Recognizing the Signs When You're Under Too Much Stress

It might seem unusual to pose the question of how to know when you're under too much stress. After all, many people instantly recognize the symptoms and frequently complain about feeling frazzled.

However, as a licensed NYC psychotherapist with over 25 years of experience, I often see clients who are completely unaware of how severe their stress levels have become.

Chronic stress often hides behind a mask of daily busyness until our bodies force us to stop and rest

Why Don't People Realize They are Experiencing Chronic Stress?

People who have endured acute stress or developmental trauma during childhood often do not recognize when their adult stress levels are too high. Because they became accustomed to a baseline of survival and chaos early in life, an elevated stress response feels entirely "normal" to them.

They don't recognize it as an unhealthy or dangerous state. However, enduring acute stress on a long-term basis can have severe negative medical and psychological consequences. Chronic stress has a way of quietly creeping up on you, gradually wearing down your nervous system without you even realizing it.

The Physical Warning Signs of High Stress Levels

One of the most effective ways to identify an unhealthy level of chronic stress is to observe your somatic responses. When you are emotionally overwhelmed, your body will often send out warning signals before your mind consciously registers the anxiety.

• Sleep and Energy Disruptions: Experiencing persistent insomnia, frequent nightmares, feeling tired most of the time, and experiencing low energy even after resting.
• Tension and Physical Pain: Chronic muscle tension, shoulder and back pain, muscle spasms, a clenched jaw, and grinding your teeth at night (bruxism).
• Gastrointestinal and Cardiovascular Distress: An upset stomach, nausea, constipation, diarrhea, or flares of Irritable Bowel Syndrome (IBS). You may also notice a rapid heartbeat, high blood pressure, difficulty breathing, or chest pain.
• Nervous Habits: Fidgeting, pacing back and forth, nail-biting, dry mouth, difficulty swallowing, or cold, sweaty hands and feet.

• Changes in Intimacy: A noticeably low libido and sudden problems with sexual performance.

The Psychological and Emotional Symptoms of Overwhelm

When stress exhausts your cognitive and emotional reserves, it fundamentally alters how you think, feel, and interact with the world around you.

• Mood Dysregulation: Feeling persistently agitated, frustrated, moody, losing your temper easily, and snapping at loved ones.
• Cognitive Fatigue: Experiencing racing thoughts, persistent worrying, being exceptionally forgetful, and having severe problems focusing on daily tasks.
• Social Isolation: Finding it difficult to relax or quiet the mind, isolating and avoiding others, and feeling less pleasure in socializing or engaging in hobbies you once loved.
• Emotional Vulnerability: Feeling easily overwhelmed, hopeless, helpless, pessimistic, or experiencing a dip into low self-esteem and depression.
• Maladaptive Coping: Relying on or abusing alcohol or drugs to artificially numb the nervous system.

Note: Many of these physical and psychological signs can also involve underlying medical conditions. When in doubt, it is essential to check with your primary care medical doctor to rule out organic causes.

Holistic Lifestyle Changes for Sustainable Stress Management

If you are recognizing these warning signs in your own life, there are proactive lifestyle modifications you can implement immediately to regulate your nervous system.

To explore specific self-care and mindfulness tools, you can read my comprehensive guides on Stress Management: Taking Time For Self Care and Managing Your Stress: Workplace Burnout. 

Dedicating time to Self Reflection and Basic Mindfulness can help you reconnect with your body's signals before they turn into chronic pain.

When you feel an acute spike in anxiety, utilizing somatic techniques like Square Breathing can instantly soothe your nervous system. 

Additionally, examining the Mind-Body Connection: Can Yoga Improve Your Mood?.  

Also, using therapeutic tools like Journal Writing to Relieve Stress and Anxiety are proven strategies to release trapped emotional tension.

When to Seek Professional Psychotherapy in NYC

A certain amount of healthy stress is a natural part of living. However, if your medical doctor has ruled out underlying physical issues and you have tried making healthy lifestyle adjustments but still feel entirely consumed by overwhelm, you could benefit deeply from professional clinical support.

A skilled mental health professional can help you uncover the root causes of your stress response. If you are ready to explore your options, you can read my advice on The Benefits of Attending Psychotherapy and How to Choose a Psychotherapist. 

Embracing specialized therapeutic support can make all the difference in restoring your peace of mind and overall quality of life.

About Josephine Ferraro, LCSW

 I am a licensed New York City psychotherapist, hypnotherapist, and specialist in EMDR, AEDP, IFS, Emotionally Focused Therapy for Couples and Somatic Experiencing. 

With over 25 years of experience, I help individual adults and couples get to the root of chronic stress, anxiety, and trauma to restore long-term well-being.

I offer a complimentary 15 phone call before setting up an appointment.

Connect With Me:

• Website: Josephine Ferraro, LCSW - NYC Psychotherapist
• Phone: 📞 9177422624 (Tap to Call)
• Email: ✉️  josephineferraro@iCloud.com
• Location: Greenwich Village, New York 10011

Pets Can Improve Your Mental Health

Millions of people around the world consider their pets to be part of their family.  Not only are pets a source of unconditional love, they can also improve your mental health.

How Can Pets Improve Your Mental Health?

Pets can provide the following mental health benefits:

• Providing Comfort and Social Support: The mutual love between pets and their humans is a source of comfort for most people.  Pets and humans form a bond that helps each of them to feel less alone. 

Pets Can Improve Your Mental Health

• Providing Companionship: The comfort of having a pet can reduce loneliness and social isolation. In addition, taking care of a pet can help you to feel needed and loved.

• Helping to Relieve Stress and Anxiety: Many people who struggle with anxiety experience relief with their pet. Many pets are attuned to their human's stress and anxiety and they provide emotional support.

• Helping to Relieve Depression: The companionship of a pet can help to relieve depression.

• Reducing Work Stress: Pets have a way of building bridges in groups. In most work environments employees come together more easily when there is a pet in the office. Pets also help people to be more productive and reduce stress at work.

Pets Can Reduce Work Stress

• Improving Physical Health: People who have dogs get exercise when they walk them. Daily walks can help with cardiovascular health.

• Providing Structure and Routine: Pets need daily structure to thrive and so do humans. When you have a pet, you benefit from the daily structure as well.

Pets Can Improve Your Mental Health

• Helping to Meet New People: People who have pets, especially dogs, often meet new people in dog parks or on daily walks, so pets can be help to increase your social circle.

• Providing Sensory Stress Relief: Stroking a dog or a cat can help reduce your stress and help to reduce blood pressure. 

• Providing Help With Managing Emotions: Unconditional love from a pet can help people to manage their emotions when they come home from a stressful day and they are met by their loving pet at the door. This interaction can help people to transition from a difficult day to a loving home environment.

• Providing Meaning and Joy: Having a pet can provide meaning and joy, especially as you age and lose connection with loved ones who aren't around any more. A pet can increase your pleasure, give you a sense of meaning and purpose, and increase your sense of confidence and optimism.

Pets Are a Major Commitment

Before getting a pet, make sure you understand that it's a major commitment in terms of time and money.

You also have to be around most of the time to take care of a pet. For instance, if you travel a lot and you're not around, this can be lonely for a pet who doesn't understand where you are or if you're coming back.

You also need to make sure you're not allergic to certain pets.

Before you get a pet, make sure you have the right home environment. For instance, big dogs might not get the exercise they need in a small apartment.  In that case, having a cat might be better since they can thrive in cozy spaces.

Conclusion

Under the right circumstances, pets can help improve your overall health and mental health as well as bring you joy and comfort in many ways.

About Me

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

I work with individual adults and couples.

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

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

Reframing Social Connection with Intentionality to Create Meaningful Connections Online

We are social beings, and the need and impulse to connect with others is real, especially during a crisis (see my articles: Coping Wih Loneliness and Social Isolation and Undoing Aloneness: Staying Socially Connected Even Though We Are Physically Distant).

We have a need to feel held, embraced and safe in the company of people we trust.  This need to be with others helps us to co-regulate each other's well-being.  This need to be in close physical proximity to others is also in direct conflict to the more pressing need right now to physically distance ourselves from each other to avoid getting getting the COVID-19 virus.

Reframing Social Isolation with Intentionality as You Connect With Loved Ones Online

How to Overcome the Negative Impact of Social Isolation During the COVID-19 Crisis

There's no question that physical distancing from others is necessary during this pandemic.  If you're not essential workers, you must stay home and only go out only when necessary using the precautions recommended by the Center For Disease Control and Prevention (CDC).

Remaining at home and physically distant isn't just difficult because you're feeling bored, more importantly, it goes against human beings' basic instincts to connect with others. 

As people become more physically isolated, the mind and the body go into defensive mode. After a period of being physically/socially isolated, people often become more anxious, fearful and worried (see my article:  Common Reactions to the COVID-19 Crisis: Fear and Anxiety).

Given that physical distancing creates a paradox between the needs of your nervous system and your need to survive this pandemic, how do you take care of your need for social connection?

Reframing Social Connection Online with Intentionality

Although you can't be physically connected with friends and other loved ones, you can remain connected online with intentionality.

What Does It Mean to Communicate with Intentionality?
When you're with someone in person, both of you are picking up or attuning to conscious and unconscious signals that you're both sending with regard to what's going on between you.

Aside from the words and the body language, you're picking up on other implicit cues you sense in person about what's being communicated. Sometimes the words and what's being communicated on an unconscious level don't match.

For instance, someone might tell you that they're not angry with you.  But their body language, facial expressions, tension in their body, and the emotional resonance that you sense might be communicating something very different.  Whether you realize it or not, the words are less important than the other cues you're picking up from the other person.

Another example would be that when someone says, "I love you," aside from the words, you pick up on other cues to understand the meaning behind the words. Does the person's facial expression, body language, and other subtle forms of nonverbal communication, including the resonance you feel between you and them, match their words?  If not, you're not going to believe the words.

How to Communicate Online With Intentionality
Sometimes you might not perceive the nonverbal cues online. So, you need to be more intentional and explicit online than when you're with someone in person.  The good news is that there are ways to do this:

• Human beings are an adaptable species, so we often find alternatives to the ways we normally do things.

• Appreciate and normalize for yourself your impulse to connect meaningfully with others--even as you're inhibiting yourself from doing it in person to remain healthy.

• Monitor your body's need for these social connections. Be conscious of your emotional needs. Reach out to others when you feel the need and be kind to your loved ones who are reaching out to you (see my article: The Powerful Impact of Kindness During Stressful Times).

• Reaching out to loved ones online is powerful.  If online communication isn't available, the phone is the next best thing. Emailing and texting are better than nothing, but not as powerful as seeing and hearing one another.  The problem with texting and emailing is that these modes of communication don't provide facial expressions and voice intonation, which are critical for feeling socially connected.

• The value of seeing someone's face and hearing their voice is powerful to the nervous system and fulfills a basic need for connection.

• It's not about the words.  It's not about chatting or just getting caught up, although this has its place too.  You're not just exchanging content or news.

• Communicating with intentionality is more about conveying with your facial expressions, your voice and your behavior that you care.

• By communicating how much you care with intentionality, you and your loved ones are coregulating each other's nervous systems and well-being so that you feel emotionally and physically better.

• You can each feel a sense of well-being in your body and mind as you help each other to coregulate your well-being. You're feeling connectedness.  This can't be emphasized enough.  Coregulating by seeing each other, hearing each other's voices and communicating with intentionality is a way of grounding each other. You're being attuned with each other.  You're entering into each other's consciousness to say, "You're not alone. I'm here with you and I care about you."

Conclusion

Requiring people to physically isolate from one another is counter to what we are hardwired to do as social beings who need social connections for physical and emotional well-being.

As social beings, we coregulate our physical and emotional well-being through meaningful connections with others.  Yet, the current pandemic requires that we remain at home physically isolated from others.

Although we cannot connect in person, we can do the next best thing, which allows us to reframe social isolation: Communicate with intentionality by using the power of our facial expressions, our words, behavior and voice intonality to communicate that we care.  

Getting Help in Therapy

Many mental health experts are concerned about the long term effects of isolation and loneliness.  

If you're feeling overwhelmed, help is available to you through online therapy, which is also known as teletherapy, telemental health or telehealth (see my article: The Advantages of Online Therapy When You Can't Meet With Your Therapist in Person).

Therapists via Online Therapy, Also Known as Teletherapy, Telemental Health and Telehealth

Working with a licensed psychotherapist who can help you through this difficult time can help you maintain a sense of well-being.  

If you're feeling powerless during this time, you can overcome your sense of powerlessness by taking action: Contact a mental health professional who can help you overcome your fear and anxiety.

About Me

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

I work with individual adults and couples.

I am working with clients online so we can remain connected.

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

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

How Therapy Can Help You to Overcome Loneliness

I've written prior articles about being alone, isolated and lonely, including:  Overcoming Loneliness and Social Isolation, When There's Loneliness and Lack of Intimacy in Your Relationship, On Being Alone and Emotional Strategies That No Longer Work For You: "I don't need anyone." 
In this article, I'm focusing on loneliness and some ways that you might be getting in your own way with regard to connecting with others.

Overcoming Loneliness in Therapy

Everyone Feels Lonely At Some Point
Loneliness is an issue for everyone at some point in their lives.

Whether you're in a relationship or not or whether you have lots of close friends or not, it's a fact of life that sooner or later you'll feel lonely.

Just because you have people around you doesn't mean that you feel connected to them or that these relationships are meeting your emotional needs.

Although everyone experiences loneliness at some point, there's a difference between feeling lonely occasionally and feeling lonely most of the time.

Taking a Look at Whether You're Open to Connecting With Others
People who feel pervasive loneliness often feel that they're flawed in some way and that other people wouldn't want to connect with them, so this prevents them from connecting with others (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

Feeling unlovable isn't a feeling that people are usually aware of on their own.  It's often an underlying feeling that they don't become aware of until they start therapy to overcome their loneliness.

The way that these feelings of being unlovable usually come to the surface is through an exploration in therapy.

When all the practical reasons for not connecting with others have been set aside, it's not unusual for people to discover that they're deeply ambivalent about connecting with others because they believe they're flawed in some way and that others will reject them (see my article: Overcoming Fear of Rejection).

At that point, in most cases, it's a matter of working through these underlying issues of feeling unlovable so that they can connect with others.

A Fictionalized Vignette About Overcoming Loneliness in Therapy

Sandy
For most of her life, Sandy felt alone and lonely.

At the point when she came to therapy, she was in her late 30s and feeling close to despair.  She didn't really believe that therapy could help her, but she didn't know what else to do, so she started therapy with a lot of ambivalence (see my article: Starting Psychotherapy: It's Not Unusual to Feel Anxious or Ambivalent).

Overcoming Loneliness in Therapy

Sandy told her therapist that she grew up as an only child with parents who were distant and cold with her and with each other.  With no other relatives close by, Sandy spent much of her time at home alone.

She grew up feeling that her parents thought she was "defective" in some way, and she was aware that they didn't really want any children.  She assumed that she was "an accident" (see my articles: What is Childhood Emotional Neglect? and What is the Connection Between Childhood Emotional Neglect and Problems Later On in Adult Relationships?).

When she started school, Sandy kept to herself.  She didn't think the other children would like her, so she didn't make an effort to make friends.

There was one girl in her first grade class, Betty, who was very outgoing and who befriended Sandy.  She would often invite Sandy over to her home after school where Sandy was surprised to see that Betty's parents were loving and affectionate with Betty.  This was in sharp contrast to Sandy's  experience with her own parents, and it made her aware that she lived in an unhappy household.

Even though Betty went out of her way to seek out Sandy, Sandy was sure that it would only be a matter of time before Betty would drop her as a friend--as soon as Betty discovered the "real Sandy" (see my article: Overcoming the Fear That People Won't Like You If They Knew the "Real You").

Since Betty was outgoing and popular with other children, she included Sandy into her group.  But Sandy felt like she was only tagging along and still felt like an outsider (see my article: Feeling Like an Outsider).

Unfortunately, a year later, Betty and her family moved out of state, and Sandy withdrew from the other children in Betty's group after Betty was gone.  Then, she went back to keeping to herself.

By the time she went to high school, Sandy made a few friends.  Although she would socialize with her friends, she always feared that her friends would abandon her.

In college, Sandy dated a few men.  She usually chose men who were narcissistic and who didn't treat her well because she didn't have a sense that she deserved to be treated well.

Sandy drifted from one short-term relationship to the next with long periods in between when she spent a lot of time on her own and feeling lonely.

By the time she was in her late 30s, she felt hopeless that she would ever be in a healthy relationship and she feared that she would always be alone.  This is what brought her into therapy.

After she revealed her history to her therapist and gave her therapist many "reasons" why she thought she would be lonely for the rest of her life, her therapist helped Sandy to see how she was creating obstacles for herself.

The biggest obstacle for Sandy was that she felt unlovable and undeserving.  This feeling was so strong that no amount of talking about it could dissuade her.

Her therapist talked to Sandy about working through her early experience of emotional neglect and feelings of being unlovable using EMDR therapy (see my article: What is EMDR Therapy?)

At first, Sandy was reluctant to work on these issues because she was convinced that her situation was hopeless.  But her therapist also knew that Sandy's self perception was longstanding since childhood and that she was, understandably, afraid to let go of these perceptions.

When she was ready, Sandy agreed to try EMDR therapy.  Her attitude was "I have nothing to lose, so I'll try it."

Gradually, over time, Sandy came to see that her feelings of being unlovable were rooted in her experience with her parents, who were incapable of being loving.

For the first time in her life, she was able to step back emotionally to see that her parents were the ones who had problems, and their problems were part of intergenerational trauma:  Their parents were unable to be loving and their grandparents had the same problem--all related to a long history of unresolved trauma in both families (see my article: Psychotherapy and Intergenerational Trauma).

Recognizing that she wasn't inherently flawed for the first time, Sandy felt a new sense of freedom.  She thought back in her life to all the people who cared about her and she realized that they found her to be a lovable person--so she wasn't unlovable.

Overcoming Loneliness in Therapy

Although this new self perception freed Sandy to see herself in a new way and to venture beyond her usual social comfort zone, she also felt some regret that she had wasted so much time burdened by her negative feelings about herself.  So, she mourned this loss.  But she also made more of an effort to connect with others.

As she felt better about herself, she experienced an upward spiral:  Her new sense of self esteem allowed her to be more social, and as she extended herself, people were open to connecting with her.  And the more people were open to connecting with other, the more confident she felt.

Conclusion
For many people, overcoming loneliness is a matter of overcoming longstanding negative views about themselves.

Feelings of being unlovable are usually unconscious, so these underlying feelings remain hidden until a skilled therapist can assist to gently help to unearth them.

Trauma therapy, like EMDR therapy, is an effective way to overcome trauma and the related negative beliefs about yourself.

Getting Help in Therapy
It can be very challenging to come to terms with the fact that you might be getting in your own way when it comes to overcoming loneliness.

This isn't to say that feeling unlovable or undeserving are the only reasons why people feel lonely, but when loneliness is pervasive in your life, these are often unconscious underlying reasons.

Rather than suffering on your own and feeling hopeless and helpless, you could benefit from working with a skilled psychotherapist who can help you to work through these issues so you can be free from your history.

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.