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Thursday, February 2, 2012

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

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

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

How Fear of Being Alone and Lonely Can Be Related to Childhood Trauma
As previously discussed, the fear of being alone is often a fear about a trauma that has already occurred, usually in childhood.

Overcoming Fear of Abandonment

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

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

Mind-Body Psychotherapy to Treat Fear of Being Alone
In terms of working through this fear, there is no quick fix. However, in my professional opinion as a psychotherapist who specializes in working with trauma, there are certain treatment modalities that are usually better than others.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I have helped many clients overcome their fears of being alone and loneliness so they can lead fulfilling lives.

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


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


Wednesday, February 1, 2012

How Therapy Can Help You to Overcome Fear of Abandonment

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

Overcoming Fear of Abandonment in Therapy

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

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

Overcoming Fear of Abandonment in Therapy

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

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

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

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

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

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

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

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

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

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

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

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





Sunday, January 29, 2012

Trauma, Dreams and the Healing Power of Somatic Experiencing

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


Trauma, Dreams and the Healing Power of Somatic Experiencing

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

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

Somatic Experiencing as Gentle Therapeutic Treatment for Trauma 
Somatic Experiencing is a gentle therapeutic treatment modality developed by Peter Levine, Ph.D. 

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

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

What do I mean by this? 

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

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

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

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

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

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

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

About Me
I am a licensed New York City psychotherapist. 

I work with individual adults and couples.   

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

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

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

Sunday, January 22, 2012

Psychotherapy: You're Not Defined By Your Diagnosis

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


You're Not Defined By Your Diagnosis


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

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

Your Diagnosis Isn't Your Identity

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

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

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

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

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

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

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

I work with individual adults and couples.

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

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

Saturday, January 21, 2012

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

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

Your Spouse and Parents Don't Get Along

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Friday, January 20, 2012

The Mind-Body Connection: What is Your Body Telling You?

As a psychotherapist in New York City who is interested in the mind-body connection, I often see clients who want to participate in a mind-body oriented psychotherapy like Somatic Experiencing, clinical hypnosis or EMDR therapy.


Mind-Body Connection: What is Your Body Telling You?


Often, this is a new experience for clients and they need guidance as to how to tune into their bodies to discover what their bodies are trying to tell them. With some practice, most people can learn to tap into the mind-body connection, which is usually a deeper and more reliable source of inner wisdom than just relying on what we think.

Tapping into the Inner Wisdom of the Mind-Body Connection
When clients begin to tap into the inner wisdom of their mind-body connection, they're often amazed at what they discover about themselves. To a certain extent, most of us have accessed this connection at some point in our lives. When we say, "I had a 'gut feeling' " about a certain situation, whether we realize or not, we're tapping into our mind-body connection to access our inner emotional world where we often know intuitively what's right for us.

Somatic Experiencing and EMDR
When we learn to use Somatic Experiencing, with practice, we can often tune into internal images, colors, symbols, and meanings that aren't usually available to us in regular "talk therapy." 

Depending upon what problems clients are coming in to work on, of course, "talk therapy" can be valuable in helping them resolve their issues. However, I usually find that Somatic Experiencing, EMDR, and clinical hypnosis are much more effective in working with trauma than just "talk therapy" alone.

If you're interested in learning more about Somatic Experiencing, I recommend reading either of Peter Levine's books,  In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness. Dr. Levine writes in an interesting and accessible way. You can also go to the Somatic Experiencing website: Somatic Experiencing Training Institute to get more information.

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

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.
















Are Your Workplace Stressors Stressing Out Your Family?

In my prior two blog posts, I discussed the bullying boss (Career: Are You a Bully at Work? and Dealing with a Difficult Boss) and how to use Square Breathing (Learning to Relax: Square Breathing) as one way to de-stress at work. Now, I'd like to focus on what you can do if your work stressors are having a negative impact on your family because you're coming home feeling irritable, cranky, worried or in a bad mood. 


Are Your Workplace Stressors Stressing Out Your Family?

Bringing Home Your Work Stress Without Even Realizing It
Without even realizing it, you could be bringing home your work stress in such a way that, without you even saying a word about your job, your spouse and your children are picking up that you're either angry, worried or frustrated and this might be affecting their moods as well. Of course, this isn't your intention. So, what can you do about it?


Are You Bringing Home Your Work Stress Without Even Realizing It?

There's no one-size-fits-all solution to try to inoculate your family from the detrimental effects of your workplace stress. Of course, managing your own stress is optimal with regard to taking care of yourself and your family. 

But what about those times when you come home after a stressful day, and you haven't had time to go to the gym or yoga class before coming home? You get home, you're tired and stressed out and the moment you walk in the door, your spouse, your children, and your barking dogs are all vying for your attention. 

At that point, you might feel so overwhelmed that you're tempted to go right back out the door and keep walking. So, what do you do?

If you're already on your "last nerve," you might lose your temper or do something that you'll regret later. 

Even if you manage to be responsive to your family, you can still feel overwhelmed and they'll often sense your irritability or anger. 

Your anger, frustration and irritability often have nothing to do with them. But you might, unintentionally, take it out on them, adversely affecting your relationships.

Transitional Time Between Work and Home
When clients talk to me about this sort of scenario, I often suggest making an agreement with their families to allow them a certain amount of time to transition from work to home. 

This can mean different things to different people. It usually starts with your being mindful that you've left your workplace and now you're home. 

I know that's not as simple as it sounds, especially since you're walking around with the same mind that's feeling anxious or frustrated by workplace stressors. But being mindful of where you are now--at home--is a start. It's bad enough that you might be under a lot of stress at work, you don't need to prolong it by carrying it around with you and bringing it back home.

So, the transition starts in your own mind. Then, make an agreement with your family agree that, barring an emergency, you need some "time out" before you're bombarded with whatever is going on at home. 

This might mean that you take a calming shower or bath or you spend a few quiet minutes to yourself--or whatever works best for you. The point is that whatever helps you to distinguish, on an emotional level, between when you were at work and where you are now, at home, will allow you to take that space that gets you through the transition.

When you're discussing this "time out" that you need, being specific about the amount of time (15 minutes? a half hour?) is better than giving vague notions about what you need. And don't expect that you or they will get it perfectly the first few times. Habitual patterns are often difficult to change. You might need to tactfully reinforce your agreement with reminders.

The Importance of Self Care
Now, you might wonder why, if I started this blog post by discussing how your workplace stress could be affecting your family, I've been focusing on you and not your family. 

Well, the point is that you need to take care of yourself first before you take care of your family. It's just like when you're on a plane and flight attendants demonstrate safety measures: They always tell you to put your oxygen mask on first before you put the mask on your child. 

Why? Because you'll be absolutely no good to your child if you haven't taken care of yourself first. So, the same applies in the workplace vs home situation: Take care of yourself first by de-stressing and you'll be better able to help your family.

Not only will you be accomplishing your intention of de-stressing yourself and taking care of your family, you'll also be showing by example that taking care of oneself is important and there are simple and effective ways to do it.

About Me
I am a licensed NYC psychotherapist with expertise in clinical hypnosis, EMDR, and Somatic Experiencing. 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.