10 Simple Self-Care Techniques to Reduce Stress and Emotional Overwhelm

These days I find that clients in my New York City psychotherapy private practice are more stressed out and emotionally overwhelmed than I have seen in over 25 years of being a therapist.

Why are people so stressed out and emotionally overwhelmed these days? 

Stress and Emotional Overwhelm

The answer to this question varies for each individual but, in general, many people are feeling exceptionally overwhelmed and stressed out due to the demands of modern living.

The Demands of Modern Living

Modern living forces the human brain to process unprecedented amounts of information, deal with economic unpredictability and collective anxiety, and in many cases people are doing all of this without adequate emotional support.

Societal changes have fundamentally altered how our nervous system functions on a daily basis.  

According to the American Psychological Association (APA), there are several compounding factors that drive widespread stress and mental exhaustion including:

Information Overload and the "Always On" Culture

• Constant Cortisol Spikes: Smartphones and the 24/7 news cycle stream real time global conflicts, economic worries and national division into our lives.

• Vanishing Boundaries: The rise of remote and hybrid work means people never feel fully able to disconnect. This leaves many workers feeling chronically stressed by an inability to log off their phones or computers.

• Emerging Technology Anxiety: Rapid advancements in AI and automated technology have triggered widespread job insecurity and cognitive fatigue, particularly among young adults.

The Crisis of Disconnection

• Deepening Loneliness: The APA report highlights that over half of adults face daily loneliness which severely weakens their ability to bounce back from stress (see my article: Overcoming Loneliness and Social Isolation).

Stress and Emotional Overwhelm

• Lacking Shared Loads: Humans naturally co-regulate stress through close relationships. Without a supportive community, small daily tasks begin to feel like insurmountable obstacles.

• Societal Division: Pervasive social and political discord causes individuals to withdraw, cancel plans and feel increasingly isolated from those around them (see my article: How to Deal With Political Differences Among Your Loved Ones).

Unrelenting Financial and Personal Strain

• The Weight of Inflation: Constant unpredictability regarding the baseline prices of groceries, rent and healthcare act as a persistent, low-grade threat to our fundamental sense of safety.

Stress and Emotional Overwhelm

• Career Anxiety: Roughly 40% of workers actively worry about long-term job security. This has transformed the modern workplace into a primary source of stress and burnout.

Family Stressors and Mental Load

• Family Stressors and Mental Load: Trying to cope with the tasks of managing a healthy relationship and taking care of children are additional stressors (see my article:Sharing the Mental Load in Your Relationship).

What Are 10 Simple Self-Care Techniques to Reduce Stress and Emotional Overwhelm?

When emotional overwhelm and stress take over, the brain struggles to process complex information, which makes simple physical and sensory shifts the most effective ways to reset.

I find that individual clients vary in terms of self-care techniques. Some naturally gravitate to certain practices over others, so you can see which ones work for you.

Here are some techniques that can help you:

Body Based Grounding Techniques

• The 5-4-3-2-1 Sensory Check: Name five things that you see, four things you can physically feel, three things you hear, two things you smell and one thing you can taste to pull your mind out of a stress loop.

Stress Management Techniques

• Square Breathing: Inhale for four seconds, hold your breath for four seconds, exhale for four seconds and hold for four seconds to calm down and lower your heart rate (see my article: What is Square Breathing?).

• Temperature Shift: Splash cold water on your face which physically slows down your racing nervous system.

Micro-Breaks and Environmental Shifts

• The Two-Minute Screen Reset: Close your eyes or look out the window at a distant object for two full minutes to give your brain a break from digital overstimulation.

• Change the Scenery: Step into a different room or walk outside for five minutes so that a swift change in environment can break anxious repetitive thoughts.

• The Sensory Reduction Minute: Sit in a quiet dark room or put on noise-cancelling headphones to eliminate clutter when your mind feels full. 

Stress Management Techniques

• Go Out in Nature: Take a walk, even if it's for five minutes, in a nearby park to reset your body and mind (see my article: Walking in Nature to Improve Your Mood).

Low-Effort Daily Maintenance: 

• The One-Thing Priority: Pick one task to focus on today and give yourself permission to let everything else wait.

• The Hydration Pause: Practice this quick mindfulness technique: Drink a full glass of water slowly while focusing on the physical sensation of swallowing to anchor yourself in the present moment.

• Brain Dumping: Write down every thought, worry or task for three minutes to get the mental clutter out of your head (see my articles: Tips to Cope With Chronic Worrying and Journal Writing to Relieve Stress and Anxiety).

Get Help in Therapy

If you have constant stress and worry and these simple self-care techniques aren't working for you, you could benefit from working with a licensed mental health professional who helps clients to cope with stress and anxiety-related issues.

Get Help in Therapy

Instead of struggling on your own, seek help from a skilled psychotherapist so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Couples Therapist, IFS/Parts Work, Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples to overcome stress, emotional overwhelm and trauma.

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

Before setting up a first appointment, I provide a free 10-15 phone call.

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

Also See My Articles:

Taking Out Time For Self Care 

What is Toxic Stress? 

Managing Your Emotions During Stressful Times 

Coping With a Difficult Boss 

Balancing Your Personal Life and Your Career 

What Are the Psychological Benefits of Play For Adults?

When was the last time you played as an adult just for the fun of it--without a goal or an agenda?

The Benefits of Play For Adults

For most adults, play is usually low on their list of priorities. The older they get, the less playful they become. They are too busy contending with never-ending to do lists and, as adults get older, productivity becomes more important than play. From that perspective, play becomes a "waste of time".

Societal pressures, biological shifts and cognitive changes reshape how they view time and behavior. In addition, the adult brain prioritizes efficiency and survival over exploration and the modern world conditions adults to experience being "unproductive" with guilt.

What Are the Psychological Benefits of Play For Adults?

Despite personal and societal pressures, we now know, based on psychological and neurobiological research, that play and playfulness are beneficial for adults.

The Benefits of Play For Adults

Contemporary studies from organizations, like the National Institute for Play, indicate that adults play is a neurological necessity for optimal cognitive function, stress resilience and optimal well-being.

The key psychological benefits of adult play include:

• Stress Reduction and Better Coping: Research indicates that highly playful adults experience lower levels of perceived stress because play triggers the release of endorphins and dopamine while actively regulating cortisol. Playful adults utilize healthier, adaptive coping mechanisms, including positive reframing, rather than avoidant behaviors.

The Benefits of Play

• Enhanced Emotional Intelligence and Resilience: Research has revealed that play directly enhances emotional intelligence and strengthens personal resilience. It can provide a psychological buffer which allows adults to bounce back from adversity and workplace burnout.

• Cognitive Flexibility and Flow States: Play can act as a cognitive refresh by removing pressure and goal-driven thinking. According to research on adult playfulness, engaging in unstructured or mentally challenging play (e.g., puzzles or strategic games) stimulates creative thinking and problem solving. This makes it easier to enter into deeply satisfying flow states (see my article: What is a Flow State?).

• Social Connectedness: Group play, cooperative games and shared laughter foster empathy, trust and intimacy. In addition, structured social play significantly reduces loneliness and social isolation.

How Do Adults Play?

Researchers categorize most adult play into the following categories:

• Active forms - like recreational sports
• Digital play - like video games
• Unstructured hobbies - like painting, playing music or trying a new craft just for the fun of it

How Can You Be More Playful as an Adult?

To reclaim play in your adult life:

• Start By Giving Yourself Permission: For most adults, the biggest barrier is internal. Remind yourself that play isn't frivolous so you can overcome your inner critic who might judge you for "wasting time."

• Start Small: You don't have to go out and join a sports team--unless you want to. You can start small by dancing to your favorite music or coloring in a coloring book. An initial low commitment reduces pressure.

• Get Curious: Find out what you like:
• Do you like games with winners and losers? 
• Do you enjoy making things?
• Do you prefer laughter and silliness?
• Do you like play that involves movement and physical awareness?

• Notice Play in Your Daily Life: Playfulness is a mindset so begin to notice common everyday examples:
• Doodling
• Improvisational cooking
• Daydreaming about fictional scenarios
• Exploring nature
  

Conclusion

When you include play in your life, you realize that life isn't all about being productive or enduring day-to-day challenges. It's also about experiencing joy.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I have helped many individual adults and couples over the years.

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 Articles:

The Joy of Being More Playful 

The Benefits of Laughter For Your Health and Mental Health 

Being Open to New Experiences

11 Ways to Be a More Creative Person 

The Power of Storytelling 

Self Care During Turbulent Times

Self care is important in the best of times, but it's especially important during turbulent and stressful times whether it involves stress in your personal life or beyond (see my article: Post Election Stress and Anxiety).

Self Care During Turbulent Times

Many people think self care is selfish, but this couldn't be further from the truth. 

In fact, self care is essential to everyone's well-being (see my article: Is Self Care Selfish?).

What Does Self Care During Turbulent Times Mean?

Self care during turbulent and stressful times means engaging in behavior that prioritizes your physical and emotional health including:

• Health Eating: Nutritious meals and good hydration

• Regular Exercise: Exercise which is appropriate for you like walking, running, yoga and other similar activities (see my article: The Mind-Body Connection: Can Yoga Improve Your Mood?)

• Good Sleep: At least 8 hours to recharge your mind and body (see my article: Tips For Improving Your Sleep)

Self Care: Good Sleep

• Mindfulness Meditation (see my article: Mindfulness Meditation to Reduce Stress and Anxiety)

Self Care: Meditation and Breathing Exercises

• Breathing Exercises (see my article: What is Square Breathing?)

• Journaling to Process Your Feelings (see my article: Journaling to Cope With Stress and Anxiety)

Self Care: Journaling

• Maintaining Social Connections (see my article: Overcoming Loneliness and Social Isolation)

Self Care: Maintaining Social Connections

How to Approach New Self Care Habits

• Be Flexible: New habits can take a while to develop, so strive to be consistent, but also be flexible instead of trying to be perfect (see my article:  Overcoming Perfectionism).

Self Care: Be Flexible and Start Small

• Start Small: Start small and progress in a manageable way over time. 

Getting Help in Therapy

If you're struggling with problems you have been unable to resolve on your own, seek help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to work through unresolved issues, so rather than struggling on your own, seek help so you can lead a more meaningful life.

Also see my article: Developing Calmness and Balance During Stressful Times

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

    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.

 

Coping With Stress During the Holidays

Often, along with the joy of the holiday season also comes stress.

Coping With Stress During the Holidays

It's not surprising, given all the demands of holiday time, that people often feel emotionally overwhelmed at this time of year.

Shopping, entertaining, and attending holiday parties can take an emotional toll. But with some foresight and planning, you can learn to manage the stress of the holidays and actually enjoy this time of year.

Taking Care of Yourself During the Holidays

Knowing that the holiday season can be a stressful and emotional time and taking some preventive steps can help you from getting overwhelmed.

If you've had losses, like a death of a loved one, a breakup or loved ones are far away, it's normal to feel sad. Throughout the holiday season we're given explicit and implicit messages that we "should" be happy.

Coping With Stress During the Holidays

So, if we're having a difficult time, we can feel out of step with the rest of the world at this time. It might seem that everyone else is enjoying the holidays and we're stuck in a funk. But it's okay to feel your feelings, whatever they are, whether this means crying or expressing your feelings to a friend or loved one.

Coping With Stress During the Holidays: Taking Care of Yourself 

A Time for Gratitude

If you're alone during the holiday season, you can have a sense of community at a religious or community gathering.

If you're not religious or spiritual, you can volunteer your time at a soup kitchen, hospital or nursing home. Often, when we volunteer to help those less fortunate than ourselves, we not only help others--we also feel a sense of gratitude for what we do have in our lives, even if we're having a difficult time.

If you're fortunate enough to have good friends and family around, remember that the holidays don't have to be perfect.

When we have good memories of the holidays from childhood, sometimes our current experiences can feel flat as compared to those earlier times.

But we must acknowledge that things change. Rather than holding onto unrealistic expectations for the holidays, appreciate the people who are in your life now. Let go of unreasonable expectations of yourself and others. This will go a long way to helping prevent disappointments or misunderstandings.

When it comes to spending for the holidays, many people are scaling back what they would normally spend. If you budget ahead of time and stick to your budget, you'll avoid the stress of big credit card bills after the holidays.

Time well spent with loved ones or a homemade gift is so much more meaningful than exceeding your budget with an expensive gift.

Planning your time well can also help alleviate stress during the holidays. Once again, be realistic about what you can do. It's okay to tactfully say "no" to others when you know you'll be overextending yourself beyond what you can do.

Know Your Limits

It's also important to take breathers during the holiday season. Rather than pushing yourself beyond your physical or emotional limits, take breaks during the day.

A few minutes of mindfulness meditation or just closing your eyes and breathing can make the difference between your getting through the holidays feeling emotionally and physically in tact and feeling overwhelmed and stressed out.

About Me

I am a licensed New York City psychotherapist. 

I provide psychotherapy, EMDR, clinical hypnosis, and Somatic Experiencing therapy services in my private practice in Manhattan. I work with individuals and adults.

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.

What's the Difference Between Solitude and Loneliness?

We live in a world where we're often bombarded by overstimulation to our senses.  Whether this involves our increased accessibility with cellphones, texts, voicemail, social media, the ability to get "breaking news" 24/7 on cable news and the Internet, or the hustle and bustle of living in New York City, this overstimulation can exhaust us.  

Solitude: The State of Being Alone Without Feeling Lonely

Solitude vs Loneliness

Being able to enjoy times when we're alone so we can experience peace and a sense of solitude can help us to relax and de-stress from these overstimulating environments.  It's part of taking care of ourselves.  

But for many people, being alone isn't about solitude at all.  It's about feeling lonely and abandoned. This makes it hard for them to de-stress.  

How can we understand the difference between being alone with a sense solitude vs being alone and feeling lonely? 

In this blog post, I'll explore loneliness and solitude.  First, I'll start with loneliness, including feelings of loneliness that we all feel, and a much more pervasive type of loneliness connected to feeling abandoned.  Then, I'll explore solitude, what it means, how to experience it, why some people have problems experiencing solitude and how to overcome this problem.

It's important to understand that everyone feels lonely at times in their lives. Often, people who are not in relationships imagine that if they had a partner, they wouldn't ever feel lonely.

Loneliness

• Even if You're in a Relationship, You Can Feel Lonely at Times: Even if you're happily married or partnered, you can feel lonely at times. Your spouse or partner will not always be perfectly in synch with your emotional state all of the time, even in the best relationship.  You might also be with a partner who is emotionally avoidant and disengages from you emotionally (see my article Feeling Lonely in a Relationship).

Feeling Lonely in a Relationship

• Attributing a Negative Meaning to Occasional Loneliness: Acknowledging and accepting occasional loneliness is part of mature adult development. But if you attribute a negative meaning to being lonely (e.g., you're a "loser," no one wants to be with you), you're going to have a very different perspective about occasional loneliness than someone who accepts it as normal.  Berating yourself for what is normal will also erode your sense of self (see my article: Changing the Negative Stories You Tell Yourself).

• When Being Alone Triggers Feelings of Loneliness and Abandonment: Occasional loneliness is different from a pervasive feeling of being lonely and feeling abandoned most of the time.  When adults, who haven't learned to enjoy a sense of solitude, are by themselves, they will often go to great lengths not to be alone--even if it means being with people that they don't like. If there's no one around, they often keep themselves constantly distracted by keeping the TV on (even if they're not watching or listening to it), by overeating as a form of comfort, by drinking too much or using illicit drugs, smoking cigarettes, and so on. Even though they might realize they're exhausting themselves by keeping themselves distracted, it's preferable to them than dealing with feelings of loneliness and abandonment.

A History of Emotional Neglect as a Child Can Trigger Loneliness When You're Alone as an Adult

During the course of childhood development, if a young child doesn't have a fairly consistent and reliable loving presence, he or she feels abandoned.  Later on, as an adult, being alone often triggers feelings of loneliness and abandonment.

With nurturing caregivers, who are "good enough," we learn to play on our own in the presence of our adult caregivers. At around the age of three, if all goes well, we become a little more independent, being able to tolerate some alone time because we had a good early foundation with our caregivers.  

We learn to use our imagination to enter into our play and fantasy world while mom or dad is in another room nearby.  A child of three will often check back to see where mom or dad might be, and having seen that his parent is nearby, the child can go back to playing, feeling safe and secure.  More than likely, if all else goes well, this child will grow up to enjoy a sense of solitude from time to time.

But for adults who have a history of feeling emotionally abandoned as children, being alone can often feel intolerable. There is no comfort or solitude in being alone. They never learned to be alone.  Being alone means being abandoned, lonely and unworthy of love.

If being alone is intolerable, they need someone around to distract themselves from their uncomfortable feelings.  If they eat in a restaurant by themselves, they feel self conscious and fear that others are looking at them and thinking that they're alone because no one wants to be around them. If they have to go to a social event where they don't know anyone, they fear that no one will talk to them. They might even avoid going out alone because of the uncomfortable feelings that it provokes in them.

Solitude

What is Solitude?
Solitude is being able to enjoy your own company, feeling peaceful and relaxed, when you're by yourself at times.  If you can enjoy solitude, getting away from the hustle and bustle of everyday life is an important part of managing your stress.

How to Enjoy Solitude as Part of Self Care

The following are brief examples of enjoying solitude:

Marie:  Marie enjoys getting up early, before her husband and children wake up, to spend an hour or so on her own quietly sipping tea in the kitchen and reading a book. It's part of her self care routine.

Solitude as Self Care

She and her husband have a loving relationship. They enjoy spending time together as well as with their children, but Marie feels that this one hour in the morning that she has to herself before her busy day begins helps her to ease into her day in a more relaxed and quiet way. She values this time and, occasionally, when something happens where she can't spend this hour of solitude in the morning, she realizes that she is more likely to feel more frazzled during the rest of the day.

Bob:  Before he goes to bed, Bob likes to spend a half hour or so reading a favorite novel. While his wife is preparing for bed, Bob enjoys going off to the den, where it's quiet and he can have some time for himself. 

Solitude: Enjoying a Favorite Novel

This has been his nightly ritual for the five years that he and his wife have been married. At first, his wife didn't understand why Bob needed this time at the end of the day. But soon after they got married, his wife realized that she also felt more relaxed and refreshed if she also took this time to take a bubble bath, meditate or listen to music before she and Bob went to bed.

Laura:  Laura likes to take a walk in the park near her office at lunch time. Getting away from the busy phones and the demands of her job helps her to come back to the office feeling renewed and relaxed. 

Solitude as a Way to Relax

There are just enough people in the park so she feels safe, but not so many that she feels intruded or impinged upon. She can take an hour or so to lose herself in the beauty of nature or she can watch the dogs playing in the nearby dog run section of the park. She feels connected to nature at the same time that she also feels a sense of comfort with herself. On days when she spends her lunch hour working, instead of going to the park, she feels much more tired and stressed out by the end of the day.

Getting Help to Overcome a Sense of Loneliness and Emotional Isolation 
The good news is that if you've never learned to feel the comfort of solitude and being alone triggers feelings of alienation and loneliness, you can learn to overcome these issues in therapy.

There's no "quick fix," but many people have overcome this problem.   It's never too late to learn how to overcome the discomfort and fear of being alone. You can learn to enjoy solitude so you can have times when you can relax and enjoy your own company.

About Me

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

I work with individuals and couples.  

I have helped many clients to overcome trauma their fears of being alone (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.

Self Help Tips For Coping With Anxiety

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

Coping With Anxiety

Common Symptoms of Anxiety

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

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

Common Forms of Anxiety

Here are some common forms of anxiety:

• Generalized Anxiety

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

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

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

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

• Agoraphobia

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

Self Help Tips For Coping With Anxiety

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

When Self Help Isn't Enough

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

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

Getting Help in Therapy

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

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

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

About Me

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

I work with individual adults and couples.

I have helped many clients to overcome persistent anxiety.

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

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

How Far Do You Want to Go in Your Psychotherapy?

In a prior article, Psychotherapy is an Active Process: The More Engaged You Are In It, the More You Get Out of It, one of the issues that I discussed briefly was the decision as to how far you want to go in psychotherapy--everything from symptom relief to delving deeper into your unconscious process to get to the root of your problem.

How Far Do You Want to Go in Psychotherapy?

As I mentioned in that article, each client makes this decision in consultation with the psychotherapist.  But, ultimately, the decision is up to the client.

If you're new to psychotherapy, you might not understand what your choices are and the implications of these choices.  So, I will provide describe different types of therapy.

Choices in Psychotherapy
The following scenarios describe various choices in psychotherapy for the same client, Ted, at various points in his life:

Short Term Symptom Relief Therapy:  When you choose short term symptom relief, you're usually choosing brief therapy to get rid of a symptom and you're not delving deeper into the problem once you start to feel better.  Ted had his first experience of attending psychotherapy when he saw a psychotherapist to deal with his panic attacks.  Since Ted wasn't interested at that point in more than symptom relief, his psychotherapist taught him how to do breathing exercises and to meditate.  Within a few weeks, Ted was feeling better and he decided to end therapy (see my articles: Tips For Overcoming Panic Attacks, What is the Difference Between Fear and Anxiety? and Getting Help in Therapy For Anxiety Disorders).

Longer Term Symptom Relief Therapy: Longer term symptom relief is therapy that is longer than short term therapy but shorter than more intensive therapy.  Ted managed well with what he learned in his short term therapy for a few months.  Then, he began a stressful new job and became symptomatic again.  He returned to therapy with the same psychotherapist, and he told her that he still wanted only symptom relief, but he was willing to stay in therapy for a longer period of time to deal with his panic attacks.  Since he stopped doing the breathing exercises and the meditation, his psychotherapist reinforced the stress management techniques she taught him when he first came to her.  She also added more coping techniques so he could deal with the current stressors on his job.  When he felt better and he was no longer experiencing panic attacks, he told his therapist that he wanted to leave therapy.  He understood that he could return in the future.

EMDR Trauma Therapy: Ted returned to his psychotherapist a year later.  He rarely had panic attacks anymore and when he had them, he knew how to calm himself.  However, he was now experiencing persistent anxiety after he met his father again for the first time since he was a young child.  Their meeting was fraught with tension on both sides.  Ted's father wanted to reconcile their relationship, but Ted was leery because he had a lot of resentment towards his father for abandoning the family.  In addition, Ted realized that his boss had similar characteristics to his father, and Ted was getting emotionally triggered whenever he had to work closely with his boss.  His psychotherapist recommended that they do EMDR therapy to work on the unresolved trauma as well as the current situation with his boss.  She explained to Ted that EMDR therapy tends to be faster and more effective than regularly talk therapy.  Gradually, Ted was able to work through his traumatic reactions within a year of beginning EMDR therapy.  He realized that he could have stayed in therapy to develop deeper insights into himself, but he told his therapist that he would return if he felt the need for delving deeper (see my articles: What is EMDR Therapy?, How EMDR Works - Part 1: EMDR and the Brain, How EMDR Works - Part 2: Overcoming Trauma, and What is Adjunctive EMDR Therapy?).

Grief Work in Therapy:  Grief work is focused specifically on helping a client to grieve and mourn a loss.  It can be short term or long term.  With regard to Ted, a couple of years later, Ted found out that his father died.  At the time, they were not speaking because they were not able to reconcile their relationship.  When he received the call that his father died, Ted felt profoundly sad for the loss of his father as well as the loss of not ever having a father that met his emotional needs.  He also felt sad because any chance of reconciling their relationship was gone, and he felt very guilty about this as well.  He returned to his psychotherapist and they did grief work to help Ted get through this difficult time.  Between sessions, Ted kept a journal and wrote about his feelings about his father.  He also organized a photo album with pictures of his father and himself from when Ted was younger.  He was able to work through his grief, and he let his therapist know that he was feeling better and he wanted to discontinue therapy (see my articles: Grief: Coping With the Loss of a Loved One: Common Reactions, Complicated Grief, The Theme of Complicated Grief For a Mother in the Movie, Phantom Thread, Holding Onto Grief as a Way to Stay Connected to a Deceased Love One and Trying to Understand Your Father).

Contemporary Psychodynamic Psychotherapy: Psychodynamic psychotherapy is a form of psychoanalysis.  Generally, it focuses on the unconscious mind and might include dreams and daydreams.  It usually also includes exploring transference issues.  When Ted returned to therapy, he felt lost.  He had just ended an enmeshed two year relationship with a woman that he loved very much when they first started seeing each other.  Gradually, they grew apart, and Ted sensed that he contributed significantly to the demise of the relationship because he had problems committing to his then-girlfriend.  He believed that he had issues with trust and this is what made it difficult for him to make a long term commitment.  He felt he was now ready to delve deeper into his unconscious mind to get to know himself better.  He agreed to attend open ended contemporary psychodynamic psychotherapy with the understanding that he could leave therapy whenever he wished; however, his therapist recommended that it would be better to work together towards termination in therapy when the time came.  Sometimes, Ted brought in dreams to discuss with his therapist.  He was also interested in exploring the unconscious underpinnings of his problems.  Gradually, his therapist helped Ted to make connections between his original panic attacks, his history of childhood emotional neglect, the loss of his father, and his problems with making a commitment in a relationship.  Ted also felt more emotionally integrated in contemporary psychodynamic psychotherapy (see my article: Discovering the Unconscious Emotions at the Root of Your Problems and What Unconscious Decisions Have You Made That Are Impacting Your Life?).

Conclusion:
The scenarios above show how one person can choose various forms of psychotherapy over a period of time depending upon the problem and what the client is ready to deal with at the time.

Each form of therapy mentioned above serves a particular purpose and could be appropriate at various times in a client's life.

Getting Help in Psychotherapy
When you decide that you would like to attend psychotherapy, the first step is to contact a psychotherapist for a consultation (see my article: The Benefits of Psychotherapy).

During the consultation, you give an overview of your problem and asks the psychotherapist questions about how she works, what type of therapy she does, her expertise and so on.

The psychotherapist will usually make a recommendation within a few sessions as to what form of therapy she thinks would be best for the client given his or her particular problems.  There are usually a few different ways to work, as outlined above, and depending upon the therapist's expertise.

The choice as to which type of psychotherapy is generally up to the client, unless the therapist thinks that the client needs a higher level of care or a different type of therapy.

Over time, as shown in the examples above, a client can return for different types of therapy (assuming that the therapist does these different forms of therapy) or the client can go to a different therapist (see my article: Returning to Therapy).

If you have been unable to resolve problems on your own, you could benefit from seeing a licensed mental health professional to help you to resolve your problems (see my article:  How to Choose a Psychotherapist).

Freeing yourself from problems that are hindering you from maximizing your potential can lead to living a more fulfilling and meaningful life.

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.

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.