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I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, EFT Couples Therapist and Sex Therapist. My focus tends to be experiential psychotherapy. See my profile for more info. This site is not intended as a substitute for psychotherapy. No client-counselor relationship exists between the user and the owner of this site. To set up a consultation with me please call (917) 742-2624. All material on this site is copyrighted and cannot be used without permission.

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Showing posts with label uncertainty. Show all posts
Showing posts with label uncertainty. Show all posts

Monday, June 16, 2025

Relationships: How to Navigate the Uncertainty Stage of a Relationship

In my previous article, How to Navigate the 5 Relationship Stages, I described the five stages of a relationship which includes the:
  • Honeymoon Stage
  • Uncertainty Stage
  • Adjustment Stage
  • Commitment Stage
  • Acceptance Stage
In the current article, I'm exploring the Uncertainty Stage in more detail. 

Navigating the Uncertainty Stage of a Relationship

As a recap:
  • The Uncertainty Stage: This stage occurs anywhere from six months to two years. At this point, you're no longer idealizing each other. You might recognize certain incompatibilities. You and your partner are recognizing that neither of you is "perfect". You will both need to consider if the positive aspects of the relationship outweigh the negative ones. 
  • Challenges of the Uncertainty Stage
    • Feeling disappointed that the initial Honeymoon Stage is over and the relationship lacks the "head over heels" intensity that you experienced in that earlier stage
    • Being able to deal with uncertainty as to whether you want to continue in the relationship
      • Focusing on both the positive and negative aspects of the relationship (and not just the negative)
      • Discovering your partner's and your own flaws and annoying habits
          • Working on your communication skills in the relationship to talk about these challenging aspects of the relationship
        A Clinical Vignettes
        The following clinical vignette illustrates the problems couples encounter in the Uncertainty Stage and how couples therapy can help:

        Molly and Ray
        Molly and Ray were in their  mid-30s.

        Two and a half years into their relationship, they were arguing more. The initial passion they felt for each other during the first six months, which is known as the Honeymoon Stage, had subsided and they were arguing about wedding planning.

        Navigating the Uncertainty Stage of a Relationship

        Their main problem centered around religion. Molly was raised in a conservative Jewish family and Ray was raised in a Catholic family. Neither of them were religious anymore and they knew they didn't want to have children, but they also knew both their families would want them to have a wedding that reflected their particular religious beliefs. 

        Since they couldn't work these issues out on their own, they decided to seek help in couples therapy. 

        In couples therapy they learned how to communicate in a healthier way and respect each other's perspectives. They realized that neither of them wanted a religious ceremony, but they also didn't want to disappoint their parents. 

        Over time, they approached this problem as a team and each of them felt more confident about dealing with their families.

        After Molly spoke to them, her parents were very angry and they said they would not come to the wedding. 

        Ray's parents were very disappointed after he spoke to them, but they had accepted long ago that, unlike them, Ray was no longer a practicing Catholic.

        Initially, Molly didn't think she could go through with a secular wedding which her parents would refuse to attend. At one point, she wondered if they should break up rather than alienate their families.  But, as they continued to attend their couples sessions, she felt more confident that she could stand up to her family. She realized she couldn't control them and she accepted she had to make her own decisions. Shortly after that, she and Ray got engaged.

        Navigating the Uncertainty Stage of a Relationship

        Molly accepted that her parents had cut her off, but then she was shocked to hear from her mother, who had been doing her own soul searching. She told her that she and Molly's father wanted her to be happy and they decided to come to the wedding. 

        Navigating the Uncertainty Stage of a Relationship

        After the wedding, Molly and Ray continued in couples therapy to work on compromises related to smaller issues like certain annoying habits they each had. By then, their communication skills had improved so they were able to discuss issues in a calmer manner.

        Over time, their relationship evolved from the Uncertainty Stage to the Acceptance Stage regarding their issues. 

        During their marriage they had other challenges where they were back in the Uncertainty Stage, but they had the skills and tools they learned in couples therapy to get them through these times.

        Conclusion
        As mentioned in my previous article, the 5 Stages of a Relationship are presented in a linear way for the sake of clarity, but couples don't necessarily go through the stages in a linear way.  It's possible they can skip certain stages at various points in their relationship and then go through them at other points.

        Getting Help in Couples Therapy
        If you and your partner feel stuck in a particular stage of your relationship, you can seek help from an experienced couples therapist to help you work through these issues.

        Getting Help in Couples Therapy

        A skilled couples therapist can help you navigate certain problems to either strengthen your relationship or help you to end it in as amicable way as possible.

        Rather than struggling on your own, seek help from a licensed mental health professional who helps couples.  

        Also See My Article:
        How to Navigate the Adjustment Stage of a Relationship

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

        I have over 20 years of experience helping 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.












        Posted by Josephine Ferraro, LCSW at 8:14 AM
        Labels: acceptance, adjustment, annoying habits, change, commitment, communication, couples therapy, New York City, psychotherapist, psychotherapy, relationship stages, relationships, uncertainty
        Location: New York, NY, USA

        Saturday, June 14, 2025

        How to Navigate the 5 Relationship Stages

        Many couples are unaware that relationships change over time and there are usually several stages a couple can go through.  

        It's not surprising that couples don't always know about these different stages because hardly anyone outside the mental health field talks about it.

        Navigating the 5 Relationship Stages

        Knowing about these stages can help you to navigate and adapt to the changes.

        Of course, every relationship goes at its own pace so, even though approximate times are provided in this article as to when these changes occur, they might not occur in exactly this way for you.

        The stages are presented in a linear way in this article for the sake of clarity, but couples can go through different stages at different times or go back to previous stages depending upon what is happening in the relationship.

        In this article, I'm providing an overview of the stages and the particular challenges for each stage.

        In future articles I'll provide more details about each stage from the Uncertainty Stage to the Acceptance Stage (in prior articles, I've written about the Honeymoon Stage--see my article: What is the Honeymoon Stage of a Relationship?).

        Why Do Relationships Change?
        Relationships change because each person evolves and changes over time. 

        Personal growth, increased self awareness, expanding your worldview and many other changes contribute to the changes in a relationship (see my article: What is the Growth Mindset vs the Fixed Mindset?),

        Navigating the 5 Relationship Stages

        Many couples make an effort to grow together and others develop independently. 

        One way isn't necessarily better than another. But if one person is dedicated to personal development and expanding their world and the other person isn't, the couple can grow apart (see my article: Telltale Signs You and Your Partner Are Growing Apart).

        If the couple realizes they are growing apart, they can work towards deepening their connection and sharing more of themselves with each other (see my article: How You and Your Partner Can Get Closer If You Have Grown Apart).

        What Are the 5 Stages of a Relationship?
        • The Honeymoon Stage: This stage lasts anywhere from six months to several years. This phase is also known as the Limerence Stage.  This is the stage where you're both getting to know each other. You're probably on your best behavior during this stage. You might also have an idealized view of each other (see my article: Relationships: The Real vs the Ideal)
        • Challenges of the Honeymoon Stage
          • Overlooking red flags
          • Being inconsistent with commitments
        Navigating the 5 Relationship Stages
          • Developing good communication with each other 
          • Setting relationship goals (see my article: 10 Relationship Goals to Create a Stronger Relationship)
          • Beginning to recognize early signs of possible incompatibility (see my article: How to Develop Your Relationship Beyond the Honeymoon Stage)
        • The Uncertainty Stage: This stage occurs anywhere from six months to two years. At this point, you're no longer idealizing each other. You might recognize certain incompatibilities. You and your partner are recognizing that neither of you is "perfect". You will both need to consider if the positive aspects of the relationship outweigh the negative ones. 
        • Challenges of the Uncertainty Stage
          • Feeling disappointed that the initial Honeymoon Stage is over and the relationship lacks the "head over heels" intensity that you experienced in that earlier stage
          • Being able to deal with uncertainty of whether you want to continue in the relationship
            • Focusing on both the positive and negative aspects of the relationship (and not just the negative)
            • Discovering your partner's and your own flaws and annoying habits
                • Working on your communication skills in the relationship to talk about these challenging aspects of the relationship
              • The Adjustment Stage: Around two years or shortly after, you and your partner will enter into the adjustment stage, assuming you were both able to get through the prior stages. The changes in this stage are often more deep-seated and more challenging. For instance, you might realize you both have developed different views about sex, religion, politics or child-rearing. You can both see whether the two of you can have a longer term relationship or if you're not compatible and you will each go your separate ways.
              • Challenges of the Adjustment Stage
                • Being aware of certain negative patterns in the relationship
                • Deciding if you're open to negotiating your individual differences
              • The Commitment Stage: If you both decide that what's good about the relationship outweighs whatever is challenging, you can accept that you're both in the relationship for the long term. 
              • Challenges of the Commitment Stage
                • Being willing to accept your partner's flaws and annoying habits because what's good about the relationship outweighs the problems and this gives you a better perspective about the relationship
              Navigating the 5 Relationship Stages
                • Being willing to fine tune your relationship skills including communication skills and problem solving skills
              • The Acceptance Stage: This stage often occurs beyond five years. When you and your partner are able to overcome the challenges of the prior stages, you can develop a sense of safety and security in the relationship
              • Challenges of the Acceptance Stage
                • Too much safety and security and feeling like you're both "family" which can help you both to navigate the inevitable ups and downs of your relationship. But safety and security sometimes comes at the expense of a satisfying sex life for many couples (Balancing Security and Eroticism in Your Relationship).
                • You might need to learn to keep your sex life satisfying by being more self aware in terms of what part of yourself you bring to your sexual encounters. You can also learn how to create sexual anticipation to spice up your sex life in your long term relationship (see my article: Creating Sexual Desire With the Simmer Technique).
              Getting Help in Couples Therapy
              If you and your partner are struggling with one of thsee stages, you could benefit from getting help from an experienced couples therapist.

              Getting Help in Couples Therapy

              Rather than struggling on your own, seek help from a licensed mental health professional who can help you to work on the issues affecting your relationship.

              If you both want to stay in the relationship, a skilled couples therapist can help you to navigate the changes you need to make.

              A skilled couples therapist won't have a particular agenda--whether you stay together or not. 

              If you want to end the relationship, a couples therapist can help you to end the relationship in a healthy way and, if you have children, discuss how to talk to your children and how to co-parent when you're no longer together.

              Also See My Articles:
              How to Navigate the Uncertainty Stage of a Relationship

              How to Navigate the Adjustment Stage of a Relationship

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

              I have over 20 years of experiencing helping individual clients and couples.

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

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



              Posted by Josephine Ferraro, LCSW at 7:48 PM
              Labels: acceptance, adjustment, annoying habits, change, commitment, communication, couples therapy, New York City, psychotherapist, psychotherapy, red flags, relationship goals, relationship stages, relationships, uncertainty
              Location: New York, NY, USA

              Sunday, August 14, 2022

              Working Through Past Unresolved Trauma So It No Longer Affects You in the Present

              In my recent articles, Global Pandemic Causes Significant Increase in Anxiety and Depression and How to Increase Your Tolerance For Uncertainty to Reduce Your Anxiety, I began addressing the psychological impact of the pandemic and how to cope with it. 

              Working Through Unresolved Trauma Doesn't Impact the Present

              In the current article, I'm focusing on how to work through past unresolved trauma so it no longer affects current uncertainties and anxiety (see my article: Reacting to the Present Based on Your Traumatic Past).

              Increased Stress and Anxiety About Routine Decisions
              While uncertainty has always been a fact of life, the COVID-19 pandemic has significantly  increased uncertainty and anxiety for many people (see my article: Common Reactions to the Pandemic: Fear and Anxiety).

              This includes making what used to be considered routine decisions--like whether or not to dine out, take public transportation, go to the gym, go to the office, visit elderly relatives, go on vacation, and so on (see my article: Coping With Pandemic Reentry Anxiety).

              Due to the health risks involved, especially for people with underlying health conditions, and the uncertainty about the future of the pandemic, many people find it stressful and anxiety-inducing to tolerate this ongoing uncertainty.

              The Impact of Unresolved Psychological Trauma on Tolerance for Uncertainty and Anxiety
              People who have a history of unresolved psychological trauma, including post-traumatic stress disorder (PTSD), are especially vulnerable to increased stress and anxiety.

              Although many people find it challenging to deal with pandemic-related anxiety, people with unresolved trauma are attempting to deal with the current uncertainties as well as the emotional triggers related to their past.

              Clinical Vignette: How Unresolved Trauma Impacts Tolerance For Uncertainty and Anxiety
              Let's take a look at a clinical vignette about the impact of unresolved trauma on current uncertainties and anxiety and how trauma therapy can help.  As always, this case is a composite of many different cases with all identifying information removed to preserve confidentiality.

              Mark
              People who knew Mark professionally in his role as a successful sales executive saw him as a calm, confident, agreeable individual.  

              His superiors, colleagues and customers praised his work.  But underneath his seemingly calm and confident exterior, Mark was often plagued with doubts and insecurities most people didn't see.  

              Although he appeared outwardly confident, inwardly he often felt like an impostor, and he feared others would see just how insecure he felt much of the time.  

              To try to alleviate his anxiety, Mark confided in his wife, Pam, and his closest friends. And most of the time he felt relieved for a while.  But by March 2020, when his office closed due to the COVID-19 pandemic without any certainty it would reopen, no amount of reassurance from his loved ones helped Mark to feel better.  

              He felt so overwhelmed by anxiety that he had difficulty sleeping at night.  And when he finally fell asleep, he often had pandemic-related nightmares (see my article: How to Conquer Your Nightmares).

              Even daily activities, like grocery shopping, household chores or paying bills, felt emotionally fraught for him.

              Although Mark and Pam both had successful careers and substantial savings, he worried relentlessly that they could be wiped out financially and lose their home.  Usually Pam could help Mark to calm down, but that changed at the start of the pandemic.  

              No matter what she said to reassure him that they had the financial resources to get through whatever came, Pam was unable to get through to Mark.  She had never seen him like this before during their 10 year marriage and she was concerned.

              Pam was aware that Mark had overcome a childhood filled with adversity to become financially successful.  But she also knew this same history often left Mark feeling emotionally vulnerable at times--never more so than at the start of the pandemic.

              Realizing Mark's childhood history of emotional neglect and upheaval was getting stirred up for him and making his life unmanageable, Pam suggested he seek help from a psychotherapist who was a trauma specialist (see my article: What is a Trauma Therapist?).

              During the history taking phase of therapy, his therapist learned from Mark that he grew up as an only child in a chaotic home environment where his parents could barely cope most of the time.  

              Since they couldn't cope, his parents were unable to help Mark cope with anxiety.  They also had their own unresolved childhood trauma that was affecting them in the present circumstances (see my article: Intergenerational Trauma).

              As a result, as a child, Mark had to try to cope as best he could on his own.  Not only was Mark unable to depend on his parents for emotional support, but he was often in the role of trying to calm his distraught mother when the father disappeared for weeks during one of his unpredictable alcohol binges (see my article: Children's Roles in Dysfunctional Families).

              Although Mark did the best he could in his parentified role of being emotionally supportive to his mother, his efforts came at a high emotional cost to himself.  This included stress-related headaches as well as debilitating anxiety which none of the adults in his family or at his school seemed to recognize.

              By the time he was a teenager, Mark was often in the role of pleading with the landlord not to evict them for rent arrears because his father was often out of work and his mother was too distraught to deal with the family finances.

              Uncertainty and anxiety was a part of Mark's everyday life as a child until he was able to get away to college.  By then, his father had sobered up, the family finances were stable, and his mother was coping better with the relative calm in the household.  But the history of adversity had taken its toll on Mark so that he frequently felt insecure and anxious throughout his life.

              As his therapist listened to Mark's history, she could see how this traumatic history was getting triggered in his current life circumstances, so she provided Mark with psychoeducation about it (see my article: When Past Trauma Affects You in the Present).

              But his therapist was also aware that insight alone wouldn't be enough to resolve his problems. So, she spoke to him about how experiential therapy could help him to overcome the impact of his unresolved trauma so he could cope with his current circumstances.

              Specifically, she talked to him about the effectiveness of a form of trauma therapy called EMDR therapy.  

              EMDR stands for Eye Movement Desensitization and Reprocessing (see my article: Experiential Therapy, Like EMDR, Helps to Achieve Emotional Breakthroughs).

              As part of preparing to do EMDR therapy, Mark's therapist helped him to develop internal resources and coping strategies (see my articles: Overcoming Trauma With Somatic Experiencing and Using the Somatic Experiencing Technique of Pendulation to Calm Yourself).

              These internal resources and coping strategies helped Mark to cope with his uncertainties and anxiety between his therapy sessions.  Although they didn't resolve his problems, they helped him to get by on a day to day basis so that his anxiety no longer spiraled out of control.

              Over time, Mark worked on his unresolved childhood trauma so that the uncertainty of the present no longer triggered his past.  

              The work was neither quick nor easy, but he made progress (see my article: Working Through Trauma: Separating the Past From the Present).

              Like most other people, Mark still had pandemic-related concerns, but he was able to deal with them in a calm, objective way.  In addition, he had a realistic perspective about his current situation.  

              Even though he had concerns about his current job, he felt sure he would find another job even in a worst case scenario.  

              Trauma From the Past No Longer Gets Triggered in the Present

              Whereas before he had insomnia and nightmares, after he worked through his childhood trauma, his sleep was restful and he no longer had nightmares.  And getting proper sleep helped him to stay calm.

              Several months later, when Mark was called back to work a few days a week, he adjusted to this new change and looked forward to seeing his colleagues.  

              In addition to coping better with pandemic-related uncertainties, Mark no longer felt like an imposter.  He felt genuinely confident in himself. 

              Conclusion
              Unresolved psychological trauma often gets triggered in the present by current stressors.  It can take its toll emotionally and physically.  

              Experiential therapy, like EMDR, helps you to work through unresolved trauma from the past so it no longer affects you in the present (see my article: Why Experiential Therapy is More Effective Than Just Talk Therapy)

              This allows you to deal with current uncertainties without the emotional triggers from the past because you're free from your history.

              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, and I have helped many clients to overcome unresolved trauma.

              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.































              Posted by Josephine Ferraro, LCSW at 12:57 PM
              Labels: anxiety, childhood trauma, COVID-19, EMDR therapy, experiential therapy, New York City, nightmares, pandemic, psychotherapist, psychotherapy, therapist, therapy, trauma, uncertainty
              Location: New York, NY, USA

              Friday, August 12, 2022

              How to Increase Your Tolerance for Uncertainty to Reduce Your Anxiety

              As I discussed in a prior article, Global Pandemic Causes Significant Increase in Anxiety and Depression, anxiety fueled by uncertainty is now the biggest mental health problem in the United States and around the world according to the findings of the World Health Organization (WHO). 

              Increasing Your Tolerance For Uncertainty to Reduce Anxiety

              But even before the pandemic, other types of uncertainty contributed to anxiety for many people.  So, the focus of this article is on how to increase your tolerance for uncertainty so you can reduce your anxiety (see my article: Coping With Uncertainty).


              Increasing Your Tolerance for Uncertainty to Reduce Anxiety


              What's the Difference Between Fear and Anxiety?
              In a prior article, What's the Difference Between Fear and Anxiety?, I made this distinction: 

              Whereas fear is a response to a known threat, anxiety is a vague feeling of apprehension about an anticipated unknown threat (see my article: Self Help Tips For Coping With Anxiety).

              What's the Difference Between Coping with Fear vs Coping with Anxiety?
              When you're struggling with a specific fear, you can deal with your fear directly because it's known.  

              For instance, if you have a fear of public speaking, you can deal with it directly by taking a class to help you become more comfortable with speaking in public. 

              But the vagueness of anxiety makes it more challenging.

              Tips to Increase Your Tolerance For Uncertainty and Reduce Anxiety
              Although it's not easy, here are some tips to increase your tolerance for uncertainty that fuels anxiety:
              • Accept That You're Anxious: Rather than trying to deny your anxiety, start by acknowledging and accepting it.  Acceptance doesn't mean you like it or that you're being passive about it.  It's more about accepting that you have a problem as a starting point.  The more you try to deny and suppress it, the worse the problem will become.  It's better to admit it and have compassion for yourself.  Also, when you acknowledge and accept your anxiety, you're in a better position to do something about it (see my article: Awareness and Acceptance: Being Willing to See Things You've Been in Denial About).
              • Educate Yourself About Anxiety: Knowing that anxiety is currently the most common mental health problem can be comforting by letting you know you're not alone.  
              • Learn to Be Flexible With Change: When you're inflexible, you're more likely to feel stuck and unable to cope. But, in general, when you learn to approach change with a degree of flexibility, you're more likely to come up with ways to deal with change and feel better about yourself.  Over time, you'll be able to look back on times where you dealt with change and feel more confident about your current situation.  
              • Learn to Distinguish Between What's Possible vs What's Probable: Being able to step back to ask yourself whether your apprehension is possible vs probable is a useful way to get a better perspective.  To the extent you can make this distinction, you can reduce your anxiety about something that isn't probable.  You can also remember prior times when you were needlessly anxious about something that was improbable and compare that situation to the current one.
              • Get Information: If you're anxious, get information. For instance, if you're anxious about the possibility of losing your job (even though there are no known reasons for you to be anxious about it), you can seek information about other job opportunities in your field.  Just taking this step can get you out of an endless cycle of paralyzing anxiety by helping you to realize that there are other possibilities for you if the need should arise.  This can help you feel more empowered.

              My Next Article
              In my next article, I'll discuss how a history of unresolved psychological trauma can act as a trigger to increase your anxiety when you're dealing with uncertainty:
              Working Through Past Unresolved Trauma So It No Longer Affects You in the Present

              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 people to overcome problems with anxiety (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.



















              Posted by Josephine Ferraro, LCSW at 10:45 PM
              Labels: anxiety, change, coping, fear, flexibility, mental health, New York City, perspective, psychotherapist, psychotherapy, self help, taking action, therapist, therapy, uncertainty
              Location: New York, NY, USA

              Thursday, June 24, 2021

              Tips For Coping With Pandemic Reentry Anxiety

              Uncertainty often creates anxiety, and this is especially true now as more people in the U.S. get COVID-19 vaccines and things are opening up again.  If you're feeling anxious as we move closer to "normalcy" (whatever that might be), you're not alone (see my articles: Living With Uncertainty and What's the Difference Between Fear and Anxiety?)

              Coping With Pandemic Reentry Anxiety

              Tips For Coping With Reentry Anxiety
              • Develop an Awareness About Your Anxiety: It might be hard to identify reentry anxiety because it often manifests in ways you might not immediately identify, especially since you might have experienced these same symptoms during the height of the pandemic:  
                • poor sleep
                • nightmares
                • change in appetite
                • weight gain/weight loss
                • a sense of foreboding
                • irritability
                • headaches, neck and shoulder pain
                • other health-related symptoms
              • Accept Your Emotions:  Recognize that you're not alone.  Many people are experiencing anxiety about the possibility of returning to some form of their work and social routine. Rather than berating yourself for your response, accept it and look for ways to cope (see below). You might also be experiencing a combination of anxiety and excitement or you might alternate between the two.  Know that this is normal (see my article: Suppressing Emotions Can Lead to Medical and Psychological Problems).
              • Allow Yourself to Grieve:  There have been many losses involved with the COVID-19 pandemic, including:
                • the loss of friends and family who died during the pandemic
                • the loss of a job/income
                • the loss of a sense of safety in the world you might have had before the pandemic (see my article: The 5 Stages of Grief Related to the Pandemic)
              • Focus on What You Can Control: With so much uncertainty, you might find yourself worrying about many possibilities, but there are areas of your life where you do have some control:
                • What do you need to do to feel safe to return to work and to social activities?
                • How will you deal with friends and family members who refuse to get vaccinated? 
                • Although there might be things that you can't control, there are many things you can control, including how you begin to reenter into social activities (see my below and my article: Preparing Yourself Emotionally For Major Changes in Your Life)
              • Reintroduce Activities Gradually: If you've spent most of your time at home, rather than trying to jump back into your former schedule quickly, try to get back into these activities gradually to give yourself a chance to adjust.  Rather than overcommitting yourself to social activities, try seeing one friend (or a small group of friends) at a time so you don't exhaust yourself.
              • Think About What You're Looking Forward to in the Future: When you're ready to think about the future, make a list of the things you want to do.  This can help you to shift your perspective from worry to having things to look forward to (see my article: Feeling Alive Again After a Period of Stagnation and Happiness and Your Future Self).
              • Use Self Soothing Techniques: Whether you meditate, exercise, go for walks, do yoga or breathing exercises, it's important to use self soothing techniques to calm yourself (see my articles: Self. Soothing With Butterfly Tapping, Developing Your Inner Sense of Feeling Grounded and Calm and Learning to Do Square Breathing).
              • Get Help If Your Anxiety is Overwhelming You: Although reentry anxiety is normal, if your anxiety is having a negative impact on your personal relationships, work life or other areas of your life, consider getting help from a licensed mental health professional who can help you to understand your reactions and develop better coping skills.  This would be especially helpful if your current anxiety is triggering unresolved trauma from the past (see my article: Why Experiential Therapy is More Effective Than Talk Therapy to Overcome Trauma).

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

              I work with individual adults and couples.

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

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













              Posted by Josephine Ferraro, LCSW at 12:41 PM
              Labels: acceptance, anxiety, change, coping, coping strategies, COVID-19, grief, New York City, pandemic, psychotherapist, psychotherapy, reentry anxiety, stress, therapist, therapy, tips, trauma, uncertainty
              Location: New York, NY, USA

              Wednesday, November 22, 2017

              Living With Uncertainty

              I've written prior articles about excessive worrying.

              See my articles: 
              How to Stop Worrying: What is Chronic Worrying?

              Steps You Can Take to Stop Worrying

              Overcoming Anticipatory Anxiety

              Learning to Stay Calm During Uncertain Times 

              Are You Catastrophizing?).  

              In this article, I'm focusing on living with uncertainty because so many people are talking about worrying, checking the news several times a day, getting alerts on their phone, and so on.

              Living With Uncertainty

              To a certain extent, we all live with a degree of uncertainty all the time--whether we're aware of it or not.

              When we feel more vulnerable and fragile in our personal lives, we might be more aware of the possibility of uncertainty than at others times when we're feeling confident and positive.

              Coping Strategies For Living With Uncertainty

              Practice Living in the Moment:
              When you feel particularly vulnerable about things that you have no control over (e.g., nuclear war, a sudden economic downturn, etc), a good strategy is to recognize that your thoughts might be running away with you and bring yourself back to the present (see my article: Being in the Present Moment).

              Ask yourself, "Am I alright right now?"

              If the answer is "Yes," then you know that you're racing ahead in your mind and worrying about things which may or may not happen, and worrying about it won't help.

              One of the reasons why I like mindfulness is because when you practice mindfulness, you keep bringing your mind back to the present instead of dwelling on uncertain possibilities (see my article: The Mind-Body Connection: Mindfulness Meditation).

              And while you can't always live in the present moment, if you spend some time each day--even if it's just five minutes--practicing mindfulness, you'll probably feel a lot calmer.

              Be Aware of Your Thought Patterns
              Do you have a tendency to project your worries and fears into the future?

              Ask yourself how many times you've done this in the past and how often these worries materialized into problems.

              If you're like most people that tend to worry, you'll realize that most of the time your worries came to nothing, and you might have worked yourself up into a frazzled state thinking about everything that could go wrong.

              Write About Your Worries and Fears
              There's something about writing, especially when you're worried, that helps to concretize and externalize your thoughts and feelings (see my article: Journal Writing Can Relieve Stress and Anxiety).

              Rather than allowing yourself to ruminate about your worries, when you write and then read what you wrote, you tend to question the negative assumptions that you make.

              After a while, you realize, once again, that you have a particular thought pattern that is getting in your way.  It might be that you've engaged in this pattern of thinking for many years--possibly since childhood.  Maybe one or both of your parents tended to catastrophize and you learned to do it too.

              Be Selective About Watching News or Monitoring Social Media
              Broadcast news tends to sensationalize the news in order to get the public's attention and high ratings.

              Be selective about the kind of news that you watch so that you're not getting frightened and alarmed on a daily basis.

              You might even want to take a break from broadcast news for a while--possibly read a quality newspaper instead which doesn't attempt to sensationalize the news.  You might discover that you're a lot calmer.

              The same goes for social media.  There are some sites that are constantly pumping out sensationalized news to get your "clicks."

              Ask yourself what it might be like not to monitor the news on social media all the time.

              Think About What You Can Do to Feel Empowered
              One of the things that I keep hearing is that people feel so disempowered about things that are going on in the world.

              While it's true that you're probably not going to be the negotiator for world peace, maybe there are things that you can do that will help you to feel empowered, like volunteering for an organization or cause that is important to you.

              Even if you don't have time to volunteer, maybe you can make a phone call to your city councilperson or senator about an issue that's important to you.

              Taking action can be empowering.

              Getting Help in Therapy
              There are times when the world around you can trigger certain emotional vulnerabilities that you have (see my articles: You Can't Change Your Past, But You Can Change How the Past Affects You, Psychotherapy to Overcome Your Past Childhood Trauma, Overcoming Trauma When the Past is in the Present, Understanding Why You're Affected by Trauma That Happened a Long Time Ago, and Coping With Trauma: Becoming Aware of Emotional Triggers).

              The strategies that I mentioned above can be helpful, but if you keep getting triggered, this is usually a sign that there are underlying issues that need to be resolved.

              One of the benefits of psychotherapy is that it can free you from your history so you can live your life unencumbered by problems from the past (see my article: The Benefits of Psychotherapy and How to Choose a Psychotherapist).

              A skilled psychotherapist can help you to work through these issues so that you don't keep getting triggered.

              When you're free from a traumatic history, you're free to live your life in a calmer, more meaningful way.

              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.












              Posted by Josephine Ferraro, LCSW at 1:13 PM
              Labels: catastrophizing, journaling, meditation, mind-body connection, mindfulness, New York City, psychotherapist, psychotherapy, stress, therapist, therapy, trauma, triggers, uncertainty, worry, writing
              Location: New York, NY, USA
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              About Me

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              Josephine Ferraro, LCSW
              I am a licensed NYC psychotherapist, EMDR therapist, Somatic Experiencing (SE) therapist, hypnotherapist, and certified sex therapist in private practice specializing in individual and couples therapy. Specialties include: depression, anxiety, relationships, sex therapy, career issues (including performance enhancement), posttraumatic stress disorder, bereavement, sexual abuse, gay, lesbian, bisexual issues, and major life changes. Treatment in a supportive and empathic environment. Graduate of Fordham Graduate School (MSW), advanced postgraduate training in psychoanalysis at the Postgraduate Center for Mental Health, advanced training in clinical hypnosis, EMDR and Somatic Experiencing. By appointment only. For more information: http://josephineferrarotherapy.com. Call (917) 742-2624 or send an email: josephineferraro@iCloud.com
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              Josephine Ferraro, LCSW - NYC Psychotherapist

              • Josephine Ferraro, LCSW - NYC Psychotherapist
              • Josephine Ferraro, LCSW - Website
              • Josephine Ferraro, LCSW

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