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Monday, December 5, 2011

Mindful Eating

The holiday season can be a challenging time for managing stress and overeating. In this blog post, I'll be focusing on how to eat mindfully and avoid overeating.

Why Do We Overeat During the Holidays?
One of the reasons that we tend to overeat during the holidays is that there's so often much more food around us during this time. If we work in an office, there are office parties with cakes, cookies, chips and many other types of high caloric foods. Family gatherings also have many of the same types of calorie-laden foods. It's so easy to fill up our plates and gorge ourselves on heaps of food without even realizing.

Mindful Eating, Instead of Overeating, During the Holidays

Whether we're stuffing ourselves out of anxiety, loneliness or other uncomfortable emotions or we're distracted by our conversations with others, it's very easy to overeat without realizing it. Considering that we can often attend several parties, dinners or other social gatherings over the holidays, we can end up gaining a lot of weight around the holidays.

So what's the answer? Should we avoid all social gatherings until the holidays are over? Should we starve ourselves and avoid eating until the holidays are over? Clearly, these aren't practical strategies. So what should we do? One viable strategy is to eat mindfully.

What is "Mindful Eating"?
What do we mean by "mindful eating"? Well, mindful eating means eating with awareness. Rather than being distracted while we eat or zoned out, we deliberately choose what and how much we're eating and thoroughly enjoy it. Rather than completely depriving ourselves, which often leads to overeating when we feel too deprived, we carefully choose our food, appreciating the color, texture, aroma, and all the other sensual aspects of the food. When we place the food in our mouths, we enjoy the taste and feel of the food, slowing down to thoroughly appreciate everything about it.

Remember the Meaning of the Holidays
The other factor to keep in mind is that the holidays are about more than food and overeating. If we're fortunate, the holidays are about getting together with loved ones, remembering those who are less fortunate than ourselves and the spiritual significance of the holidays if that's meaningful to you.

So, rather than focusing on food, it's more meaningful to focus on the meaning of the particular holiday. Even if you're alone for the holidays and you're not part of an organized religion, you can have a meaningful experience for yourself and make the holiday brighter for others by volunteering your time over the holidays.

This could mean joining a carolling group at a local hospital, serving food at a local homeless drop-in center, visiting a home bound elderly neighbor, or countless other volunteer activities that are available to you over the holidays and throughout the year. Participating in any of these activities has the potential to expand ourawareness of the meaning of the holidays.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR therapist and Somatic Experiencing therapist. As part of my therapeutic work with individuals and couples, I use mindfulness techniques.

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, November 26, 2011

Relationships: Knowing When to Stay and When to Go

Knowing when to stay and try to work things out versus when to end a relationship can be challenging, especially when there have been longstanding problems. Often, people feel they've invested so much in the relationship that they want to do everything they can before giving up. But, for many of these relationships, both people feel they've exhausted their internal resources and they don't know what to do to make things better. They might flounder for months or years in an emotional stalemate.

Relationships: When to Stay and When to Go

Staying for the Sake of the Children?
Many people decide that even though the relationship no longer works for either of them, they will stay together for the sake of the children. This rarely works. I've had many adults clients tell me in their psychotherapy sessions that they wish their parents had divorced rather than staying together for the sake of the family. Usually, they say that they and their siblings sensed that something was wrong between their parents, even though the parents thought they were hiding it well. This creates a great deal of tension in the household with the parents attempting to keep their problems a secret and the children feeling confused about what they're sensing.

Relationships: When to Go and When to Leave.  Staying Together for the Children?

Wanting to Escape When Things Get Tough
There are those people who tend to want to escape from relationships when things get rough. Often, they haven't learned the necessary skills to stick with it and work through normal, everyday problems. Most of the time, these people didn't grow up in families where they saw good communication and problem solving modeled so they're at loss about what to do.

Relationships: When to Stay and When to Leave.  Escaping When Things Get Tough

Staying Because You're Afraid of Being Alone
Other people are on the other end of the spectrum: They don't know when the relationship has run its course. They keep trying to salvage the relationship, even when nothing works any more. In some cases, they fear being alone. In other cases, they don't want to feel they've "failed" in their relationship. There can be so many reasons.

When to Stay and When to Go.  Staying Because You're Afraid of Being Alone

Doing Some Soul Searching
Knowing when to stay or when to go can be daunting. It can take a lot of soul searching on your part as well as open and honest communication between you and your partner.

When to Stay and When to Go.  Doing Some Soul Searching

Needless to say, if you're going to try to work things out, both people must be willing to make the effort.

Getting Help
When you and your partner aren't sure if the relationship can be salvaged, you could benefit from seeing a couples counselor. An experienced couples counselor, who is objective, can help you and your partner sort through the current emotional stalemate to either work things out or end the relationship in an amicable way.

I am a licensed NYC psychotherapist who sees individuals and couples.

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

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

Relationships: Having the Courage to Admit When You Made a Mistake

Many relationships would benefit if one or both people could admit that they made a mistake, make amends for the mistake, and then move on. Instead too many couples end up having long drawn out arguments where nothing gets resolved and both people end up feeling resentful. These are the kind of arguments that tend to erode relationships and often lead to their demise.

Relationships: The Courage to Admit When You've Made a Mistake

Many people feel that to admit a mistake is a sign of weakness. This might be due to messages they received from their family when they were growing up. But, in fact, to be able to admit you're wrong or, at least, that you had a part in creating the problem takes strength and a certain amount of faith that your spouse or partner will forgive you.
Making Amends

We all make mistakes at one time or another. That's what makes us human. Rather than get caught up in an endless cycle of making excuses or deflecting the blame, it's better for you and your relationship to acknowledge your error, apologize, and make amends.

Avoiding Power Struggles
When you're able to admit that you've made a mistake, you also make it easier for your partner to do the same. Rather than getting into power struggles, you can both rely on the sense of integrity that you each feel towards each other and the relationship to carry you through the difficulties that come in any relationship.

Getting Help
If you and your spouse have gotten to the point where you can no longer resolve arguments on your own, you might benefit from couples counseling. An experienced couples counselor can help you to improve communication between you and restore a healthier dynamic in your relationship.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR therapist, and Somatic Experiencing therapist.

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, November 23, 2011

Relationships: When Expressing Your Feelings Turns into Verbal Abuse

Often couples who have problems communicating with each other make the mistake of believing that expressing their feelings means they can say whatever they want, in whatever tone or volume all in the name of "being honest." 

Relationships: When Expressing Your Feelings Turns into Verbal Abuse

This distortion in reasoning often leads to an escalation in arguments and more misunderstandings.

Making Excuses for Verbal Abuse
As a psychotherapist and couples counselor in NYC, have heard people say over and over again, "I was just expressing my feelings" as a way to rationalize abusive verbal behavior. Often, the underlying intent of this "honesty", whether the person realizes it or not, is to hurt or one-up the other person.

Relationships: When Expressing Your Feelings Turns Into Verbal Abuse

Stop and Think Before You Speak
If you stop to think about what you're about to say before you say it, you can catch yourself before you become mean spirited with your spouse or partner.

There's no reason for honesty to come with a sledge hammer. It's often better to take the time to cool down and come back to the discussion later rather than saying something rash in the heat of the moment.

Then, you can focus on what you're really trying to communicate rather than getting side tracked because you're too angry to think straight.

Getting Help
Learning effective communication skills with your spouse or partner takes practice. If you find yourself falling into the same pitfalls, you might benefit from couples counseling.

I am a licensed NYC psychotherapist, hypnotherapist, EMDR therapist, and Somatic Experiencing therapist.  I work with individuals and couples.


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


To set up a consultation, call me at 212 726-1006 or email me: josephineolivia@aol.com.







Home for the Holidays

Being with family for the holidays can be challenging for many people. We see images of happy families in ads, TV programs, and movies, which can leave us feeling that something is wrong with us or our families if our family doesn't measure up to these happy images. However, the holidays can be very stressful, especially if we have unrealistic expectations of our families or ourselves.

Home for the Holidays

Rather than putting unnecessary pressure on yourself and your family, here are a few tips to help you during these holiday get togethers:

  • Try to keep the day light. Steer clear of topics that might be contentious or that could create tension. This is not the time to debate politics if you know the discussion will become heated.
  • Try to have reasonable expectations of friends and family. If Uncle Bob tends to be grouchy at family gatherings, there's no reason to expect that his personality will change this year.
  • Watch your alcohol intake. Alcohol tends to amplify emotions and if you drink excessively, you might find yourself saying and doing things at the family gathering that you might regret.
  • Don't take the bait if a relative becomes difficult. Try not to personalize his or her behavior.
  • Plan in advance.  If you know in advance that a family gathering will be difficult, "book end" the visit by planning in advance to talk to a trusted friend or loved one before and after the visit so you feel supported.
  • Do keep in mind the meaning of the holiday. So, for instance, Thanksgiving is a day to acknowledge all that we have to be grateful for.

I am a licensed NYC psychotherapist, hypnotherapist, EMDR therapist, and Somatic Experiencing therapist.  I work with individuals and couples.

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, October 10, 2011

Moving Beyond the "Blame Game" in Your Relationship

As a psychotherapist in New York City who sees individuals and couples, I see many clients who can't move beyond the "blame game."

What is the "Blame Game"?
What I"m referring to when I discuss the "blame game" is a dynamic in a relationship where the two people involved are so busy blaming each other and deflecting attention from their own behavior in the relationship that they end up getting caught in an endless cycle of arguments where nothing is resolved. Getting caught up in the "blame game" doesn't allow you to really listen to your partner and understand what he and she is trying to tell you and, if both people are doing this, communication suffers. This type of dynamic often becomes habitual in relationships so that, no matter what the argument is, this dynamic plays out in a destructive way.

Relationships:  Moving Beyond the "Blame Game"

The first step in overcoming the "blame game" dynamic is becoming aware that this is the a style of communication that you're caught in. Both people have to be willing to develop awareness of this dysfunctional way of communicating and be willing to change it.

The following short fictionalized vignettes are examples of this "blame game" communication cycle:

Mary and Joe:
Mary can't stand it when Joe leaves his dirty plate on the counter instead of putting it in the sink. They've had countless arguments about this. She can't understand why Joe doesn't just put the dish in the sink. When she sees the dish, she calls out to Joe, who is in the living room watching TV, "How many times have I told you not to leave dirty dishes on the counter!" Inwardly, Joe feels embarrassed that he hasn't broken out of this habit, but he's annoyed that Mary is taking a superior tone with him, so rather than saying this, he shouts back sarcastically, "Oh yeah, right--like you're such a great housekeeper." From there the argument escalates to the point where Mary and Joe stop talking for a few days, and the issue remains unresolved.

Bob and Nick:
Bob opened the American Express bill and felt a jolt in his stomach when he saw the amount owed. Just last month, he and Nick had agreed to cut back on their expenses because they were living beyond their means and Bob's position as an adjunct professor was not secure. Bob approached Nick with the credit card bill and said, "We've talked about this before--we've got to cut back on our expenses. Look at this bill." Nick took a look at the bill and noticed that they both had charged bigl ticket items, "Well, I see that you've run up the bill as much as I have, so don't blame me." Bob responded, "But you know that I had extra expenses last month and everything that's on there was necessary." Feeling increasingly annoyed, Nick snapped back, "Are you saying that your needs are more important than mine?" From there, the conversation spiraled down. Instead of having a constructive conversation about how they can work together to deal with the problem, neither of them listened to each other and each one continued to blame the other.

Susan and Betty:
Susan and Betty are expecting Susan's parents for the holidays. They both find her parents difficult to deal with. Instead of discussing how they can work together to deal with this holiday stressor, they get into an argument as soon as Betty sees the email from Susan's parents about when they plan to arrive. Betty puts on a long face when she reads the email and says, "I really wish your parents would stay home this year. Can't you make some excuse so they don't come?" Feeling defensive, Susan says, "I know they're annoying, but they're still my parents. And you don't help the situation by sulking when they're around." Betty responds, "Well, why don't you do something about it? It's your fault--you allow them to come each year." From there, rather than discussing the situation openly and trying to come up with a solution that would be mutually agreeable, they end up pointing fingers at one another.

The "Blame Game" Doesn't Work
In the three scenarios above, we see that each person is so busy accusing the other person and defending him or herself that the issue isn't addressed directly. Instead, they get caught up in blaming one another and they move further and further away from trying to work out the problem.

Very often, in longstanding relationships, couples have a long history of engaging in this type of dynamic and they can bring up other unrelated and hurtful things to get back at their partner. If this goes on long enough, it becomes the predominant pattern for communicating--to the point where each person dreads bringing up issues, knowing that the discussion will devolve quickly.

Fair Fighting: Speaking from Your Own Experience
One of the principles of fair fighting in a relationship is that each person speak from their own experience rather than blaming the other person. So, for instance, in the scenario between Susan and Betty, rather than responding to Susan's parents' email by making a face and blaming Susan, Betty could have found a quiet, calm time to speak with Susan to tell her that her parents' visits make her uncomfortable and she's anticipating that there will be problems. Since Betty would be speaking from her own experience, Susan is less likely to get defensive. She might even feel free to admit that her parents can be difficult. From there, they could talk about what they would like to do, with each of them listening to what the other has to say.

Getting Help in Therapy
There are times when the "blame game" pattern of communicating is so ingrained in a relationship that it's too difficult for the couple to change on their own. They might need the help of a couples or marriage counselor to help them to overcome this problem.

If you and your partner are caught up in the "blame game," acknowledge that this is what's happening in your relationship and have a heart-to-heart talk about how this is adversely affecting your relationship. If you can't work it out on your own, seek the help of a licensed mental health professional who works with couples before it's too late.

About Me
I am a licensed psychotherapist, hypnotherapist, EMDR therapist, and SE therapist in New York City. I work with individuals and couples. I have helped many couples to overcome the "blame game" dynamic in their relationship.

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, September 17, 2011

Friendship: When to Give Advice and When to Just Listen

As adults, we've all been in the position, at one time or another, when we hear from a friend who is upset about a personal situation or a situation at work. It is sometimes difficult to know when our friends just need a sounding board, when we should give advice and when we should refrain from giving advice.


Friendship: When to Give Advice and When to Just Listen

Our Natural Inclination is that We Want to Help Friends
For most of us, our natural inclination is to try to help our friends, if we can. When a friend is upset, it's especially tempting to rush in with advice because we want to relieve the friend's suffering or offer comfort. 

But, without realizing it, we might be stepping into a very tricky situation, especially if the friend is calling about problems in his or her relationship. Although there are no hard and fast rules about this, there are some steps that we can take to ensure that, in the long run, we don't end up causing resentment later on or even ruining the friendship.

Ask Your Friend What She Needs
The first step that we can follow, after we have listened empathically to our friend's problems, is to ask what he or she is looking for from us. This might sound so simple, but in a situation where someone close to us is upset, it's easy to forget and lose sight of this. 

Now, you might say that if your friend is calling you and he or she is upset, of course, your friend is looking for advice. But this isn't always the case, and if you rush in, you might discover that you've misunderstood and you're not at all on your friend's wavelength.

By asking, we're letting our friend know that we want to be helpful in a way that is meaningful to him or her. We're not making any assumptions about what our friend needs or wants--no matter how long we've been friends or how well we think we know the friend. In a moment of upset, our friend might not be able to say what he or she needs, but this question can help him or her to clarify and organize his or her thoughts to be able to reflect on what's needed at that point.

Does Your Friend Want Advice or a Sounding Board?
If what's needed is for you to be a sounding board and nothing else, then your friend is letting you know that he or she just wants to vent and advice is not being sought. 

If your friend is looking for advice, if you choose to give advice, which can be tricky, there are tactful ways to approach this. Most important of all, we can never assume that we know exactly what might be right for our friends.

Does Your Friend Want Advice or a Sounding Board?

So, it's usually better to frame whatever you say by first saying that this is what you would do if you were in this situation (assuming that you have an opinion about it), and this may or may not be what is best for your friend. 

By saying this, you're letting your friend know that you're not assuming that you know what's right for him or her. You're also putting the responsibility for the decision back with your friend, where it belongs. But even this can be tricky. When a friend is calling about relationship problems, it can be especially tricky.

The following fictionalized account illustrates a common scenario where a friend calls for advice:

Susan and Pat:
Susan and Pat were close friends for several years. Pat was in a rocky relationship with Jim for the last two years. Usually, Susan avoided getting caught up in giving Pat advice because she knew that Pat wasn't ready to leave her relationship with Jim, no matter how much Pat complained about it. 

But on this particular day, without realizing it, Susan got caught up in Pat's emotions. Pat was calling for the third time in two weeks to say that Jim was verbally abusive and he wouldn't listen to her when she tried to discuss this with him. Usually, he would walk out and not call her for several days. Then, they would get back together as if nothing had happened.

As Susan listened to Pat crying on the phone, she felt exasperated. It really bothered her to see Pat in so much emotional pain. Before she realized what she was doing, Susan began telling Pat, "You've got to get out of this relationship! He's making you so unhappy. This keeps happening over and over again. He's not going to change." Pat responded by saying that Susan was probably right and, soon after that, she ended the conversation.

After that call, Susan didn't hear from Pat in several days, which was unusual. She left Pat a few messages, but she didn't hear back from her, and Susan began getting concerned. When she finally reached Pat, Pat was terse and aloof with her. At first, Susan couldn't understand what was going on with her friend. When Pat tried to get off the phone quickly, Susan asked Pat if she was angry with her.

Pat was silent for a moment, and then she said that she didn't think they could continue to be friends any more because she felt that Susan didn't like Jim. Susan was stunned and speechless for a moment, still not understanding what was going on. 

Then, Pat reminded Susan about the advice that she had given Pat about leaving Jim. Pat said, "I just couldn't believe that you would say that to me, knowing how much Jim and I love each other. I thought you were my friend, but I feel like you betrayed me. When I told Jim what you said, he got really mad and he said he didn't think you were much of a friend to me. And, you know, Susan, I have to agree with him." And with that, Pat hung up, leaving Susan feeling shocked and hurt.

Use Good Judgment
The scenario above is a common occurrence. In the heat of the moment, a friend calls in distress and complains about a boyfriend. Afterwards, especially if this friend is caught in a dysfunctional pattern, she reverts back to her habitual way of being in her relationship. She might even feel guilty for complaining about her boyfriend. 

Then, she thinks about the conversation where her friend tells her to leave the relationship, and she feels angry with her friend. Let's say, she's no longer in her upset state. She has already reconciled with her boyfriend. At that point, it's easy to blame her friend and feel betrayed rather than reflecting on the dysfunctional cycle that she keeps getting caught in with her boyfriend. I've seen this happen so many times.

Does Your Friend Need Professional Help?
In situations like this, you could understand how someone like Susan might feel exasperated, especially after listening to her friend complain over and over again. 

But, rather than react, it's better to step back after listening and ask your friend how you can be supportive. And if your friend is caught in a dysfunctional cycle and you know that by allowing her to vent to you, she just lets off steam and gets right back into the same cycle, the best thing that you might do is to let her or him know that you're not a professional, and it might be better for your friend to seek professional help with a licensed psychotherapist. 

Not only might this stop the cycle of her complaining to you and then just going right back into the same dysfunctional situation, but by getting professional

It's not always easy to know what to do when friends call on us for help, but by taking a moment to reflect on the situation and asking a friend what he or she needs from us, we can avoid crossing boundaries with our friends that could ruin a friendship.

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

I work with individuals and couples.

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

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