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NYC Psychotherapist Blog

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Showing posts with label social anxiety. Show all posts
Showing posts with label social anxiety. Show all posts

Sunday, January 15, 2023

How to Flirt When You Fear Rejection

No wants to be rejected. Being rejected can feel humiliating, and fear of rejection often makes people compare themselves unfavorable to others. They tell themselves they're unlovable, not attractive enough, and generally not good enough (see my article: Overcoming Social Anxiety).

How to Flirt When You Fear Rejection

This stops them from putting themselves out there--even when they really want to date or be in a relationship (see my article: Relationships: Overcoming Your Fear of Rejection).

How to Flirt Without Being Creepy When You Fear Rejection
Most people don't come of age learning how to flirt.  Usually, there are no classes in school on how to flirt or even how to develop good social skills.  So these skills often feel elusive--as if everyone else knows how to do it and you don't.  But you can overcome your fear of rejection and learn to flirt in a non-creepy way.

What is Creepy Flirting?
A narcissistic player or womanizer, who mistreats women by manipulating and using them sexually, is an obvious creep.  He has a sexual goal in mind and he uses flirting and playful teasing as a way to disarm women and manipulate them into sleeping with him (see my articles: What is Sexual Narcissism - Part 1 and Part 2).

Creepy Flirting


He might hide his lack of confidence and fear of rejection beneath his narcissism long enough for a brief sexual encounter. Then, after he makes his sexual conquest, he moves on to the next woman because his sexual needs are often insatiable.  

But there are other kinds of creepy flirting, so let's focus on some tips for non-creepy flirting when you have a fear of rejection.

Tips For Non-Creepy Flirting When You Fear Rejection
Creepy flirting, whether it's intentional or not, makes the other person feel uncomfortable, unsafe and wary of you. 

These tips apply regardless of sex, gender, age, race or sexual orientation.
  • Be Aware and Respect the Other Person's Personal Boundaries: There are physical, emotional and sexual boundaries. When you're trying to meet someone or flirt with them, you need to be able to read their body language and pick up on social cues so you don't violate their boundaries.
    • Physical boundaries: 
      • Personal space includes the need not to feel physically impinged upon
      • Comfort or discomfort with physical touch
      • A need to be left alone

Be Aware and Respect Boundaries
    • Emotional boundaries:
      • Feelings, including the need not to engage with you or explain why they don't want to engage with you
      • Energy, including the need not to expend energy in meeting you
    • Sexual boundaries: 
      • Consent: This means you're being given enthusiastic consent
      • Agreement: You know the other person is in complete agreement with you
      • An understanding of preferences, desires and privacy: You're sure you understand the other person's preferences and if they just want to be left alone
  • Don't Stare at Them: Staring makes people feel uncomfortable. So, be aware, even if you're not trying to make the other person feel uncomfortable, not to stare at them.  A glance from you to gauge their interest is different from staring.  If they reciprocate with a smile, smile back and assess the situation as to whether you can approach or not.  If you approach and the other person signals they're not interested, smile and walk away. Don't continue to look at them because then you're crossing a personal boundary.
  • Respect How the Other Person Responds to You: Assuming you're aware of the other person's personal boundaries, you read their body language correctly, and you have approached them in a respectful way:
    • Listen to What They Say: Non-creepy flirting means you don't persist in trying to flirt or be friendly when they've said they're not interested.  Also, don't take it personally because it might not be about you.  It might just be about how they're feeling at the moment or some other issue.  
Listen to What She Says

    • Don't Follow Them: Whether they've responded positively or negatively, don't follow them.  Following them is definitely creepy behavior and could be considered stalking. If they respond positively and you want to ask them out for coffee, ask--don't assume.  
    • Don't Pursue Them on Social Media: In addition to not following them in person, don't follow them on social media unless you have their consent. This means you don't text them on social media sites without asking first.  
How to Flirt When You Fear Rejection
Now that we've covered the basics in terms of not violating boundaries or acting creepy, let's focus on your fear of rejection.
  • Flirting is Not About You.  It's About the Other Person: One way to flirt when you fear rejection is to focus on the other person instead of putting your expectations on them.  This means you're focusing on how to make them feel good in a genuine way while you're reading their body language, social cues and all the other factors discussed above.  
  • Smile and Be Friendly: Smiling and being friendly is very different from being creepy.  Don't open with a come-on line like Joey Tribbiani of Friends ("How you doin'").  Keep it simple.  You can ask a simple question about if they usually come to this place, but if they don't respond in a friendly manner or you sense they're uncomfortable, move on and leave them alone.

How to Flirt When You Fear Rejection: Smile and Be Friendly

  • Don't Focus on Flirting as a Means to an End: Most people flirt so they can get the other person's telephone number, ask them out on a date or get them to have sex with them.  But this is how you set yourself up for rejection. If that's your focus, the person you're interested in might be put off by it.  So, remember: Flirting isn't about you. It's about the other person.  Instead of asking for their telephone number, you can give them your number if they seem receptive.  But don't make a big deal out of it by asking when they'll call or when you'll see them again.
  • Use a Sense of Humor: Assuming the other person is receptive to talking to you and you have gotten past the initial stage of introducing yourself, you can use a sense of humor to ease this interaction and have fun.  Once again, you're doing this without an ulterior motive of getting them to go out on a date or have sex with you. Only do this if you know how to use humor to flirt.  If it makes you feel awkward or uncomfortable to be funny, don't do it because your awkwardness will probably make the other person feel uncomfortable too (see my article:  A Good Sense of Humor Can Be Sexually Attractive).
  • Know When to Back Off If It's Not Going Well: At any point along the way if you sense the other person isn't interested, don't persist. Know when to back off and leave gracefully, which could mean you just say, "It was nice meeting you" and then go.
  • Know When to Leave Even When It's Going Well: Likewise, even if you've had an enjoyable chat with this person, you also need to know when to leave.  Either way, don't just walk away. Thank them for chatting and go about your business.  
  • Remember: Non-Creepy Flirting is a Skill: Don't expect to do it perfectly the first time and maybe not even the next several times. If you don't know how to flirt, you'll need practice--it's just like developing any other social skill.
When to Seek Help in Therapy
There are times when unresolved trauma gets in the way of interacting socially with other people.  

If you know you have unresolved trauma that is affecting you in the present, seek help from a trauma therapist.

A skilled trauma therapist can help you to overcome unresolved issues so you can live a more fulfilling life.

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

I am a trauma therapist who has helped many individual adults and couples to overcome their 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.




Sunday, November 20, 2022

How to Cope With Feeling Left Out

At some point, everyone has had the experience of feeling left out. This can be a passing experience or it can be a chronic problem where you might be unaware of things you're doing that contribute to the problem.

Feeling Left Out 

How to Cope With Feeling Left Out
  • Accept Your Emotions: It's normal to feel upset when you feel left out. If you find out that a friend invited other mutual friends out for dinner and you weren't invited, you can feel hurt and excluded. Before you react, take time to accept how you're feeling and that you might not have all the information. For instance, there might have been an unintentional break down in communication or a missed call or text.
  • Take a Deep Breath: Take a moment to breathe before you respond without having all the facts.
  • Do Some Grounding ExercisesGrounding means getting centered and calm. Using certain mind-body grounding techniques can help to calm your mind and your body (see my article: Using Grounding Techniques).
  • Write About ItJournaling can help you to understand what you're feeling and whether what happened might be triggering old feelings from the past, which would add intensity to what you're experiencing in the current situation.
  • Talk to Someone Who is Impartial and Outside the Situation: Talking it out with someone you trust can help you to see other possibilities.  You could gain perspective from talking to someone who is objective.

How to Be More Approachable in Social Situations
Sometimes when people feel left out in social situations, they don't realize they're doing things that make them seem unapproachable.  

Feeling Left Out

It can be challenging to look at yourself and think about how you might be affecting the situation where you feel left out.

If you're uncomfortable in social situations, you might be coming across as aloof, bored or uninterested in what's going on around you.  People might also misinterpret your discomfort as annoyance.

The following tips can help:
  • Be Aware of Your Body LanguagePeople pick up on social cues by observing body language much more than words.  So, for instance, if you're feeling uncomfortable and you're standing with your arms crossed, you look closed off and, possibly, unapproachable.  
  • Develop a More Open Posture:  Standing or sitting without arms or legs crossed with an open posture makes you look more open and approachable.
  • Make Eye Contact: When you do get a chance to talk to someone, make good eye contact, but don't lock eyes with someone you're just getting to know. A good rule is to make eye contact about 60% of the time.
  • Smile: Although it might be difficult to smile when you're uncomfortable, try to think about something that makes you happy and confident. 
  • Avoid Distractions: Your cellphone is a distraction in a social situation. If you're on your phone, people won't want to interrupt you because you don't look open to communicating with them.
  • Avoid Blocks Between You and Others: If you're in a social situation, avoid placing blocks between you and others. For instance, if you're sitting on a couch at a party, don't hold a couch pillow against yourself.  This blocks you off from others and signals you're not accessible.
  • Avoid Nervous Habits: Fidgeting and other nervous habits might be interpreted as not being open to talking with others. This includes nervously scrolling on your phone, playing with your hair, and other nervous habits that people engage in when they're uncomfortable.
  • Stay Attuned to Others: When you're having a conversation with someone, pay attention to what they're saying.  Aside from making eye contact, nod to show you're listening and interested.
When to Get Help in Therapy
Many people who feel left out because they have social anxiety.

According to the National Institute of Mental Health, approximately 12.1% of people suffer with social anxiety, so you're not alone.

A skilled psychotherapist can help you get to the underlying reasons for your anxiety, help you to build confidence in yourself and learn skills to manage social situations that make you uncomfortable.

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

I work with individual adults and couples, and I have helped many clients to overcome 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.





Saturday, November 19, 2022

Overcoming Social Anxiety

People who have social anxiety  find it very challenging to be in social situations. I have worked with many clients in my psychotherapy private practice in New York City to help them overcome social anxiety.

Overcoming Social Anxiety

Here are some examples of situations that can be challenging for people with social anxiety:
  • meeting new people 
  • being the center of attention
  • making small talk
  • going out on a date
  • eating or drinking in public
  • attending a party
  • speaking in public
  • performing on stage
  • taking an exam
  • being teased or criticized
  • making phone calls
  • talking at a meeting
  • being called on in class
People who have social anxiety are often excessively self conscious about themselves in social situations.  They often try to avoid social situations because they fear they will embarass or humiliate themselves.  They often become excessively worried weeks or even months before an upcoming social event.  They fear they will be judged by others and that others will notice that they're nervous in social situations.

Overcoming Social Anxiety
When I work with a client who has social anxiety, I tailor each treatment to the needs of the particular client.

So, one way that I might work is that the client and I would develop a hierarchical list of the client's fears.  

So, for example, if the client has an upcoming office party, he or she might include at the top of the list (as the most feared) that he or she will have to talk to the head of the company and won't know what to say.  At the bottom of the list, might be thinking about the office party before actually going.

Using the client's list of fears, I might use EMDR or clinical hypnosis to help the client overcome these fears starting with the least feared item on the list and working our way up the list.  Each time he or she is able to overcome one of the fears in session, we would go to the next one on the list until we worked on the item that he or she most feared.

I also like to give clients tasks to perform between therapy sessions. So, the client and I would collaborate on tasks that he or she would perform between sessions.  This is a useful way to work on other areas in everyday life that the client might fear.

Tips for Coping With Social Anxiety
  • Rather than focusing on yourself and your fear of being embarrassed or humiliated in a social situation, pay attention to the others around you.
  • Listen intently to what they have to say.
  • Remember to breathe (shallow breathing can increase anxiety).
  • Develop short-term strategies to help you cope when you feel overwhelmed by social anxiety (e.g., stepping outside for a few minutes to calm yourself before going back into the social event).
Getting Help in Therapy
If you suffer with social anxiety, you know how challenging it can be for you to be in social situations.  You also know that isolating doesn't work.  

If you would like to overcome social anxiety, seek help from licensed psychotherapist who has successfully helped clients to overcome social anxiety.

There are no quick fixes for social anxiety, but working with an experienced therapist to become free of social anxiety can be one of the best gifts you give yourself.

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


Saturday, May 7, 2022

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
  • Agoraphobia

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
























Tuesday, February 18, 2014

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

As a psychotherapist in NYC, I've been seeing more clients these days, as compared to the past, who are experiencing crippling fears in social situations, and many of them are relying on alcohol to give them "liquid courage," which provides a false sense of confidence in these situations (see my article: Overcoming Social Anxiety).

Fear and Shame in Social Situations

Fear and Shame in Social Situations
There have been tons of article written about why people are having such difficulty overcoming their feelings of vulnerability and shame when it comes to socializing and dating (see my articles: Overcoming Loneliness and Social Isolation and Overcoming Shame).

                   Fear and Shame in Social Situations

These articles give many reasons why this phenomenon is especially prevalent these days, including the fact that people are communicating more online than in person, and many people haven't learned the basic skills necessary to interact socially in person without experiencing dread.

Fear and Shame in Social Situations

Fear of Socializing Without "Liquid Courage"
So, I'm not going to focus so much on the reasons for this problem, which have have already been discussed in many other articles.  Instead, I'm going to focus on a social phenomenon that I've seen with people of all ages, which is that they feel they can't socialize without "liquid courage" to get them through.

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

As I usually do in my articles, I'll give a scenario to highlight the problems and some of the ways these problems can be overcome in therapy.

Although the example that I give is about a man, this issue affects both men and women regardless of age, race or sexual orientation.

As always, this scenario is a composite of many cases with all identifying information changed to protect confidentiality:

Mike
Mike, who was in his early 30s, never attended any social event without having at least one drink before he went.

Although, at this point in his life, he very much wanted to be in a relationship, he felt almost paralyzed with fear when he thought about talking to an attractive woman at a party.

Before, he went, he imagined all the things that could go wrong and how embarrassed he would be:  What if there were uncomfortable pauses in the conversation because he couldn't think of anything to say?  What if he looked "stupid" because he didn't understand what she was talking about?  What if she thought he was a bore?  What if he spilled his drink all over himself?  And he ruminated on and on, which escalated his fear.

At times, he felt so emotionally vulnerable when he thought about an upcoming party that he would agonize for days beforehand.

Sometimes, his fear and shame were so great that he would cancel at the last minute rather than deal with facing a situation where he felt sure he would make a fool of himself.

But the immediate relief that Mike felt from avoiding the social situation was often short lived.  Within hours, he regretted not going because his avoidance kept him feeling stuck and lonely for female companionship.

He had plenty of male friends that he hung out with, but socializing with women that he had never met before felt like an insurmountable challenge for him.

Although he felt confident in his career (where he worked mostly with men) and hanging out in a sports bar with his buddies, he lost all confidence in himself when he was in a situation where there were women he didn't know.

On those occasions when he did go to parties, he fortified himself with "liquid courage" (one or two drinks) before he left the house.  Then, he had a few more drinks when he arrived at the party and he was able to loosen up enough to chat with women he didn't know.

Overcoming the Temptation to Use "Liquid Courage"  to Cope With Social Situations

With a few drinks in him, Mike felt less inhibited and he was able to forget about being self conscious.  He was often funny after a few drinks, and women would tell him that he had a great sense of humor.  He also felt more confident about asking women to go out.

The problem was that, by the next day, without alcohol, he still felt the same crippling fear as before, and he was sure that when he called the woman that he met, he would be so socially inept that she wouldn't want to go out with him.

Fear and Shame in Social Situations Without Alcohol

After struggling this way for a couple of years, Mike realized that he had a real problem and he came to therapy.

In therapy, Mike and I worked on the underlying issues, including a childhood with overly critical parents, that were at the core of his problems.  Even though he was an adult, he continued to struggle with these old messages that made him feel worthless in social situations with women he didn't know.

Aside from working through these underlying emotional issues, Mike also needed to practice getting more comfortable approaching these social situations without fortifying himself with alcohol.

On a rational level, Mike knew that he couldn't keep relying on alcohol to get him through because it was only a temporary fix.  And, since his father had problems with alcoholism, Mike also knew that a possible genetic predisposition to alcoholism could create a bigger problem for him if he continued to rely on alcohol.

But, on an emotional level, Mike felt that alcohol had become his reliable "friend" in helping him to get through these situations.  Even though Mike wasn't an alcoholic, he knew that his maladaptive ways of coping with social situations wasn't going to be easy to change.

We worked on Mike's childhood history of emotional abuse using EMDR therapy.  We also used the cognitive behavioral technique of desensitization for his fears related to socializing.

Using a desensitization technique, we set up a hierarchy of Mike's fears and worked on them, step by step, one by one (from low to high) so that he could overcome his fears.

In addition, we used clinical hypnosis (also known as hypnotherapy) to help boost Mike's confidence.

In the meantime, Mike cut back on his drinking.  He practiced going to social events without having a drink beforehand.  He also cut back on the alcohol that he drank while at social events.

Needless to say, it wasn't easy for him.  Initially, he was so afraid that he just hung out with mostly friends that he knew and steered clear of talking to women that he really would have liked to meet.

But as we continued to work together, over time, Mike became more comfortable taking small steps to allow himself to be more emotionally vulnerable in these situations.

As you would expect, some days were better than others.  But what was most important was that Mike was willing to work on these issues in therapy and, even more important, he was willing to put himself out there in ways that were, initially, uncomfortable.

Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations

It wasn't easy but, gradually, he overcame the near paralyzing fear and shame that had kept him feeling too vulnerable, and he was able to do it without relying on alcohol as a social lubricant.

At the same time, Mike developed more confidence in himself socially, and he eventually met a woman  he really liked and, a couple of years later, they got married.

Getting Help in Therapy
If you're often tempted to use "liquid courage" as a maladaptive way to cope with social situations, you're not alone.

Chances are that you also know a lot of people, possibly even your close friends, who are doing the same thing.  But, whether they admit it to themselves or not, most people who are struggling with this problem realize deep down that relying on alcohol isn't the solution.

Rather than trying to go it alone, you owe it to yourself to get help from a licensed mental health professional who has the expertise to help you overcome this problem.

Although there's no quick fix for this issue, by getting help you can give yourself an opportunity to approach social situations with more pose and confidence.

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

In addition to being a licensed therapist, I am also a certified Substance Abuse Professional.

I also work adjunctively with clients who want to remain with their primary therapists who might not have expertise in this area.

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.

Resources:
If you think you have an alcohol or drug problem, see my article:
Early Recovery: You've Stopped Drinking. Now What?

You can also find an Alcoholics Anonymous meeting in your area by clicking on this link:
Alcoholics Anonymous.































Tuesday, August 6, 2013

Overcoming Loneliness and Social Isolation

As a psychotherapist in New York City, I've noticed that more clients are struggling with feelings of loneliness than I've encountered with clients in prior years.

Why Are People More Socially Isolated and Lonely Now Than in the Past?
There are many reasons why people are more socially isolated from one another and, as a result, more lonely than before.  

Overcoming Loneliness and Social Isolation

A Decrease in In-Person Social Contact
As a society, we have less in person contact these days than we used to before.  We rely more on email and text messages now.  While there are definite advantages to these technological advances, there have also been disadvantages, especially for people who live alone and have few close friends or family members.

Young adults, many of whom rely almost exclusively on text messages or social media to communicate, often don't develop the social skills necessary to communicate with potential friends or romantic romantic partners.  Many of them complain to me that they feel awkward talking to new people, and they don't know how to start a conversation at a social gathering.

Loneliness vs Depression
Loneliness is often confused with depression, and many people would prefer to say they're depressed and seek antidepressant medication from their doctor than admit that they're lonely.

While there can be a connection between loneliness and depression, very often, loneliness can be confused with depression.

Loneliness and Shame
For many people the shame of admitting that they're lonely is so great that they might even have a hard time admitting that they're lonely to their therapists.  


Admitting to feeling lonely often involves a certain emotional vulnerability that many people can't tolerate.  Many of them feel that by admitting that they're lonely, they'll be judged and people will think there's something wrong with them.  They feel that admitting to being lonely puts them at risk for people thinking they're not likable, and they might have their own fears about this.

Being Willing to Extend Yourself
If you're feeling lonely, it can help to extend yourself to others rather than waiting for others to approach you.

If you have a particularly difficult time initiating social interactions, you might want to consider doing volunteer work.

When you volunteer for a cause or a particular group, you're usually given a particular task to do and talking to others is easier because you're interacting within the context of doing the volunteer work. 

The following scenario, which is a composite to protect confidentiality, illustrates how a client was able to overcome feelings of loneliness:

Bill
When Bill graduated college and moved to NYC to take a job as a computer programmer, he didn't know anyone in the city.

Bill interacted with coworkers at work, but most of them were older and married.  As a young, single man in a new city, Bill often felt lonely when he was home alone.

He kept up with college buddies and friends from his hometown mostly via text messages.  He also called his parents once a week.  And these interactions were the extent of his social interactions outside of work.

After a few months, Bill thought he was depressed, so he came to see me for help.  It became apparent early on that not only was Bill socially isolated, but he felt uncomfortable initiating social interactions with new people.  Even when he was in college, most of the other students that he became friends with were people who were more outgoing and approached him first.

As we talked about what Bill thought were depressive symptoms, it turned out that when he went home and saw his family and friends, he didn't feel sad.  He also didn't have most of the other symptoms associated with depression, so I surmised that Bill was really lonely as opposed to being depressed.

When I work with clients, whether it's about problems with loneliness or other emotional issues, I tend to be interactive.  So, Bill and I talked about what he would be willing to do to be less socially isolated in NYC.

Since Bill was very fond of animals, he came up with the idea of volunteering his time at a no-kill animal shelter.  From the start of his volunteer work at the shelter, the dogs and cats, who longed for attention, gravitated towards Bill and he loved spending time with them.  He even adopted a dog and a cat.

He loved his pets, and having affectionate pets, who waited eagerly for his arrival when he got home, made it a lot easier for Bill when he came home.   

But Bill also wanted human social interaction, so we talked about what type of volunteer work he would like to do to meet new people.  As it turned out, Bill was very interested in local politics and there was a particular local candidate that he liked.

When he looked into volunteer opportunities with this local political candidate, he discovered that the campaign had a real need for volunteers.  So, Bill spent a few hours each week volunteering his time.

Initially, Bill felt awkward because most people already knew each other and he was the new volunteer.  Breaking into a new group, especially if someone is self conscious and somewhat shy as Bill was, can be difficult, so Bill had to lower his expectations at first.

But after the second week, one of the other volunteers, Ed, told Bill that there was a group that went out for burgers afterwards, and he asked Bill to join them.  

Over time, Bill became friendly with a few of the other volunteers, and he began to socialize with them more.  And, as he developed friendships with these people, he realized that he no longer felt lonely.  He also realized that his problem wasn't depression after all--it was social isolation which had resulted in loneliness.

Overcoming Social Isolation and Loneliness Can Be Challenging For the Elderly or People Who Are Home bound
For people who are either elderly or home bound due to health problems, social isolation and loneliness can be challenging because they might not interact with others.

Being isolated, they're also more at risk for health problems that might not be detected because they have little or no social interactions with others.

In some communities, religious organizations and social service agencies have volunteers who can visit the elderly or the home bound.  In many major cities, like NYC, there are senior centers with free transportation where the elderly can meet other people and engage in social activities.

Social Anxiety Can Complicate Efforts to Overcome Social Isolation and Loneliness
See my article:  Overcoming Social Anxiety

Feeling Lonely in a Relationship
Loneliness doesn't just occur because people are socially isolated.  People in relationships where their emotional needs aren't being met are often lonely too.


Getting Help in Therapy
If you've been unable to overcome feelings of loneliness and social isolation, rather than remaining isolated and unhappy, you could benefit from seeing a licensed psychotherapist who has helped psychotherapy clients to overcome this problem.  

About Me
I am a licensed New York City 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.

Also, see my article:  Solitude vs Loneliness