Maintaining a Balanced Life During Early Recovery

Early recovery can be challenging.  It's not unusual for people in early recovery from alcohol or drugs (or other addictive behaviors) to struggle with how to maintain a balance between their recovery activities and life in general.

Maintaining a Balanced Life During Early Recovery

This assumes that individuals are ready to attend 12 Step meetings.  For many people, who have been traumatized emotionally, hearing some of the stories of other people's loss and trauma, can be retraumatizing of them.   For those people, attending therapy with a licensed mental health professional who has expertise with substance abuse and trauma is preferable.

Other people, who are in early recovery and who aren't triggered by going to meetings, are relieved to have a place in 12 Step meetings where they feel understood and they gain a new sense of hope and renewal.


But sometimes, by focusing only on 12 Step meetings, they neglect their primary relationships and responsibilities. The result is that their lives become unbalanced and this often causes conflicts with their families.

Early Recovery Requires Commitment

It's easy to see how things can become so unbalanced.

Early recovery involves a big commitment of time and energy. For many people in early recovery going to 12 Step meetings on a daily basis is the only thing standing in their way to keep them from acting on their cravings for alcohol and/or drugs.

 For them, the 12 Step slogan of "One Day at a Time" might be more like "One Minute at a Time" or "One Second at a Time" as they struggle not to give in to those cravings.

The 12 Step meetings, the fellowship in the meetings, and their sponsors are like life lines. If they're already suffering from substance abuse-related health problems, early recovery activities could be all that's keeping them from death's door.

But the toll this can take on family and close relationships can be huge.

Initially, spouses or partners of people in early recovery are usually so glad that their loved one stopped abusing substances and gotten help. These family members might have been asking and pleading with their loved one to get help for years. But when they see that early recovery activities seem to have taken over their loved one's life, they often feel disappointed and alienated from their loved one.

Whereas before their loved one wasn't available to them because of the substance abuse, now they feel he or she isn't around because of early recovery activities. This can be very disappointing and frustrating. It can lead to arguments as family members ask for more time and attention.

 People in early recovery, in turn, often feel that spouses and family members don't understand. They might begin to shut down emotionally even when they are around their spouses and families. All of this can lead to further alienation and a sense of hopelessness for everyone involved.

Repairing Relationships During Early Recovery

What can be done to repair these relationships and to achieve balance?

Well, to start, the person in early recovery can benefit from talking to people in the 12 Step rooms who have a lot more experience and success in recovery and who have learned to achieve balance in their lives.

Learning to achieve this balance can be a challenge, especially if the person new to recovery might never have led a balanced life before.

A seasoned sponsor can help someone in early recovery to navigate through this challenge to help achieve this balance.

With more experience in recovery, this often happens more easily, as compared to the early stages of recovery.

Spouses and loved ones of people in early recovery can benefit from attending Al-Anon to get support and a sense of hope. Sponsorship is also available to them in Al-Anon.

Getting Help in Therapy
A licensed therapist with expertise in substance abuse and trauma can help clients in recovery to develop the necessary coping skills to maintain a balanced life.

About Me

I am a licensed NYC psychotherapist who provides psychotherapy services to individuals and couples, including contemporary dynamic talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

Helping clients with substance abuse and emotional trauma are among my specialities.

To find out more a out 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.

Turning Lemons into Lemonade For Life's Ordinary Disappointments

There's an old saying about life's everyday disappointments: When life gives you lemons, make lemonade. Some people have such an extraordinary knack of being able to reframe life's inevitable disappointments to make a negative into a positive. 

Turning Lemons Into Lemonade For Ordinary Disappointments

They are the 10 or so percent of the population who are naturally optimistic. They can find the silver lining in the darkest storm clouds: Stuck in traffic? No problem, it's an opportunity to remember to breathe and relax. 

Their car needs repairs? No problem, it's an opportunity to walk and get more exercise.

Everyday disappointments and frustrations are taken in stride with their naturally positive attitude and resilience. For most of the rest of us, this is a way of being that doesn't come naturally and would need to be cultivated.

Ordinary Disappointments and Frustration

Before I go on, I want to stress that I'm referring to life's ordinary and inevitable disappointments and frustrations. I'm not referring to tragic losses or trauma. 

It would be cruel to expect, for instance, that a parent who loses a child would be looking for a silver lining in this loss--although, there are some very extraordinary people who galvanize themselves and find the strength to help others, even after tragic losses. 

Mothers Against Drunk Drivers and other similar groups are examples of this, but the ability to do that is different from reframing a loss or disappointment.

So, how can we learn to "make lemonade" when life gives us lemons? How can we learn to develop this skill that resilient and resourceful people have? And why is it important to learn this life skill?

Well, I'll address the second question first by saying that, on the most basic level, research has shown that people who have an optimistic attitude tend to be healthier and live longer. They feel confident and more in control of their lives. And, generally speaking, they tend to be happier than people who have a more pessimistic outlook on life, so the quality of their lives is better.

As to how to develop a more optimistic attitude, the first step is to have an awareness of how you think and respond to ordinary disappointments. Do you feel angry and defeated or are you able to take an everyday disappointment in stride?

To be able to determine this, you need to be able to step back in a non-defensive way and be honest with yourself. 

At times, this can be challenging, but if you can review in your mind how you handled the last few annoying incidents in your life, all things being equal, you would probably get a good sense of where you are on the optimism/pessimism spectrum. 

And I want to stress that there is a spectrum--it's not a black and white or all or nothing thing. And, of course, there are especially stressful times in life when you can feel overwhelmed and, even the most optimistic person would feel challenged, but I'm not referring to these times.

So, let's say that you've determined that you're someone who gets easily thrown by everyday disappointments and you want to learn to change the way you respond. How do you do that? My recommendation, after you learn to develop an awareness of your habitual pattern is to practice reframing these events for yourself.

Now, if you're a naturally dyed-in-the-wool pessimist, this will be challenging, no doubt about it. 

If the idea of reframing a relatively minor disappointment into a potential opportunity seems impossible for you, you might need to start by using your creative imagination to imagine how an optimistic person might look at it. Suspend disbelief and put yourself in the shoes of an optimistic person to fathom how he or she might reframe an annoyance or disappointment.

Even if, at first, this seems completely foreign to you, chances are that if you practice this diligently, you can change the way you think and respond to life's ordinary downturns. And the ability to reframe these disappointments can help you to be a more resilient and resourceful person who can respond to life in a creative way.

About Me

I am a licensed New York City psychotherapist who provides psychotherapy services to individuals and couples, including contemporary talk therapy, EMDR, clinical hypnosis, AEDP, EFT, Somatic Experiencing and Sex Therapy

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.

Being Open to New Experiences

Do You Feel Stuck in Your Life?
As a psychotherapist in New York City, I see many clients who feel they're stuck in their lives. Over time, if this feeling persists, it often leads to anxiety and depression, which usually has the effect of making people feel even more stuck and leads to even greater feelings of constriction. Life can become dull and uneventful. For some people, it becomes hard to climb out of this rut and all they can see is more of the same.

Being Open to New Experiences

Fear of Trying New Experiences

For many clients who have gotten into this kind of rut, life has become too routine. They're living their lives in a habitual way. For some, there's a fear of trying new experiences. Even though they may feel unhappy with the well-worn routines in their lives, their fear of trying a new experience paralyzes them emotionally from stepping outside the "box" they're in.

Working Through a History of "I'm not good enough"

Often, it's necessary to work through a history of feeling "I'm not good enough" or "I don't deserve to be happy." The roots of this problem can be deep. But, in the mean time, when working with clients who are caught in this kind of rut, I often recommend that they remain open to new, positive experiences. A new experience doesn't have to be a big change. It can be something small, like walking down a different street to go home, window shopping in a store where you wouldn't normally go, listening to music you don't usually listen to or think you don't like or trying an ethnic dish that's new for you.

Beginning with Small Changes to Step Outside Your Comfort Zone

The idea of being open to new experiences is to help you change the habitual cycle of "stuckness" and boredom in your life. Small changes often lead to bigger changes as you overcome your fear of stepping outside your comfort zone. This usually isn't the "magic bullet" to overcoming a lifelong self experience of feeling undeserving, but it gets you to start taking steps to make changes while you're working with your therapist to overcome the underlying issues that are driving this feeling.

Taking an action, as opposed to only analyzing your problems, is crucial to making positive changes. One of the criticisms of traditional talk therapy is that people spend years analyzing their problems, but nothing changes. Clients might become more insightful about their problems, but it remains an intellectual process. If you don't actually take steps, even very small steps, nothing changes. So, when I work with clients who are stuck in an emotional rut, whether we're doing hypnotherapy, EMDR, Somatic Experiencing or contemporary talk therapy, I often also encourage clients to be open to new experiences.

Starting with Small Changes Can Lead to an Upward Spiral

What might, at first, seem like a small change, can lead to an upward spiral to bigger and more satisfying changes.

For instance, a willingness to explore a new way of going home could lead to the discovery of a costume jewelry shop that you've never seen before. You go in and, possibly, this leads to a conversation with the store owner who designs this creative jewelry. Maybe you discover that she also conducts jewelry design classes for beginners, which piques your curiosity. This could lead to your taking a class in jewelry design which, in turn, could lead to a new and interesting hobby--or maybe, if you really love it, you eventually sell your designs in the store. Maybe, if you're really passionate about it, you even get your own website to sell the jewelry you're designing.

Opening Up to Your Creative Imagination

It all starts with a willingness and curiosity to be open to new experiences and a willingness to take the first step. Will this be the answer to all your problems? Probably not. But it helps to break the cycle you might be caught in right now. It also helps you to see there are an endless source of possibilities for new experiences if you're willing to give them a try. Often, the key to pursuing new, positive experiences is allowing your creative imagination to open up to new possibilities.

About Me

I am a licensed New York City psychotherapist who provides mental health services to individuals and couples, including contemporary and dynamic psychotherapy, clinical hypnosis, EMDR, and Somatic Experiencing.

I work with individual adults and couples.

To find out more, 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.

All Hypnosis is Self Hypnosis

All hypnosis, whether it's through a hypnotherapist or you've learned to do it on your own, is self hypnosis. You might wonder how hypnosis that is conducted by a hypnotherapist can be self hypnosis. Well, the answer is that, during hypnosis, you have complete control of the messages you take in. 

All Hypnosis is Self Hypnosis

Even when a hypnotherapist is helping you to get into a hypnotic state, you're in a relaxed state, you always maintain dual awareness of everything around you, and your unconscious mind will only take in what's best for you.

Misconceptions about Hypnosis
People often have misconceptions about hypnosis. Unlike the unfortunate caricature of stage hypnosis, during clinical hypnosis, you're completely aware of the here-and-now as well as whatever you're working on in hypnosis. The hypnotic state is a relaxed, natural state that we all go through many times a day. Daydreaming or going into reverie states is similar to the hypnotic trance state.

Hypnosis is Not a "Quick Fix"

Although safe and effective when it's performed by a licensed mental health professional, hypnosis is not a "quick fix" or something that is "done to" you. This is another misconception--that you can sit back and it will be as if someone is waving a magic wand over you. In fact, if you're not really motivated to change whatever issue you're presenting to the hypnotherapist, hypnosis often won't work.

If you work with a hypnotherapist (as opposed to a hypnotist), you can also learn to do hypnosis on your own (what most people refer to as self hypnosis) for many emotional and physical conditions, including anxiety, medical issues, and pain management.

You Don't Need to Go Into a Deep Trance to Benefit From Hypnosis

Clinical hypnosis is not a panacea, but it has been very helpful for many people over the years. Even though some people are more easily hypnotized than others, you don't need to go into a deep trance to experience the benefits of hypnosis. In fact, Milton Erickson, the father of modern hypnosis, was a master at conversational hypnosis.

About Me

I am a licensed NYC psychotherapist who provides mental health services to adults, including talk therapy, clinical hypnosis, Somatic Experiencing, and EMDR.

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.

Spirituality: Are You Contemplating Your Faith-of-Origin in a New Light?

For many adults, especially during times of crisis, there comes a time when they contemplate their faith-of-origin in a new light. 

This often occurs after decades of having bitterly rejected a belief system from childhood. It's not unusual for people who are reevaluating their faith-of-origin to be surprised and confused that they're even considering returning to their childhood religion, not realizing that this is a common experience for many people at certain stages in their lives. 

What's even more surprising for some people is that their childhood faith still resonates for them emotionally on some level.

How does this happen?  Well, as you can imagine, this process is different for everyone. However, it often occurs during major life transitions or during difficult times. 

Are You Contemplating Your Faith-of-Origin in a New Light?

For some people, it can occur because they feel adrift in life without a spiritual anchor. It may be that there were aspects of their childhood religion that they miss. At a younger age, they might not have had the ability to overcome the challenge of holding onto what they liked and rejecting what didn't resonate. They took an all-or-nothing attitude. But now, either due to an emotional crisis, a life transition or a longing to feel a deeper spiritual connection, they're willing to revisit these issues with an open mind.

For many people growing up as children where they had no choice about participating in the family religion, rejecting their faith-of-origin was part of becoming independent from their families. This rejection was part of becoming an adult who could make his or her own choices in life. It was part of declaring themselves as autonomous individuals. 

As young adults, they might have felt that they closed the door on their faith-of-origin, never to be opened again. And yet, as an older adult, when they feel secure in their independence, there's no longer a need to take such an absolute stand, and they're usually surprised to realize that they're missing parts or all of their former religion. What once seemed to have no meaning to them now seems to hold some significance after all.

Contemplating your faith-of-origin can be a challenging process with many confusing feelings. It can challenge your sense of self and long held beliefs. It can also be a time of feeling newly inspired. It all depends on how you approach this process. With patience, empathy for yourself and a healthy sense of curiosity, it can be a time when time of spiritual and emotional renewal.

It's often comforting to know that many people, especially during middle age or later, go through this reevaluation process about their childhood religion. 

If you're willing to spend time contemplating what still remains true for you, what you want to keep from your faith-of-origin, and what you might want to let go of, you may find a lost part of yourself. You might discover that your childhood belief system is still intact in some form. 

You might find yourself reconsidering childhood beliefs in a new light with a more nuanced adult understanding. For many people, this gives new meaning to their lives and helps them to feel more emotionally integrated.

Spirituality is an important part of many people's lives. Whether they're reclaiming their faith-of-origin on their own terms now or they're exploring new beliefs, it can be an emotionally rewarding time if you can be compassionate with yourself, tolerate the uncertainties that are often inherent in the process, and allow this process to unfold in a way that's right for you.

About Me

I am a licensed NYC psychotherapist. I provide psychotherapy services to individual adults and couples, including talk therapy, hypnotherapy, EMDR, and Somatic Experiencing.

I have helped many clients to explore and reconcile their spiritual beliefs in a way that are meaningful to them.

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.

Dating vs Being in a Relationship: Take Time to Get to Know Each Other

In these times of "instant" everything, I find that people often rush into relationships very soon after getting to know each other. After just a few weeks, instead of getting to know each other over time, they're already defining themselves as a couple in a relationship. Shortly after that is when problems usually begin because they don't really know each other.

Why Are People Rushing into Relationships Before They Know Each Other?

I'm not sure why people are in so much more of a rush than they used to be. Possibly with the advent of online dating websites, people feel more pressure to get into a committed relationship quickly because they're aware that there's lots of "competition" out there. Anecdotally, I hear this from both friends and clients that there's a feeling that if you don't "snap up" that the person you like, he or she will keep the online dating profile active and find someone else.

Dating vs Being in a Relationship

Are You Filling in the Blanks Based on Your Fantasy?

When you jump into a committed relationship with someone you hardly know, you usually fill in the blanks about that person based on the fantasy you want. Often, people don't even realize that this is what they're doing until they're surprised to discover something about this person they didn't know and don't like. Then, they're disappointed and wonder how this happened. But the truth is that they didn't really know the other person hardly at all before they rushed into the relationship.

Taking Time to Get to Know Someone Before Getting into a Relationship

My grandmother used to use an expression that my cousins and I used to laugh at called "keeping company." It was sort of the equivalent of dating, but maybe a little more serious. This quaint expression meant that two people were interested in one another and romantically involved. Usually, at that point, they would have met each other's families and it was assumed that they were not seeing anyone else. The next step, if there was going to be a next step, would be that they would get engaged.

While I'm not definitely suggesting that we go back to how things were in my grandmother's day when it comes to relationships (there was a lot that was prudish and oppressive), I see certain advantages to people taking their time and dating for a while before they define themselves as a couple.

How long is "a while"? Well, I think it takes at least a year, ideally two years, before you can get to know someone well enough to have some idea if you're compatible. Of course, you might say it could take a lifetime to get to know someone, and I wouldn't disagree with you. Most of us know couples who thought they knew each other well and then after 25 years discover that they don't.

My point is that the purpose of dating is to take the time to get to know each other over a period of time, seeing each other in all kinds of circumstances (not just over candlelight where everyone looks good) and making a decision based on reality and not fantasies.

Getting to Know Each Other to Establish a Foundation for a Stable Relationship

So, before you hire that U-Haul to move your stuff into the other person's apartment after just a few weeks or months, get to know him or her better. If it's not going to work out, it's better to know in the let's-get-to-know-each-other dating phase than after you call yourselves a couple. If it's going to work out, you'll have built a good foundation for a stable relationship.

About Me

I am a licensed NYC psychotherapist who provides psychotherapy services, including talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing for 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 my article:  Dating in Your 40s, 50s, 60s and Beyond

Are You Dating Someone Who Has Problems Making a Commitment?

Overcoming Codependency: Focus on Yourself First

If you're a spouse or partner of someone who is actively drinking or drugging, no one has to tell you how difficult life can be. 

Overcoming Codependency

Anxiety about raising your children, paying the bills, and just getting through the day can be an uphill struggle. 

Trying to decide whether to stay in the relationship or go might be ever present in your mind. 

Often, one of the biggest challenges is the effect all of this has on your self esteem. When you don't feel good about yourself, you're less likely to take care of yourself in basic ways. Getting proper rest, eating healthy meals, proper grooming, and feeling entitled to emotional support often all go out the window because you're so focused on what new calamity will happen next because of your spouse.

Overfunctioning for Your Spouse

At this point, you might be so wrapped up in over functioning for your spouse that you don't even realize that you're neglecting yourself. All of this can have serious consequences for your physical health and emotional well-being.

Codependent Behavior Patterns Can Be Very Ingrained

At times, especially if codependent patterns are very ingrained, you might not know where to start. How do you change habits that you've formed over a lifetime? It might seem impossible, but thousands of people just like you have learned to turn their lives around through Al-Anon.

Al-Anon

Al-Anon is a supportive, nonjudgmental self help environment where people share their hope and experience about what has worked for them in their recovery from codependence. There is no advice giving or preaching. People share the tools of the program in terms of what has been helpful to them. In the spirit of Al-Anon, you can "take what you like and leave the rest," which means you are free to accept or reject either part or all that has been shared. There's also an opportunity for sponsorship for additional support.

In Al-Anon, people don't pretend they have all the answers. Codependent issues might still be a struggle for many, but they are still committed to the Al-Anon process.

Getting Help to Overcome Codependency

As a psychotherapist, I've worked with many spouses and partners of people who have substance abuse problems, and many of them have benefited from the tools they gained in Al-Anon, which is why I usually recommend it.

No one can tell you what's right for you in your life. Whether you stay or leave your relationship is up to you. But, whatever you decide, it's important to get the emotional support that you need and deserve so you can take care of yourself first.

About Me

I am a licensed NYC psychotherapist. I provide psychotherapy services, including talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing to adults. 

I work with individuals and couples, and I've helped many people to overcome codependency issues.

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

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

Also see my articles:
Al-Anon: Beyond Reciting Slogans

Getting to Know the Only Person You Can Change: Yourself

Ambivalence and Codependence in the Mother-Daughter Relationship

Early Recovery: You've Stopped Drinking. Now What?

Early recovery can be a challenging time for a person struggling with alcoholism and his or her family. Putting the alcohol down is a positive step which, in itself, can be difficult.

Early Recovery: You've Stopped Drinking. Now What?

For many people, who suffer with alcoholism, alcohol represents a "friend" who is always there to comfort and soothe. The thought of giving up drinking can be very scary during the early stages of recovery. But, beyond that, once you've made the decision to stop drinking, you'll need emotional support and the tools of recovery to help you cope with the challenges that most people face when they're newly sober.

So, what are the challenges of early recovery? 
Well, to start, once you're newly sober, you might find that drinking might have been a maladaptive way of self medicating depression, anxiety or other emotional problems. Alcohol might have done a "good job" of masking a mood disorder that is now more readily apparent.

Early Recovery: You've Stopped Drinking.  Now What?

Early on, when you first experience the discomfort of these feelings, you might be tempted to pick up again. But, before you do, recognize that many people have successfully stopped drinking and have learned new ways of coping with an underlying mood disorder that was masked by excessive drinking.

During early recovery, don't try to go it alone:
Aside from psychotherapy, getting social support in Alcoholics Anonymous (A.A.) or Rational Recovery is often the first best step in getting help to overcome the challenges of early recovery. Meeting other people, who have successfully navigated through the challenges of early recovery and who maintain their sobriety, can feel like a life line. "One Day At A Time" is not just an empty slogan--it's an important coping strategy. Getting phone numbers from A.A. members, reading the literature, attending meetings on a regular basis, and getting a sponsor are all important aspects in recovery.

Psychotherapy with a therapist who has expertise in early recovery can be helpful in dealing with the underlying emotional issues that often come to the surface when you stop drinking. An experienced therapist can help you to learn new coping skills to overcome a mood disorder and face life's challenges as a newly sober person. Beyond psychotherapy, you might need medication for a period of time to help you with the biochemical changes to the brain that alcoholism often causes.

Repairing your relationships:

Once you've stopped drinking, you and your loved ones might need to repair your relationships. Your spouse and children might be very happy that you've put down the alcohol, but they might also have resentments for the emotional damage that has been done by your drinking. Making amends isn't easy, but it's an important part of recovery. It's important to listen to what your family has to say and to take responsibility for your actions. Repairing these relationships begins by listening in an non-defensive way, not making excuses, and then expressing a heartfelt apology. Repair doesn't happen over night. You'll need to regain your family's trust over time. But taking these first steps are crucial.

Early Recovery: Repairing Your Relationships 

Beyond that, even though your spouse might have wanted you to get sober, when you do become sober, this is a change for you and your family. Change, even positive change, can be difficult and stressful. For instance, when you were actively drinking, your spouse might have been the one to make major decisions about money or child rearing. But now that you're sober, you want to participate in the decision making. For your spouse, sharing these responsibilities with you now, after years of doing this on her or his own, isn't easy. And you might need to develop certain skills that you missed developing while you were actively drinking.

Al-Anon for family members:

I usually recommend that spouses of people in alcohol recovery attend Al-Anon to get their own support. It's easy to under estimate the challenges of this stage in a relationship. Developing internal resources, coping skills, learning to overcome codependent behavior, and getting social support are part of what Al-Anon is all about. A relationship is a two-way street. Often, it's easy to point the finger of blame on the person struggling with alcoholism. It's usually harder to see the role of the spouse in this dynamic.

The rewards of getting sober:

The challenges of early recovery can be difficult but not insurmountable. The rewards that come with living life as a sober person usually outweigh the challenges. A healthy sense of pride, an increase in self esteem, and an overall sense of well-being are among the benefits you can experience when you decide to stop drinking and get healthy.

About Me

I am a licensed NYC psychotherapist. 

I provide psychotherapy services to individuals and couples, including talk therapy, hypnotherapy, EMDR, and Somatic Experiencing.

I have worked with many individuals and couples to help them to successfully overcome addictive and codependent behavior.

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:
Asking for Forgiveness: The Power of Making Amends

Overcoming Your Fear of Abandonment That Keeps You in an Unhealthy Relationship - Part 2:

In my blog post yesterday, I began the discussion about fear of being alone and lonely, how common it is, and how it can manifest: Are Your Fears of Being Abandonment Keeping You in an Unhealthy Relationship? Part 1.

In today's blog post I will focus on how I help clients to overcome the fear of being alone and lonely.

How Fear of Being Alone and Lonely Can Be Related to Childhood Trauma

As previously discussed, the fear of being alone is often a fear about a trauma that has already occurred, usually in childhood.

Overcoming Fear of Abandonment

While it's true that, as adults, many people unconsciously recreate similar relationships in their lives by choosing people who are emotionally unreliable or who are likely to leave them, that's a topic for another blog post.

The fear that I'm focusing on in yesterday's and today's posts is of the irrational kind where, objectively, there is no rational reason in the here and now to be afraid.

Mind-Body Psychotherapy to Treat Fear of Being Alone

In terms of working through this fear, there is no quick fix. However, in my professional opinion as a psychotherapist who specializes in working with trauma, there are certain treatment modalities that are usually better than others.

Obviously, there is no one-size-fits-all solution but, generally speaking, my experience has been that mind-body oriented psychotherapy is usually more effective than regular talk therapy alone.

When I refer to mind-body psychotherapy, I'm referring to the types of therapies that focus on the mind-body connection. These include clinical hypnosis, EMDR, Somatic Experiencing, and clinical hypnosis.

When these mind-body oriented treatment modalities are used by a skilled clinician, they tend to be more effective and, generally, work faster than talk therapy alone.

The Mind-Body Psychotherapy Process

During the first few psychotherapy sessions, I listen to the client's experience of how the fear of abandonment is affecting him in his or her current life.

Often, this fear has an adverse effect on his or her current relationship or it might be creating an obstacle with regard to meeting new people. Then, I usually want to get some information about family history, the quality of those relationships and any history of loss or trauma.

From there, I want to assess a client's emotional resources and coping skills before delving into the work. This is especially important when working on trauma.

A skilled clinician will want to ensure that a client has the emotional capacity to work on these issues so that the work will not be retraumatizing. If the client doesn't have the emotional capacity to do the work, a responsible therapist focuses on helping the client to develop the emotional resources.

For example, this might involve teaching the client to do a self soothing meditation on a safe or relaxing place so that he or she doesn't become emotionally overwhelmed while doing trauma work or between therapy sessions.

Often, during this phase of assessing a client's internal resources, many clients ask, "How long will this take?" In fact, there's usually no way to know in advance. Each client is different.

For some clients who have developed emotional resources on their own, the resourcing stage might be relatively short. For instance, if a client already has a regular meditation practice or goes to yoga on a regular basis, more than likely, the resourcing phase will be shorter than for someone who has little in the way of internal resources.

Of course, most of us have coping abilities just to get through life. It's more a question of degree and whether attempts at coping are maladaptive.

In any form of psychotherapy, the relationship between the therapist and the client is important. Under optimal circumstances, when it's a good match, the client develops a sense of trust in the therapist over time.

Without this sense of trust and safety, there is relatively little good therapeutic work that can be done. This is especially true in cases where clients have a fear of being abandoned. Often, this fear will extend into the relationship with the therapist.

Clients will often struggle with their insecurities as to whether it's safe to open up to the therapist, especially if they have a history of feeling abandoned in their early primary relationships.

Assuming that a client is motivated to do the work, sufficiently resourced, and feels safe enough with the therapist to begin doing therapeutic work, then the issue is which treatment modality will work best for a particular client.

Each client is obviously unique. What might be less obvious is that certain types are therapy are more effective for a particular client. Assessing this is often more of an art than a science. At times, I might have an intuitive sense of whether, let's say, hypnosis might work better than EMDR for a particular client.

Other times, it might be a matter of trying a particular mode and seeing how well it works. It helps to have a range of diverse techniques to choose from so that if one technique is ineffective for a particular client, the clinician can try another.

It's not possible in one blog post to discuss every therapeutic method and how it works. Generally, most forms of mind-body psychotherapy work to help clients overcome the original trauma so that it's no longer affecting them in their circumstances.

The advantage of mind-body oriented psychotherapy is that it's not just about developing intellectual insight. While insight is important, it's often not enough to bring about a change or to heal. In my experience, healing is much more likely to occur when there is a more integrative, holistic approach, which Somatic Exiiperiencing, cinical hypnosis, EMDR and other mind-body therapeutic techniques offer.

Working on the original trauma that created the fear of abandonment usually has generalizeable effects. This means that, often, it's not necessary to work on every memory of being abandoned because working on the earliest memory can produce enough of a healing effect to help the client overcome the fear of being abandoned.

In some cases, it might be necessary to work through a few of the seminal experiences of trauma to overcome this fear.

It's important to know, especially for people who suffer with a fear of being abandoned, that it's possible to work through this fear to lead a more fulfilling life. When you can live your life without a fear of being abandoned, you're free to experience the happiness you deserve.

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 their fears of being alone and loneliness so they can 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.

How Therapy Can Help You to Overcome Fear of Abandonment

Fear of Abandonment is Not as Unusual as You Might Think
Fear of abandonment as an adult is more common than most people would think. As a psychotherapist in NYC, I've worked with many adult clients who come to therapy to overcome this problem. It's not unusual for clients to seek help for this fear after it has become a serious problem in their personal relationships.

Overcoming Fear of Abandonment in Therapy

Fear of Abandonment Shows in Relationships

Often, the fear of being abandoned manifests as an irrational fear that his or her partner (or spouse) will leave the relationship. Usually, the client knows, deep down when he's not in the grips of the fear, that there's no objective reason for this anxiety.

The relationship is often stable and longstanding, and the partner usually is very reassuring that s/he has no intention of leaving. But, for the person who is overcome by a fear of being abandoned, the objective facts and all of the partner's reassurances have little to no effect on his fear.

Overcoming Fear of Abandonment in Therapy

On the face of it, it might not make sense--especially to the person who is struggling with this fear. When he is calm and not in the grips of the fear, he can tell his partner, spouse, therapist as well as himself that his relationship is secure and there's no objective reason for this fear.

And yet, when he has an episode where he is overcome by the fear of being abandoned, the feeling is very real. It's not unusual for his fearful emotions and his more rational thoughts to be diametrically opposed to each other. In effect, his inner thoughts might be saying,"You're fine. You know she won't leave you" while his anxiety continues to escalate with this fear. All of this can be very unsettling and, in some cases, the person might feel that he's losing his mind.

How to Understand Fear of Abandonment

So, how are we to understand this fear of abandonment in an otherwise sane and rational adult? In most cases, the answer lies in one or more seminal events that occurred at a young age.

If, in fact, this person was abandoned, whether it happened literally or in an emotional sense, the trauma of that event (or events) can be triggered in intimate relationships as an adult--even when this person's spouse or partner has given absolutely no indication of abandoning the relationship.

So the fear of being abandoned in these cases is actually of fear for what already happened--not a fear for anything that is going on now.

But because the fear feels so real in the here and now, it can be an emotionally paralyzing experience.

And if it goes on for a while, this person's partner can become annoyed and frustrated that all of his or her reassurances do nothing to mitigate this fear. So, in some cases, it brings about the abandonment that the person fears because it has such a detrimental effect on the relationship.

Getting Help

Over the years, I've worked with many clients to help them overcome the fear of being abandoned. In a future blog post, I'll discuss how the fear of being abandoned can be overcome in psychotherapy.

I am a licensed NYC psychotherapist who provides a diverse range of services to adult clients, including talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

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 regular business hours or email me.

See my article:  Psychotherapy: Overcoming Fear of Abandonment - Part 2

Trauma, Dreams and the Healing Power of Somatic Experiencing

Many people, who know about mind-body psychotherapy, know that Somatic Experiencing is one of the most effective and safest ways to work through traumatic memories. But not everyone knows that Somatic Experiencing is also a very effective form of therapy for doing dreamwork on traumatic dreams.

Trauma, Dreams and the Healing Power of Somatic Experiencing

Somatic Experiencing and Dream Work

Usually, when we tell our dreams, we give the narrative and we skim the surface of the emotional content of the dream. Even when I've worked psychoanalytically with dreams, which was my original training, dreams came alive and clients felt healed, but dreams tended to get reduced to various associations related to clients' histories. 

But using Somatic Experiencing to work through dreams related to trauma, we work the dreams using emotional resources that were not part of the original dream. Rather than reducing dreams to certain limited associations, we reenter the dream using the mind-body connection in a resourceful way and we expand the possibilities for reworking the dream to heal the trauma.

Somatic Experiencing as Gentle Therapeutic Treatment for Trauma 

Somatic Experiencing is a gentle therapeutic treatment modality developed by Peter Levine, Ph.D. 

Whether the therapist is working on a traumatic memory or a dream related to the trauma, Somatic Experiencing emphasizes the need for the client to work through the trauma with emotional resources that s/he probably didn't have during the trauma event or in the nightmare about the trauma. 

Rather than going directly to the worst part of the trauma memory or the nightmare (called T-0), Somatic Experiencing starts gently with a more benign part, working its way to T-0 with the emotional resources that were missing before.

What do I mean by this? 

Well, for example, even though we know what actually happened during the traumatic event or in the nightmare and we're not trying to pretend that anything different occurred, working the memory or dream slowly and feeling your emotions in the body in a tolerable way, we experience what it might have been like to have had the emotional resources we needed and didn't have. 

And we experience this in the here-and-now. For instance, what might it have been like to have a trusted loved one, mentor or pet there? Is there something different you would have liked to do in this memory or dream?

You might ask: What good is that going to do if that's not the way it happened? 

The answer is, surprisingly, that when you tell your dream or memory in the present tense, but this time experiencing the narrative with emotional resources you needed at the time, you create a new symbolic memory for yourself and this is healing. 

Of course, you still know what actually happened, but your mind and body experience the healing AS IF it happened the way the dream or memory occurred with these much-needed resources.

I have found Somatic Experiencing to be a gentle, effective and nuanced way of helping clients work through traumatic memories and nightmares.

To Find Out More About Somatic Experiencing
To find out more about Somatic Experiencing, you can read Peter Levine's latest book, In an Unspoken Voice, and his earlier book, Waking the Tiger: Healing Trauma: The Innate Capacity to Transform Overwhelming Experiences.

About Me

I am a licensed New York City psychotherapist. 

I work with individual adults and couples.   

Somatic Experiencing, clinical hypnosis, and EMDR are among the treatment modalities that I use in working 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.

Psychotherapy: You're Not Defined By Your Diagnosis

As a psychotherapist in New York City, I see many clients who have been in psychotherapy before. People who have a lot of experience with psychotherapy will often start their initial session by saying, "I'm depressed" or whatever they've been told their diagnosis might be. Whenever I hear this, I often have an internal experience where I feel the weight of this client carrying around this identification and self concept, in some cases, for many years.

You're Not Defined By Your Diagnosis

It's Useful to Know There's a Name for What You Feel

Now don't get me wrong: I'm not completely against diagnoses. If you're a person struggling with depression (or some other diagnosis), it's useful to know that. Knowing that there's a name for what you feel and thousands of other people have similar experiences can be comforting and indicates that you're not alone.

...But Your Diagnosis is Not Your Identity
But taking on a diagnosis as a permanent identity is a different story.  When you say, "I'm depressed" almost like you're saying, "I'm Mary" (if that's your name),it's almost as if you're claiming the symptoms of depression as part of your permanent identity as if it's never going to change. Now, we know that, depression, for instance, can be overcome with treatment, whether it's psychotherapy or the combination of psychotherapy and medication. It's not a permanent part of your identity that can't be changed like, possibly, your ethic background or some other unchangeable part of who you are as a person.

Your Diagnosis Isn't Your Identity

When you strongly identify with and embrace your diagnosis by saying "I'm depressed" as opposed to "I'm a person with depression," you're giving yourself a message that this is who you are and it's not going to change. And the more you say it, the more ingrained it becomes in your mind.

What I'm proposing in this blog post is NOT that people should be in denial about what they're experiencing. Instead, I'm proposing that your relationship to your diagnosis doesn't have to be a permanent one. If the reason you come to therapy is to change, if you're constantly giving yourself the message that you are your diagnosis, it's going to be that much harder to change because you've accepted that this is who you are on the most basic and core level. It's giving yourself the message that you're not going to change.

What I'm discussing, about how people label themselves with diagnoses, is more than semantics. it's a way of thinking and holding onto something that you say you want to change by coming to therapy. So, in a way, the internal message that you're giving yourself contradicts what you're trying to change, so you're at odds with yourself.

It's like the opposite of saying self affirmations. Instead of giving yourself positive messages, you're giving yourself a negative message--over and over, so it becomes part a habitual negative thinking.

This is all aside from the fact that, even though there are diagnostic categories, no two people with depression (or any other diagnosis) are the same. And, of course, you're a whole person who is much more than a diagnosis. So, to limit your self identification to your diagnosis is like putting yourself in a small box. What about all the other wonderful parts of you that aren't related to the diagnosis? It becomes easy to overlook all of those positive aspects when you become overly identified with your diagnosis.

It might take a while to develop this type of awareness about yourself but, in the long run, it's much more affirming to who you are as a complete person, beyond labels.

About Me

I am a licensed New York City psychotherapist with expertise in Somatic Experiencing, clinical hypnosis, EMDR, and psychodynamic 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.

Feeling Stuck in the Middle: What to Do If Your Spouse and Your Parents Don't Get Along

One of the most challenging problems that you can face as a married person is when your spouse and your parents don't get along. This situation puts you in a very awkward position, especially if you're close to your parents and you really love your spouse. You're caught in the middle between them. 

Your Spouse and Parents Don't Get Along

It can be very hard to understand why, if your spouse loves you and your parents love you, they can't get along.  This can place a strain on your marriage and on your relationship with your parents.  Holidays, birthdays, the birth of a child, and family visits can become very stressful for you and everyone involved.  So how you deal with this and maintain your sanity?

First, as much as you can, step back and try to be objective, as if you were a disinterested person observing this situation. 

Are there really clear cut reasons why there's animosity? For instance, do your parents dislike your spouse because he or she is mistreating you?

If your daughter or son were in a similar relationship, would you feel the same way? 

Alternatively, are your parents being unreasonable or are they being too intrusive or overstepping boundaries in your relationship, which is stable and healthy?

These can be difficult questions to ask, especially since there might be things that you don't want to see about your spouse or your parents.

Recognizing that this is a common problem can help you when you feel alone, desperate, and unsure of what to do. 

Whenever two or more people get together, there's the potential for personality conflicts. Just because you love your parents and you love your spouse doesn't mean they'll necessarily love each other.

Obviously, one blog post can't address every possible scenario or permutation of this type of problem, but let's take a look at one possible scenario, which is a composite of many accounts with all identifying information changed:

Lorna:

Lorna was in her early 30s when she and Tom got married. They met through friends, and dated for a couple of years before they decided to get married. They were very in love. Lorna had never met a man who was so kind and considerate of her. They had similar values and they wanted similar things in life.

Overall, they were very happy together. But the one big stressor in their lives was that Lorna's parents disapproved of Tom because he was raised in a different religion. Before they even met Tom, when Lorna talked to them about Tom and they found out he was not raised in their religion, they were upset. Although Lorna had anticipated that they might have concerns, she was surprised by their reaction, especially since neither Lorna, her parents or Tom were active participants in their religions.

Lorna was very close to her parents, and she wanted them to like Tom. Before Lorna and Tom got married, it took a while before her parents agreed to meet him. Then, they were cool and standoffish with him, which hurt Lorna and angered Tom. She hoped that once her parents met Tom, they'd let go of their misgivings and embrace him, as Tom's parents embraced her. But it was a strange and awkward dinner at the restaurant, and her parents made an excuse to leave before dessert, leaving no doubt about how they felt.

After that, it was an uphill battle. When Lorna told her parents that she and Tom were getting married in a civil, non-religious ceremony, at first, her parents refused to come, which upset Lorna very much. It also put a strain on her relationship with Tom and led to arguments when she asked him to consider converting to her religion so they could make peace with her family. This made no sense to Tom, since neither he nor Lorna were spiritual people, and he refused to do it.

Two months before the wedding, Lorna's parents relented and, with heavy hearts, they agreed to come to the wedding. After all, Lorna was their only child. But they let it be known, in no uncertain terms, that they felt Lorna was making a big mistake by marrying outside of her faith, and nothing Lorna could say or do would change their minds.

Fast forward a couple of years: Lorna and Tom moved out of state because of their careers. Lorna had just given birth to their first child, a healthy baby boy, and Lorna's parents were coming to visit. The old issue about religion came up again, as Lorna's parents pressed her as to which religion, if any, Lorna and Tom planned to choose for their child.

Lorna dreaded talking to her parents about this, especially since it wasn't important to her or Tom. Once again, it created tension between Lorna and Tom. 

She tried to convince him, once again, to convert and to raise the baby in her parents' religion. But Tom didn't agree, and he was frustrated that Lorna still couldn't stand up to her parents. And this is what brought Tom and Lorna into marriage counseling. S

he felt torn between her husband and her parents. She was overjoyed with being a new mother, but this ongoing conflict cast a shadow on everything for her.

During their marriage counseling sessions, Lorna and Tom worked out to be more supportive of one another. 

Lorna also learned, with a lot of effort, how to make Tom and the baby a priority and to stand up for herself and for Tom with her parents. 

Once she saw the situation in a clearer way, she felt less conflicted about it. 

Her parents didn't like what she had to say, but they didn't want to lose their only child, so they accepted the situation reluctantly. 

After Lorna stood up to her parents, she felt better about herself and it helped to strengthen her marriage.

Getting Help in Therapy

As I mentioned earlier, the types of conflicts that cause can tension between your spouse and your parents can vary widely. 

If you find yourself in a situation where you're caught between your spouse and your parents, you could benefit from seeing a licensed mental health professional to help you or you and your spouse to work it out.

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.