Developing Skills to Manage Your Emotions

In my last article, How to Manage Your Emotions Without Suppressing Them, I described the difference between managing emotions (also known as emotional regulation) and suppressing emotions.  The current article discusses skills that can help you to manage your emotions.  

Developing Skills to Manage Your Emotions

Developing Skills to Manage Your Emotions

As I mentioned in my prior article, if you never learned how to regulate your emotions, you can learn emotional regulation skills with practice and patience.

The following skills can help you to self regulate your emotions:

• Practice Pausing and Taking a Breath: Emotions can come up in a fraction of a second. You don't choose your emotions, but you can learn to choose how you respond to them.  Practice taking a pause and taking a breath before you react.  This will give you time to consider how to respond instead of react (see my article: Learning to Relax: Square Breathing).

Developing Skills to Manage Your Emotions

• Practice Noticing What You're Feeling in Your Body: Emotions occur in the body.  Even when you can't identify what emotions you're experiencing at first, you can notice what's happening in your body: 

• Is your jaw tight? Are your hands clinched? 
• This could mean you're feeling angry. 

• Do you feel a tightness and a welling up in your throat? 
• Maybe you're feeling sad.

• Practice Staying With the Sensations in Your Body and See If You Can Identify Your Emotions:  If you slow down, be patient and stay with the physical sensations in your body, you can identify the emotions you're experiencing with practice.  This often takes time if you tend to be unaware of what emotions you're feeling (see my article: The Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

• Acknowledge Your Emotions: Whatever emotions you're experiencing, acknowledge them. By acknowledging them, it doesn't mean you like them or you want to feel this way. It just means that you are aware that this is what you're feeling in the moment (see my article: Learning to Experience Your Emotions).

• Make a Choice About How to Respond: Unlike reacting to emotions without thinking, when you respond, you're actively choosing what you want to do.  This might not happen immediately, especially if the emotions are strong.  You might need to pause and take several breaths until you feel calm enough to respond.  So, you might choose to wait until you're calmer before you respond (see my article: Responding Instead of Reacting).  

Next Article:

In my next article, I'll discuss how Experiential Therapy can help you to manage your emotions.

About Me

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

I work with individual adults and couples, and I have helped many clients to learn emotional regulation skills (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.

The Joy of Becoming More Playful As An Adult

Considering how stressful adulthood can be, learning to be to more playful is one of the best things you can do to improve your emotional well-being (see my articles: The Joy of Being Attuned to Your Inner Child).

The Joy of Being a Playful Adult

What Are the Benefits of Playfulness?

There are many benefits to being playful including:

• Relieving stress
• Stimulating your mind
• Enhancing creativity
• Improving mood
• Boosting vitality
• Improving social connections with others
• Learning how to cooperate with others
• Healing emotional wounds

How to Reconnect to Your Inner Child to Play

Usually, the words "inner child" are associated with overcoming trauma.  But reconnecting with your inner child can also mean allowing yourself to remember the best times of your childhood when you had fun (see my article: Opening Up to New Possibilities).

For people who are accustomed to being serious most of the time, this might involve getting out of your comfort zone, but it can be a lot of fun (see my article: Moving Out of Your Comfort Zone).

Many people have forgotten what it's like to have fun and they find themselves in a rut (see my article: Do You Remember What It's Like to Have Fun? Try a Little Playfulness).

Here are some ways that can help you to reconnect with the playful side of your inner child:

• Put on music, let loose, dance and move how ever your body wants to move
• Ride a bike in nature
• Sing or hum in the shower, including childhood songs you used to enjoy
• Laugh (see my article: The Mental Health Benefits of Laughter)
• Live in the moment (see my article: Living Fully in the Present Moment)
• Swing on a swing in the park
• Go on amusement park rides
• Reread your favorite childhood books or find new ones you might like
• Read a comic book with your favorite characters
• Watch cartoons
• Play with little children or pets
• Color in a coloring book and allow yourself to go outside the lines
• Draw pictures
• Notice the beauty in the world (see my article: Seeing Small Wonders All Around Us If We Just Take the Time to Notice
• Take an improv comedy class
• Take a storytelling class (see my article: The Psychological Benefits of Storytelling)
• Take a bubble bath 
• Learn something new

Conclusion

There can be many physical and psychological benefits to reconnecting with your inner child so you can be more playful.

Being attuned to your playful younger self can improve the quality of your life.

About Me

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

I am a sex positive 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.

 

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.

Sexual Wellness: What is Performative Sex?

Performative sex is goal-oriented sex that follows a script with a predefined role.  When sex is performative, instead of it being natural and enjoyable, it becomes a show or a performance (see my article: Understanding Your Sex Script).

Sexual Wellness: Overcoming the Habit of Performative Sex

Sex often becomes performative when people are anxious, distracted or self conscious during sex.  When this happens, they're not attuned to themselves or their sex partner.  They're too worried about whether they're "doing it right" or if their body looks good, and how their partner sees them.  

Men often worry about their penis being too small and whether their penis will remain erect long enough to satisfy their partner.  

Women often worry about their body image--the size of their breasts and whether they're overweight.  Many women also worry about whether they'll have an orgasm and, if so, if they'll take so long that it will frustrate their partner (see my article: Women's Sexuality: Tips on Sexual Self Discovery).

Unfortunately, so many people get their sex education from pornography where both performers always look sexy, ready and able to achieve simultaneous orgasms with no foreplay.  But this is a performance--it's not real life.  

Performative sex can become a habit--even between two people who are in a long term, committed relationship.  Fortunately, there are ways to overcome this habit, as described below.

Focus on the Here and Now

• Focus on the present moment--not on the past or the future.

• Focus on being attuned to yourself and to your partner physically and emotionally.

• Practice synchronizing your breath to your partner's breath as one way to stay connected.

Communicate With Your Partner

• Ask your partner what they like if you're not sure (see my article: The 7 Core Sexual Fantasies).

• Tell your partner what you like. 

• Make sure you have consent from your partner.  Don't assume you have consent--even if you've done the same things sexually many times before.  If you're not sure, ask.

Don't Feel Rejected If Your Partner Doesn't Like What You Like

• Recognize that everyone is different when it comes to what they like sexually.

• Be aware that if your partner doesn't like what you like, your partner isn't rejecting you so don't take it personally.  You might be able to work out a compromise or, if not, find something else that you both enjoy.

Don't Feel Compelled to Do Anything You Don't Want to Do

• Don't feel you have to do anything sexually that you don't feel comfortable doing.  

• Don't override your own feelings.  This is often a problem for women, who are socialized to be people pleasers, so they override their feelings to just "get through it" or to "get it over with."

• Recognize that when you override your feelings to do something you don't want to do, you're damaging your self esteem.

Getting Help in Therapy

Many issues, including a history of abuse or trauma, can get in the way of having a satisfying sex life.

If you're struggling, seek help from a licensed mental health professional.

A licensed psychotherapist can help you to overcome the obstacles that keep you from leading a more fulfilling life.

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 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.

Walking in Nature Can Improve Your Mood

Research studies have shown that city dwellers who don't have access to nature are more likely to develop anxiety and depression as compared with people who have access to green spaces (see New York Times article:  How Walking in Nature Changes Your Brain).

Walking in Nature Can Improve Your Mood

Research Study: Walking in Nature Can Improve Your Mood

A research study published in Proceedings of the National Academy of Sciences revealed that walking in nature (as opposed to walking on a highway) lowered the volunteers' propensity for brooding (also known as morbid rumination) as demonstrated in the before and after questionnaires that the volunteers took.

According to this study, the volunteers who walked in nature focused less on the negative aspects of their lives (as compared with the volunteers who walked on the highway).

This research suggests that walking in nature can help to improve your mood.

Questions still remain:

• How much time in nature is sufficient to improve mood?  
• What aspects of nature are most soothing?  
• Besides walking, what other types of activities in nature have beneficial effects?

Further research will be needed to answer those questions.

The Other Benefits of Walking

Aside from lifting your mood, a regular walking routine can help you to lose weight.

In addition, walking can help prevent heart disease, high blood pressure and diabetes.  

Walking can also help build strong bones.

Getting Started and Staying Motivated to Walk in Nature

One way to get motivated is to have a walking buddy and to decide in advance how often and what days and times you will both get together to walk in nature.

Having a walking buddy is beneficial for social support.  It also helps on the days when you might want to skip the walk and your walking buddy encourages you to get going.  You can also provide the same encourage to your walking buddy when your buddy might want to slack off.

Always check with your medical doctor before you start any new physical regimen.

Getting Help in Therapy

Walking in nature has been shown to improve your mood, but if you still struggle with depression or anxiety, you could benefit from seeing a licensed psychotherapist (see my article: The Benefits of Psychotherapy).

Everyone needs help at some point in his or her life.

A skilled psychotherapist can help you to work through your problems so that you can have a more fulfilling life (see my article: How to Choose a Psychotherapist).

Rather than suffering on your own, get help from a licensed mental health professional.

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.

Why You Can't "Think" Yourself Into Mental Health and Wellness

Understanding and developing insight into your problems is important but, unfortunately, it's often not enough to change your problems (see my article: Healing From the Inside Out: Why Understanding Your Problems Isn't Enough).

Why You Can't Think Yourself Into Mental Health and Wellness

Many people either never go to therapy to deal with emotional problems and many others leave therapy prematurely because they believe they can "think" themselves into wellness (see my article: When Clients Leave Therapy Prematurely).

There's no denying that understanding and developing insight into your problems is important, but it's only the first step.  You use your logical mind to understand and try not to repeat the same problems, if it's in your power.

But when your problems are deeply rooted in psychological trauma, your logical mind often isn't enough.  You need help from a licensed mental health professional to help resolve on the underlying problems that go beyond the logical part of your brain.  You need a skilled therapist to help you deal with the problem on the level of the emotional brain.

Let's take a look at a fictionalized vignette that illustrates these points:

Ed
Ed grew up in a family that was nearly destroyed by his father's gambling.  He saw first hand how the family struggled whenever his father lost money at casinos.

When Ed was 10, his mother threatened to leave the father if he didn't stop gambling, so the father stopped going to the casinos.  Instead, he started drinking heavily.

Ed's mother resigned herself to being in a marriage with a man who came home and locked himself in his "man cave" in the basement and drank every night.  She was relieved that, at least, she could pay the bills.  But they continued to drift apart.

As is often the case when people give up an addiction without getting help for the underlying issues, drinking replaced the gambling and led to the father having a fatal heart attack when he was in his early 50s.

By that time, Ed was a successful manager at a top company in NYC and married to a woman that he met in college.

Looking at Ed from the outside, it appeared to most people that Ed "had it all" (see my article:

But Ed had a big secret that he was very ashamed of:   Whenever he got paid, he made big bets on sports events.

Sometimes he won, and sometimes he lost.  But no one, except the person who placed bets for him, knew about his betting, not even his wife.

Sometimes, to cover his losses, he had to withdraw money from his savings.  Then, he was desperate to recoup his losses and he would frantically place more bets.

Logically, Ed knew that he needed to stop betting, but he couldn't control his impulses.  He kept chasing his losses and if he won, he wanted to win more.

One day, his wife, Nina, happened to look at their bank statement and she was shocked to see such a low balance compared to what had been in the account only a few months ago.

Normally, she didn't look at the statements because let Ed manage their finances.  So, when she saw the balance, her first thought was that either the bank made a mistake or someone hacked into their account.

When Ed got home, she showed him the statement and asked him what he thought had happened.  At first, he hung his head and didn't respond, and Nina began to feel sick.

Reluctantly, Ed told her about his gambling problem and that he had been withdrawing the money.  Nina went into the bedroom and began to cry.

Ed tried to convince her that he had a "good feeling" about an upcoming football game and he knew he would win.  He only wanted to place one more bet to recoup his losses and then he would stop.

Ed and Nina argued for most of the night, and both of them called out sick from work the next day.

After being up all night, Ed promised Nina that he would never bet again.  He apologized profusely for keeping these secrets and betraying her.

Nina responded by telling Ed to seek help in therapy.  But Ed knew what he needed to do--he needed to stop gambling.  He told Nina that he didn't need a therapist to tell him this.  He could do it on his own.

For the next few months, whenever the person who placed his bets called him to find out it he wanted to place a bet, Ed told him that he wasn't going to bet anymore.  Each time, when he got off the phone, Ed felt dejected and tired, as if he was physically ill.

After a while, Ed began to feel bored and depressed.  He was tempted to place a bet on a basketball game, but he told himself over and over that he had promised his wife that he wouldn't do it, so he couldn't do it.  But he knew that he really wanted to do it, so he struggled with this internal conflict.

Then, one day, one of his colleagues, Jim, called Ed into his office and showed him a picture of a sexy, beautiful woman.

Ed knew Jim's family and he knew the woman in the picture wasn't Jim's wife, so he asked him about the woman.  Jim closed the office to his door and told Ed about the woman, who was with an escort service.

He told Ed in a low voice that he saw this woman from the escort service every few weeks and since he started seeing her, he felt on top of the world.  He said she told him that he was sexy and attractive and he felt like "a million bucks."

Then, Jim told Ed that he should call the service and have fun with one of the beautiful escorts.  He told him that they're very discrete and his wife would never know.

Ed laughed it off, but the image of the beautiful, sexy woman stayed in his mind.  He fantasized about how much fun it would be to be with her.  The more he thought about the happier he felt.

When Ed realized that he was feeling so good by just thinking about it, he told himself that he could try the service once and then never do it again.  He wouldn't tell anyone about it, not even Jim.  It would be his secret (see my articles: Infidelity: Married, Bored and Cheating and Overcoming Addiction: Boredom as a Relapse Trigger).

At the time, Ed didn't know about cross addiction and how a person could replace one addiction, like gambling, with another addiction, like sexual addiction.

Months later, his wife discovered an ad for an escort service in the pocket to Ed's jeans as she was doing laundry and got very upset.

When Ed got home, she threw the ad on his lap.  Ed froze and remained silent.

A week later, Ed began therapy with a psychotherapist who specialized in working with addictions, even though he wasn't convinced that he needed to be in therapy.

Over time, Ed learned about cross addiction and remembered that his father stopped gambling and began drinking heavily.

He also began doing the necessary work to understand the underlying issues that were part of his addiction, in addition to the possible genetic component, and what triggered him.

The work wasn't easy or quick but, gradually, Ed began to realize that he couldn't just "think" himself into wellness.  He couldn't just tell himself not to gambling or engage in sex with escorts because that wasn't enough to override the deeper emotional issues that had to be worked through in therapy.

As he worked through the underlying emotional trauma and became aware of his triggers, Ed's impulse to gamble or have sex with escorts began to diminish because the underlying issues were getting worked on.

At the same time, Ed knew that he could never allow himself to become complacent and, along with therapy, he also attended Gambler's Anonymous and worked the 12 Steps with a sponsor.

Conclusion
There's a common misperception that if you understand your problems, you can avoid making the same mistakes.

While this might be true for certain problems, when you're dealing with more complex issues that have involve unconscious underlying issues, just telling yourself "to stop" isn't enough.

You might have the best intentions of never engaging in this behavior again, but it's not enough.

As many people know who have tried to stop engaging in addictive or dysfunctional behavior, it's very easy to replace one dysfunctional behavior with another, as the vignette above illustrates.

Whether it's gambling, sexual addiction or any other addictive behavior, you can get the same dopamine "rush" from many different types of dysfunctional behavior and this makes it difficult to stop.

Until you work through the underlying issues and discover your triggers, you will, most likely, continue to struggle or "white knuckle it" for a while, risking your relationship, your family, your job and everything that is precious to you.

Getting Help in Therapy
It's not easy asking for help (see my article: Overcoming Your Fear of Asking For Help).

It's much easier to be in denial and to tell yourself that you can do it on your own.

Many people wait until they lose everything before they seek help, but it doesn't have to be that way (see my article:  The Myth About Having to "Hit Bottom" to Change).

Taking the first step of setting up a consultation can be your first step in your recovery.

Working with a skilled psychotherapist who has experience helping people with addictive behavior and emotional trauma can help to free you from an unhappy existence.

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

One of my specialties is helping clients to overcome the emotional trauma that is creating problems in their lives.

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

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

How to Get Out of a Rut - Part 2: Taking Steps

In my prior article, I began the discussion about getting out of a rut by defining what it is and what it's not as well as some of the common reasons why people get into ruts in their lives.

Taking Steps to Get Out of a Rut

In this article, I'm focusing on some tips that might be helpful to get out of a rut (see my article: Recapturing a Sense of Aliveness).

Since everyone is different, you might find some of these tips more helpful than others and, as I mentioned in my prior article, what might appear like being in a rut might actually be a more serious psychological problem that requires professional help.

For now, let's focus on some of the things that you might be able to do to get yourself out of a rut so you have more of a sense of well-being in your life.

Since many people are afraid that it would take too big an effort to make this kind of change, you can start by looking at one or two areas where you can begin to make small changes that feel do-able.

Tips for Getting Out of a Rut:

• Looking at Your Usual Routines:  Is there some small change that you can make to one of your usual routines?  So, for instance, if you always take the same route to work, what if you took a different route?  What might you see or who might you meet that might be new and different? (see my article:  Being Open to New Experiences).

• Revising Your To-Do List:  If you find that your to-do list is usually so long that you almost never complete it, why not consider revising it so that it's more manageable?  At the same time, you can include some self care items on your list to nurturing yourself.  

• Reflecting on Your Habitual Ways of Thinking:  This requires self reflection and, possibly, some help from a trust friend or relative, who might be helpful to see things about yourself that you might not see. When was the last time that you questioned certain feelings, opinions and values?  Are you able to stand back objectively and consider that you might be thinking and behaving in ways that no longer suit you and your loved ones?  Reflecting on your habitual ways of thinking might help you to see things from a different angle.  Or, after looking at things from a different angle, you might still feel the same.  It's the act of reflection and objectivity that's important.  Maybe you want to try challenging yourself by looking at TV news that you normally don't watch, so that if you normally watch a liberal news broadcast, try watching a more conservative one or vice versa (see my article:  Overcoming the "I'm Too Old to Change" Mindset).

Taking Steps to Get Out of a Rut

• Looking at Your Fear of Change:  Take time to question your fears.  Are your fears amorphous and vague or are they specific?  Are you afraid of specific changes or any type of change?  Take time to write about your fears and, in writing about them, do they stand up to the light of day or do you see certain distortions in your thinking that underlie your fears? (see my article:  Fear of Change).

• Bolstering Your Self Confidence:  Are you going through a period of self doubt because of recent circumstances or is your lack of self confidence a lifelong issue?  Were there other times in your life when you were afraid to make changes but you overcame your fears?  What enabled you do it?  If you can't draw from your own experience, are there people that you admire who have been able to get themselves out of their own ruts?  Are there things that they did that you can borrow that might help to bolster your self confidence.  If there isn't anyone that you know, use your imagination and think of someone that you admire from a TV program, a movie, a book or a historical figure.  How did he or she overcome a lack of self confidence to lead a more fulfilling life? (see my article:  Becoming the Person You Want to Be).

• Looking at the Impact of "Negative People" Around You:  For reasons of their own, many people who struggle with negative thoughts, often unwittingly, have a negative impact on the people around them.  Often these people, who might be depressed or have other psychological problems that they're unaware of, can dampen other people's enthusiasm for new plans or changes in their lives.  This doesn't mean that you should stop being emotionally supportive to friends or family members who are "down."  It does mean that it would be helpful for you to take a look at the impact that they might have on you and learn to distinguish between their unhappiness and how you feel.  In other words, distinguish what emotions belong to them and what belongs to you.  If there are acquaintances in your life who tend to discourage you, you might want to reduce the amount of time that you spend with them, especially if you're trying to get out of a rut yourself (see my article:  Workplace: Being Around Negative Coworkers Can Have a Negative Impact on Your Mood).

• Meeting New People:  If you have a set of friends that you really care about, that's great.  You might also consider getting out to meet new people that might help you to gain a new perspective, learn about new interests, and see new places.  

• Recognizing that Everyday is a New Day:  Your perspective about each day is very important.  If you look at each day as the same as the previous one, you're unlikely to get yourself out of a rut.  But if you look at each day as having the potential for new possibilities, you open yourself up to the possibility of new experiences.

Taking Steps to Get Out of a Rut

What If It's More Than Just Being in a Rut?
As I mentioned in my prior article, sometimes depression and anxiety, as well as other psychological problems, can be the underlying problems for being in a rut.

If you've tried own your own and you've been unsuccessful to try to get yourself on a more even keel, you could benefit from the help of a licensed mental health professional.

Getting Help in Therapy
Going for a consultation with a licensed therapist could help you to address the underlying issues that keep you feeling stuck (see my article:

Rather than continuing to suffer on your own, a licensed mental health professional can help you to overcome the obstacles that are keeping you from leading a more fulfilling life.

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.

How to Get Out of a Rut - Part 1

At some point in their lives, most people have the experience of being in a rut.

Getting Out of a Rut

What Does Being in a Rut Mean?
What being in a rut means is different for each person.

For most people, it's the experience of feeling stuck in one or more areas of their lives and not knowing what to do to get out of the rut that they're in.

For others, it's an inexplicable feeling of being bored and, possibly not knowing why.

Since being in a rut is such a vague expression and it can mean different things to different people, let's start by saying, for the purposes of what I mean in this article, what it isn't.

Being in a rut isn't being:

• in a state of major depression
• in a depressive phase of bipolar disorder
• emotionally traumatized
• in a state of grief or mourning
• obsessing due to obsessive compulsive disorder

and so on.

While the psychological conditions that I've mentioned above, as well as other psychological conditions, might have elements that appear similar to being in a rut, these conditions are psychological states that require the assistance of a mental health professional.

As opposed to a serious psychological condition, what I'm addressing in this article has more to do with a feeling of stagnation that many people can pull themselves out of if it's not part of a more serious psychological problem.

Being in a rut can happen so easily because, more than ever, most people feel pressed for time.  They're  busy trying to juggle so many responsibilities and struggling to balance their family life and work.

Being Over Scheduled is Often the Cause of Getting Into a Rut with Too Many Routines

Being in a rut often feels like you're a hamster on a wheel just running in place and not getting anywhere.

Being in a Rut Can Feel Like Being Stuck on a Hamster Wheel

Some Common Reasons for Getting Into a Rut:

• Getting stuck in old routines
• Having too big a to-do list
• Getting stuck in habitual ways of thinking
• Allowing fear of change to get in the way
• Lacking self confidence
• Neglecting to plan for change
• Over planning the same routines
• Suffering with burnout
• Lacking motivation
• Avoiding new experiences
• Allowing too many routines to crowd out time for self care
• Associating only with the same people and not making an effort to meet new people
• Allowing other people's negativity to have too big an influence
• Thinking it will take an overwhelming effort to get out of the rut

In my next article, I'll suggest some ideas that can be helpful to get yourself out of a rut.

Getting Help in Therapy
As I mentioned earlier, it's important to be able to distinguish being in a rut from a psychological issue to be addressed with a licensed mental health professional.

Getting Help in Therapy

If you've tried to overcome your problem on your own without success or you feel your problems involve more than just a temporary feeling of stagnation, you could benefit from working with a licensed psychotherapist (see my article: How to Choose a Psychotherapist).

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.

The Psychological Benefits of Taking a Vacation

There are definite psychological benefits to taking a vacation.

Yet, taking a vacation is something that many people debate about, even when they have the time and money to go.  If you need convincing that going on vacation can be beneficial, here are some of the psychological benefits of going on vacation.

The Psychological Benefits of Taking a Vacation

Psychological Benefits of Taking a Vacation:

Vacations can provide you with an opportunity to:

• Relax:  Even people who believe that they thrive on stress need down time every so often.  Taking a vacation gives you an opportunity to relax.  Getting away from your daily routines and worries, even for just a few days, helps to get some distance, not just physically but also psychologically, because you can leave your cares behind.

• Learn New Things:  When you're at home, you're in familiar surroundings, but when you go on vacation, especially if you travel outside the country, chances are, you'll be learning new things, whether it's a few words in a new language or how to negotiate prices at a bazaar.   This can be fun and exciting.

• Discover a New Perspective:  When you go to a new place, you're exposed to new cultures, different ideas, and ways of doing things.  Traveling gives you an opportunity to try new things--whether it's new foods, new customs or a different way of looking at life.  The contrast can also give you a different perspective about your own life (see my article:  Expanding Your Horizons While Traveling).

• Help You to Realize How Resourceful You Can Be:  When you're at home going through your normal routine, there are times when you can almost do it with your eyes closed.  But when you travel, opportunities present themselves that might challenge you to be more resourceful in how you navigate change or deal with a challenging situation.  People often discover that they're a lot more resourceful than they realized (see my article:  The Joy and Challenges of Traveling).

• Precipitate Change in Your Life:  A vacation to a place where you've never been can spark an idea that you'd like to make changes in your life, whether it's a geographical change or a psychological change.

• Reconnect With Your Inner World and Your Partner/Spouse:  A vacation can give you an opportunity to reconnect with your inner emotional world in ways that staying at home often doesn't.  You have the time and space to focus on yourself.  And if you travel with your partner or spouse, you also have an opportunity to reconnect and rekindle things between you (see my article:  Learning About Yourself While Traveling).

The Psychological Benefits of Taking a Vacation:  Rekindling Your Relationship

Even just a few days away can provide you with many of these psychological benefits, so if you have the time and money to travel, treat yourself to some time away.

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.

EMDR Therapy: When Talk Therapy Isn't Enough

Many people who come to talk therapy with problems find relief and healing by talking to a licensed psychotherapist in either psychodynamic psychotherapy, cognitive behavioral treatment (CBT) and other forms of regular talk therapy. They gain insight into their problems and learn to change their thinking and behavior so that they lead happier lives.

EMDR: When Talk Therapy Isn't Enough

However, for many clients in psychotherapy, regular talk therapy only goes so far and it doesn't alleviate their problems. These clients might gain an intellectual understanding of their problems and maybe, if they're in psychodynamic psychotherapy, they even learn to understand the underlying issues that caused the problems in the first place. Under the best of circumstances, they might even be able to make some changes, but the underlying problems remain and continue to get triggered in new situations. In other words, these clients are not really healed. Often this is not a reflection on the psychotherapist's skills or the client's willingness to change. It often has more to do with the limitations of talk therapy with certain problems, especially if there is trauma involved.

What is Trauma?
When we talk about trauma, it's important to know that not all trauma is the same. Like most emotional problems, it's a matter of degree. The various types of trauma are on a large spectrum from smaller trauma to bigger trauma.

Trauma doesn't have to be posttraumatic stress disorder (PTSD), like when a soldier is traumatized at war or when a client has been raped or sexually abused, to be considered traumatic. Trauma also includes less severe problems like getting into a car accident where you are not hurt physically but afterwards you're too afraid to drive again. Or, maybe you were in an airplane where there was a lot of turbulence and, even though you were not physically injured, you now have a fear of flying.

Another example of a form of trauma that doesn't involve PTSD but which can adversely affect you is if you're too afraid to get involved in romantic relationships because you were so humiliated as a child that you have low self esteem.

What all of these examples of trauma have in common is that they have had a negative impact and have caused impairment to everyday functioning.

When regular talk therapy is not enough, EMDR (Eye Movement, Desensitization and Reprocessing) as well as clinical hypnosis (also known as hypnotherapy) are often much more effective in healing both small and big trauma. In this post I'll focus on EMDR.

What is EMDR Therapy?
In one of my earlier posts, I defined EMDR (see the May 31, 2009 post). To understand EMDR, it's important to know that our experiences are stored in memory networks in our brains. These memory networks are made up of thoughts, images, emotions and body sensations related to each particular experience. As we form new memories, they are organized in related memory networks around the earliest memories.

So, for instance, if a child is bitten by a dog, a memory is formed in his memory network around this experience that would include the bodily sensations of being bitten, the emotional fear, the sound of the dog barking, the image of the dog lunging at him, the image of blood on his leg, the image of his mother yelling at the dog to get away as she came running towards him, and even the scents that were around him.

As he gets older, he might not have a conscious awareness of this memory, especially if he was too young to talk when he was bitten by the dog, but that first memory is still stored in his memory network. When he's older, if he hears a dog barking, it would probably trigger the emotions and sensations associated with that earlier memory, and he would be afraid. Or if he sees a dog, even a friendly one, that earlier memory will be triggered with all of the associated fears. He might not have a conscious memory of that first experience, but as an adult, when he gets triggered by new situations, he would feel an inexplicable fear ("Why am I so afraid of this dog? He's not doing anything to me"). So, even though there might not be an explicit memory of that ealier experience that he can recall, what's actually happening is that the earlier experience gets triggered in his brain and he experiences all of the same fears that he experienced when he was bitten.

In the example above, since the earliest experience has not been processed, it forms a blockage in the memory network so that the traumatic experience remains in the network waiting to be triggered under certain circumstances.

How Does EMDR Help?
EMDR helps clients to process unresolved emotional issues, whether they're related to a single incident or to ongoing problems where emotional needs were not met. A trained EMDR therapist helps clients to process unresolved emotional issues using a method called Bilateral Stimulation (BLS).

EMDR Therapy: When Talk Therapy Isn't Enough

There are several forms of BLS that could involve alternating right-left eye movements, tapping, listening to music using head phones where the sound of the music moves back and forth from the right to left ear, and other methods. When these alternating right-left visual, tactile, or audio techniques are used along with the EMDR protocol, they help clients to process and resolve these experiences on a level that regular talk therapy often cannot do.

EMDR is used all over the world for all types of trauma. It is one of the most researched forms of psychotherapy that has been shown to be effective for many different types of trauma and unresolved emotional issues. Not only is it usually more effective, but it often works faster than traditional psychotherapy.

Getting Help in EMDR Therapy

If you've found that regular talk therapy has not been enough to help you with your problems, you might want to consider EMDR (see my article: What is a Trauma Therapist?).

About Me
I'm a licensed New York City psychotherapist, hypnotherapist, and  EMDR therapist.  

I have helped many clients overcome longstanding emotional issues that did not respond to regular talk therapy using EMDR and clinical hypnosis.

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

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

Also, see my article:  EMDR Self Help Book