareness of everything around him at the same time that he was enjoying this relaxed state. He was even more amazed when he returned to his usual state that he was only in this hypnotic state for five minutes. His experience of the hypnotic state was that it felt timeless.

Having had this relaxing, positive experience of clinical hypnosis, Robert was now ready to have the hypnotherapist use hypnosis to treat him for his back pain. Within five session, Robert was pain free. The hypnotherapist also taught Robert how to control his stress levels on his own through self hypnosis. A follow up session after one month revealed that Robert had no new occurrence of back pain. And after two years, Robert continued to report to his primary care physician that he continued to have no back pain.

These vignettes are just two examples of many that demonstrate the mind-body connection and the effectiveness of clinical hypnosis for pain management. Clinical hypnosis is also an effective tool for smoking cessation (usually within 3-5 sessions).

If you are suffering with a physical problem and your doctor cannot find a medical cause for your problem or if you have decided that you want to stop smoking, you could benefit from clinical hypnosis.

Getting Help - How To Choose A Hypnotherapist:
If you're considering clinical hypnosis, it's important to make sure that you see a licensed mental health professional who is a trained hypnotherapist and not a "hypnotist." There are important distinctions between a hypnotherapist and a hypnotist.

A hypnotist might have learned various hypnotic techniques, but he or she is not a therapist, not licensed, and will not have any mental health training. A hypnotherapist is a licensed mental health professional who understands the mind-body connection and who has been trained under the guidelines of a professional organization like the American Society of Clinical Hypnosis (ASCH). For more details, you can visit the ASCH web site: http://www.asch.net/.

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

To find our more about me, visit my web site: Josephine Ferraro, LCSW - NYC Psychotherapist

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

Becoming a Successful Nonsmoker

Do you want to stop smoking?

Have you tried to stop smoking before, stopped for a while and then relapsed?

Becoming Successful Nonsmoker

Clinical hypnosis can be a very effective tool to help you stop smoking without the side effects of the drugs, nicotine patches and other methods used to stop smoking.

Noticing Your Smoking Patterns:
When clients come to me to become successful nonsmokers, I ask them to start by noticing and tracking their smoking patterns and triggers:

For each cigarette smoked in a day:

What was your emotional state at the time? (angry, anxious, sad, happy, etc)

What was going on at the time?

Who were you with at the time?

Where were you? Location: at work, at home, walking the dog, in the car?

What is your smoking style for each cigarette? How much of the cigarette did you smoke? How many in a row?

Of the times that you smoked, which times would be easiest to give up? For instance, would it be easier to give up the cigarette you have with your morning coffee? Would it be more difficult to give up the cigarette that helps you to calm down when you're angry with your supervisor?

Breaking the Smoking Pattern:

At the start of treatment, I also ask clients to start by changing one particular habit involved with their smoking. So, for instance, they can change their cigarette brand, change when they smoke (if they usually smoke after meals, maybe they would smoke before a meal) or make another change, no matter how small.

This is called pattern interruption and, when you're trying to break a habit, it's usually very effective as a way to start breaking the habitual patterns. This can also work for other habits that you want to break.

Smoking History:
I also want to get a smoking history during the first session:

When and how did you start smoking?

How long have you been smoking?

With whom do you smoke (e.g., spouse, smoking buddies)?

Are there people who are close to you that smoke?

Has there been anyone close to you who got sick or died from a smoking-related illness?

Have you successfully quit smoking before for a while? If so, for how long? What worked?

What triggered the relapse?

What successful experiences have you had in breaking other habits before?

Why do you want to stop?

How do you think that becoming a successful nonsmoker will affect your life?

Are there certain people who will not be happy if you stop smoking (smoking buddies, spouses who want to continue smoking with you)?

What problems are you anticipating (e.g., weight gain, switching to other habits)?

After I have information about your smoking triggers, smoking patterns, and smoking history, I develop an individualized plan that will be most effective for you as an individual client.

Many people have become successful nonsmokers using clinical hypnosis.
If you want to become a successful nonsmoker, you could benefit from clinical hypnosis. If you've been thinking about stopping but you've been putting it off, consider the benefits of becoming a successful nonsmoker to your health, your overall well being, the health of those around you, and your wallet (cigarettes have become increasingly expensive, as I'm sure you know).

Becoming a Successful Nonsmoker

For more information about the health benefits of smoking cessation, visit the American Cancer Society website: http://www.cancer.org.

Consider all these factors and make a decision to get help today.

About Me
I'm a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing. 

I work with individual adults and couples, and I have helped clients to become successful nonsmokers.

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.