Healing from the Inside Out: Why Insight Isn't Enough

Traditionally, psychotherapy has focused on helping clients understand and develop insight into their problems.  While insight is an important first step, for many emotional problems, insight isn't enough to bring about change.

Healing From the Inside Out: Insight Isn't Enough

For many years, this bias in psychotherapy--that developing insight is the key to change, has been very frustrating to clients because it hasn't led to change for them, especially when the problem involves trauma.  This is because the insight is only on an intellectual level and the client doesn't feel it on an emotional level.

This can leave clients feeling that, beyond their original problem that brought them into therapy,  there must be something very wrong with them that they can't, somehow, use this insight to bring about the change that they want.  In some cases, it can be almost as traumatizing as the original problem.  Very often, at that point, the therapy reaches an impasse because the therapist has used everything he or she knows to try to help the client.

Somatic Experiencing and EMDR Therapy
My experience has been that Somatic Experiencing (SE) and EMDR, often in combination with psychodynamic psychotherapy, can be much more effective than just talk therapy alone.  With SE and EMDR, clients usually have a more integrated experience where their understanding is not just an intellectual insight, but they can feel it on an emotional and visceral level.  Also, prior to doing the actual processing in SE or EMDR, the therapist helps the client to develop internal resources to cope with the upcoming processing and to develop the ability to contain the experience on an emotional level.

I have many psychotherapy clients, who have had a lot of prior experience with therapy and who can explain their problems with clear intellectual insight, but who haven't been able to use those insights to make the changes they want in their lives.  Using either EMDR or SE, whichever works best for the client, they've been able to heal and make changes because the healing is coming from the inside out, from the bottom up, rather than just being a top-down, intellectual experience.

There's nothing magical or immediate about EMDR or SE.  There are also no guarantees.  Both of SE and EMDR involve a willingness to do the therapeutic work.  Aside from using EMDR and SE, I also encourage my clients, where necessary, to take practical action steps in their lives to bring about change.

Whether you're someone who has had a lot of prior experience in therapy or someone who is new to therapy, you owe it to yourself to consider SE or EMDR to help you resolve your problems.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experience 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.

Overcoming Your Emotional Blind Spots

Emotional blind spots are often aspects of ourselves that we're unable to see, but other people, especially people who are close to us, can see.  The problem with emotional blind spots is that they often keep us making the same mistakes over and over again or they affect our loved ones in ways we never intended.

Overcoming Your Emotional Blind Spots

The following composite scenario is an example of an emotional blind spot.  As a composite of many cases, it preserves confidentiality.

Mary
Mary never knew her father when she was growing up.  It was a family secret.  When other young children talked about their fathers, she felt sad and wished she had a father too.  

It wasn't until she attended the funeral of a family friend, when she was in her mid-20s, that she found out, inadvertently when she overheard people talking, that this "family friend" was actually her biological father.  He was always nice to her, and she was very fond of him.  

Mary was shocked and very sad to discover that she never had a father-daughter relationship with him. When she confronted her mother about it, her mother refused to discuss it, so Mary vowed that she would never do this to her future children.

When she became pregnant from a man that she had only been dating for a few months and had already broken up with because he was unreliable, she decided to have the baby and allow him to be involved in the child's life, just as most fathers would be.  But the child's father continued to be unreliable and continually disappointed their daughter by not showing up.  The child, who looked forward to seeing the father, was always disappointed and hurt.

Mary's mother and sisters tried to talk to her about how damaging this was to Mary's daughter, who was now seven.  But Mary kept insisting that it was important for her daughter to have the father in the picture.  Due to her own unresolved needs, she continued to try to keep the father involved, and he continued to disappoint the daughter.  Mary couldn't see that her emotional blind spot and her own unresolved childhood issues kept her in denial and were emotionally damaging to her daughter.

As a teenager, when Mary's daughter refused to see her father any more, Mary felt very upset.  All of her friends and family told her that her daughter's decision was an emotionally healthy decision because the father always disappointed her.  Mary had a hard time seeing it--until a close friend tactfully suggested that Mary might have an emotional blind spot about this issue and suggested that Mary see a therapist.

Somewhat hesitantly, Mary started therapy and when her therapist also pointed out her emotional blind spot, Mary began to deal with her own loss and realized that it was affecting her ability to see what was best for her daughter.  She grieved for the father she never had and, over time, she freed herself from this emotional burden that was starting to drive a wedge between her and her daughter.

Emotional blind spots are often hard for us to see on our own.  They usually involve aspects of ourselves, our lives or our loved ones that we're in denial about.  One clue that you might have an emotional blind spot, which is unconscious, is when you keep finding yourself in the same situation over and over again.

An example of a possible emotional blind spot is if you keep choosing romantic partners that have problems with alcohol or who are abusive.  If you continually find yourself in these types of situations, it's worth exploring if you have an emotional blind spot.

Getting Help in Therapy
Working through your emotional blind spots with a skilled, objective therapist usually gets you a lot further than trying to deal with emotional blind spots on your own.  Once you're free of the emotional blind spots that cause you to keep making the same mistakes, you have a chance for a much more fulfilling life.

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 abut m, 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.

An Emotional Dilemma in a Relationship: Wanting and Dreading Love

Many people, who have experienced childhood trauma, come to therapy because they feel stuck and confused when it comes to romantic relationships.  They often feel highly ambivalent about the possibility of having an intimate connection to another person.  

An Emotional Dilemma: Wanting and Dreading Love

On the one hand, they might be very lonely and long for someone who would love them and that they could love.  On the other hand, they might also feel extremely frightened of allowing themselves to be that emotionally vulnerable.  And therein lies the dilemma.

Early Attachment Problems Can Cause Problems in Relationships Later On
Usually, people who go back and forth between wanting and dreading a deep emotional connection experienced emotional attachment problems with one or both parents or caregivers.  Based on infant research, we now know how important early attachment is to having a healthy emotional life and being able to form intimate attachments with others.

When parents are either emotionally unreliable, neglectful, abusive, depressed, or emotionally unattuned to their young children, these children are more apt to grow up feeling emotionally insecure and vulnerable about forming relationships.  It's hard for them to trust.  They're very afraid of getting hurt or being emotionally abandoned again.  As a result, although they might feel very isolated and lonely, it's often difficult to allow themselves to open up emotionally to others.

An Emotional Dilemma: Wanting and Dreading Love

Fear of Opening Up in Therapy
Often, people who struggle between wanting and dreading an intimate connection find it difficult to come to therapy to get help for this issue.  Coming to therapy means opening up and taking a risk with a therapist, which means allowing themselves to be vulnerable.  How do they know they can trust the therapist when they couldn't trust their own parents?  It's a dilemma.

For many people who somewhat overcome their fear to come to therapy, at least enough to come to a first session, their experience is often one of being hypervigilant--waiting to see if there are any signs that the therapist will betray or hurt them in some way.

A skilled clinician, who has worked with clients on developmental attachment problems, will know not to take it personally.  She would know that she must take her time to help the client to form a therapeutic alliance over time to build a rapport and trust.

Many clients, who suffer with developmental attachment issues, find it difficult to sustain treatment, and they leave after a few sessions.  Often, they give another "reason" for leaving therapy--money or time issues, never revealing that it's their dread of opening up that's making them want to flee from treatment.

For clients who can sustain treatment with therapists who have expertise in working with attachment issues, if they can allow themselves to build a rapport and trust with the an empathetic therapist, over time, they can also learn to form trusting and loving relationships outside of treatment.

This is the kind of therapeutic work that takes time.  A client, who has a fear of getting close to others, can't be rushed into overcoming his or her fear.  Each client is different and, if there is progress in treatment, it will probably be a process where it is two steps forward and one step backward due to the high level of ambivalence and fear.  There is also usually a lot of underlying shame of feeling "not good enough" or "not lovable."

Getting Help in Therapy

Wanting and Dreading Love:  Feeling Lost?  Get Help

My experience has been that using a combination of Somatic Experiencing, psychodynamic psychotherapy, resourcing (i.e., helping the client to develop better coping skills and an increased capacity to tolerate vulnerability) along with an expertise in developmental attachment issues, is often the most effective way to help clients to overcome the dilemma of longing for love and dreading it at the same time.

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 abut 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.

Somatic Experiencing: Overcoming the Freeze Response Related to Trauma

Fight or flight is the response that most people associate with trauma. Most people are less familiar with the freeze response as a reaction to trauma.  But, in fact, freezing in fear is  another typical response associated with trauma.  The freeze response is also known as dissociation.

Somatic Experiencing: Overcoming the Freeze Response Related to Trauma

The following composite scenario is an example of a traumatic freeze response and how Somatic Experiencing, a mind-body oriented therapy, can help.  As always, in my composite examples, all identifying information has been changed to protect confidentiality:

Jan:

A senior manager at Jan's company had shown a sexual interest in Jan for several months.  He called her several times and sent her email to ask her out on a date.  Even though she didn't report to this manager, she feared she would get in trouble if he thought she was being rude towards him, so she always turned him down politely and tried to avoid him.  

Over time, this manager became more flirtatious in his calls and email, and this was making Jan increasingly anxious.  Every time she had to use the elevator, she was vigilant that he was not inside because she didn't want to be alone with him.  She knew about the company's sexual harassment policy and that his behavior would be considered sexual harassment, but she was too afraid that she would be blamed somehow for his behavior.

One day when she was alone in the office pantry, this manager entered the room and he said in a flirtatious tone, "Alone at last.  You've been avoiding me."  Jan was in the corner of the room and she froze in fear.  She wanted to leave the room, but she felt as if she was paralyzed and frozen in place.  Her heart was racing, she felt on the verge of tears, and she couldn't understand what was happening to her.  

Fortunately, a colleague came into the room and the senior manager left.  The colleague approached Jan and said, "Are you all right?  You look white as a ghost."  Jan, finally able to move, excused herself, went into her office, closed the door, and burst into tears.

Jan began therapy shortly after that incident.  She revealed a history of sexual molestation by an uncle starting when she was five years old.  According to Jan, when she told her mother, her mother blamed Jan and told her that she must have done something to provoke the uncle into molesting her.  Jan's response was to blame herself, as children often do.  And, even though her parents severed their ties with the uncle, they blamed her for the problems.

Therapy began with emotional resourcing whereby Jan began to develop enough self confidence that she was able to report the senior manager to the company's Equal Employment Officer.  His email alone incriminated him.  During the EEO investigation, other women also revealed that he was also sexually harassing them, and he was terminated.

There were many parallels between the original sexual abuse when Jan was a child and the sexual harassment she experienced as an adult at work.  So, an important part of Jan's therapy, which was the mind-body therapy known as Somatic Experiencing, was for Jan to learn to distinguish "then" from "now."  

In other words, whereas her initial freeze reaction to the senior manager triggered the original trauma from her childhood, leaving her feeling like a child, she learned to separate (or "uncouple" in Somatic Experiencing terms) her childhood experience from her adult experience.  This alone was an empowering experience.  She not only knew on a cognitive level that she had more power now than she did as a child, but she felt it on an emotional level.  

Somatic Experiencing is a Mind-Body Oriented Trauma Therapy  

Using Somatic Experiencing, over time, Jan was also able to work through the original trauma of being sexually molested.

Overcoming the Freeze Response Related to Trauma With Somatic Experiencing Therapy

In the scenario above, there is a clear connection between Jan's response to the sexual harassment at the office and the sexual molestation that occurred when she was a child.  In other cases, the connection isn't always so clear.  But, unlike regular talk therapy, Somatic Experiencing doesn't require this kind of clear connection for it to be effective.

Getting Help in Therapy
If you have a history of trauma that is affecting you now, you owe it to yourself to get help to overcome the trauma so you can lead a fulfilling life, trauma free.  My professional experience as a therapist who uses Somatic Experiencing with clients who have tried, unsuccessfully, to work through trauma with regular talk therapy is that Somatic Experiencing tends to be more effective for most people.

I've included a link below for the professional Somatic Experiencing website, which provides more information about Somatic Experiencing and a directory of Somatic Experiencing therapists.

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.

Relationships: Overcoming Power Struggles

Couples often come to couples counseling because they're stuck in what I call "push-pull power struggles" that keep them constantly frustrated and at odds with one another.

What Are Power Struggles?
Push-pull power struggles can emerge in just about any aspect of a relationship.  One common example of a push-pull power struggle often occurs during arguments.  So, for example, one person might need to take time away from the other person to cool off  while his partner might feel the need to resolve the situation right then and there.

Relationships: Overcoming Power Struggles

If both people feel strongly about what they feel they need, they are at an impasse.  Rather than trying to find a compromise, each person often insists on having what s/he needs.  This just escalates the argument as one person feels crowded in while the other person feel abandoned.

Push-Pull Power Struggles and Problems With Intimacy
Intimacy, both emotional and sexual intimacy, is often another area where there can be push-pull power struggles.

Power Struggles and Problems With Intimacy

Some people need to have their "space" every so often, while others feel the need to be close most of the time.  Once again, if each person insists on having his or her way, this exacerbates the problem.  The person who needs "space" occasionally will feel hemmed in, while the person who likes to spend more time together can feel hurt and abandoned.

Childhood Histories Can Complicate Relationship Dynamics
Complicating these situations are the individual personal histories of each person in the relationship.  It's not unusual for people in relationships to experience earlier childhood trauma triggered in their adult relationships.  In the examples above, the person who might have grown up feeling smothered by a parent might feel smothered by a partner who doesn't allow him his "space."  Or, a person who needs to spend more time with a partner who needs "space" might feel old feelings of being abandoned as a child.

When old feelings are triggered, it intensifies emotions, and it's hard to distinguish how much of the current emotional reaction is due to the current situation and how much might be part of old unresolved emotional wounds.

Getting Help in Therapy
Couples counseling is a place where push-pull power struggles can be negotiated and resolved.  If you and your spouse find yourself constantly getting caught up in these kinds of power struggles, you owe it to yourself to get help so you can work through these issues and enjoy a more fulfilling relationship.

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.

How Traumatic Childhood Memories of Being Powerless Can Get Triggered in Adults

People are often surprised to discover that traumatic childhood feelings of being powerless can get triggered even when they're adults.  

Trauma: How Childhood Feelings of Being Powerless Can Get Triggered in Adults

Certain situations can trigger those old feelings from childhood.  Whether it's a work situation with a domineering boss or a relationship with a spouse who is a bully or other similar situations, these feelings of helplessness, fear, rage, and sadness can arise unexpectedly.

The following scenarios, which are composites of many different cases to protect confidentiality, are examples of how these traumatic emotions can get triggered in an adult:

Pete:
Pete's boss, who was the company bully, tended to be domineering and demeaning with everyone who reported to him.  Most people knew from experience that his "bark was worse than his bite" and they didn't take his reprimands seriously, especially since he behaved this way with all of his subordinates and nothing ever came of it.  Rationally, Pete was also well aware of this.

Trauma:  How Childhood Feelings of Being Powerless Can Get Triggered in Adults

But whenever the boss called him in, Pete would tremble in fear and he found himself close to tears.  He couldn't understand why he had such a severe reaction--until he began therapy and he learned that these situations with his boss were triggering traumatic childhood memories of being abused by his father.

Mary:
Mary married Alan because he was older and she felt he would take care of her.  But after the first few months of marriage, she began to see a different side of Alan that she had never seen before.  Whenever Alan got frustrated, he would lose his temper and raise his voice with her.  Not only was Mary surprised to see Alan react this way, but she was also surprised at her own reaction to his anger--she would freeze in her tracks.  She felt immobilized and unable to speak.  Part of her wanted to hide or make herself invisible.  It was only after she began therapy to understand her reaction that she realized that earlier traumatic feelings were being triggered of when her alcoholic father went into a rage and, as a child, she hid in the closet.

Trauma:  How Childhood Feelings of Being Powerless Can Get Triggered in Adults

These are just two of many examples of how childhood feelings of being powerless can get triggered in adults--often without warning.  When this happens and people don't understand what's happening to them, it can feel scary and confusing.

What most people often don't realize is that, even though they're adults now, these traumatic emotions are stored in the body and are there to be triggered in current situations.  The feelings can feel just as real now as they did in childhood.

Somatic Experiencing
Somatic Experiencing is a gentle form of mind-body psychotherapy that helps adults to develop emotional resources and work through the original trauma so that it is no longer there to be triggered.

During Somatic Experiencing people also discover the types of unconscious psychological defenses that they've developed to ward off these traumatic feelings.  As shown in the composite scenarios above, these psychological defenses aren't always adequate to defend against these feelings, which is why people are often triggered.

Getting Help in Therapy
If you think you're currently getting emotionally triggered as an adult by unresolved childhood trauma, you owe it to yourself to get help so you can live a fulfilling life free of trauma.

About Me

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

I work with individual adults and couples, and I've helped many adults to overcome trauma 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 Psychotherapists Listen to Their Clients

Psychotherapists in training often feel they should immediately know and give advice to clients who present in therapy, especially with clients who are upset during the first session.  In situations where new clients come in very upset, sometimes even demanding, "Tell me what to do!,"it's better to help clients to get emotionally grounded, and not fall into the trap of giving advice with potentially disastrous results.  

Psychotherapist Listening to Client

The Therapist's Experience of Getting Comfortable with "Not Knowing"
Fortunately, for most therapists, getting comfortable with "not knowing" during the initial stage of treatment gets easier with time and experience.  Rather than assuming that they're supposed to know immediately what's best for clients, skilled therapists know that they need to listen and learn about the client from the client rather than adhering to any particular theoretical orientation.

Even though the client might not get "the answer" from the therapist, this doesn't  mean that the client doesn't experience emotional relief during the initial stage of therapy. A skilled therapist knows how to create a therapeutic "holding environment," which often, in itself, brings emotional relief.

When the Therapist is Tempted to "Rescue" the Client 
When therapists feel pulled to "rescue" the client, who is not a danger to himself or others, this urge to "rescue" is potentially important information about what might be going on unconsciously in the consultation room with the therapist and client as individuals as well as dynamically between them.

This can happen to even to the most seasoned therapist.  Experienced therapists usually recognize it more readily than psychotherapists in training.  If a therapist finds it happening a lot with particular clients, it's best to obtain clinical supervision, talk to experienced colleagues or address the issue in her own therapy or all of the above if it's a big problem.

It's also important to recognize that not every therapist is for every client (see the link below for my article on "How to Choose a Psychotherapist").

Listening, Learning and Becoming Attuned to the Client
It takes more than one or two sessions for a therapist to get to know and become attuned to a client.  No matter how experienced, a therapist can't assume that she knows what's best for the client without first listening to and learning from the client, except, of course, in cases when a client is in a dangerous situation or a harm to himself or others.  (Then, it's important to know how to handle a psychiatric emergency and determine if the client is in the right level of care.)

Clients Are Looking For Answers
Clients are, understandable, looking for answers to their problems.  Why else would they come to therapy?  If they've never been in therapy before, they might equate the therapy session to a medical exam with their doctor.

During medical exams, unless further tests or consultations with specialists are needed, a doctor often gives a diagnosis and prescribes a course of treatment in one session.  In a day or so, the client might be feeling better.  But the human psyche is much more complicated than taking a pill, and it's rare that a therapist can help a client to resolve a psychological problem in one or two sessions.

What new clients might not understand, and what therapists need to help clients to understand, is that the therapist isn't there to give advice or tell the client what to do.  And even if the therapist was willing to give advice to a new client, who's to say this advice would be right for the client without the client participating in the process?

What Does the Therapist Do, If She Doesn't Give the Client "Answers"?
As mentioned before, the new client often comes looking for answers to her problems.  It might be disappointing to hear that the therapist can't provide immediate answers.

No matter what type of therapy the contemporary therapist practices, basically, the skilled clinician is trained to help the client, in collaboration with the client, to develop greater insight into her problems and work through the problems--rather than telling the client what to do.  Over time, the client, who has never been in therapy before, learns to become more open and curious about her process.  She also learns to become more resilient.  And, the healing process continues unconsciously for the client between sessions.

Mistakes, Ruptures and Repair in Therapy
Of course, therapists are human and make mistakes just like anyone else.  As I've written before, when a psychotherapist makes a mistake with a client, the most important first step is for the therapist to acknowledge the mistake to the client, and make an effort to repair the rupture with the client as soon as possible (see link below for my article, "Psychotherapy:  Ruptures and Repairs in Treatment").  Hopefully, the mistake isn't egregious, the therapeutic relationship remains intact, and the work continues.

Thank goodness, the days when therapists and doctors were assumed to be almost infallible are gone.  These days, many clients are better educated about the psychotherapy process, and they're more likely to approach it as informed consumers.  They know that during a psychotherapy consultation, they're interviewing the therapist and asking questions just as much as the therapist is interviewing the client.

Patrick Casement's Book:  Learning From the Patient
When I was in my first year of psychoanalytic training in 1996, I read Patrick Casement's book, Learning From the Patient.  It wasn't part of the curriculum in the first year.  At the time, the reading list for first year psychoanalytic students was mostly works by Freud.

While I enjoy reading Freud (especially his papers that read almost like poetry) and admire his genius, as a first year psychoanalytic student in training, I didn't always find his papers helpful when I was in the psychotherapy consultation room with a new client.

Somehow, during my first year in training, I came across Patrick Casement's book and, along with the guidance of seasoned clinical supervisors, I found it enormously helpful.

Some of the concepts that Casement writes about are now incorporated in current training programs in the first year, rather than waiting for the second or third year.  I'm sure it's a relief for first year psychotherapists in training, as it was for me, to realize that it's okay, and even not helpful, to think they should know the answers immediately, and it's more important to listen and learn.

Since my early days of training, I've learned other therapeutic ways of working, aside from talk therapy, including EMDR, hypnosis and Somatic Experience.  Whichever method I use, I value listening to and learning from the client.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  I work in a contemporary, dynamic way in collaboration with the client.

I work with individual adults and couples.

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.

Also see my articles:
How to Chose a Psychotherapist

Psychotherapy: Ruptures and Repairs in Treatment

A New Relationship: Understanding the Loyalty Dilemma for Someone Whose Spouse Died

In today's Sunday New York Times Modern Love section, there's an article by Eve Pell about her relationship with her husband (see link below).  One of the things that she mentions is that when they were dating, her then-boyfriend was hesitant about making a commitment to their relationship because he still felt loyal to his deceased wife, who had died several years before.

Understanding the Emotional Dilemma For Someone Whose Spouse Died
Reading this article brought to mind how common this experience is.  Rather than getting competitive with a deceased spouse, Ms. Pell, who sounds like a wise woman, understood her boyfriend's emotional dilemma and let him know.

Understanding the Loyalty Dilemma for Someone Whose Spouse Died

Instead of feeling like his love for his deceased spouse meant more to him than his love for her, she spoke to him about it with a lot of empathy.  She acknowledged that she understood, respected his feelings for his former spouse, and reframed the issue as there being enough room in his heart for both of them.  According to Ms. Pell, her boyfriend appreciated this and, eventually, they got married.

Working Through the Loss of a Deceased Spouse
There are times when people haven't worked through the loss of a deceased spouse and it keeps them stuck.  Each situation is different.  But reading Ms. Pell's article reminded me of how conflicted a person can feel with a new love, especially when the former relationship ended because of a death.

People, who are widowed, who are still in love with their deceased spouse, often feel that it's an act of disloyalty to begin a relationship with someone new.  Their spouse might be gone, but their feelings are still very much alive.  They might feel confused and not know how to reconcile the fact that they can fall in love with someone new while still loving their former spouse.  If the new love gets jealous and makes emotional demands too soon, it can create an even bigger conflict and ruin an otherwise good new relationship.

Reframing the Love and Loyalty Dilemma
Like Ms. Pell, it's often better to take an empathetic step back, try to understand your romantic partner's emotional dilemma and talk to him about it.  When the dilemma is reframed as there being room for both the deceased spouse and the new partner, it can reduce a lot of tension and offer options that your partner might not have seen before.  Your partner doesn't need to completely bury his feelings for his deceased spouse, which wouldn't be possible anyway.  It's really not an either/or question.  He can still honor the feelings he feels for her and make room for you.

Some people, who have lost a spouse, never get over it, and they're unable to make a commitment to a new relationship.  For other people, this issue works itself out with understanding on both sides.  Sometimes, the person who is widowed needs help in individual therapy to work it out.  Other times, it helps for both people to come into couples counseling to negotiate this problem.

Either way, I found Ms. Pell's approach to this common dilemma to be a mature and refreshing approach.  Thank you, Ms. Pell, for a heart warming article.

About Me

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

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.


The Race Grows Sweeter Near Its Final Lap--Modern Love, NY Times by Eve Pell (1/27/13)

Is That All There Is? When "Having It All" Leaves You Feeling Empty

For many people, the meaning of "success" and "having it all"means making a lot of money, buying a big house, having a new car, and being married to an attractive spouse (not necessarily in that order).  For other people, "having it all" might mean being smart, having a graduate degree, and the prestige of being published and recognized as an expert in a particular field.  

Is That All There Is?  When "Having It All" Leaves You Feeling Empty

"Having It All," But Feeling Something is Missing 

But, more often than not, people who have attained their definition of "having it all," are surprised to discover that, instead of making them happy, after a while, they feel empty inside.  They're confused because they feel like there's something missing, but they can't understand what it is since they already have everything they set out to get, so what else could there be?

What Does It Mean to "Have It All"?

How we define "success"' and "having it all" usually determines our focus and the direction we take in our lives.  Early on, we're given implicit, and often explicit, messages about what it means to be successful.  In school and the world around us that usually means striving to be competitive and to get excellent grades so you're at the top of your class with the end goal of getting a well-paid job so you can have monetary success and prestige.

Is That All There Is?  When "Having It All" Leaves You Feeling Empty

Most people would agree that having a certain degree of financial comfort is better than struggling financially.  And while there's certainly nothing wrong with being smart and striving to have monetary success and prestige, if that's all you want, more than likely, when you get it, you'll be wondering, "Is that all there is?," like the song with the same title.  This can be a tremendous letdown, especially if you've invested years of your life to attain these goals.

When Disappointment Leads to Striving For More of the Same

Often, people respond to feeling this disappointment by striving even harder to have more...more money, more prestige, a bigger vacation house, a more expensive car, and so on.  They become even more competitive with their colleagues, friends, loved ones, and neighbors.  But the problem with this is that there will always be someone who is smarter, richer, and more powerful than you are, so where does this end?  For someone people, it ends with deeper disappointment. For other people, it ends with sudden cardiac arrest.

Getting Help When "Having It All" Leaves You Feeling Empty

At about this point, people who might never have come to therapy, seek help.  Striving more, working harder, being bigger and better, smarter and faster hasn't brought lasting happiness, and they're in emotional crisis.  They've done everything they've been told and everything they know how to do to be happy, but happiness eludes them, and they don't know why.  They often come to therapy feeling that their lack of happiness is, somehow, their fault.  

What Is a Meaningful Life to You? 

Rather than looking for a place to cast blame, when "having it all" leaves you feeling empty inside, it's important to take a look at how you're defining success.  Although it might sound like an old cliche, when your definition of success is only narrowly defined by the external things in your life, after a while, these things become less meaningful to you.  If you haven't broadened your definition of success to include a rich inner life and contributing in a meaningful way to the world around you, more than likely, if you're at all in touch with your emotions, you'll feel empty inside. 

Whether you call this empty feeling inside "a spiritual crisis," "a mid-life crisis" or a crisis by any other name, usually, when you get to this point, you can feel desperate because, along the way, you might not have learned any other ways for being happy other than to be more and to get more.  Perhaps you've also surrounded yourself with like-minded people.  And, when you compare yourself to them, they seem to be happy with their lives, so you might ask yourself, "What's wrong with me?"

Psychotherapy:  A Place to Explore and Discover New Aspects of Yourself

Psychotherapy is a place where you can explore and discover what it would mean to you to have a meaningful life.  In the privacy of a therapy session with an objective therapist who is empathetic and with whom you have a rapport, you can start to focus on your inner world, as opposed to being exclusively focused on your external world.  

Whereas friends and loved ones might have their own views of what it means to have a meaningful life, a skilled clinician can help you develop your own new definition of what it means to be successful in a much broader sense without judging you or imposing his or her own views.

Psychotherapy: A Place to Explore and Discover New Aspects of Yourself

Your psychotherapy session is a time and place dedicated to you where you have uninterrupted time to develop and discover aspects of yourself that you might not have even known exist.  It's a chance to discover and experiment with new possibilities of who you are and what might make you happy.

When continuing to do more of the same of what you've been doing continues to leave you disappointed, you owe it to yourself to work with a skilled clinician who can help you expand your definition of success and happiness.  

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 web site:  Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 or email me: josephineolivia@aol.com.

Can't Stop Looking at Your Ex's Social Media Pages? Here Are Some Reasons to Stop

On some level, most people know that continuously reading their ex's Facebook page can be very upsetting, especially if you discover things about your ex--like he has a new girlfriend or, worse still, he got married--that you're not prepared to face.

Can't Stop Looking at Your Ex's Social Media Pages?

Over and over, I hear from psychotherapy clients as well as people in my personal life that they can't stop themselves from looking at their ex's Facebook page, even when they know it's really over.  For many people, it becomes an obsession.  They want to know what's happening in their ex's life and, more importantly, has s/he found someone new?

Although it might be tempting to keep looking at your ex's Facebook page because you feel that you just can't resist, there are some very good reasons to stop:

• You're going to find it very hard to move on if you keep looking at your ex's Facebook page.
• It can be a form of emotional self torture to find out that your ex is with someone new. And, anyway, what can you do with this information, aside from making yourself miserable and upset?
• If you see her looking happy with someone new, it can make you feel awful about yourself, wondering why she wasn't happy with you (even though the pictures you see on the Facebook page might not reflect reality).
• Like any obsessive habit, the more you do it, the more you want to do it, making it very difficult to stop.

Here are some tips that might help you the next time you feel the urge to look at your ex's Facebook page:

• De-friend your ex.  As hard as it might be, it will help you not to have such ready access to your ex's Facebook page.
• Try waiting 20 minutes, when you feel the urge to look, to see if the urge passes.
• Ask yourself, "What do I hope to accomplish by looking at his Facebook page?"
• Go out for a walk or distract yourself by doing something else.
• Talk to a supportive friend who knows how to listen attentively to your feelings.
• Take a break from social media and go out and do something nurturing for yourself.  

When You Don't Want to Let Go of Your Ex
Continually looking at your ex's Facebook page might mean that you're not ready to move on yet, and you might be harboring wishes, no matter how unrealistic, that the two of you might get back together again.  Be honest with yourself and ask yourself if this is what's going on with you.

Are You Avoiding Feeling the Emotional Pain of the Breakup?
Nobody likes to go through the emotional pain of a breakup.  But if you're holding onto unrealistic fantasies of rekindling your romance with your ex, part of this might be an unconscious wish to avoid feeling the pain.  Unfortunately, there's no way to avoid going through the pain in order to get to the other side so you can move on.

Getting Help in Therapy
Mourning the loss of a relationship is hard, but you can make it harder on yourself by holding onto what you know deep down is really over.  Everyone is different and every situation is different when it comes to mourning this type of loss.

No one can tell you how long it should take.  But if you find that, over time, it's not getting a little easier for you, you might consider consulting with a licensed psychotherapist who can help you get over your obsessive reading of your ex's Facebook page and also help you through the mourning process.

About Me

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

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.

Also see my article:
Stalking Your Ex on Social Media

Psychotherapy Daily News - 1/25/13

Psychotherapy Daily News for today, 1/25/13, has articles from Psychiatric Times, American Psychological Association (APA) Help Center, Good Therapy.org, New York Times Health, Harvard Business Review, Psychotherapy Networker, Science Daily, and this psychotherapy blog, among others, about mental health issues, science, health, the environment, and leisure issues.

Here are a list of just some of the articles, which represents the latest and most interesting news stories:

• Your Relationship:  Should You Stay or Should You Go?
• Relationships:  Covert Belittling
• Overcoming Trauma with Somatic Experiencing
• The Joy of Being Attuned to Your Inner Child
• Working with the Borderline Client
• Can a Sense of Control Increase Your Lifespan?
• Red Explosions:  Secret Life of Binary Stars is Revealed
• Scientists Discover How Epigenetic Information Could Be Inherited - Mechanisms of Epigenetic Reprogramming Revealed
• Parenting - The Art of Benign Neglect
• Getting Naked:  It's Not Just About Sex

Subscribe to Psychotherapy Daily News
You can subscribe to get your daily copy in your in box by going to Psychotherapy Daily News and clicking on the "Subscribe" button.  Your information will be anonymous (even to me) so you don't have to be concerned about getting SPAM.

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 web site:  
Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (212) 726-1006.

Psychotherapy Daily News

Psychotherapy Daily News - 1/24/13

Psychotherapy Daily News features articles about mental health, science, health, education plus more from various sources, including New York Time, Yoga Journal, the Harvard Business Review, GoodTherapy.com, Psychiatric Times as well as some of my own psychotherapy-related articles.

Here are a list of some of the articles in today's Psychotherapy Daily News:

• Interpersonal Neurobiology in the Consulting Room With Dan Siegel
• Psychiatrists With Ethics Training Less Likely to Push Brand-Name Drugs
• Managing Suicide Risk of Clients With Borderline Personality Disorder
• Emotional Demands:  The Exhaustive Effect on Technology Workers
• Sugar Addiction and Mental Health:  America Needs Rehab
• Does Religion Help You Quit Smoking?
• Find Your Authentic Self and You Just Might Find Your Next Career
• Starting Therapy--and Ending It Too
• Reasons for Substance Use Predicts Treatment Outcome in Adolescents
• EMDR Self Help Book:  Getting Past Your Past
• Feeling Lonely in a Relationship
• Can You Read the Face of Victory?
• Th 28-Day Meditation Challenge Returns on February 1
• Why You Should Emphasize Your Potential Rather Than Your Achievements on Your CV
• It's Time to Cut Back on Social Media
• What Capitalism Can't Fix
• May I Be Happy?
• Long Term Effects of Life Expectancy From Smoking
• Addiction in the Home:  Healing Lives, Families and Communities
• It's My Job and I'll Tweet If I Want To
• Tips For Managing and Preventing Stress
• Science News From Around the Web
• Krishna Das Nominated For Grammy Award
• Stop Underage Drinking - Gateway to Federal Resources
• Study Links Cognitive Deficits and Hearing Loss
• Positive Psychology News Daily

You can subscribe for free by clicking on this link:Psychotherapy Daily News and clicking on the word "subscribe" so you don't miss an issue.

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 web site:  
Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (212) 726-1006.

Visit Psychotherapy Daily News for the latest information about mental health issues.

Psychotherapy Daily News - 1/23/13

Today's Psychotherapy Daily News, which has articles from my psychotherapy blog as well stories and videos from 
other psychotherapy sources, includes the following stories and videos:

• Psychotherapy:  Healing Your Emotional Wounds
• Psychotherapy and Beginner's Mind
• Resilience:  Bouncing Back from Life's ChallengesEMDR Self Help Book:  Getting Past Your Past
• Memory Experiment
• Update on Adolescent Mood Disorders
• Planck's Law of Generations - Psychiatric Times
• Family Habits:  The Key to Controlling Childhood Obesity
• Video:  Stories of Hope and Recovery - Jordan's Story
• Video:  Hurricane Sandy - Dr. Steven Southwick (Psychiatric Times)

You can subscribe to Psychotherapy Daily News by going to the site and clicking on the "Subscribe" button.

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

I work with individuals adults and couples.

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

To set up a consultation, call me at (212) 726-1006.

Visit:  Psychotherapy Daily News

The Dreamer and the Pragmatist

I'm reading Adam Phillips' book, Promises, Promises - Essays on Psychoanalysis and Literature. In Chapter One, "Poetry and Psychoanalysis," Phillips discusses, among other things, the difference, generally speaking, between two different types of clients, the Dreamer and the Pragmatist.

Psychotherapy Clients - The Dreamer and the Pragmatist:
According to Adam Phillips, the client who is a Dreamer wants to free associate in therapy and go wherever his thoughts lead him, and the Pragmatist is focused on resolving his problems in therapy.  Whereas the Pragmatist wants to achieve things, the Dreamer is focused on the experiential.

The Dreamer and the Pragmatist

Adam Phillips says the Dreamer wants the therapist to help her get back into her reverie, and the Pragmatist wants the therapist to help her find a solution to her problem.

The Pragmatist wants to know, in a practical way, what to do.  The Dreamer wants to discover the way and see what happens.

Of course, these are generalizations, and most clients don't fall neatly into one category or another.  People are often a combination of the two.

I've worked with both Dreamers and Pragmatists in my psychotherapy practice in NYC and both types of clients appeal to the different aspects in me that I identify with.

Psychotherapy with the Pragmatist
In many ways, I'm a Pragmatist and I like helping clients in a down-to-earth manner, especially clients who come in for brief therapy, assuming that brief therapy is the appropriate form of treatment for them.  

Brief therapy is appropriate where a client has a specific problem, with no major trauma, that lends itself to brief solution-oriented therapy.  Often, this client just needs some direction or guidance, an objective mental health professional to check in with, and they can often come up with practical solutions to their problems.  Long-term treatment isn't necessary, unless, over time, the client becomes curious and interested in exploring more about his inner world.

Psychotherapy with the  Dreamer
I also have a side of me that is a Dreamer or Seeker, and I also enjoy working with clients who are more interested in discovering their inner world and more focused on the "journey" rather than the "destination."

My original training is in contemporary psychoanalysis.  I'm fascinated by the unconscious, including dreams.  When I work with dreams, I have different ways that I work, including contemporary psychodynamic dream work and Embodied Imagination dream work, which is a post-Jungian way of working developed by psychoanalyst, Robert Bosnak.  This type of psychotherapy is more open ended than brief treatment and, as in all therapy, the client decides when s/he has completed treatment.

Many Different Types of Psychotherapy - Many Choices for Psychotherapy Clients
Whether you're someone who seeks brief therapy, more open-ended psychodynamic treatment or something in between, there are so many different types of therapy today that you have many choices, including psychoanalysis, psychodynamic therapy, solution-focused therapy, cognitive behavioral treatment (CBT), EMDR, hypnotherapy, and Somatic Experiencing, to name just a few.

I usually recommend that people looking for a therapist trust their gut instincts when choosing a therapist.

See the link below for my article, "Psychotherapy: How to Choose a Psychotherapist" for 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 web site:  Josephine Ferraro, LCSW - NYC Psychotherapist.

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


Psychotherapy: How to Choose a Psychotherapist

Promises, Promises - Essays on Psychoanalysis and Literature - by Adam Phillips

People Who Abuse Alcohol Often Don't Get the Help They Need

People who abuse alcohol or who are alcohol dependent frequently don't get the help they need to overcome their alcoholism for variety of reasons.  For one thing, people who abuse alcohol are often in denial about their alcoholism.  They often don't admit their problem to themselves or to others who can help them.  Shame is a major factor in their denial.  They often tell themselves, "I can stop whenever I want to," which keeps them from admitting their problem or from getting help.

People Who Abuse Alcohol Often Don't Get the Help They Need

People with Alcohol Problems Are Often Good at Hiding Their Drinking
Even when people who abuse alcohol admit to themselves that they have a problem, they're often very invested in hiding their problem from loved ones, their employers, and even their doctors.

People With Alcohol Problems Are Often Good at Hiding Their Drinking

Doctors usually don't have the time and many are not knowledgeable enough about the signs of alcoholism to ask the right questions during routine exams (see link to article below).

Families Often Collude and Enable People with Alcohol Problems
Families often, either knowingly or unknowingly collude in the problem by enabling the person who is abusing alcohol.

People Who Abuse Alcohol Often Don't Get the Help They Need:  Family Problems

More than one spouse, who was married to a husband who abused alcohol, has told me that she would rather buy him the alcohol and maintain peace in the household rather than have the husband create havoc because he's craving alcohol he doesn't have.  One person told me, "Once he has his beer, he goes in the den, drinks, and he doesn't bother anybody."  Often, this sad state of affairs can go on for many years.

Employers Often Collude and Enable People with Alcohol Problems
It's not unusual for employers, who might recognize that an employee has a drinking problem, to look the other way.  When I was a human resources manager and I asked managers why they allowed a certain employee to continue to come to work drunk, I was often told something along the lines of, "Well, Joe is a good guy.  I didn't want to get him in trouble."

Untreated Alcoholism Can Cause Serious Medical Problems
What people often don't realize, and this includes the person who is abusing alcohol and the people in his or her life, is that untreated alcoholism can cause serious medical problems.  It can even be fatal.  Late stage alcoholism can include severe memory problems and other cognitive impairments.

Alcoholism can lead to heart attack, stroke, and kidney and liver failure.  Alcoholism also often destroys families.  It is also one of the main causes of car accidents and vehicular homicide.  It costs companies millions in lost productivity.

Alcoholism is a Medical Condition--Not a Moral Issue
Even though we now know that alcoholism is a medical condition, many people, including people who abuse alcohol, still see alcoholism as a moral issue.  They think that it's a moral failure and a failure of will on the part of the person with alcohol problems.   But this couldn't be further from the truth.  We don't moralize about other medical conditions--like diabetes.  But people with alcohol problems are still blamed, and they blame themselves, for their medical condition.  This creates a great deal of shame, which keeps the person with alcohol problems from getting help.

Getting Help:  Alcoholics Anonymous (A.A.)
Rather than blaming themselves and trying to "white knuckle it" through, people with alcohol problems need to talk to other people who understand what they're going through.  I am a big proponent of Alcoholics Anonymous (A.A.)

Sober people who attend A.A. understand the challenges involved with giving up alcohol and leading a sober life.  They're there to offer support when the person who is contemplating sobriety takes his or her first tentative steps to getting sober.  They know it's hard, but they also know that it can be done.

I usually recommend that people who are new to A.A. attend a beginner's meeting.  There are often people there who volunteer to be interim sponsors to people who are new to the program because they know that it's hard for newcomers to ask for help.  They can help new people to work the 12 Steps, starting with the first step, often the hardest for many people, to admit powerlessness over alcohol.

Sometimes, A.A. isn't enough and the person who wants to get sober might need to go to either an intensive outpatient program or an inpatient program.  In NYC, I've found, over the years, that both the Parallax Center, which also does outpatient detox, and Inter-Care are both very good outpatient programs.  Both of them offer intensive treatment.

If you have an alcohol problem, don't wait until you've "hit bottom" and you've lost everything.  Get the help that you need.  I've included resources below that you might find helpful.

Resources:
Alcoholics Anonymous:  http://aa.org

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.