How to Quiet Your Overthinking Mind

The first step in quieting your overthinking mind is becoming aware of what you're worrying about and how it's affecting you.

How is Your Overthinking Mind Affecting You?

Worrying can take a toll on your physical and mental well-being.

How to Quiet Your Overthinking Mind

Take a step back and notice your thought patterns. When you have a moment to yourself, do you use it to relax or do something you enjoy or do you engage in repetitive thinking where you worry about whether you forgot to perform a task or if you overestimated how much someone likes you or something else you worry about?

If you tend to engage in worrying, notice how it affects your mood and how it affects your life. What's the primary emotion behind your overthinking? Are you feeling irritable, nervous or guilty? 

Being aware of the effect of overthinking also includes having bodily awareness. This means you notice your bodily responses, which might include tense shoulders, feeling tightness in your chest or clenching in your stomach--just to give a few possible examples.

How to Quiet Your Overthinking Mind

When you're aware of how you're thinking and the impact it's having on you, you have a better chance of changing it.

What Are Some Tips to Stop Overthinking?

• Distract Yourself With An Activity You Enjoy: Go to your favorite workout class or take up a new hobby. Whatever you choose, make it something that will occupy your mind.

How to Quiet Your Overthinking Mind

• Breathe: Learn square breathing to calm yourself. This can also take your mind off whatever you're ruminating about.  

• Meditate: Mindfulness meditation can help you to quiet your mind and be in the present moment rather than worrying about other things.

• Develop a Broader Perspective: To gain perspective on non-urgent matters, ask yourself if you will care about this non-urgent matter in five or ten years. By gaining a broader perspective, you can learn to prioritize other matters that are more important.

How to Quiet Your Overthinking Mind

• Help Others: Rather than worrying, consider helping others. For instance, your friend who has a young child might appreciate a break if you watch her child. You can also volunteer to help those less fortunate than yourself.

• Learn to Reframe Your Negative Thoughts: Instead of going to the worst case scenario, reframe your thoughts to consider possible positive outcomes (see my article: Develop a Different Perspective Through Reframing).

• Validate Yourself For Your Successes: Instead of focusing on things you feel you didn't get right or things you worry about not getting right in the future, acknowledge and validate your successes--no matter how small (see my article: What is Self Validation?).

How to Quiet Your Overthinking Mind

• Take Action: Instead of worrying about the things you have done or haven't done, take action to do things you can take care of now. This can be empowering and give you a sense of accomplishment.

• Embrace Your Fears: Learn to accept that some things will always be out of your control and, instead of trying to push your fears away, embrace them.

How to Quiet Your Overthinking Mind

• Practice Self Compassion: Shift your thoughts and feelings from worrying to practicing self compassion.

Get Help in Therapy: 

If you have been unable to quiet your overthinking mind with self help tips, consider getting help in therapy. 

Get Help in Therapy

A skilled psychotherapist can help you to stop overthinking so you can live a more fulfilling life,

About Me

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

I work with individual adults and couples.

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

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

Getting Help For Premature Ejaculation

As a sex therapist in New York City, I help individual clients and couples who are having problems with premature ejaculation, erectile dysfunction and other sexual related problems. 

Problems With Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation is a common problem. It's estimated that as many as 1 in 3 men suffer from premature ejaculation at any given time.  

Premature ejaculation is a treatable condition, so if you have been avoiding getting help, please reconsider this because you don't need to continue to suffer with this condition.

If you have premature ejaculation occasionally, it's usually not a cause for concern. However, you might be diagnosed by your doctor with premature ejaculation if:

• You always or almost always ejaculate within 1 to 3 minutes of penetration

• You're unable to delay ejaculation beyond 1 to 3 minutes after penetration

• You avoid having sex because you feel frustrated and ashamed of ejaculating too soon

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is not being able to delay ejaculation beyond 3 minutes during partnered sex or during masturbation.

There are two types of premature ejaculation:

• Lifelong: Lifelong premature ejaculation occurs all the time or nearly all the time since the first sexual encounter.

• Acquired: Acquired premature ejaculation occurs after a period of not having this problem.

What Causes Premature Ejaculation?

Premature ejaculation is often a combination of physical and psychological problems so each person needs to be assessed and diagnosed individually.

What Are the Psychological Factor That Can Contribute to Premature Ejaculation?

The psychological factors might include:

• Early sexual experiences
• A history of sexual abuse or trauma
• Depression
• Poor body image
• Worry or anxiety about premature ejaculation
• Guilt or shame that cause you to rush through sex
• Erectile dysfunction
• General anxiety
• Relationship problems

The biological factors might include:

• Irregular hormone levels or brain chemicals
• Swelling or infection of the prostate gland or urethra
• Inherited factors

What Are the Risk Factors for Premature Ejaculation?

The risk factors might include:

• Stress
• Erectile dysfunction
  

How Can Premature Ejaculation Impact Your Life?

Premature ejaculation can create complications in your personal life including:

• Stress
• Relationship problems
• Fertility issues

When Should You Seek Help From a Medical Doctor?

Problems with premature ejaculation can occur from time to time, but you should seek help from a urologist or a sexual health medical doctor if you always or nearly have problems with premature ejaculation.

Help from a Medical Doctor For Premature Ejaculation

You might feel embarrassed to talk to a doctor about your problem, but urologists and sexual health medical doctors have experience with this common problem, so don't allow embarrassment to keep you from getting help.

When Should You Seek Help From a Sex Therapist?

Since premature ejaculation is often caused by psychological issues, you could benefit from seeking help from a sex therapist to deal with these issues (see my article: What is Sex Therapy?).

Help From a Sex Therapist For Premature Ejaculation

A skilled sex therapist can help you to overcome the psychological problems that prevent you from having a satisfying sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than suffering on your own, seek help from a qualified medical doctor to rule out any physical problems and get help from a sex therapist for the psychological issues that might be contributing to your problem (see my article: What Are Common Misconceptions About Sex Therapy?).

About Me

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

I work with individual adults and couples.

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

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

 

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.

How to Stop Worrying By Rewriting the Story You've Been Telling Yourself

I've written prior articles about worry, including: How to Stop Worrying: What is Chronic Worrying and Steps You Can Take to Stop Worrying.  Today I'm focusing on the stories you might be telling yourself that are causing you to worry, and how you can stop worrying by rewriting these stories.

Rewriting the Story You've Been Telling Yourself

People who tend to worry often tell themselves negative stories about what could happen in the future.  Sometimes, this is based on prior experiences and other times it's based on the imagination.

Worrying is often habitual--the more you do it, the more you're likely to continue to do it, so it's important to have some tools to overcome this habit.

One way to overcome habitual worrying is to become aware that you're telling yourself a particular story, and this story often has no basis in fact.

Once you've become aware that you've developed a habit of telling yourself negative stories that cause you to worry, you need to replace this pattern with something else, and one possibility is to rewrite your story with a different ending or several other possible endings that represent how you'd like things to turn out.

Rewriting the story isn't just a way to soothe yourself, it also makes you more aware of all the different possibilities that you're not considering when you only focus on negative possibilities.

It also opens up your mind to other creative solutions to your problem that you might not have considered before.

Here's an example:
Mary worried that she would never advance in her career.

Overcoming Worry: Rewriting the Story You're Telling Yourself

Her negative thoughts about herself kept her from proposing the kind of work projects to her boss where she could stand out and, at the same time, make a positive contribution to her organization.

Although she had many creative ideas, she worried that her ideas would be rejected, so she never mentioned them to her boss.

But she also realized that her colleagues often proposed ideas that were similar to the ones she kept to herself and they were often rewarded for them with career advancement and more money.

This was frustrating for Mary because she knew that she was talking herself out of putting her ideas forward by worrying that they would be rejected.

So, on the advice of her psychotherapist, Mary wrote out a story based on her worries and read it to herself out loud.

As soon as she heard herself read these words out loud, she knew that her worries were unfounded, but she still continued to worry.

Then, she began rewriting her story, which was a struggle for her because her habitual worrying about putting herself out there and her fear of a negative outcome had become so ingrained that it was hard for her to come up with a different ending other than the one that always played out in her head.

Since it was so hard for Mary to see anything but a negative outcome and reasons to worry, her therapist suggested that Mary write the story as if it was about someone else.

So, Mary wrote about a close friend, Susan, who had a similar problem, and it was much easier.

As Mary began to envision other ways for Susan to overcome her habitual worry and negative thoughts, she could see how Susan could be successful if she just stopped listening to the stories she was telling herself and persisted in her efforts.

After Mary rewrote her own story with Susan as the protagonist and she allowed Susan to have a successful ending to story, Mary was able to see that there was no reason why she couldn't take these steps herself.

As soon as she reread the story with a positive ending, something opened up in Mary and she had a flow of creative ideas about what she could do to write up her proposals for her boss and the what steps she could take.

Being able to see herself and her ideas in a new way was liberating for Mary, and she felt a renewed sense of creativity.

She also told herself, "What's the worst that can happen?" and she answered herself by telling herself that her ideas might be rejected, but she could live with that.  What she felt she could no longer live with was stifling herself and watching other people get rewarded for ideas that were similar to hers.

Within a short time, she gave her boss her proposal for a project to improve the organization and why she thought she would be the right person to head up this project. Her boss really liked her ideas and gave her the green light to go ahead.

Overcome Worry: Rewriting the Story You're Telling Yourself

A few months later, Mary succeeded with her  project and when a senior position opened up in the organization, her boss promoted her and gave her a substantial increase.

Psychological Trauma Can Get in the Way of Overcoming Habitual Worrying
For people who have experienced psychological trauma, it can be very difficult to let go of worrying because one of the symptoms of trauma is often hypervigiliance.

This means that the person is constantly worrying and anticipating what could go wrong, so they are constantly worrying.

For people who have experienced trauma, the suggestions that I've given in this article are often not enough.  They need help to overcome the trauma from a skilled psychotherapist.

Getting Help in Therapy
If you have difficulty stopping yourself from worrying, you could benefit from seeing a skilled licensed mental health professional.

Rather than suffering on your own, recognize that you're not alone.

With help from a licensed psychotherapist, you can stop worrying so you can lead 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.

Overcoming Anticipatory Anxiety

In a prior article, How to Stop Worrying, I addressed a concern that many chronic worriers have.  In this article, I'm addressing a specific type of worrying, which is called anticipatory anxiety.

Overcoming Anticipatory Anxiety

Many people struggle with anticipatory anxiety, which is worrying about something in advance of it occurring.

The thing that you're worried about is something that may or may not occur at some point in the future.

Anticipatory anxiety isn't an anxiety disorder.  It's part of different types of anxiety disorders, including generalized anxiety, panic attacks, posttraumatic stress disorder (PTSD) and other forms of anxiety.

What Are the Symptoms of Anticipatory Anxiety?
Symptoms can include:

• excessive worrying
• insomnia
• muscle aches
• nausea
• headaches
• hyperventilation
• feelings of dread
• overeating
• gastrointestinal problems
• panic attacks

When, Why and How Does Anticipatory Anxiety Occur?
Anticipatory anxiety can occur at any time and for many people it's a chronic condition.

Anticipatory anxiety can include worrying in advance of anything being wrong about money, job loss, problems in a relationship or any other event or situation that hasn't occurred yet.

The fact that it hasn't occurred yet is key--it is the anticipation that something bad will happen.  It's not necessarily based on anything objective that is going on now.

Anticipatory anxiety can occur based on your past, including early childhood experiences.

For instance, if you grew up in a home that was chaotic where your parents were constantly worried about real and imagined problems, you can grow up feeling that the world isn't a safe place and, generally, anything that can go wrong will go wrong in your life as an adult.  This can develop into generalized anxiety disorder.

Many people who suffer with anticipatory anxiety are unaware that they have become accustomed to this habitual way of worrying.  Their habit of worrying has become automatic.

If you had significant trauma that has resulted in your developing posttraumatic stress disorder (PTSD), you might respond to many events or situations in your life as if they will result in catastrophe (see my article:  Are You Catastrophizing?)

There is no differentiation between traumatic events and normal non-traumatic life events.

How to Overcome Anticipatory Anxiety?
Here are some tips that might be helpful to you:

• Rather than allowing your thoughts to run away with you, make a conscious effort to step back from worrying and question whether the things you're worrying about are likely to happen.
• Ask yourself if you're okay now (as opposed to your worries about the future).
• Think about all the other times when you worried about something and things turned out well.
• Distract yourself from your worries by focusing on something else.
• Talk to a friend or loved one to get a better perspective.

Getting Help in Therapy
The tips outlined above work for some people.

Many other people, who try to deal with their anticipatory anxiety on their own find that they need the help of a professional mental health professional, especially if their problems are longstanding and ingrained.

A licensed psychotherapist can help you to get to the root of the problem that causes you to have anticipatory anxiety.

Rather than suffering on your own, with the help of a licensed therapist, you can overcome this problem so you can lead 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.

Discovering That You've Developed the Same Traits You Disliked in Your Parents

As a psychotherapist in New York City, I often see clients who realize, much to their chagrin, that they've developed the very traits that they disliked so much in their parents.  This realization usually comes as an unwanted surprise and somewhat of a mystery to them and they often say:  "How is it possible that I developed the same qualities that I disliked so much in your parents?"

Discovering Your Developed the Same Traits You Disliked in Your Parents

To understand and come to terms with this phenomenon, you need to understand how we all internalize  these qualities (and others) on an unconscious level at an early age.

The following vignette, which is a composite of many cases with all identifying information changed, will help to illustrate this common experience:

Nina
When Nina was in her late teens, she couldn't wait to go away to college to get away from her anxious mother.  Having raised Nina as a single mother, Mary always worried about money, even after she obtained a relatively secure, well paying job.

Mary grew up in a large family where they were always on the edge financially.  They were evicted from one apartment after another because Mary's father was often unemployed.  During those times when they lost their apartment, they would move in with Mary's grandmother until Mary's father could get back on his feet again.  The family was always worried about money and, in their case, they had good reason to be worried.

When Nina was born, Mary was a senior in college.  With help from her parents, who were by now in a better financial position, she was able to finish college while she lived with her parents and her mother took care of Nina.  The first few years out of college were rough.  Nina's father disappeared, so Mary couldn't count on him to provide child support.  But, eventually, she landed a well paying job which allowed her to live on her own with Nina and pay for child care.

But despite the fact that, by all objective standards, Mary and Nina were financially secure, Mary continued to worry about money.  Whenever Nina would try to tell her mother that she had no reason to worry, Mary would acknowledge that they were doing well now, but she would say, "You never know when disaster might strike in the future and everything could be wiped out."

This bothered Nina a great deal.  It made her feel frustrated and angry with her mother.  She vowed to herself that she would never be like her mother.  And, after she moved away from college and she began working, she moved to NYC and got her own apartment.

Soon after she had her own place, Mary realized, much to her chagrin, that she was worrying about money in much the same way as her mother did.  Objectively, she knew that she had a well-paying job and her career prospects looked bright.  But there was an irrational part of her that kept nagging at her:  What if something happened and it all disappears?

Nina felt even more annoyed and frustrated with herself than she did with her mother.  She was furious that she had taken on the very trait that angered her about her mother.

Nina tried reading self help books about how to develop self confidence and how to stop worrying, but she only experienced short term gains.  After a while, she reverted back to worrying needlessly about her financial security.  That's when she started therapy.

I worked with Nina to try to help her to see that her propensity to worry about money was part of a long history in her family that went back beyond her grandparents' generation.  It was part of a longstanding transgenerational trauma that was transmitted unconsciously from one generation to the next, which is one of the reasons why it defied Nina's efforts to overcome the problem using logic alone.

See my article:  Psychotherapy and Transgenerational Trauma

Using mind-body therapy, like clinical hypnosis and Somatic Experiencing, we worked together so that Nina could overcome the transgenerational trauma that caused her to worry needlessly about her financial security.

There Are Many Reasons Why Adult Children Develop the Traits That They Dislike in Their Parents
Transgenerational trauma is one reason why adult children take on the traits they so disliked in one or both parents.  There are many other reasons, usually unconscious, why this occurs.

Getting Help in Therapy
When you discover that you have developed the traits that you disliked in your parents, you might feel stuck.  But it's important to realize, as I mentioned before, that this is a common phenomenon, you're not alone and, with the help of a licensed therapist who has expertise in this area, you can overcome this problem and lead a meaningful and fulfilling life.

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

I have helped many clients overcome transgenerational trauma and other emotional experiences so they could lead fulfilling 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.

Resilience: Tips on Coping with Life's Inevitable Ups and Downs

A few years ago, I had an opportunity to talk to a friend's elderly mother about her resilience and I wrote about it in my blog post called Resilience: Bouncing Back From Life's Challenges.

Today, I would like to focus on the topic of resilience and provide some tips on how you can learn to become more resilient so you can cope with life's inevitable ups and downs.

Resilience: Tips on Coping With Life's Ups and Downs

Tips on Coping With Life's Ups and Downs:
Manage Your Stress:  Stress is an inevitable part of life.  It's important that you manage your stress so that you don't become overwhelmed by being in a constant state of stress.  Here are some suggestions:

• Exercise Regularly: Whether your regular exercise is walking, stretching, running, going to the gym, taking an exercise class or doing yoga, regular exercise that's the right level for you and that you enjoy can make all the difference in managing your stress and elevating your mood.

• Meditate:  Spending at least a few minutes a day meditating can also help relieve stress.  There are many different ways to meditate.  I usually teach my psychotherapy clients to do a meditation called the Safe Place meditation (also called the Relaxing Place meditation).  See my blog article:  Wellness: Safe Place Meditation for more details on how you can learn to do relatively simple, enjoyable meditation.

• Use Humor to Have Fun:  Most people don't usually equate psychotherapy with having fun, but in my blog article, Humor Can Be an Effective Tool in Psychotherapy, I discuss how many of my clients, who are starting to feel better, can often see the humorous side of a situation that they might not have been able to see before.  When it's used in a tactful way, humor can be an effective way of managing stress and building a sense of resilience.  A sense of humor can be a great source of inner strength and fun.

• Maintain a Healthy Lifestyle:  Eating nutritiously, getting enough sleep, and reducing your alcohol intake are all part of a healthy lifestyle.  In a prior blog article, Tips For Self Care for Caregivers, I discuss the importance of self care. The article focuses on caregivers, but most of the tips that I give can apply to anyone.

• Build Up Your Self Esteem:  How you feel about yourself can affect how you deal with life's ups and downs.  If you're putting yourself down and engaging in negative self talk, it's going to be that much harder for you to deal with the stressors in your life.  In two prior blog articles that I wrote, Developing Self Esteem and a Sense of Self Mastery and Are You Sabotaging Yourself With Negative Self Talk?, I address these issues and provide some tips on how to boost your self esteem.

• Keep Things in Perspective:  Ask yourself:  How many times have you worried about a particular problem only to find that the problem isn't as bad as you thought?  Worrying about the problem didn't help, and it might have actually gotten in the way of your being able to problem solve.  Being able to keep things in perspective can help you become more aware of what's really important to you and what's not.  Sometimes, you have to let go of certain things that, in the long run, really aren't that important.  In my blog article, Accepting the Things You Cannot Change and Having the Courage to Change the Things You Can, I discuss this important concept which is a central part of most recovery programs.  In my blog article, Are You Overreacting to Routine Disappointments?, I discuss how you can learn to let go of routine disappointments so you're not constantly overreacting.

• Find Meaning in Your Life:  In my blog article, A Search For a Meaningful Life, I discuss Victor Frankl, a psychoanalyst who was developed Logotherapy and who has been an inspiration to millions of people.  Dr. Frankl was a holocaust survivor.  Even at the lowest point in his life while he was in a Nazi concentration camp and he thought his beloved wife was probably dead, he found meaning in the every day things of life.  His attitude was that although his captors could imprison his body, they couldn't imprison his mind. Finding meaning in your life is often a matter of becoming more aware of the things you have to be grateful for, even in the midst of adversity.  Most of us have never had to go through the ordeals that Victor Frankl endured, so it's worthwhile to ask yourself what you're focusing on:  Do you tend to focus on the negative to the exclusion of seeing the positive things in your life?

• Stay Connected With Your Emotional Support System:  Having supportive friends and family can make a tremendous difference when it comes to managing stress.  Talking about things that are bothering you can help alleviate stress.  At the same time, it's important to choose wisely when it comes to talking about your problems.  You want to choose people that you trust and that you know have your best interests at heart.

A Short Scenario of Being Resilient and Coping With Life's Ups and Downs:

Mary:
Mary is a friend who is a hospital emergency room social worker.  She has one of the most stressful jobs you can have in health care, and she's been doing this job for over 15 years.  Everyday she deals with a steady stream of patients who are in crisis either physically or mentally.

Mary told me that she has seen many other ER social workers with a lot less time on the job who have crashed and burned under the unrelenting stress.  So, I asked her how she has been able to deal with her stressful job at the same time that she is raising a family, and the things she told me are the same tips that I've provided above.

First:  Mary starts everyday by either going to the gym or going for a long walk before she gets to her job.  On the days when she doesn't have time to get to the gym, she gets off the subway one stop before her regular train stop and walks the rest of the way.  It takes her an extra 15 minutes, but she feels it's worth it in terms of managing her stress.

Second:  During her lunch hour, she finds an empty office and listens to guided meditation recordings that help her to relax.  She told me, "I can feel my whole body start to relax as I listen to the meditation and feel myself being transported to a relaxing place in my mind."

Third:  Mary told me that it's very tempting, especially when she's busy, to grab whatever junk food she  might find at the lobby news stand, but she makes sure she brings a healthy lunch with her so she's not tempted to eat junk, which might be momentarily gratifying, but will make eventually pack on the pounds.

Fourth:  Mary and her colleagues spend time, even if it's a few minutes, talking about their day.  They also usually find something funny to joke about to relieve stress.

Fifth:  Mary has a lot of good close friends that she talks to on a regular basis.  She has even maintained college friendships. She has also developed new friendships among colleagues.  She has one of the best emotional support systems of all the people that I know.

Sixth:  Since Mary has been a competent ER social worker for a long time, so she has a good sense of her self worth.  Even when she might be dealing with a difficult administrator, she maintains her cool and keeps her sense of perspective.

There are times when there are fatalities in the ER, which are difficult for everyone.  But Mary has learned to deal with these traumatic incidents by asking herself if she did everything possible that she could to help the patient.  If she knows she did everything she could, she doesn't blame herself.  She and her colleagues also support one another through those difficult times.

Seventh:  Last, but not least, Mary finds a lot of meaning in her personal life as well as in her career.  On most days, she feels grateful for the loving people and good things in her life.  Although she isn't part of a formal religion, she has a sense of spirituality in nature, and she tries to be in nature as often as possible because she finds it nurturing.

Mary has had plenty of adversity in her life, but she has developed the capacity to bounce back because of her resilience and her strong support system.

Getting Help in Therapy
Not everyone is as fortunate as Mary to have developed resilience and have a strong support system.  Many people are struggling on their own and they haven't developed the resilience to deal with life's adversity.

Even people who have a strong support system often find that there are times in their lives when they need the help of a licensed mental health practitioner.

If you feel overwhelmed by your problems, rather than struggling on your own, you could benefit from seeing a licensed psychotherapist who has experience helping clients to become more resilient so they can overcome their problems.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  

I work with individual adults and couples, and I have helped many psychotherapy clients to overcome their problems so they can lead more fulfilling lives.

To find out more about me, visit my web site: 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 Staying Calm During Uncertain Times - Part 2

In my prior blog article,  Learning to Stay Calm During Uncertain Times: Part 1, I introduced the idea that uncertainty, at one time or another, is a common experience for most people.  We can't avoid times of uncertainty, but we can learn how to cope with these difficult times.

Learning to Stay Calm During Uncertain Times

So, I'd like to focus on the kinds of things you can do to get through uncertain times, and then in my next blog article, I'll discuss how I work with psychotherapy clients, who are going through difficult times, when they come to see me in my psychotherapy private practice in NYC.

What Can You Do to Help Yourself During Uncertain Times?

Stay in Contact With Your Emotional Support Network During Uncertain Times
During times of uncertainty, it's very important that you stay in contact with your emotional support network.  This is not the time to isolate.  Friends and family, who are emotionally supportive, can help you during difficult times, not only by being available to see you and talk to you, but also to remind you that you've gotten through difficult times before and, chances are, you'll get through this stressful time as well.

On the surface, this might sound simplistic, but looking beyond the surface, it's often true that, when people are going through a lot of stress and they're caught up in their worries, they forget just how resilient and resourceful they really are.

It often takes people who know you well, but who aren't directly involved in the stressful situation, to remind you of your strengths.  This isn't just a matter of cheer leading.  It's really about these loved ones helping you to reconnect with your core strengths, which you can lose touch with when you're filled with worry during uncertain times.

Take Extra Care of Yourself During Uncertain Times
I can't stress this enough:  It's important for you to take extra care of yourself during stressful times.  Many people do just the opposite, and this makes a difficult time even worse.

Getting enough sleep, eating well, engaging in exercise that's right for you, meditating, and finding other healthy ways to take care of yourself is essential to getting through a difficult time.

Also see my blog articles:  
Staying Emotionally Grounded During Difficult Times
Mind-Body Connection: Responding Instead of Reacting to Stress

Reconnect With Your Core Emotional Strengths:  What Did You Do When You Were Faced With Challenges in the Past?
It can be very helpful to remember a time that was difficult from the past and to ask yourself how you were able to get through that time.  Even if your current problem is very different from your past problem, there are often core strengths that you can call on within yourself that you might not be in touch with now.

For instance, maybe, in the past, you were able to step outside your problem and be more objective about it.  Maybe this enabled you to think of new possibilities or possible solutions that you couldn't see when you were immersed in your subjective experience of the problem.  Maybe it also enabled you to objectively assess that the odds of the worst case scenario occurring were very low, and this provided you with a sense of relief.

Think of Someone You Admire:  What Would He or She Do?
Sometimes, no matter how much you try, you might not be able to get in touch with your own strengths.  You can get caught up in a cycle of negative thought patterns that rob you of self confidence.

But, taking yourself out of the situation completely and thinking about someone else that you know and admire, you can begin to imagine what that person might do with a similar problem.  This could be a friend, a family member, a mentor, or even someone that you haven't been in touch with for a long time, like your high school coach.


It doesn't matter if this person isn't in your life any more.  In fact, it doesn't even have to be someone that you know.  If you can't imagine anyone you know handling the situation, you can imagine someone that you don't know personally.  So, it can a character from a movie, TV program, play or book that you admire and that you think would be a good role model for you with regard to the particular situation that you're dealing with at the time.

What matters is your ability to use your imagination in a positive way to help you tune into the qualities that you like in this person and to imagine yourself having these qualities as well.

Imagination is Very Powerful in Both Positive and Negative Ways
Just think about how your imagination can take you deeper into worry and self doubt, even when there's not much objective evidence for what you're imagining.

So, rather than using your imagination to create worst case scenarios, why not use your imagination to connect with someone or something that will help you?  It can be just as powerful and lead you out of your sense of worry and stagnation.

Also, see my blog article:
Using Your Imagination as a Powerful Tool For Change

I will discuss this further in my next blog article as well as how I help clients in my psychotherapy practice in NYC learn to stay calm during stressful, uncertain times.

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.

Self Help Tips For Staying Calm During Uncertain Times - Part 1

At one time or another, we've all experienced anxiety that's fueled by uncertainty.  We live in uncertain times, and learning how to tolerate uncertainty and to stay calm is important to overall health and well-being.  But how can you really learn to stay calm in the face of uncertainty? I will begin this discussion today by describing this common problem, and in my next article, I'll discuss how I help clients using a mind-body oriented approach to therapy.

Staying Calm During Uncertain Times

Anxiety and Self Doubt, Fueled By Uncertainty, Is a Common Problem
As a psychotherapist in NYC, I see many clients who come to therapy because they're feeling anxious and filled with self doubt about uncertain aspects of their lives.  Unfortunately, for many people, uncertainty permeates every aspect of their lives.   This makes it difficult for them to cope and maintain a sense of emotional balance.

Uncertainty in Our Personal Lives and at Work
Uncertainty can occur in just about any area of our lives, including our personal lives and at work.    The ambiguity that is involved with uncertainty can cause a lot of stress, especially if you allow yourself to go over and over a situation in your mind trying to figure out every angle, every possibility, and every possible solution.

Worrying About Uncertainty Makes You Feel Worse
The more you allow yourself to worry, the more anxious you'll become because, in many situations like this, there are too many unknowns that you can't control, and worrying obsessively only makes you feel worse and less able to cope with the problem.

Let's take a look at an all too common example of uncertainty:
Imagine that you're dating someone that you really like. You always look forward to seeing this person, and she (or he) seems to really like you too.  All along, everything seems to be going well. It looks like this could develop into a wonderful relationship.  Usually, you talk or text every couple of days.

But then, suddenly, out of the blue, you stop hearing from her (or him) for several days.  You leave phone messages and send email, but you hear nothing.  There's only silence and a rising sense in you of uncertainty and anxiety as you wonder what happened.

Uncertainty Can Lead to Anxiety and Self Doubt
This type of situation, and the uncertainty that goes with it, would cause many people to feel anxious.  They would wonder if they were responsible, somehow, for this sudden lack of communication.  A lot of people would obsess about what they said or did during the last date that might have caused this sudden estrangement.

As Anxiety and Self Doubt Build, Even a Negative Response is Preferable to None
A clear answer is usually preferable to ongoing uncertainty, and most people would rather have a definitive answer, even if the answer is "I don't want to see you any more" than to continue to wait and wonder.

Often, in situations like this, the need for clarity can lead to making mistakes as self doubt and anxiety build to an intolerable level.

Anxiety and Self Doubt Can Lead to Regrettable Mistakes
So, let's say you're in this situation, your imagination takes over and your thoughts are off to the races:  "Maybe she (or he) started dating someone else that she likes better and she doesn't want to see me any more."  And as anxiety and self doubt build inside you, you might say to yourself, "She's got some nerve brushing me off this way!  Who does she think she is, anyway?" and you might allow yourself to get carried away by your thoughts and send an angry text in haste.

Then, a day or so later, you get a text back and she tells you that she has been home very sick with a nasty flu, so sick that she couldn't even pick up the phone or write or read a text.  But the first text she saw, as she started to feel a little better, was your angry text, which made her feel awful.  She says that she'd rather not date anyone who can be so cruel, and she asks you not to contact her any more.

So, maybe you wouldn't go as far as sending an angry text, but it's not hard to imagine that many people would.  The point is that in this case and many other similar examples, the anxiety that was fueled by uncertainty and self doubt can lead to your making big mistakes because the imagination conjured up the worst case scenario.

Maybe the situation can be salvaged or maybe not.  But this example highlights the need to be able to develop the capacity to tolerate uncertainty with a sense of calm and emotional balance.

The Mind-Body Connection: Mind-Body Oriented Psychotherapy
Over the years, I've discovered mind-body oriented psychotherapy is usually the most effective type of therapy for learning to deal with anxiety that is fueled by uncertainty.   

In upcoming blog articles, I'll give you tips on what you can do for yourself to help you get through difficult times.  

I'll also discuss how I use the mind-body connection and, specifically, clinical hypnosis, Somatic Experiencing therapy, and EMDR to help clients to develop the capacity to stay calm during uncertain times.

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

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

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

Also see:  Staying Calm During Uncertain Times - Part 2

Are You Living Your Life Feeling Trapped By Your Childhood History?

It's not unusual for adults to live their lives feeling trapped by circumstances they experienced as a child that no longer apply to them as adults, especially if that history involved difficult times or family trauma.  

Feeling Trapped By Your Childhood History

Sometimes, people who have this problem aren't aware that they're reliving their child history.  But even when people are aware of it on a rational level, they might still feel trapped in old circumstances on an emotional level.  It can feel very disturbing to know one thing but to feel another.   And the fear of making a change can be overwhelming.

The following vignette is a composite of many cases with all identifying information changed to protect confidentiality. This case illustrates how someone felt trapped by her family history, a history that no longer applied to her current life, even though she knew rationally that her circumstances had completely changed.  It also illustrates that it's possible to overcome this problem in therapy:

Mary:
Mary grew up in a family where her mother, who was a single parent, struggled financially throughout Mary's childhood.  Her mother worked in a factory, where she was frequently furloughed for periods of time before she was called back in again to work.

Her mother was always worried about money.  Mary was painfully aware that her mother could barely afford the basic necessities.  At a young age, Mary also worried a lot about their circumstances.  She was very careful to turn off lights when she left a room to save on the electric bill and she was always vigilant about not wasting money in other ways.

When Mary was in high school, her mother told her that if she wanted to go to college, she would have to get good grades to get a scholarship because there was no money to pay for college.

Fortunately, Mary was awarded a scholarship to go to college. She also worked two part time jobs.  She was frequently too exhausted to participate in social activities and she was also anxious about spending her money to go out because her money was tight.

Ten years later, Mary had a good job where she was earning a high salary, but she still felt very anxious about money.  She knew, logically, that she had the money for what she called "extras," like going on vacation or treating herself to a massage but, on an emotional level, she continued to feel "poor."

By this time, Mary's mother was married to a man who made a good living, so Mary's mother no longer had financial problems.  She also didn't have to work at the factory any more.  But she still worried about money just as much as she ever did, even though her husband reassured her repeatedly that she didn't need to worry.

Mary worked very hard as a manager, but she wasn't enjoying her personal life.  She had close friends who saw Mary scrimping on things for herself.  Seeing this, they told Mary that she was living her life based on a childhood history that no longer applied to her current life.

Mary agreed with her friends, but she didn't know how to get over her anxiety about spending money.  At times, she wondered, "Am I crazy?  Why do I know one thing, but I feel the complete opposite emotionally?"  She felt deeply ashamed about her problem.

Mary tried to override her anxiety by treating herself occasionally to fine dining with friends because she knew that what she felt on an emotional level was a distortion of her current reality.  But whenever she did this, regardless of how many times she told herself that she wasn't living under impoverished circumstances any more, she would still feel anxious.  Her fear was getting the best of her, so she couldn't enjoy the experience of treating herself.

Finally, after deciding that she no longer wanted to feel emotionally imprisoned by her family history, Mary began therapy.  And the only reason she could allow herself to spend money on therapy was because she knew her company had an insurance plan with excellent out of network benefits.

Mary and I worked together to free her emotionally from her childhood history by using clinical hypnosis and Somatic Experiencing to update her experience of herself on an emotional and visceral level.  There was no quick fix for Mary's problem, which was deeply ingrained.  But, over time, her feelings gradually became more aligned with her thinking so that she not only knew on a rational level that she was no longer poor, but she felt it on visceral level.

Mary also let go of the guilt she felt about spending money on herself.  We did "inner child" work for the younger aspect of herself that felt so undeserving.  We also worked to help Mary feel less emotionally enmeshed with her mother.

Finally, over time, Mary was able to enjoy her life and give herself much-needed self care without worry or guilt.

Living Life Based on Old Circumstances That No Longer Apply to Your Current Life
As I mentioned earlier, when children, who grew up under difficult or traumatic circumstances, become adults, they often "carry" these emotions with them and live their lives as if they were still in their childhood situation.

They usually know their current life is different from their childhood, but they don't feel it and, often, no amount of trying to convince themselves on a rational level works for them.

Getting Help in Therapy
If you're living your life based on a personal history that's no longer true for you now and you're having difficulty overcoming this on your own, you're not alone.

This is a common experience.  Rather than continuing to suffer, you could benefit from working with a licensed mental health professional who uses clinical hypnosis and Somatic Experiencing to help you "update" your internal emotional world.

For anyone who is not familiar with clinical hypnosis and Somatic Experiencing, I've included links below under Resources that provide more information.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR 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.