Follow

Translate

NYC Psychotherapist Blog

power by WikipediaMindmap

Sunday, April 7, 2013

Learning to Feel Comfortable With Being Yourself

There's a lot of pressure these days for people to look and behave a certain way--so much so that people often don't feel comfortable being themselves.  Many people get caught up in the belief that there's a certain way they're supposed to be and if they're not that way, there's something wrong with them.

Learning to Feel Comfortable With Being Yourself


What a dull world it would be if we all looked and acted the same.  One of the things that makes life interesting is that each of us is unique.

Here are some tips for feeling comfortable with being yourself:
  • Stop Criticizing Yourself: It's bad enough when other people are criticizing you or pressuring you to be different from who you really are.  But when you're doing it to yourself with constant self criticism, that's even worse.  But you can learn to stop these automatic negative thoughts by, first, becoming aware of them and then making a determined effort to shift your attention away from your own self criticism.  You might become aware that you have "old tapes" playing in your mind from critical parents or other early experiences.  Try to develop an awareness that these "old tapes" are from then and not now.  
  • Stop People Pleasing: Become aware if you have a pattern of constantly seeking other people's approval.  And, if you do, ask yourself why. Being considerate and caring towards others is different from constantly needing their approval.  When you tend to need other people's approval, you're placing other people first and placing yourself second. You're also giving them a lot of power over you.  Also, when you engage people pleasing, you're not being your authentic self.  You're accommodating others by shifting how you behave, which makes you come across as inauthentic.  There will always be someone that you're not going to be able to please, no matter what you do.  So, it's better to know what you want and need for yourself and learn to feel comfortable with that.
  • Trust Your Judgment and Intuition: Unless you know that you have a history of using poor judgment in your life, trust your own judgment and intuition for yourself.  Most people have a "gut" feeling of what's right for them, but when they're not comfortable with themselves, they rely too much on others to tell them how they should be and what they should do. This doesn't mean that you can't seek advice from loved ones or from a mentor.  But you need to make your own decisions after you get their input.  
  • Learn That It's Okay to Make Mistakes: It's inevitable--we all make mistakes.  But if you're so fearful of making mistakes that you allow yourself to stagnate, you're not going to learn from your  mistakes.  
  • Develop Your Own Way of Being in the World: Part of getting comfortable with being yourself is getting to know yourself and developing your own way of being in the world.  Change is inevitable.  Who you are today is probably somewhat different from who you were 10 or 15 years ago.  And who you'll be in the future will probably change in some ways. You might experience yourself as being in a state of transition, which can be confusing or it can be exhilarating or both, depending upon how you deal with change.
  • Remain Open and Curious: Remaining open and curious to others and the world around you will give you an opportunity to have new experiences and to "sample" new ideas and feelings.  You can take what you like and leave the rest, as the saying goes.
  • Keep a Journal: Journaling about what comes up for you can be very useful.  By journaling, you capture your feelings and concretize them by writing them down.  This applies to intense feelings as well as feelings that might be fleeting. Journaling can be a way of dialoging with yourself.  Often, when you write down what you're feeling, you gain insight into a part of yourself that you might not have experienced before.  If nothing else, journaling can provide you with a release for your emotions, rather than keeping them bottled up inside.
  • Take Action: As you develop an increased awareness about the tips that I've listed above, you can begin to take steps that will help you to feel more comfortable with being yourself.  So, for instance, if you recognize that you have a tendency to constantly seek others' approval, notice when you feel the impulse to do this and see what it's like to make an effort not to do it.  Notice what feelings might come up:  Do you feel good about resisting the urge to seek approval or does it make you feel insecure?  What other feelings come up?  Write it down in your journal.
Getting Help in Therapy 
There's a lot that you can do on your own when you're developing the ability to feel comfortable with yourself.  But if you find that you're struggling with low self confidence or shame, or it has become too difficult to develop a sense of comfort with yourself on your own, you could benefit from working with a licensed mental health professional, who can help guide you through the process.

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 or email me.

























Saturday, April 6, 2013

Recapturing a Sense of Aliveness

Many people come to therapy because they feel they're missing something in life.  They no longer feel a sense of aliveness.  Instead, they feel stuck in what feels like an endless cycle of tasks, routines and obligations that have taken over their lives

One way for a psychotherapy client to rediscover her sense of aliveness is for her to reconnect with a time in her life when she felt more alive and open to the world around her.  This is possible through clinical hypnosis and Somatic Experiencing.

Recapturing a Sense of Aliveness

We Are Born With the Capacity For Aliveness and Openness to the World Around Us
Most of us are born with the capacity to feel alive and curious about the world around us.

Infants are naturally curious about the world around them.  You see this especially with infants who are about six months old when they really begin to direct their attention outward.  They're naturally curious and stimulated by their environment.

They become happy and excited by new toys and objects around them.  They're also happy and excited by new things that they can do, and they want you to notice, as if they're saying, "Look at me!  Look at what I can do!"

Ideally, if children are fortunate enough not to experience emotional trauma as they are growing up and if they are encouraged to remain open and curious, they maintain their sense of curiosity and aliveness. They use their imagination to create stories, draw, and play with their friends.

Of course, children have their disappointments and frustrations in life, but as long as the nurturing their receiving from their parents is "good enough," they can learn to be resilient and maintain their openness to the world.

As Adults, We Can Become Overwhelmed and "Shut Down" Emotionally
As we get older, it's inevitable that we must deal with more complex challenges.  If we become overburdened with challenges, it can cause us to "shut down" emotionally.  As adults, we don't always realize immediately that this is what's happening to us.  It can remain unconscious for a long time.

Whereas, initially, this emotional shut down, whether it was conscious or not, was intended as a defense against feeling unpleasant feelings.  Unfortunately, when someone shuts down emotionally, it not only blocks unpleasant emotions that might be overwhelming, but it also blocks feelings of happiness and a sense of aliveness.

Mind-Body Connection:  Clinical Hypnosis and Somatic Experiencing
If a person has been emotionally shut down for a while, she might feel a disconnect between her mind and her body.  In other words, she's relating to the world in strictly in terms of thinking rather than emotions and physical sensations.

When this happens, it can feel like the body (from the neck down) is only there to hold up the head.  This might sound like an exaggeration, but there are many people who are cut off or dissociated from the neck down.

When a client comes to see me in my psychotherapy practice in NYC who wants to recapture that spirit of aliveness, I will often work with her using clinical hypnosis and Somatic Experiencing to try to help her to reconnect with the body and recapture that openness and aliveness.

Even if she doesn't remember a time when she felt a sense of aliveness, it's often possible with clinical hypnosis and Somatic Experiencing to go back to an earlier time to recapture these feelings.

Often, I will also recommend tasks for a client perform outside of therapy to act as a bridge between psychotherapy sessions.

So, for instance, if one of the things that came up during a session is that she loved to draw when she was a child and this made her feel very alive at that time, I might recommend that this client take up drawing again to reconnect with that feeling. Or, if she had an early memory of going out into nature and feeling a sense of aliveness in nature, I might recommend that she go to a park and reconnect with nature as a way to reconnect with her sense of aliveness.

Getting Help in Therapy
If you feel like there's something missing in your life and you lack a sense of vitality, you could benefit from working with a licensed mental health professional who uses clinical hypnosis and Somatic Experiencing.

For anyone who would like to know more about clinical hypnosis or Somatic Experiencing, I've included web sites below that provide more information.  Each site also has national and international directories of therapists who use these treatment modalities.

About Me
I am a licensed New York City 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.





Friday, April 5, 2013

Inconsolable Grief for a Mother's Death in an Enmeshed Mother-Daughter Relationship

I've written about enmeshed families in prior blog posts (see link below).  In this blog post, I'd like to address the issue of inconsolable grief for a mother's death in an enmeshed mother-daughter relationship. 

Inconsolable Grief For a Mother's Death


Enmeshed Mother-Child Relationships
Enmeshed mother-child relationships often hinder emotional development for the children in those relationships.  It's not unusual for these adult children to have difficulty forming adult relationships outside of the family because the relationship with the mother has become all consuming to them and leaves little room for other adult relationships.

In this type of enmeshed relationship, when the mother dies, the adult child often feels inconsolable grief because she is so emotionally dependent upon the mother.

The following fictionalized vignette is a composite of many cases to protect confidentiality:

Ina:
Ina was an only child.  Her father had abandoned the family when Ina was an  infant, so she had no memories of him.  Her mother often said to her, "It's you and me against the world."

When it was time for Ina to start school, both she and her mother experienced tremendous separation anxiety.  Every weekday morning was an ordeal.  They would both cry when the school bus came.  Ina's mother would come everyday to bring Ina her lunch and sit with her in the school cafeteria.

Ina's teacher tried to talk to the mother about allowing Ina more time and space to form friendships in the classroom.  She tried to tell her that Ina wasn't forming friendships during recess and the lunch hour because she was so focused on the mother.  But the mother got annoyed and complained to the principal that the teacher was trying to interfere with her relationship with her daughter.  After that, the teacher backed off.

Ina made a few friends in junior high and high school, but she still preferred to spend her free time with her mother.  She had very good grades, but she didn't participate in any social activities in school.

When it was time to apply for college, Ina only wanted to apply to local colleges so she could remain at home.  Her guidance counselor advised her that her grades were so good that she would probably get scholarships to colleges outside their town, but Ina wasn't interested.  Her mother also thought it was best for Ina to stay close to home.

Ina had crushes on boys, but she had no interest in dating. When her friends talked about meeting someone and getting married, Ina cringed.  She never wanted to get married.  Her mother had spoken to her about how miserable she felt when Ina's father abandoned them, and Ina couldn't see why her friends would want to risk getting hurt like this.

After college, Ina worked as a customer service representative at a local bank.  After work, some of the employees would go out to dinner or to a movie and they would invite Ina to come along.  But Ina preferred to go straight home to have dinner and watch TV with her mother.

As the years past, Ina's manager encouraged her to apply for other jobs at the executive headquarters, but Ina wanted to remain close to home.  She was a good worker and customers liked her.  She received two promotions at the local branch, but her manager told her that she was limiting her career by only considering jobs at the local branch.  Ina explained to him that she was happy doing what she was doing, and she didn't feel the need to apply for jobs outside of their branch.

Over the years, employees that were trainees under Ina excelled beyond her because they sought opportunities at the executive branch.  Ina remained in her job as a senior customer service representative, but this didn't bother her.

When Ina was in her mid-40s, her mother was diagnosed with Stage 4 cancer.  Ina took time off from work to take care of her.  Despite what the oncologist said, Ina had no doubt that her mother would recover.  Even as her mother's health continued to deteriorate, Ina held onto this belief.

When the doctor recommended hospice care, Ina became furious.  She felt he was giving up on her mother, and she told him so.  She held onto her belief that her mother would survive up to the day she died.  Then, she went into shock.

For several weeks, Ina was unable to even get out of bed.  Her aunts took turns taking care of her.  All she wanted to do was sleep.  She felt that living life without her mother was unbearable.  When she was awake, all she did was cry.  She was inconsolable.

After three months, Ina returned to work.  She felt like she was in a daze.  She had lost more than 20 lbs. and she looked pale.  Fortunately, she knew her job so well, after all those years, that she could perform her duties, even though she felt like she was living in a dream.  Whenever anyone tried to express their condolences, she would stop them. She didn't want to talk about it.

When she got home, she didn't know what to do with herself.  Everywhere she looked, she saw reminders of her mother.  She was unable to give away her mother's clothes.  Instead, she would often go into her mother's closet, hold her mother's garments to her face and smell her mother's perfume which was still embedded in the clothes.  Then, she would cry.  Her aunts offered to help Ina give away the clothes, but Ina wouldn't even hear of it.


On the fifth year of the anniversary of her mother's death, Ina's manager found Ina crying at her desk.   He closed the door and talked to Ina about going to therapy.  He confided in Ina that he had attended therapy several years ago when he and his wife ended their marriage, and he found it helpful.

By this time, Ina's grief had grown worse, not better.  She knew she couldn't go on like this, so she decided to start therapy, even though she didn't feel that anyone could ever help her to feel better about her mother's death.  Even the thought of feeling better made Ina feel that she would be disloyal to her mother.

Initially, Ina was defensive in therapy.  She only wanted to talk about her mother and the times they spent together.  She never wanted to talk about any plans for the future.  She couldn't even envision herself making plans for the future that didn't include her mother.  Although she would never hurt herself, there were many times she wished she could just go to sleep and not wake up.

At first, she resisted all recommendations about things she could do to take care of herself so she could feel better.  She didn't want to exercise or go to a yoga class or join a book club.  She didn't want to reach out to the few friends who remained in her life.  She just wanted to keep doing what she was doing, even though she was feeling miserable.

Then, her therapist recommended that they do inner child work using hypnosis.  Ina had never experienced hypnosis before, but she decided to give it a try.  She felt it was better than her therapist's other recommendations.

Much to her surprise, Ina was able to sense the younger part of herself that felt so vulnerable and afraid.  Using hypnosis, she was able to nurture that younger self, and she began to feel some relief from her grief about her mother's death.

After a few months, Ina still felt sad, but it wasn't an inconsolable sadness.  She still missed her mother, but having the ability now to nurture herself emotionally, she felt the sadness was more manageable.  She still visited her mother's grave every week and "talked" to her mother, but she wasn't crying as much as she was before.

After several months, Ina felt like she might be ready, with help, to give away her mother's clothes.  So, her aunts came to help her clean out the mother's closet.  Ina held onto a particular dress that she knew her mother really loved, and she allowed her aunts to give away the other clothes to a charity organization.

At her therapist's recommendation, Ina did her own private ritual to commemorate her mother's life.  She set up a place on her dresser with a picture of her mother, a candle, and her mother's favorite broach.  Then, she said a tearful goodbye to her mother, acknowledging that her mother was gone, but she would always have a place in Ina's heart.

After that, Ina felt somewhat better.  She realized that she would always have her memories of her mother, and she believed her mother was "in a better place."

Gradually, over time, Ina became more social.  She had some regrets that she had remained "stuck" for so long and she would never get that time back.  But she began to take her first tentative steps to make friends and, for the first time in her life, to date men.

Enmeshed Mother-Child Relationships:  Overcoming Inconsolable Grief 
In the vignette above, Ina, who is a fictional character, eventually attends therapy to deal with her inconsolable grief.  But there are many people, who have similar experiences of grief, who never even consider going to therapy. They remain stuck emotionally in their grief for the rest of their lives.  In their senior years, they often have regrets for everything they never experienced in life.

For people going through this experience who are open to therapy, they're often surprised that they can feel better.

Often, what happens is that they experience how they can internalize their mother emotionally in a new way, even though the mother is no longer alive.

Although the mother is no longer alive in the here-and-now, the adult child can feel the mother as alive in his or her own internal world.

This type of work, for people who have been very enmeshed with a parent, isn't quick.  Often, the person who feels grief has mixed feelings about letting go of the sad feelings.  There is an illusion that by holding onto the sadness, they're holding on to their dead parent in some way.

Clinical hypnosis is often helpful when there is inner child work to be done, as in the vignette above.  It helps clients to get to a place on an unconscious level that is usually difficult to get to with regular talk therapy.

They're often surprised to discover that it's quite the opposite.  Letting to of the sadness allows the person who feels grief to make room for a different experience, the internalization of the parent in a healthier way.

Getting Help in Therapy
If you've lost a mother or someone close to you and time has passed, but you're not feeling any better, you owe it to yourself to get help from a licensed mental health professional who has experience helping clients with this issue.

In most cases, people find a new way to overcome their grief that still honors the relationship with the person who died.  But it also allows the person who is still alive to transition to having a more meaningful life.

About Me
I am a licensed New York City 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.

Also see my articles:
Avoiding Codependency With Your Children

Overcoming Shame in Enmeshed Families



Thursday, April 4, 2013

Overcoming Feelings of Helplessness Related to Early Trauma

Many people who were helpless as children due to childhood trauma continue to feel helpless when they're adults.  As adults, they often continue to feel pessimistic and that they don't have control over their lives.  Frequently, their initial response to suggestions of how they can overcome their problems is "I can't."  

Overcoming Feelings of Helplessness Related to Early Trauma

Part of the work in therapy is helping them overcome their trauma-related sense of helplessness by doing trauma therapy work.  Another important part of the work is helping them to develop an increased awareness that, as adults (as opposed to when they were children), they now actually do have control over their lives and more choices than they're seeing.

A History of Early Childhood Trauma Can Trigger Feelings of Helplessness in Adults
Many people who experienced emotional trauma at an early age, where they really didn't have control over a traumatic situation, grow up with a sense of helplessness in many, if not all, situations in their lives.  Often, this occurs without a person even realizing it because feeling helpless has become a habitual response, and they will often approach problems as if they can only submit passively to what is going on.

Compare the two fictionalized vignettes below of two people in the same situation where one feels helpless and a lack of control and the other feels confident and that he can take steps to overcome his problems:

John

John has a supervisor, Ted, who is a bully.  Ted bullies everyone in the office, including John.  John dreads going to work every morning because he anticipates having to deal with Ted's bullying and demeaning behavior.  

Whenever John's friends suggest that he look for another job, his response is "I can't."  Then, he gives many reasons why he doesn't feel ready to look for another job.  When friends make suggestions about how he can prepare himself  to look for another job, he shrugs his shoulders and says, "I can't."

The worse part is that when Ted treats John in a demeaning manner, John takes this criticism to heart.  Even though John gets a lot of praise for his work from senior managers who are above Ted at the company, one critical remark from Ted will ruin John's day.

John grew up in a household where his father was verbally and physically abusive with John, John's mother and his siblings.  John's father would constantly tell John, "You're nothing and you'll never amount to anything."  When John was a young child, he really had no control over his father's abusive behavior.  And, now, without John realizing it, his early childhood trauma is getting emotionally triggered in his current situation at work.  John is responding to Ted as if Ted is his father and he's a helpless child again.

Larry
Larry also works for Ted.   Ted is also demeaning and bullying with Larry.  But the big difference between John and Larry is that Larry feels he has some control over the situation and that he has choices he can make.

Larry feels confident in himself.  Regardless of what Ted says to him, Larry has a strong sense of self and whatever Ted says to him doesn't change his sense of self confidence.      He knows that Ted's tactics are meant to put him down, but Ted's remarks don't affect the way Larry feels about himself.  Larry's sense of self confidence allows him to remain resilient in this stressful work situation.

Larry knows he has options.  He knows that bullying is against the corporate code of conduct at work, and he can file a complaint with the human resources department.  He also knows that, even though he doesn't have the skills yet to apply for the senior position he would like  to have eventually, he's taking positive steps to improve his skills by taking in-house courses that are offered to all employees on company time.  

While he's in these classes, he's networking and developing important relationships with senior staff to find out about other jobs in the company.  He knows that his current situation with Ted is temporary and, as soon as he is able, Larry plans to leave this department for a better job.

Larry grew up in a nurturing environment where his parents encouraged him to be curious and open to new experiences.  They also instilled a sense of self confidence and encouraged him to pursue his interests.  As he was growing up, they presented him with age-appropriate challenges that gave Larry an opportunity to learn problem solving skills and develop a sense of determination.

How I Would Work With John in Therapy
If John came to therapy because he was feeling anxious and helpless at work and, possibly other areas of his life, I would work with him to develop a greater sense of awareness of how he is responding to his situation and help him, over time, to become more resilient.

No one can change John's history of early childhood trauma. But I could help him work through the trauma using mind-body oriented therapy, like EMDR, clinical hypnosis or Somatic Experiencing, so that he is no longer emotionally triggered in his current situation by his history.  There is no quick fix to John's issues, but I have helped many clients with problems similar to work through their trauma.


Overcoming Feelings of Helplessness Related to Early Trauma

Along the way, I would help John to develop an increased awareness that he is responding to the current situation with the fear that he had when he was a child.  We might do some inner child work to help this younger aspect of himself to feel nurtured in a way that he never felt nurtured when he was growing up.

I would also help John to differentiate between what happened "then" (when he was a child) and what's happening "now" and to see that, if he chooses, he has many more options now than he did then.

Setting manageable goals would also be part of the work in therapy.  And, whenever John felt "stuck"  by a sense of "I can't," we would look at what's really going on for him at that point:  Is there a distortion in the way he's thinking?  Has he slipped back into feeling that he's helpless again, like he was when he was a child?  What else might be going on?

Developing an Awareness of How Early Childhood Trauma Might Be Affecting You Now 
It can be challenging to see when you're responding to situations with a sense of helplessness because   you're being triggered by childhood trauma. It's important to understand and work on the underlying emotional issues.

Getting Help in Therapy
If you have a tendency to feel helpless and unable to get "unstuck" in your current situation, you could benefit from working with a licensed mental health professional who is trained in either EMDR, clinical hypnosis or Somatic Experiencing to help you work through this issue.

You owe it to yourself to get help to overcome this problem so you can begin to lead a more fulfilling life, unburdened by your childhood history.

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.

Wednesday, April 3, 2013

Finding Moments of Peace During Stressful Times

When you're under a lot of stress, it's easy to forget that you can often find moments of peace. Taking a few moments to yourself to take a deep breath and as you're breathing, letting go of the tension you're feeling inside with each breath that you take, can be such a relief.  




Finding Moments of Peace During Stressful Times

Remembering to Breathe and Let Go
Breathing out the tension doesn't get rid of the problem, but it can allow you to decompress, if only for a short time.  By decompressing, you'll often discover that you can approach your problem with a clear mind.  You might even think more creatively about your problem and approach the problem in a different way than you might have not have before.

Even if your stress is related to a problem that isn't easily solved, it doesn't do you any good to hold on to a lot of extra tension that makes your body feel tight and creates chaos in your mind.

Letting go can seem like the opposite of what you think you should be doing during stressful times.  You might feel that you have to continue to try to continuously hold on, worry, and mull over the problem in every possible way all of the time.

It's understandable that you might feel this way.  But letting go, even momentarily, doesn't stop you from going back to the problem later and working on it.  You don't have to work on it 24/7.  Often, that's counterproductive.

It's easy to forget the simple things you can do to reduce stress because it can feel futile to try to do things that can "only"  help you momentarily.  You can become so fixated on solving the entire problem that you forget it's important to take breaks to have peaceful moments in the midst of a storm.

Square Breathing to Help You to Relax
In a prior blog post, I recommended a particular technique called Square Breathing (see link below).  Square Breathing is a simple technique.  I've worked with many clients who knew nothing about Square Breathing before I taught them how to do it, but who were able to learn it quickly.  It takes very little time, and it can relax you physically, mentally and emotionally.

Creating an Increasing Sense of Inner Peace
As you create each moment of peace for yourself, you might find that you're better able to cope with whatever stressful situation that you're facing.

You might find that these moments of peace, which you create for yourself, can give you a greater sense inner confidence to deal with the stressful situation.  And, since stress is a normal part of life, developing better ways to cope and a stronger sense of self confidence can be an important gif t that you give yourself.

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.

Learning to Relax By Practicing Square Breathing



Tuesday, April 2, 2013

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

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

Feeling Trapped By Your Childhood History

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I work with individual adults and couples.

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

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

Monday, April 1, 2013

When the Breakup of Your Relationship Involves Your Ex Saying Goodbye to Your Child

Relationship breakups are difficult enough even under the best of circumstances.  But they're particularly difficult when you're a single parent and you have a young child who has become emotionally attached to the person you were dating.  It's a loss for you and your ex, but it can be even more heart breaking for your child, especially if s/he spent a lot of time with your ex.

Breakups Are Even More Difficult When Children Are Involved 

Wait Until the Relationship is Solid Before Introducing Your Child
When psychotherapy clients, who are single and dating, have young children, I usually recommend that they wait until the new relationship is solid before they introduce their children to their romantic partner.

It's easy to get caught up in the whirlwind of a new romantic relationship during the early stage of courtship and become overly optimistic about the potential longevity of the relationship.  If you introduce someone new to your child before the time is right, your child will feel the loss and, possibly a sense of abandonment, if your relationship ends.

There's no science to gauge how long you should wait.  In most cases, I would recommend that you wait a minimum of six months.  Of course, a lot depends upon the relationship and the age of your child.  And, you should be aware that even infants become attached to people with whom they spend time.

When the Breakup of Your Relationship Involves Your Ex Saying Goodbye to Your Child

Modern Love Article
In Sunday's New York Times' Modern Love column, Laurie Sandell wrote an article called "How to Break Up With a 2-Year Old" where she discusses this issue from the perspective of the ex who must say goodbye to her ex-boyfriend's child (see link below).

It's an interesting article.  I'd love to hear more from the perspective of people who have children who go through breakups like this.

Among my psychotherapy clients who have young children and who have ended relationships, generally, they feel they have a very difficult time.  Not only do they deal with their own grief about the breakup, but they must comfort their children, who often miss the ex and are too young to understand why the ex is no longer coming around.

Young children tend to be naturally egocentric and they often blame themselves if someone they care about isn't around any more.  This is generally true whether it involves a breakup or a death.  So, don't think your child is "too young" to feel hurt.

Although children can be resilient, use good judgment and err on the side of caution when you're trying to decide when to introduce your child to a new romantic partner.  And if you do have the misfortune to go through a breakup with someone your child was emotionally attached to, you need to be extra nurturing and comforting with your child.

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.

Saturday, March 30, 2013

Why It's Best to Be Honest With Your Psychotherapist

One reason why therapy doesn't work out sometimes is that some clients don't feel comfortable being completely honest with their therapists about important issues in their lives that are causing problems for them.

Why It's Best to Be Honest With Your Psychotherapist

When Shame Keeps Clients From Being Completely Honest With Their Therapists
Often, it's not a matter of psychotherapy clients deliberately attempting to deceive their therapists.  Usually, it's more a matter of clients feeling ashamed of their problems and wanting to appear in a more favorable light.

Shame can be overwhelming.  And, when clients intentionally omit important information about what's going on with them because they feel too embarrassed to reveal their problems to their therapist, they usually end up sabotaging their own treatment because the therapist is missing important information, which doesn't allow her to help the client.

Building a Rapport With Your Therapist
When clients begin therapy, it usually takes a while for the client and therapist to develop a rapport in treatment.  This is normal part of treatment.  So, it's understandable that clients might not reveal things they're ashamed of when they start therapy before they know if they can trust their therapist.  

Withholding Information From Your Therapist Can Result in an "As If" Therapy
When months and years go by and clients don't divulge important information about themselves, the therapy often becomes an "as if" therapy.  The therapist is operating on certain assumptions about the client and offering help related to what she knows, but the secrets that the client is keeping from the therapist have gone underground.   

This might become obvious to the therapist after a while.  She might have an intuitive sense that something is amiss in treatment.  Most experienced and skilled therapists would understand that a client feels too ashamed to discuss certain aspects of himself that he might be too embarrassed to reveal.  

Getting Honest With Your Therapist Can Lead to an Emotional Breakthrough
Once the therapist becomes aware that the client was withholding information, if the therapist approaches this issue with tact and compassion, it can be a real breakthrough for the client and the therapeutic work.  The client usually feels relieved that he no longer has the burden of keeping secrets from his therapist.  

More importantly, he realizes that his therapist still cares about him and wants to work with him.  This is often an emotionally reparative experience, especially if the client came from a family where love was conditional, based on his being a certain way in the family.

Attention-Seeking Behavior: Fictitious Disorder
Another reason why clients aren't honest with therapists is that they might be engaging in attention-seeking behavior.  Attention-seeking behavior could involve either lying to the therapist or exaggerating problems.

For instance, a client might make up a very traumatic family history that is completely false with the intent of getting attention and sympathy.  This type of behavior is called Fictitious Disorder (see my blog article:  Attention-Seeking Behavior in Therapy: Understanding Fictitious Disorder).

A Mismatch Between Therapist and Client Can Result in a Client Withholding Information
Another factor might be that the client and therapist are not a good therapeutic match.

Unfortunately, many clients don't realize how important it is to be with a therapist with whom they have a good rapport.  Of course, as previously mentioned, this is developed over time.  But if months pass and a psychotherapy client still feels he doesn't "click" with his therapist, rather than remaining silent about it or aborting treatment, it would be better for him to speak to the therapist about it.

Ultimately, if this issue cannot be worked out, it would be better for the client to find another therapist. Most experienced therapists understand that every therapist is not for every client, and it's important for the client to feel comfortable.

Some Discomfort With Revealing Uncomfortable Aspects of Yourself is Understandable
Being open in therapy isn't always easy.  It takes courage to go to therapy and open up about things that you don't feel comfortable about.  But, in the end, if you're not honest with your therapist, you're only hurting yourself.

Often, concerns about what the therapist might think if you reveal what you're ashamed of is actually a projection about how you feel about it yourself.

Adjunctive Treatment Might Be Necessary
Recognize that most experienced therapists have heard just about everything you could think of and more.

If your problem is outside of the scope of what your therapist is knowledgeable about, she will tell you and might refer you for adjunctive treatment.

So, for instance, if you reveal that you're having a substance abuse problem and your therapist has no experience with substance abuse, she might refer you to a 12 Step program or a structured outpatient chemical dependency program.

Recognize That You're Not Alone
Many, if not most, people in therapy have gone through times when they feel uncomfortable discussing certain aspects of their lives with their therapists.

But I believe that if you were to ask people who overcame their discomfort and were honest with their therapists, they would tell you that getting over the initial discomfort was worth it in terms of the treatment and how they felt about themselves.

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 or email me.















Friday, March 29, 2013

Overcoming the Trauma of Parental Alienation

Parental alienation is when a parent deliberately says or does things to alienate a child from the other parent.  This often happens when the parents are having problems with each other or they're going through a divorce.  It's a form of triangulation and has a negative emotional impact on a child.

Overcoming the Trauma of Parental Alienation


Why Do Parents Engage in Parental Alienation With Children?
Often, parental alienation can take the form of one parent saying negative things about the other parent. So, for instance, a mother might tell a child, "Your father doesn't love you" or a father could tell a child divulge personal things that have gone on between the parents, like the mother having an extramarital affair, that the child is not developmentally ready to hear.

Whether parents are together or they are in the process of getting a divorce, the emotional and physical well-being of their children should be their primary concern.  But many parents, who are consumed with anger and resentment towards each other, often forget this and, intentionally or not, use the child as a pawn to get back at each other.

The Traumatic Impact of Parental Alienation on Children
Young children are particular vulnerable to the trauma involved with parental alienation and suffer the most.  They don't have the emotional defenses that older children often have to ward off the negative impact of parental alienation.

Hearing negative things about one or both parents can be frightened and confusing for them, especially if one of the parents tells them that the other doesn't care about the child.

The Trauma Doesn't End When the Children Become Adults
Children, who grow up in a home where there is parental alienation, usually continue to be affected by this dynamic when they grow up.  It often affects their adult romantic relationships, making if difficult to develop trust or to even enter into a romantic relationship.

As adults, they might continue to feel ambivalent about the parent that was maligned to them, especially if that parent doesn't make an effort to try to repair the relationship.

The following fictionalized vignette, which is a composite of many cases with all identifying information changed to protect confidentiality, illustrates how damaging parental alienation can be as well as how this trauma can be worked through in therapy:

John
When John was a young child, his mother was in and out of drug rehabilitation programs because of her addiction to prescription pills.  John's father and his paternal grandparents took care of John during the times when his mother was away.

Overcoming the Trauma of Parental Alienation

John was never told where his mother was or why she was away.  His mother's drug addiction was the family secret, and he only found out as an adult why she was often gone for long periods of time.  John's father, who felt angry and bitter towards the mother, would often tell John that his mother didn't care about him--that she only cared about herself.

Whenever John's father told him things like this, John would go into his room and cry silently to himself.  His father made sure that John's basic physical needs were taken care of, but he wasn't a warm or nurturing person and neither were his paternal grandparents.  So, he was often left by himself in his room.

When his mother was home, she was the more loving and nurturing one, so this was very confusing for John.  He felt like his mother loved him, but his father always told him that she didn't, so he wasn't sure what to believe.

During those times, when his mother was home, John would cling to her, often falling asleep on her lap.  He feared that if he let her go, she would go away again.

Whenever his parents fought, John would put the pillow over his ears so he wouldn't hear them.  When the shouting died down, John's father would often come into John's room to complain to him about the mother--she was selfish, manipulative, dishonest, a bad wife and a bad mother.  Hearing these things hurt John, but he didn't feel he could say anything because even though his father was speaking to him, John felt that his father was hardly aware that he was there.

Throughout school, John tended to have only one or two friends, usually more outgoing boys that John sought out.  In college, he was lonely most of the time.  Occasionally, he went out with his roommates, but he mostly kept to himself.

By the time John graduated and came to NYC for a career opportunity, he was very lonely, and he didn't know anyone in NY.

His parents lived in the same household, but they barely spoke.  The father lived in the basement and the mother continued to live on the first floor, but they were living separate lives.  When John went home to visit them, his father still complained about the mother being a bad wife and mother.  John was now old enough to see that his mother was high, even though she denied it.  So, he hated going home and tried to avoid it as much as possible.

John started therapy because, even though he was lonely, he had a lot of problems meeting women.  He was painfully shy and afraid of getting hurt, but he didn't want to feel this way for his entire life.

After hearing John's family history, I discussed parental alienation and it resonated with him.  Just knowing that there was a term for what he experienced and that other people had experienced it too helped him to feel a little better.

After we developed a therapeutic rapport, we began using clinical hypnosis and Somatic Experiencing to help John to work through the trauma he experienced as a child and the effect it was having on him as an adult.

John had never thought of himself as being a traumatized child.  He was surprised, but it made sense to him.  Before coming to therapy, he just thought that his experience was how it was. For him, it was "normal."  He didn't realize that not all children experience parental alienation.  He had never thought about it before.

Over time, John gradually began the healing process so he could visit his parents at home without getting pulled into their hostile dynamic. He also began to date.

If you're interested in finding out about clinical hypnosis and Somatic Experiencing, I've included websites under the Resource section below.  Both websites have directories for therapists in the both in the US and internationally.

Getting Help in Therapy
If you grew up in a environment where you experienced parental alienation, you might not realize the traumatic effect it had on you and that you might still be experiencing the impact as an adult.  If the vignette above feels familiar, you could benefit from getting help from a licensed mental health professional who has an expertise in working with parental alienation.

If you can work through the trauma of parental alienation, you could live a more fulfilling life.

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.
















Thursday, March 28, 2013

Overcoming Procrastination in an Uncertain World

Living in an uncertain world, most of us would love to have access to a crystal ball where we could determine with absolute certainty what was going to happen in our lives, especially when we're faced with major decisions.  I'm sure we'd like some happy surprises from time to time just to keep things interesting.  Unfortunately, much of the time we're attempting to make decisions based on whatever information we have at the time so, as adults, we need to be able to tolerate a certain amount of uncertainty.

Uncertainty and Procrastination
One of the problems with feeling the need for absolute certainty before taking action is that it leads to procrastination for many people.  Constantly weighing the pros and cons, seeking more and more information, and ruminating about the possible outcomes can keep you stuck in your tracks.  So, it's important to realize that if you've stuck obsessively weighing every possible outcome to a decision, you could procrastinate indefinitely and not take much-needed action.

Overcoming Procrastination and the Need for Absolute Certainty


The following fictionalized vignette, which is based on many cases with no identifying information revealed, illustrates how the need for absolute certainty can become problematic and what can be done to overcome this problem:

Nina
Nina was raised by a single mother, who struggled financially to take care of Nina and her three other children.  Every financial decision that Nina's mother made was carefully weighed in the context of their limited household budget and the mother's insecure job as a non-unionized factory employee.

Nina's mother worried a lot about what she would do and how the family would survive if she lost her job.  Even as a young child, Nina was very aware that she and her family lived in the shadow of constant uncertainty.

Nina knew from stories her mother told her that the boss at the factory would fire employees at the drop of a hat.  So, whenever her mother came home looking anxious, which was often, Nina held her breath and her first anxious thought was that her mother had lost her job.  When she realized that her mother was reacting to something else that happened at work and she had not lost her job, Nina would let out a sigh of relief and breathe normally again.

Nina did well in school and she managed to get a scholarship to go to college, which was fortunate because her mother didn't have the money to pay for college and Nina feared the possibility of being in debt with student loans and not being able to pay them back.

After college, Nina had two excellent job offers, but she had a hard time making a choice.  She weighed the pros and cons of both job offers. She researched each company thoroughly.
She sought advice from her college advisors and her friends.  But even with all this information, Nina felt paralyzed to make a decision.

After a few weeks, one of the companies rescinded the offer and gave the job to someone else.  So, fearing she might lose the other offer, Nina quickly accepted the other job.

By the time Nina came to therapy several years later, she had many other similar experiences where she struggled and procrastinated to the point where she felt too paralyzed to move forward.  Even though she earned a very good salary, she was living as if she was still part of a household that was always strapped for cash.  Basically, she was reliving her mother's experience without realizing it.

Our work together involved using clinical hypnosis and Somatic Experiencing to help Nina overcome her childhood trauma of an impoverished family life.

We worked on helping Nina to feel less emotionally enmeshed with her mother's experience and to feel like a separate person.

We also worked to help her "update" her emotional experience to reflect that she was no longer an anxious child worrying about whether the family would survive.  Of course, Nina already knew this on a rational level, but she didn't feel it on an emotional level.

Then, to start, we worked on getting Nina to get comfortable making relatively low-risk decisions, so she could begin to overcome her habitual pattern of procrastination.  Over time, we progressed to more complex decisions.  Rather than just talking about her problem, each week Nina worked on a particular task that we agreed upon in advance and then she came back the following week to talk about her experience.

The work wasn't easy or quick for Nina, but she was motivated to overcome her need for absolute certainty because she was tired of living her life filled with anxiety about personal decisions to the point where she felt paralyzed.  And, gradually, she made progress.  She developed a greater emotional capacity to tolerate uncertainty, a new sense of self confidence, and an ability to take action.

Clinical Hypnosis and Somatic Experiencing Can Help You to Overcome Trauma and the Need for Absolute Certainty That Causes Procrastination
My experience as a psychotherapist, who has worked with many adult clients who are affected by childhood trauma, a fear of change, and habitual procrastination, is that just talking about it in therapy isn't enough.  People often develop insight and an intellectual understanding of their problems when they just talk about it but, often, this doesn't result in change.

Both clinical hypnosis and Somatic Experiencing, as I use them, allow psychotherapy clients to have a mind-body connection experience so the therapeutic work isn't just on an intellectual level.  Clients tend to experience it on an emotional and physical as well as intellectual level.  It's a holistic experience that provides an opportunity for an emotional shift to occur so that clients can take action to make changes.

I've included links below under Resources so you can find out more about clinical hypnosis and Somatic Experiencing.

Taking Action
Taking action is an important component in my work with clients.  While talking about the problem is important, it's vital that the client take action to make changes, otherwise, more than likely, the problem isn't going to change, especially when the problem is about procrastination, fear and dealing with uncertainty.

Overcoming Procrastination:  Getting Help in Therapy


Getting Help in Therapy
If you're having problems overcoming habitual procrastination, you owe it to yourself to get help from a skilled, licensed mental heath professional who works with clients on this issue.

Imagine what your life might be like in five or 10 or 20 years if you continue to have this problem.   Then, try to imagine what your life could be like if you were free from this problem and you could be more confident and spontaneous in the world.

Which life would you prefer?

About Me
I am a licensed New York City 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.

Wednesday, March 27, 2013

APA: Research Reveals Psychotherapy Is Effective But Underutilized

According to the American Psychological Association (APA), research reveals that psychotherapy is an effective treatment for that helps to reduce not only mental health problems but also improves long term health.  

Yet, despite this research, according to the APA, mental health treatment has decreased over the last 10 years or so as more people attempt to rely on psychotropic medication for their emotional problems (see link below for the APA article).

Research Reveals Psychotherapy is Effective But Underutilized


The article cites the findings of 50 peer-reviewed studies that demonstrate psychotherapy's effectiveness across age and racial groups.

According to the APA article, research has shown that a combination of psychotherapy and medication is effective in treating anxiety and medication.

In my experience as a psychotherapist, I've found that many clients who might think, initially, that they might need to be on medication are often helped with psychotherapy alone combined with exercise or yoga.  Of course, each client is different and what works for one client might not work for another.  But this is also true for psychotropic medication.

The APA article also indicates that research has shown that the positive effects of psychotherapy often last longer than psychotropic medication.

Also, psychotherapy is often effective for teaching clients life skills that the clients benefit from long after they have completed psychotherapy.

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.

Tuesday, March 26, 2013

Are Your "Cold Feet" Just Common Pre-Wedding Jitters or a Cause For Concern?

It's not unusual for people who are about to get married to feel a little anxious about taking such a life-changing step in their lives.  We often refer to this as "having cold feet" or "pre-wedding jitters," and most people recognize this as a common experience.  But how do you know if what you're experiencing is just "pre-wedding jitters" or if what you're sensing are "red flags" about the marriage?


Are Your "Cold Feet" Just Common Pre-Wedding Jitters of a Cause For Concern

Many couples find it helpful to go to pre-marital counseling to talk about their hopes and expectations about their upcoming marriage.

Pre-marital counseling provides an opportunity to discuss important issues like, for example, your views about: 
  • what it means to be married
  • how you feel about sex
  • whether you want to have children or not
  • if your religious or spiritual beliefs are in synch with each other
  • how you want to conduct your financial affairs

Pre-marital counseling is also usually the place where people raise any concerns they might have about the other person or about how well suited they are as a couple to get married.  

Are You Experiencing Common Pre-Wedding Jitters or Sensing Red Flags?
Attending pre-marital counseling can help you to determine if what you're experiencing is just common pre-wedding jitters (so-called "cold feet") or if your anxiety is a signal that something might be wrong in your relationship that could cause problems in a marriage.

Don't ignore or override your concerns.  It's better to express your concerns before you get married than to go through with the wedding and have regrets later.


If you're just experiencing the kind of "cold feet" that people often feel before getting married, you can set your mind at ease before the wedding.

But if there are real concerns, you also have an opportunity to try to work these issues out, if they can be worked out, before you get married.

If you're trying to determine if your anxiety is normal pre-wedding jitters or if you're sensing "red flags" about getting married, it's best to seek a counselor who is a licensed mental health professional who can be objective and who has experience working with couples.

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


photo credit: sergcot via photopin cc













Monday, March 25, 2013

Are Toxic Secrets Ruining Your Relationship?

The ability to maintain privacy and healthy boundaries is a part of normal development.  As part of normal development, you don't divulge very personal details about yourself indiscriminately to people you're not close to in your life.  But when you keep secrets, especially toxic secrets, from your spouse, you can ruin your relationship.


Are Toxic Secrets Ruining Your Relationship?

What Is a Toxic Secret?
The following list are examples of toxic secrets:
  • You're having an extramarital affair
  • You're drinking excessively or using drugs when the rest of the household is asleep
  • You're overextended on credit cards and you haven't told your spouse
  • You have a bank account that you've never told your spouse about
  • You're being audited by the IRS and you haven't told your spouse
  • You have a child from another relationship that you've never told you're spouse about
  • You've lost your job, but you haven't revealed it to your spouse yet
I'm sure you can think of many more examples of toxic secrets, but this gives you an idea of what I'm referring to in this blog article.

How Can a Toxic Secret Ruin Your Relationship?
People who maintain toxic secrets from their spouse are often in denial about the effect on their relationship of maintaining these secrets.  They often think they can keep secrets indefinitely and it won't have any affect, especially if their spouse never finds out.

But even if your spouse never finds out about your secret, it can still have a detrimental effect on your relationship.

For one thing, it creates a lot of tension and makes the secret keeper guarded and defensive with the spouse.

If you're leery about your spouse finding out about a secret, you're going to be very cautious to do everything you can to maintain that secret.  This means you're must be careful about everything you say and do so that you don't reveal the secret, which can create a lot of anxiety and guilt for you.

You might also misunderstand simple things that your spouse says and even an innocent question like, "Where are you?" might cause you a great deal of distress if you think your spouse is questioning your whereabouts because he or she is trying to find out your secret.  This could make you irritable and jumpy which, in itself, can cause problems in your relationship.

Keeping toxic secrets can also cause health problems.  The guilt and stress involved with keeping a toxic secret can take a physical toll of the secret keeper.  Over time, this can cause stress-related illnesses.

On the other hand, if your spouse finds out about your toxic secret and s/he doesn't find out about it from you, at the very least, it will probably cause a great deal of emotional pain, anger and mistrust.

Many couples don't survive the kind of blow to their relationship involved with a spouse discovering a toxic secret.  Often, the spouse who feels betrayed doesn't regain the trust needed to remain in the relationship.

Getting Help in Therapy
Of course, no one can tell you what to do with regard to keeping secrets from your spouse.  

But if you think that keeping secrets from your spouse is eroding the emotional intimacy in your relationship or if your spouse has discovered your secret and this has become a major obstacle to the stability of your relationship, you owe it to yourself to get help.

Don't wait until it's too late.  The negative impact of toxic secrets has a way of getting worse over time.

A skilled mental health professional who has experience working with this type of issue can help you and your spouse to work through this problem if both of you want to salvage your 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.