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Wednesday, June 24, 2009

Talk to Your Spouse About Money

In my prior post, Talk to Your Fiance About Money Before You Get Married, I recommended that people talk about money before they get married. Whether you started out doing that or not, when you're in a committed relationship and sharing a home, you really need to be able to talk to your partner about money.

Talk to Your Spouse About Money

As a couples counselor, I see many people who come to marriage counseling due to serious conflicts about money. It's one of the major reasons why people come for treatment.

There are numerous reasons why couples have conflicts about money. Here are some of the major reasons and some tips on how to overcome these problems:

No Financial Plan:
Many couples enter into their marriages without a common understanding between them about how they want to handle their finances.

Talk to Your Spouse About Money

Many people assume that their partners feel the same way that they do about money. However, this is often not the case. Couples need to come to an agreement about short-term and long-term financial plans. There should be no secrets about money. If a couple needs to make a major purchase, they need to talk it over together first.

Otherwise, if one person just goes ahead and makes a major purchase without consulting with his partner, this can often lead to fights about money. Or, if one of them has a secret bank account, sooner or later this information will come to light and this will also cause significant problems. Also, either of these issues would be indicative of larger underlying problems in the relationship that go deeper than money problems.

No Understanding About Each Partner's Role Regarding Money:
There needs to be an understanding about who is overseeing the couple's finances. This doesn't mean that it must be a rigid role and that these responsibilities cannot be shared or rotated every so often.

However, at any given time, the couple needs to agree as to which one of them is handling the various aspects of their finances, such as handling the checking account and paying the bills. Sometimes, one partner is better at it than the other and prefers to do it. This is fine--as long as each partner is completely knowledgeable about all aspects of their finances and would know how to handle them or where to find information in an emergency.

Avoid Getting Into Power Struggles About Money:
Often, when couples get into fights about money, it becomes a power struggle between them. Couples need to learn to communicate about money in a way that is respectful.

Talk to Your Spouse About Money:  Avoid Getting Into Power Struggle About Money

As I mentioned in a prior post, it's better to speak from your own experience ("I feel upset when you pay the mortgage late") than to be critical or verbally abusive ("I can't believe that you were so stupid that you forgot to pay the mortgage this month"). No cursing. No put downs. No hurling "dirty laundry" at your partner. Stick with the discussion at hand. If it becomes too heated, take a break and get back to it when you're both calm again.

Having long-term financial plans that you are both working on together can bring you and your partner closer together as you see progress over time towards your goals.

Getting Help in Therapy
If you and your partner are fighting about money and you're unable to resolve it between you, you could benefit from marriage counseling.

I am a New York City psychotherapist and couples counselor in NYC. To find out more about me, visit my web site at Josephine Ferraro, LCSW - NYC Psychotherapist.

Feel free to call me at (917) 742-2624 during business hours or email me to set up a consultation.





















Tuesday, June 23, 2009

Tips on How to Stop Worrying

In my prior post, we explored chronic worrying, some of the more common reasons why people develop the habit of constantly worrying, and the negative consequences.

Habitual Worrying
Let's explore how you can become more aware of your negative habit of worrying all of the time and what you can do about it.

How to Stop Worrying



The Serenity Prayer is a wise prayer to remember. The 12 Step programs, like A.A., have adopted it, but it's valuable for everyone to remember:

God, grant me the serenity to accept the things I cannot change
Courage to change the things I can, and
Wisdom to know the difference

Know what you can change:
If there's some action that you can take to improve your situation, do it. It will empower you and make you feel less afraid of whatever might happen. If you can't change it and there's nothing for you to do, then there's no use in worrying. Rather than railing against what you cannot change, it's better to accept it (assuming that it's not an abusive situation) and make peace with it.

Designate a time to worry:
This might sound funny, but it's better than spending all day and half the night worrying. Make a deal with yourself: You can worry each day for 15 mins. at whatever time you designate. If you feel yourself starting to worry either before that or after that, remind yourself of the deal that you made with yourself and stick to it.

Ask yourself: Realistically, what are the odds?
Step back from your situation and look at it as if you're someone else. If you look at it objectively and you think that the odds are high that your worst fears will come true, what, if any, positive steps can you take to mitigate the worst case scenario? If the odds are low, ask yourself if it's productive to keep worrying.

Think about prior times when you became overly worried and things turned out all right
Think about all the times that you became a nervous wreck and everything turned out just fine. Did your worrying have any impact on the situation? What did you learn from that situation and can it be applied to the current situation that you're worrying about now.

Think about if you are engaging in all or nothing thinking
For instance, do you tell yourself things like, "If I don't get everything that I want in this situation, I know I won't be happy with it at all."

Ask yourself if you are catastrophizing
Do you tend to expect the worst case scenario most of the time? Are you blowing the problem out of proportion?

Ask yourself if you tend to take a negative situation and then generalize it to all similar situations
For instance, do you have a tendency to say things to yourself like, "My last boyfriend was a jerk, so all men are jerks"?

Ask yourself if you tend to allow negative thoughts to overtake you
Do you tend to see the glass as half empty most of the time rather than half full?

Think about what, if anything, you're doing to manage your stress
Do you meditate or do yoga? Do you participate in a regular regime of exercise that is right for you? Do you listen to relaxing music? Do you talk to supportive friends and family? Do you go out for a walk at lunch time?

Getting professional mental health treatment
If you've tried all or most of these ideas to overcome chronic worrying and you still can't overcome this habit, you could benefit from working with a licensed mental health professional that can help you to work through these issues.

About Me
I am a licensed NYC psychotherapist, hypnotherapist and EMDR 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 with me, call (917) 742-2624 during business hours or email me.

Also, see my article:  How to Stop Worrying: What is Chronic Worrying?




















Monday, June 22, 2009

Tips to Cope With Chronic Worrying

How to Stop Worrying:  What is Chronic Worrying?

Are you a chronic worrier?
With all the economic uncertainty in the world today, many people are worried. However, there's a difference between worrying about a specific problem that spurs you to take action vs. chronic worrying that can paralyze you.

Chronic worrying usually doesn't help. In fact, not only does it not help, it often gets in the way and can have physical as well as emotional consequences.

What is chronic worrying?
If you engage in chronic worrying, you have a negative habit of worrying most of the time. You might be constantly thinking about the "what ifs" in situations where you feel you don't have control. You might also be filled with negative thoughts, anticipating the worst in situations. Breaking the worrying habit can be as difficult as breaking any other habit.

If You Engage in Chronic Worrying, You Have a Negative Habit of Worrying Most of the Time

Why do people engage in chronic worrying?
There are so many reasons--we would need pages and pages to explore them. Let's explore some of the more common reasons:

The illusion of feeling prepared and in control: Many people feel that if they worry about a problem constantly, they'll be more prepared in case their worst fears come true. Of course, this is an illusion. However, this type of distorted thinking can make it very hard to give up chronic worrying.

Worrying as a learned behavior: For many other people, they grew up in a household where their parents worried constantly and, as young children, they integrated this type of thinking without even realizing it.

The need for absolute certainty in an uncertain world: Many people also have a hard time dealing with uncertainty. They need to know what will happen, when it will happen, and how it will happen with as close to 100% certainty as they can get. As a result, these people worry almost all of the time.

What are the consequences of chronic worrying? Chronic worrying can cause insomnia as you toss and turn all night (see my prior post on insomnia). Insomnia, in turn, has negative consequences for your overall health and well being.

One of the Consequences of Chronic Worrying Can Be Insomnia

Chronic worrying can deplete your energy and result in physical problems. For some people, chronic worrying can lead to excessive drinking and drug abuse as a maladaptive way to get relief from stress.

It can make you feel irritable and cause arguments between you and your partner or you and your boss. Unrelenting worrying can also lead to problems with depression (see prior post:  What is the Difference Between Sadness and Depression?). 

There are so many other consequences. Suffice it to say, constant worrying usually doesn't lead to anything good.

In my next post, I'll discuss what you can do to overcome chronic worrying.

I'm a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.

To find out more about me, visit my 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:  How to Stop Worrying: Steps You Can Take

Friday, June 19, 2009

Overcoming Procrastination

Just hearing the word "procrastination" is enough to make some people cringe with guilt and feel judged, defensive, and annoyed. Unpleasant memories of school papers not being turned in on time, missed deadlines at work, missed payments on credit cards, and other consequences of procrastination come to mind. 


Overcoming Procrastination

But before you decide to put off reading this article, take a deep breath and calm yourself. This article is not meant to judge--it's meant to provide helpful information that might help you to stop avoiding the things that you find unpleasant.

What is procrastination and why do people procrastinate?
Rest assured, you're not alone. Procrastination is a common psychological defense to avoid dealing with certain tasks, people, or situations.

I'm sure that we can all think of many examples, whether they're related to ourselves or to someone that we know: waiting until Christmas Eve to go Christmas shopping, putting off doing taxes until April 14th, receiving credit card bills and shoving them in a drawer and not paying until after the due date, avoiding having an important discussion with a spouse or partner, putting off going to the dentist, and so on.

In our rational minds, we know that avoiding the unpleasant task will only make it worse but, somehow, we trick ourselves into believing otherwise: "I'm too tired to do that now--I'll do it tomorrow" or "This can wait until after I watch my favorite TV show" or "I'm hungry. Let me me have something to eat first."

All the while, there's that wise part of us that is urging us to go ahead and take care of whatever needs to be done. But how often we ignore that wise part--usually to our detriment.

How to overcome procrastination
So what can we do about this?

First, when you feel the "competing parts" in your mind in conflict about what to do, learn to listen to that wise part of yourself that usually knows what's right for you.

Overcoming Procrastination

This usually takes practice, especially if you've become accustomed to ignoring that part in favor of the other parts who urge you to avoid handling important matters. You might need to start by "sending" those well-meaning but, ultimately, misguided parts on "a vacation" in your mind's eye.

You might say, "What does she mean by that?" But if you think about it for a moment, you'll realize that it's not unusual for all of us to have mixed and competing feelings about many situations where we have to make decisions about what to do (see my article: How Parts Work Therapy Can Empower You).

Usually, we'll weigh the pros and cons in our minds to come up with a decision. When we make decisions that are not good for us, we usually know on some level because the wise part of us is gentling nudging us to take another course of action.

But how easy it is to ignore that wise part. So, I'm suggesting that, rather than giving in to those well-meaning parts that urge us to avoid, invite them to step back and take "a vacation."

In your mind's eye, send them to Tahiti for a much-needed rest. And while they're sunning themselves on the beach and having Pina Coladas, allow the wise part of yourself to have a stronger voice in your decisions. The well-meaning parts will be back soon enough to challenge the wise part and you might need to send them on another vacation for a while.

In the meantime, listening to the wise part of yourself, take a large task and break it down into smaller, more manageable subtasks.

Write it down. Be specific.

Now, talk to a friend about the task and make a commitment to your friend as to when you will complete each of these subtasks. Ask him or her to write it down.

Overcoming Procrastination:  Make a Commitment

Now, a word about how to choose the person who will be holding you accountable: Choose someone who will be supportive but firm. Don't choose your friend who is "very nice" but who won't challenge you a little if you need it. Also, don't choose someone who will be too bossy about it. Either extreme isn't good.

Once you've chosen a friend, offer to help your friend with something that he or she might be avoiding. Plan in advance when you and your friend will have your check-in session (by phone or in person) to talk about how you fared in terms of completing the subtasks. Also, plan to give yourself a small reward for each subtask that you complete. (If you don't complete the subtask, no reward.)

If you don't complete the subtask or if you completed part of it but not all of it, don't berate yourself or give up. Just make a new agreement with your friend and stick with it. Often, starting is the hardest part, so once you're on a roll, you may find yourself on an upward spiral, creating new and healthy habits by tackling situations that you used to avoid.

When Procrastination is a Sign of Deeper Issues
Sometimes, procrastination is not just avoidance but a sign of more complex problems like unresolved trauma, depression, anxiety or problems that you're unaware of because they're unconscious.

Getting Help in Therapy
If you follow the tips offered above, but you find that you continue to have an ingrained and persistent pattern of procrastination with detrimental consequences in your personal or work life, you could benefit from dealing with these issues with a licensed mental health professional to understand and work through them.

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

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

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

Also see my article:  
Overcoming Procrastination and the Need for Certainty in an Uncertain World





Wednesday, June 17, 2009

Overcoming Phobias with Clinical Hypnosis

In my last post, I explored what phobias are and how they develop.

Now, I would like to discuss hypnotherapy as an effective treatment for people with phobias.

When I work with a client who has a phobia, I will usually ask if the client is aware of the triggering event that caused the phobia. This is helpful to know, but not absolutely necessary. So, for instance, if a client has a fear of riding in an elevator, I would explore with the client when this fear began and how it began. If possible, I would also like to know what it was like for this client to ride in elevators before the fear developed. Phobic reactions don't always develop because of a person's direct experience. Sometimes, phobias develop because a person witnessed the phobic reaction of someone close to them. As an example, if a client has a fear of dogs, it is possible that she might have witnessed her father get bitten by a dog. Even if she did not witness this incident directly, her father might have talked to her about his fear and, without realizing it, he might have communicated this fear in a deep way to his daughter so that she took on the fear. Whatever caused the phobia, the fear has been repressed in the unconscious mind.

How Can Clinical Hypnosis Help?
Clinical hypnosis, also known as hypnotherapy, deals with the unconscious mind where the cause of the phobia lies. There are many myths about hypnosis. Contrary to one of the myths, you should know that clients who receive hypnotherapy treatment are in control at all times. They are awake and maintain dual awareness of the here-and-now and everything going on around them as well as what they are feeling in the hypnotic state. No one can force them to do anything that they don't want to do. I discuss this in more detail in an earlier post ("What is Clinical Hypnosis?").

Regardless of the type of phobia, the goal of hypnotherapy treatment is to desensitize the client to the fear and provide the client with his or her own internal resources. With effective hypnotherapy, the mind processes the phobia so that the client no longer responds with fear and panic. If the phobia is not complex and the client is motivated, he or she can overcome the phobia in several sessions. If the phobia is more complex and if the client experiences frequent panic attacks and phobic reactions, it can take longer.

What to Do?
Don't suffer on your own with phobias. Phobias usually don't go away by themselves. Get professional mental health treatment from a hypnotherapist. Effective treatment can help you to overcome your phobia and improve the quality of your life.

I am a psychotherapist and hypnotherapist in NYC.

To find out more about me, visit my web site: http://www.josephine-ferraro.com.

Feel free to call me at (212) 726-1006 to schedule a consultation.

Saturday, June 13, 2009

How to Improve Communication in Your Relationship

Every relationship has its ups and downs. Every couple has arguments from time to time, but how you communicate with each other can make the difference between a relationship surviving or failing.

How to communicate with your partner:

Listen to what your partner is saying:
There's a difference between hearing and listening. When you listen carefully, you're putting yourself in your partner's place and reflecting back what has been said. You're not thinking about what you're going to say next. You're not interrupting. You're not becoming defensive.


How to Improve Communication in Your Relationship

  • Speak from your own experience: Rather than hurling accusations at your partner, speak from your own experience. It's better to say, "I feel annoyed when you..." than "You really ruined my day when you... " Most likely, your partner will be less defensive and more likely to hear what you're saying if you stick to expressing yourself by focusing on your own experience.
  • Stick with what's going on in the current situation: Concentrate on the present. Don't bring up other unrelated grievances from the past. Don't retaliate by throwing out everything that ever bothered you about your partner. This will cause the discussion to spiral down to accusations and counter accusations.
  • Understand that you and your partner might have different needs: It's not unusual for one person to need time to regroup before he or she can have a discussion, especially if it's about a heated topic, while the other person needs to talk about it immediately. There has to be a compromise. On the one hand, there's no point in trying to force someone who needs a short period of time to calm down to engage in a discussion that he or she is not ready to have. It's better to allow your partner to take a break and then resume the discussion. On the other hand, it's counterproductive for the "short break" to become a passive aggressive way to avoid the discussion altogether. You and your partner need to find a balance. It's better to discuss these differences and come up with a compromise on your different styles at a point when you're both in a good place with each other and not when you're arguing.
  • Take responsibility for your own your part in the problem: It's so easy to become defensive and discount what your partner is saying, especially if you feel criticized. It takes a big person to really listen and admit when you've been at fault. If you do this, your partner is more likely to acknowledge his or her part in the problem. Then, you're more likely to reach a compromise.

When to Get Help in Therapy
Ongoing arguments have a way of eroding a relationship and, before you know it, your relationship has devolved into an unhappy situation. 

If you and your partner have a pattern of getting into ongoing arguments or you can't seem to resolve your differences, it's time to seek the help of a licensed psychotherapist who works with couples who can help you to learn how to communicate with each other.

About Me:
I'm a licensed psychotherapist in New York City. 

One of my specialties is working with couples. 

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

Call me at (917) 742-2624 during business hours or email me to set up a consultation.

Thursday, June 11, 2009

Coping with the Loss of a Loved One: Complicated Grief

In prior articles, I focused on coping with grieving for a loved one, whether it is a family member, friend or a cherished pet (see links for those articles below). I emphasized that no one is immune to loss and grief and everybody is different in terms of how they grieve and how long.

Coping With the Loss of a Loved One: Complicated Grief

What is complicated grief?
Complicated grief is when grieving turns into not just sadness, but psychological symptoms that include features of depression and posttraumatic stress disorder (PTSD).

Someone who is suffering with complicated grief might become obsessive about the details of the death or highly suspicious about other people's motives.

In some cases, they might hallucinate. They will often have intrusive thoughts about the deceased person. They might deny the death (thinking the deceased person is alive somewhere else and suffering, needing their help) or they might want to die themselves.

In many cases, they are unable to function in their daily activities of living (getting up, going to work), or they find it too difficult to maintain their self care (bathing, sleeping, dressing themselves).

Getting Help: What to do if you or someone you know is suffering with complicated grief:
If you or someone you know is suffering with complicated grief, it's very important to seek professional mental health as soon as possible.

Do not assume that the symptoms will go away on their own. A licensed psychotherapist can assist by helping to work through the grief.

Hypnotherapy (also known as clinical hypnosis) and EMDR are two types of treatment that can be very helpful in assisting people to overcome complicated grief (see my prior postings to learn about these very effective forms of therapy).

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

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

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

Other articles about grief in this blog:  
Grief in Waiting After the Death of a Parent