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NYC Psychotherapist Blog

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Showing posts with label sobriety. Show all posts
Showing posts with label sobriety. Show all posts

Saturday, October 20, 2018

The Psychotherapist's Role in Holding Open the Possibility for the Client's Transformation

Aside from creating a holding environment where the client feels safe and comfortable with the therapist and the therapeutic process, an experiential therapist also holds open the possibility for the client's transformation.

Transformation

What Does It Mean For the Therapist to Hold Open the Possibility for the Client's Transformation?
Many clients come to therapy feeling doubtful and pessimistic about making positive changes.  There is obviously a part of them that hopes they can change, but there is often a bigger part of them that fears they won't change and they'll be exactly where they started before they began therapy.

A skilled experiential therapist creates a space first in her own mind and then intersubjectively between the client and the therapist for the possibility of positive change--and not just any change but a transformation that makes a significant difference for the client (see my article: Psychotherapy: An Intersubjective Experience Between the Client and the Psychotherapist and A Psychotherapist's Beliefs About Psychotherapy Affects How the Therapist Works With You).

The therapist can often see possibilities even when the client cannot.  This isn't a Pollyanna notion or something that is "woo-woo."  This is based on the therapist assessing the client's personal strengths and history as well the signs of resilience in the client (see my article: Discovering Your Personal Strengths in PsychotherapyHow Experiential Psychotherapy Can Help You to Develop Your Personal Strengths and A Strengths-Based Perspective in Psychotherapy).

Fictional Clinical Vignette: The Psychotherapist's Role in Holding Open the Possibility For the Client's Transformation
The following fictional vignette, which is based on many different cases with no identifying information, illustrates this particular aspect of the psychotherapist's role:

Sam
After he relapsed on alcohol after five years of sobriety, Sam began psychotherapy.

During his first session, Sam expressed the despair about achieving sobriety again.  He talked about his relapse, which occurred while he was on a recent company retreat, "I allowed my colleagues to persuade me to drink after our meeting, even though I knew it was a mistake.  I convinced myself  that I could control it and have just one beer.  Then, I was off to the races and one drink turned into five and then I drank the whole weekend.  When I got back from the company retreat, I spoke with my A.A. sponsor and he recommended that I get into therapy.  So, here I am, but I feel like a total failure and I don't think I can get back to where I was in terms of my sobriety."

Listening to his history of struggling with alcoholism from the time he was a teenager, his long family history of drinking, childhood emotional abuse, and Sam's five year history of recovery, his therapist could tell that Sam had a lot of personal strengths (see my article: Why Is It That It's Often the Healthiest Person in a Dysfunctional Family Who Seeks Help in Therapy?).

Not only did Sam begin attending Alcoholics Anonymous on his own in his mid-20s, even though his family tried to dissuade him from going, he also successfully worked the 12 Steps with his sponsor and felt he benefited from doing it.  He was also an active participant on his A.A. meetings in terms of providing service for the meetings and he welcomed newcomers who were struggling with alcoholism.

As a teenager, despite his drinking, Sam achieved above average grades and got a college scholarship, even though his family placed little value in education and tried to persuade him not to go because they thought it was a waste of time.

When his therapist asked Sam if he had emotional support from anyone else in his family or from a mentor or coach, Sam said he had no one.  But he said he was determined to move out of a dysfunctional family environment where his father and older brothers drank heavily and he knew that a college education was necessary for him to realize his independence.

After he graduated college with honors, despite heavy drinking, he went onto law school and landed a good job in a top law firm.

Right around the time that Sam began his new job, he realized that he couldn't continue to drink heavily if he wanted to succeed, and he sought help in Alcoholics Anonymous.

He explained to his therapist that it was especially challenging for him to get sober because, similar to his family, many of the attorneys at his company, including the partners, drank heavily.  In fact, drinking was part of the culture in his company, and the attorneys were expected to take out their clients for drinks.

Sam said he knew that he wouldn't stand a chance of achieving sobriety without the support of a sponsor, so he jumped at the chance to talk to an A.A. member with many years of sobriety who was among the members who stood up at the beginners meeting and offered to be an interim sponsor.

His sponsor, who was also an attorney, helped Sam to work the 12 steps and become aware of his triggers to drinking.  He also helped him to navigate the tricky situations at work where there would be heavy drinking with partners and clients.

Sam explained to his therapist that, looking back on it, he realized that his alcohol relapse began even before he picked up his first drink.  He said it began when he cut back on the number of A.A. meetings he was attending and stopped talking as frequently to his sponsor.  Then, it culminated in not using the tools that his sponsor helped him to develop and in believing that he could have just one drink to be "one of the guys" at the company retreat.

When she heard about his family history, his psychotherapist could see that much of Sam's self doubt and fear were rooted in his history with a father who constantly criticized and belittled Sam.  Even though Sam struggled against his father's emotional abuse, there was a part of him that internalized and believed what his father said about him.

During the initial stage of therapy, his therapist sensed that Sam wasn't ready to hear her assessment that he had a lot of strengths and that if she said it at that point, he would deny it and might even leave therapy.  So, instead, she asked him if he was willing to work hard in therapy to see if he could become sober again.  When he told her that he was willing, they set up a treatment plan, which included increasing his A.A. meetings and talking to his sponsor daily as well as once a week therapy.

As his therapist formed a therapeutic alliance with Sam and felt that he was comfortable with her, she began to point out and praise him for the positive steps that he was taking.  She also pointed out his positive qualities that helped him to begin making changes.

Since his therapist was an experiential therapist, she was actively engaged in the therapy and expressed her genuine delight as he got back on track with his sobriety because she knew that this corrective emotional experience was necessary, especially given the history of emotional abuse in his family (see my articles: With Experiential Psychotherapy, There Are No Blank-Slate Psychotherapists - Part 1 and Part 2).

At that point in therapy, Sam was able to take in his therapist's emotional support and her view of him as someone who had the personal strengths to achieve an emotional transformation.

After Sam had a few months of sobriety, his therapist introduced the idea of EMDR therapy to work on the underlying trauma that was a factor in his relapse (see my articles:How Does EMDR Therapy Work: EMDR and the Brain and Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

Over time, Sam's confidence increased and he was able to acknowledge that he had many personal strengths that he could use to cope and maintain his sobriety in addition to therapy and his sober support system.

By the time Sam completed therapy, he realized that his therapist had believed in him all along and that this was a big part of his being able to sustain his sobriety and transform his life.

Conclusion
A skilled psychotherapist is able to hold open the possibility for clients' transformation even when clients are at a low point in therapy.

Being able to assess clients' personal strengths, as well as their challenges, and keeping in mind that with help most people's inclination is to move towards health and well-being, an experienced psychotherapist can hold open a space for positive change--especially when clients cannot see it for themselves.

Even when this holding open of a space for transformation isn't articulated by the psychotherapist, I believe that it is transmitted unconsciously in the intersubjective space between clients and their therapists.

Many clients recognize in hindsight that the therapist's role of holding onto the possibility of positive change was instrumental in helping them to achieve these changes.

Getting Help in Therapy
Experiential psychotherapists tend to be more present and actively involved in therapy.  They have seen clients' transformation against all odds and recognize the signs and signals that clients have the personal strengths necessary to make positive changes (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

If you're struggling with problems that you have been unable to overcome on your own, you could benefit from working with an experiential psychotherapist who can help you to achieve a transformational experience in your life.

About Me
I am a licensed NYC experiential psychotherapist who uses contemporary psychodynamic psychotherapy, EMDR, Somatic Experiencing, clinical hypnosis, and emotionally focused therapy (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

I have helped many clients to overcome their history of trauma as well as their own self doubts to achieve transformational experiences in their lives.

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

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













Monday, January 8, 2018

Early Recovery: Focusing on the "People" Part of "People, Places and Things"

The decision to get sober is one of the biggest and most challenging decisions you can make in your life.  Once you've made this decision, you need to assess your life about how you're going to maintain your sobriety.  The concept of being aware of "people, places and things" in order not to relapse is an important one.  In this article, I'm focusing on the people part of "people, places and things" because it's often one of the hardest parts of recovery (see my articles: Early Recovery: You've Stopped Drinking. Now What? and The Myth of Having to "Hit Bottom" to Change).

Early Recovery: Focusing on the "People" of "People, Places and Things"

Reassessing Your Friendships in Light of Your Desire to Remain Sober
During early recovery, people usually take stock of their lives, including the people they hang out with when they drink--their drinking buddies.  When drinking buddies are only acquaintances at the local bar, as opposed to close friends, it's less of a challenge to refrain from seeing them in order to avoid the temptation to drink.

But when the people are close friends, it's a much more difficult situation and you might need to make some hard choices in order to stay sober.   

This doesn't necessarily mean that you need to give up your friends completely.  For instance, if you have close friends, who drink a lot, but who also like to engage in other activities, you could avoid meeting them at the bar and, instead, meet them at the movies.  

When you explain to your friends that you're giving up drinking, if they're good friends, it's more than likely they will encourage you to do what's best for you regardless of how they feel about drinking.

But when you have friends who might be in denial about how much they're drinking, they could perceive your sobriety as a threat because it forces them to look at their own drinking.  

As a result, they might minimize your problem in order to avoid dealing with their own drinking problem.  This doesn't mean that your friends don't care about you.  It usually means that they're afraid to look at themselves and it's easier for them to minimize your problem than to look at their own issues.

If close friends are encouraging you to join them for drinks after you've told them that you want to stop drinking, you need to make a decision about these friendships in light of your desire to stay sober.  

The same is true for friends who are only interested in going out drinking and who have no other interests.  If they're not willing to meet you for coffee or to do something else that doesn't involve alcohol, you will need to reassess these friendships because you will be putting your well-being at risk if you go along with them to bars.

Isolation Isn't the Answer:  Getting Sober Support in Self Help Meetings
You will need emotional support to maintain your sobriety, especially if you have to give up friends (see my articles: Overcoming Loneliness and Social Isolation and Changing Maladaptive Coping Strategies That Don't Work: Avoidance).

Many people who are trying to get sober isolate themselves in order to avoid alcohol.  This might work for a short time, but it's not the answer in the long run.  

Everyone needs emotional support, especially if you're taking on the challenge of staying sober.  Isolation only makes you feel lonely and it makes it that much more likely that you'll return to alcohol as your "old friend."

You can find sober support at Alcoholics Anonymous (A.A.) meetings.  Visiting several Alcoholics Anonymous meetings is a good way to find a meeting that feels right for you because every meeting is different.  

When you find a meeting that feels right for you, you can also obtain an interim sponsor, someone who volunteers him or herself in a beginners meeting to be a temporary sponsor until you find someone that you feel comfortable with, which could be your interim sponsor or it could be someone else.

Getting Help in Therapy
But what if you attend several A.A. meetings and you feel overwhelmed by these meetings? (see my article:  Early Recovery: What If 12 Step Meetings Are Too Overwhelming For You?).

Then, you would do well to consider individual psychotherapy with a psychotherapist who has experience working with people in recovery (see my article: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

Even if you're attending A.A. meetings and you have a sponsor, it's a good idea to consider individual therapy to work on the underlying issues that contribute to your excessive drinking.  

A.A. meetings and sponsorship can be important components to recovery.  But if you don't eventually address in greater depth the underlying issues that trigger your drinking, you're more prone to relapse.

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

I have helped many clients who are in recovery to stay sober.

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.



Friday, December 15, 2017

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

Many people who are recovering from addiction don't understand the concept cross addiction, which is substituting one addiction for another (see my other articles about substance abuse:  Recovery: Maintaining a Balanced Life,  "Liquid Courage:" Overcoming the Temptation to Abuse Alcohol to Cope With Social SituationsThe Myth About Having to "Hit Bottom" to Change, and Coping With Addiction: Boredom as a Relapse Trigger).

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

The reason it's so important to understand cross addiction is that people who have a history of addiction often switch from one addiction to another, especially when they're under stress.

So, for instance, if someone who has been sober from alcohol for a few years suddenly finds himself under a lot of stress at work, instead of picking up a drink, he might start to abuse prescription drugs or gamble compulsively or engage in some other form of addiction.

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

It's easy to fool yourself into thinking that you can dabble with another addiction because it's not your primary addiction.

But when you're under a lot of stress and you haven't developed adequate skills, if you have a history of addiction, you're more likely to either relapse with your primary addiction or engage in cross addiction.

Let's take a look at a fictional vignette to see how this plays out:

Fictional Vignette: Recovery: Understanding Cross Addiction: Substituting One Addiction For Another:

Connie:
Connie was sober from alcohol for two years.  During that time, she struggled to maintain her sobriety, but with the help of her psychotherapist and her sponsor, she celebrated her second year as a sober person.

Soon after she celebrated her second anniversary of sobriety, she left Alcoholics Anonymous and told her psychotherapist that she wanted a break from therapy.

A few months later, her mother fell, broke her hip and had to go to an inpatient physical rehabilitation center.  When her mother got home, she needed Connie's help because she wasn't able to take care other daily needs.

Although Connie and her mother had a conflictual relationship, Connie agreed to move in with her mother temporarily to help her.  She knew that other siblings, who also had conflicts with their mother, wouldn't be willing to do it and her mother really needed help.

The stress of taking care of her mother and working a full time job took a toll on Connie after a few weeks (see my article: Are You Experiencing Chronic Stress and Unaware of It?).

There were times when she wanted to tell her mother to fend for herself, but she knew her mother couldn't be alone, so she tolerated her mother's emotional abuse.

Connie was often tempted to have a drink, but she knew that if she had one, she wouldn't be able to stop, so she refrained from drinking.  But she started using food to soothe her stress, and she gained 20 pounds within a few months.

Recovery: Understanding Cross Addiction - Substituting One Addiction For Another

When she went to the doctor for her annual checkup, her doctor couldn't believe that Connie had put on so much weight since the last time he saw her.

Knowing that Connie had a history of alcohol abuse, her doctor asked her if she was overeating.  When Connie told him that she was "stress eating" at her mother's home, he talked to her about cross addiction and recommended that she get back into therapy.

Connie had never heard of cross addiction.  Before she saw her doctor, she thought that as long as she didn't touch alcohol, she was doing well.  But when her doctor explained cross addiction to her, it made sense to Connie, and she knew she needed to take care of herself (see my article: Self Care For Caregivers).

The next day, Connie called a family meeting with her siblings and explained to them that they needed to pitch in.  She could no longer take on the sole responsibility of being her mother's caregiver.

At first, her siblings balked, but Connie insisted that either they help her out or she would hire a home attendant for their mother.

None of Connie's siblings wanted a home attendant in their mother's home, so they agreed to work out a schedule so they could take turns taking care of their mother.  Since there were seven of them, they each took a day, and sharing the responsibility made it less stressful.

Once her siblings were involved, Connie went back to her former psychotherapist to deal with her stress eating and unresolved issues about her mother (see my article: Returning to Therapy).

She also resumed attending Alcoholics Anonymous meetings, and she contacted her old sponsor on a daily basis.

With emotional support and reduced stress, Connie was able to get back on track so she could eat in a healthy way again and lose the weight she gained.

She also had a new appreciation for how stress could put her at risk for cross addiction.

Conclusion
The term "cross addiction" refers to substituting one addiction for another.

The fictional vignette above highlights how important it is to recognize your particular vulnerability to cross addiction and also the importance of self care, self help meetings, and getting help in therapy.

Getting Help in Therapy
Setbacks are part of recovery and part of psychotherapy (see my article: Setbacks Are a Normal Part of Psychotherapy on the Road to Healing).

If you've had a setback in your recovery, it's important to get help before the problem progresses (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist, who is knowledgeable about addictions, can help you to get back on track again (see my article: How to Choose a Psychotherapist).

Rather than struggling on your own, contact a licensed mental health professional who has an expertise in addictions so you can remain healthy.

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

I work with individual adults and couples.

I have helped many clients to establish and maintain their recovery.

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.


















Friday, January 18, 2013

People Who Abuse Alcohol Often Don't Get the Help They Need

People who abuse alcohol or who are alcohol dependent frequently don't get the help they need to overcome their alcoholism for variety of reasons.  For one thing, people who abuse alcohol are often in denial about their alcoholism.  They often don't admit their problem to themselves or to others who can help them.  Shame is a major factor in their denial.  They often tell themselves, "I can stop whenever I want to," which keeps them from admitting their problem or from getting help.

People Who Abuse Alcohol Often Don't Get the Help They Need

People with Alcohol Problems Are Often Good at Hiding Their Drinking
Even when people who abuse alcohol admit to themselves that they have a problem, they're often very invested in hiding their problem from loved ones, their employers, and even their doctors.

People With Alcohol Problems Are Often Good at Hiding Their Drinking


Doctors usually don't have the time and many are not knowledgeable enough about the signs of alcoholism to ask the right questions during routine exams (see link to article below).

Families Often Collude and Enable People with Alcohol Problems
Families often, either knowingly or unknowingly collude in the problem by enabling the person who is abusing alcohol.

People Who Abuse Alcohol Often Don't Get the Help They Need:  Family Problems

More than one spouse, who was married to a husband who abused alcohol, has told me that she would rather buy him the alcohol and maintain peace in the household rather than have the husband create havoc because he's craving alcohol he doesn't have.  One person told me, "Once he has his beer, he goes in the den, drinks, and he doesn't bother anybody."  Often, this sad state of affairs can go on for many years.

Employers Often Collude and Enable People with Alcohol Problems
It's not unusual for employers, who might recognize that an employee has a drinking problem, to look the other way.  When I was a human resources manager and I asked managers why they allowed a certain employee to continue to come to work drunk, I was often told something along the lines of, "Well, Joe is a good guy.  I didn't want to get him in trouble."

Untreated Alcoholism Can Cause Serious Medical Problems
What people often don't realize, and this includes the person who is abusing alcohol and the people in his or her life, is that untreated alcoholism can cause serious medical problems.  It can even be fatal.  Late stage alcoholism can include severe memory problems and other cognitive impairments.

Alcoholism can lead to heart attack, stroke, and kidney and liver failure.  Alcoholism also often destroys families.  It is also one of the main causes of car accidents and vehicular homicide.  It costs companies millions in lost productivity.

Alcoholism is a Medical Condition--Not a Moral Issue
Even though we now know that alcoholism is a medical condition, many people, including people who abuse alcohol, still see alcoholism as a moral issue.  They think that it's a moral failure and a failure of will on the part of the person with alcohol problems.   But this couldn't be further from the truth.  We don't moralize about other medical conditions--like diabetes.  But people with alcohol problems are still blamed, and they blame themselves, for their medical condition.  This creates a great deal of shame, which keeps the person with alcohol problems from getting help.

Getting Help:  Alcoholics Anonymous (A.A.)
Rather than blaming themselves and trying to "white knuckle it" through, people with alcohol problems need to talk to other people who understand what they're going through.  I am a big proponent of Alcoholics Anonymous (A.A.)

Sober people who attend A.A. understand the challenges involved with giving up alcohol and leading a sober life.  They're there to offer support when the person who is contemplating sobriety takes his or her first tentative steps to getting sober.  They know it's hard, but they also know that it can be done.

I usually recommend that people who are new to A.A. attend a beginner's meeting.  There are often people there who volunteer to be interim sponsors to people who are new to the program because they know that it's hard for newcomers to ask for help.  They can help new people to work the 12 Steps, starting with the first step, often the hardest for many people, to admit powerlessness over alcohol.

Sometimes, A.A. isn't enough and the person who wants to get sober might need to go to either an intensive outpatient program or an inpatient program.  In NYC, I've found, over the years, that both the Parallax Center, which also does outpatient detox, and Inter-Care are both very good outpatient programs.  Both of them offer intensive treatment.

If you have an alcohol problem, don't wait until you've "hit bottom" and you've lost everything.  Get the help that you need.  I've included resources below that you might find helpful.

Resources:
Alcoholics Anonymous:  http://aa.org

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

I work with individual adults and couples.

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

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

Saturday, February 4, 2012

Early Recovery: You've Stopped Drinking. Now What?

Early recovery can be a challenging time for a person struggling with alcoholism and his or her family. Putting the alcohol down is a positive step which, in itself, can be difficult.

Early Recovery: You've Stopped Drinking. Now What?

For many people, who suffer with alcoholism, alcohol represents a "friend" who is always there to comfort and soothe. The thought of giving up drinking can be very scary during the early stages of recovery. But, beyond that, once you've made the decision to stop drinking, you'll need emotional support and the tools of recovery to help you cope with the challenges that most people face when they're newly sober.


So, what are the challenges of early recovery? 
Well, to start, once you're newly sober, you might find that drinking might have been a maladaptive way of self medicating depression, anxiety or other emotional problems. Alcohol might have done a "good job" of masking a mood disorder that is now more readily apparent.

Early Recovery: You've Stopped Drinking.  Now What?

Early on, when you first experience the discomfort of these feelings, you might be tempted to pick up again. But, before you do, recognize that many people have successfully stopped drinking and have learned new ways of coping with an underlying mood disorder that was masked by excessive drinking.


During early recovery, don't try to go it alone:
Aside from psychotherapy, getting social support in Alcoholics Anonymous (A.A.) or Rational Recovery is often the first best step in getting help to overcome the challenges of early recovery. Meeting other people, who have successfully navigated through the challenges of early recovery and who maintain their sobriety, can feel like a life line. "One Day At A Time" is not just an empty slogan--it's an important coping strategy. Getting phone numbers from A.A. members, reading the literature, attending meetings on a regular basis, and getting a sponsor are all important aspects in recovery.

Psychotherapy with a therapist who has expertise in early recovery can be helpful in dealing with the underlying emotional issues that often come to the surface when you stop drinking. An experienced therapist can help you to learn new coping skills to overcome a mood disorder and face life's challenges as a newly sober person. Beyond psychotherapy, you might need medication for a period of time to help you with the biochemical changes to the brain that alcoholism often causes.

Repairing your relationships:
Once you've stopped drinking, you and your loved ones might need to repair your relationships. Your spouse and children might be very happy that you've put down the alcohol, but they might also have resentments for the emotional damage that has been done by your drinking. Making amends isn't easy, but it's an important part of recovery. It's important to listen to what your family has to say and to take responsibility for your actions. Repairing these relationships begins by listening in an non-defensive way, not making excuses, and then expressing a heartfelt apology. Repair doesn't happen over night. You'll need to regain your family's trust over time. But taking these first steps are crucial.

Early Recovery: Repairing Your Relationships 

Beyond that, even though your spouse might have wanted you to get sober, when you do become sober, this is a change for you and your family. Change, even positive change, can be difficult and stressful. For instance, when you were actively drinking, your spouse might have been the one to make major decisions about money or child rearing. But now that you're sober, you want to participate in the decision making. For your spouse, sharing these responsibilities with you now, after years of doing this on her or his own, isn't easy. And you might need to develop certain skills that you missed developing while you were actively drinking.

Al-Anon for family members:
I usually recommend that spouses of people in alcohol recovery attend Al-Anon to get their own support. It's easy to under estimate the challenges of this stage in a relationship. Developing internal resources, coping skills, learning to overcome codependent behavior, and getting social support are part of what Al-Anon is all about. A relationship is a two-way street. Often, it's easy to point the finger of blame on the person struggling with alcoholism. It's usually harder to see the role of the spouse in this dynamic.

The rewards of getting sober:
The challenges of early recovery can be difficult but not insurmountable. The rewards that come with living life as a sober person usually outweigh the challenges. A healthy sense of pride, an increase in self esteem, and an overall sense of well-being are among the benefits you can experience when you decide to stop drinking and get healthy.

About Me
I am a licensed NYC psychotherapist. 

I provide psychotherapy services to individuals and couples, including talk therapy, hypnotherapy, EMDR, and Somatic Experiencing.

I have worked with many individuals and couples to help them to successfully overcome addictive and codependent behavior.

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

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

Also see my article:
Asking for Forgiveness: The Power of Making Amends