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Tuesday, February 21, 2012

A Zest for Life: 85 Years Young and Still Inspired and Inspiring

In my blog post yesterday, Overcoming the "I'm too old to change" Mindset,  I gave a fictionalized composite account of "John," who was in his 50s and used his age as an excuse to cover up his fear of changing. Today, I'd like to focus on my neighbor, Katherine, who, at the age of 85, is still inspired by life and inspiring others. She's an excellent example of someone who is in good health, has a zest for life, and who doesn't use her age as an excuse to avoid change in her life.

A Zest For Life: 85 Years Young and Still Inspired and Inspiring

First, let me say that Katherine isn't her real name. When I asked Katherine permission to discuss her in my blog, she's so modest that she couldn't understand why anyone would be interested in her. Once she got over her surprise, we agreed that I wouldn't use her real name or too much identifying information about her.

When she and I talked about what keeps her open and looking forward to new experiences in life, Katherine told me that she's always been a curious person who wasn't afraid of change throughout her life. She's still healthy, mentally sharp, and enjoys walking a few miles a day and practicing yoga daily. She also said that she doesn't hold grudges and she's learned "not to sweat the small stuff."

Until she retired, Katherine was an elementary schoolteacher for most of her life. Retirement for Katherine doesn't mean sitting on a park bench feeding pigeons. She's still an active volunteer at the local elementary school reading program. She still loves working with children and instilling a sense of curiosity and wonder in her students. She has a strong social network of friends, many of whom are 40 years younger than her and find it challenging to keep up with her pace.

Aside from inheriting healthy genes (both of her parents lived into their 90s), you might think that Katherine has lived a charmed life and this is why she has such a good attitude. But, far from it, Katherine has had her losses and misfortunes, including losing her first husband, the love of her life, to cancer when they were both in their 40s.

This was a loss she thought she'd never get over, but she had teenage children to raise, so she attended psychotherapy to deal with the loss, and she channeled her grief into doing volunteer work with a local cancer organization to help others who lost their loved ones to cancer. She remarried when she was in her 60s and lost her second husband five years ago, which was also a tremendous loss for her.

Aside from losing both husbands, Katherine has outlived many life long friends. She felt strongly about each of these losses, but she was determined that she wouldn't allow these losses to defeat her emotionally. She's one of the most resilient people that I know.

Katherine's attitude toward life is that she takes "each day as it comes," a variation of living "one day at a time." She looks at the changes that life brings as opportunities to learn and grow. At age 85, she knows she's not going to live forever. But rather than worrying about how much longer she might live, she focuses on making whatever time she has worthwhile for herself and others.

And what does Katherine say to people in their 40s, 50s or 60s whose mindset is "I'm too old to change"? She tells them, "Life is short and precious. Live life fully while you can. Learn to change and grow."

At 85 years young, Katherine is still inspired by life and still inspiring others around her. We can all learn a lot from her.

About Me
I am a licensed NYC psychotherapist who provides psychotherapy services to individuals and couples, including contemporary 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 business hours or email me.

Monday, February 20, 2012

Aging: Overcoming the "I'm Too Old to Change" Mindset

I'm continually amazed when I hear people in their 40s, 50s, and 60s (sometimes even 30s) say they feel they're "too old to change." 

On the other hand, I know people in their 80s and 90s, who are in good health, who look forward to learning new languages, taking classes at their local college, taking up a new hobby, or having new and interesting experiences. 

I had a well-respected colleague in my Somatic Experiencing training who was in her mid-80s, and she was ready to change her traditional way of thinking and working with psychotherapy clients based on her experiences in the training. So, clearly the willingness and ability to change is not dependent upon age.

Aging: Overcoming the "I'm Too Old to Change: Mindset


The "I Can't Change" Mindset
So, why do many people say they can't change because of their age? I suspect it has more to do with a particular mindset that probably develops before someone turns a particular age. This "I can't change" mindset often starts at an early age due to fear and insecurity. Blaming this fear on age becomes an excuse not to overcome this problem.

For some people, it's a deep seated personality problem. For other people, they grew up in families where their parents, grandparents, and beyond were too afraid to make changes so they learned that changing was scary and something to be avoided. Sometimes, when this fear of change is really ingrained, the person might try to cover it up by trying to make it seem like it's an admirable quality rather than a problem, and they cover up their fear defensively, like a "badge of honor." Meanwhile, most people around them (outside of their family) can see through this defensive grandiosity. It's a little like "The Emperor's New Clothes."

The following fictionalized composite vignette is an example of this type of dynamic. All identifying information has been changed:

John:
John grew up in a traditional family. At a young age, he began having problems in school due to undiagnosed ADHD and learning disabilities. His parents, who were very rigid in their thinking, became angry when John's teacher suggested that he might have undiagnosed problems. Even when she tried to explain to them that he had problems focusing in class, poor impulse control, problems with anger management, and dyslexia, they refused to believe it. They refused to allow the teacher to set up any assistance for John. Instead, they tried to drill his lessons into him, which caused him to feel very ashamed.

John spent most of his life trying to hide his problems from others. He became a bully as a way to hide his deep sense of shame and insecurity. In college, rather than getting help, which would have meant changing, he would get his girlfriend to write papers for him or he'd pay someone to do it. Throughout his life, he associated change with dread and he always looked for ways to get around making changes. When he was forced to change, it was extremely hard for him.

After he got married and had children, his oldest daughter was diagnosed with ADHD. John's wife, who was a no-nonsense type of person, told John that their daughter needed help. She brought her to a therapist who specialized in ADHD and also got her help for the daughter's learning disabilities. John was faced with having to learn about ADHD and learning disabilities for the first time in his life. As he read the book about ADHD that his daughter's therapist recommended, he couldn't help seeing that he had many of the same symptoms. But, for him, it was one thing for his daughter to get help and a completely different thing for him to consider getting help.

When he was around his wife, John managed to bite his tongue whenever he felt like he was going to explode in rage. She was clearly in charge at home, and he was intimidated by her. He feared she'd leave him if he ever unleashed the full fury of his temper with her. But his attitude at work was different. By the time he was in his 50s, he supervised several employees and he would bully them and lose his temper with them. He was bored with his job and he would spend a lot of time fantasizing about retirement. But his wife told him, in no uncertain terms, that she wouldn't hear of him retiring until he was at least in his mid-60s. John fumed inwardly about this, but he didn't dare challenge her. Instead, he took it out on his staff, yelling at them and talking to them in a demeaning way.

Then, one day, one of his employees filed a complaint against him, and the human resources department did an investigation. When they interviewed John's staff, everyone backed the employee who filed the complaint. They each told how John would loose his temper and speak to them in an unprofessional and disrespectful way--even after they told him that his behavior made them uncomfortable. When the head of human resources met with John, she gave him of choice of either getting help or losing his job. John felt as humiliated then as he did in school when his teacher told his parents that he needed help. But rather than admit that he was wrong, he told her, "I'm too old to change." She responded by telling him to talk about the consequences with his wife and to get back to her the next day.

When John's wife heard the story, she became livid and told him that he'd better get help because if he lost his job, she's take their daughter and leave him. Their marriage was not ideal, and he wasn't even sure he still loved his wife, but the thought of being alone terrified him more than the possibility of getting help and trying to change how he related to his staff. 


Overcoming the "I'm Too Old to Change" Mindset


So, grudgingly, he began therapy with a therapist who specialized in helping people with ADHD learn better coping skills. He also learned how his family background and his shame about his ADHD and learning disabilities contributed to his fear of change. And, if for no other reason than to keep his job and preserve his marriage, he learned to control his temper with his staff.

As we can see from this vignette, there are often underlying emotional reasons why people say, "I'm too old to change." Until someone is ready to change or they're forced to change, this becomes an excuse to stay stuck. An unwillingness to change often makes life dull and unrewarding with nothing to look forward to any more. It can also create problems in personal or work-related relationships. So, before you try to convince others (or yourself) that you're too old to change, think carefully about what this will mean for yourself and your loved ones.

Being flexible and adaptable makes for a much happier and interesting life as opposed to being rigid and stubborn.

About Me
I am a licensed NYC psychotherapist who provides psychotherapy services for individuals and couple, including dynamic talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

I've helped many people to overcome their fear of changing, regardless of their age, so they could lead more 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.

Saturday, February 18, 2012

Maintaining a Balanced Life During Early Recovery

Early recovery can be challenging.  It's not unusual for people in early recovery from alcohol or drugs (or other addictive behaviors) to struggle with how to maintain a balance between their recovery activities and life in general.


Maintaining a Balanced Life During Early Recovery


This assumes that individuals are ready to attend 12 Step meetings.  For many people, who have been traumatized emotionally, hearing some of the stories of other people's loss and trauma, can be retraumatizing of them.   For those people, attending therapy with a licensed mental health professional who has expertise with substance abuse and trauma is preferable.

Other people, who are in early recovery and who aren't triggered by going to meetings, are relieved to have a place in 12 Step meetings where they feel understood and they gain a new sense of hope and renewal.


But sometimes, by focusing only on 12 Step meetings, they neglect their primary relationships and responsibilities. The result is that their lives become unbalanced and this often causes conflicts with their families.

Early Recovery Requires Commitment
It's easy to see how things can become so unbalanced.

Early recovery involves a big commitment of time and energy. For many people in early recovery going to 12 Step meetings on a daily basis is the only thing standing in their way to keep them from acting on their cravings for alcohol and/or drugs.

 For them, the 12 Step slogan of "One Day at a Time" might be more like "One Minute at a Time" or "One Second at a Time" as they struggle not to give in to those cravings.

The 12 Step meetings, the fellowship in the meetings, and their sponsors are like life lines. If they're already suffering from substance abuse-related health problems, early recovery activities could be all that's keeping them from death's door.

But the toll this can take on family and close relationships can be huge.

Initially, spouses or partners of people in early recovery are usually so glad that their loved one stopped abusing substances and gotten help. These family members might have been asking and pleading with their loved one to get help for years. But when they see that early recovery activities seem to have taken over their loved one's life, they often feel disappointed and alienated from their loved one.

Whereas before their loved one wasn't available to them because of the substance abuse, now they feel he or she isn't around because of early recovery activities. This can be very disappointing and frustrating. It can lead to arguments as family members ask for more time and attention.

 People in early recovery, in turn, often feel that spouses and family members don't understand. They might begin to shut down emotionally even when they are around their spouses and families. All of this can lead to further alienation and a sense of hopelessness for everyone involved.

Repairing Relationships During Early Recovery
What can be done to repair these relationships and to achieve balance?

Well, to start, the person in early recovery can benefit from talking to people in the 12 Step rooms who have a lot more experience and success in recovery and who have learned to achieve balance in their lives.

Learning to achieve this balance can be a challenge, especially if the person new to recovery might never have led a balanced life before.

A seasoned sponsor can help someone in early recovery to navigate through this challenge to help achieve this balance.

With more experience in recovery, this often happens more easily, as compared to the early stages of recovery.

Spouses and loved ones of people in early recovery can benefit from attending Al-Anon to get support and a sense of hope. Sponsorship is also available to them in Al-Anon.

Getting Help in Therapy
A licensed therapist with expertise in substance abuse and trauma can help clients in recovery to develop the necessary coping skills to maintain a balanced life.

About Me
I am a licensed NYC psychotherapist who provides psychotherapy services to individuals and couples, including contemporary dynamic talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

Helping clients with substance abuse and emotional trauma are among my specialities.

To find out more a out 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 15, 2012

Turning Lemons into Lemonade For Life's Ordinary Disappointments

There's an old saying about life's everyday disappointments: When life gives you lemons, make lemonade. Some people have such an extraordinary knack of being able to reframe life's inevitable disappointments to make a negative into a positive. 

Turning Lemons Into Lemonade For Ordinary Disappointments

They are the 10 or so percent of the population who are naturally optimistic. They can find the silver lining in the darkest storm clouds: Stuck in traffic? No problem, it's an opportunity to remember to breathe and relax. 

Their car needs repairs? No problem, it's an opportunity to walk and get more exercise.

Everyday disappointments and frustrations are taken in stride with their naturally positive attitude and resilience. For most of the rest of us, this is a way of being that doesn't come naturally and would need to be cultivated.

Ordinary Disappointments and Frustration
Before I go on, I want to stress that I'm referring to life's ordinary and inevitable disappointments and frustrations. I'm not referring to tragic losses or trauma. 

It would be cruel to expect, for instance, that a parent who loses a child would be looking for a silver lining in this loss--although, there are some very extraordinary people who galvanize themselves and find the strength to help others, even after tragic losses. 

Mothers Against Drunk Drivers and other similar groups are examples of this, but the ability to do that is different from reframing a loss or disappointment.

So, how can we learn to "make lemonade" when life gives us lemons? How can we learn to develop this skill that resilient and resourceful people have? And why is it important to learn this life skill?

Well, I'll address the second question first by saying that, on the most basic level, research has shown that people who have an optimistic attitude tend to be healthier and live longer. They feel confident and more in control of their lives. And, generally speaking, they tend to be happier than people who have a more pessimistic outlook on life, so the quality of their lives is better.

As to how to develop a more optimistic attitude, the first step is to have an awareness of how you think and respond to ordinary disappointments. Do you feel angry and defeated or are you able to take an everyday disappointment in stride?

To be able to determine this, you need to be able to step back in a non-defensive way and be honest with yourself. 

At times, this can be challenging, but if you can review in your mind how you handled the last few annoying incidents in your life, all things being equal, you would probably get a good sense of where you are on the optimism/pessimism spectrum. 

And I want to stress that there is a spectrum--it's not a black and white or all or nothing thing. And, of course, there are especially stressful times in life when you can feel overwhelmed and, even the most optimistic person would feel challenged, but I'm not referring to these times.

So, let's say that you've determined that you're someone who gets easily thrown by everyday disappointments and you want to learn to change the way you respond. How do you do that? My recommendation, after you learn to develop an awareness of your habitual pattern is to practice reframing these events for yourself.

Now, if you're a naturally dyed-in-the-wool pessimist, this will be challenging, no doubt about it. 

If the idea of reframing a relatively minor disappointment into a potential opportunity seems impossible for you, you might need to start by using your creative imagination to imagine how an optimistic person might look at it. Suspend disbelief and put yourself in the shoes of an optimistic person to fathom how he or she might reframe an annoyance or disappointment.

Even if, at first, this seems completely foreign to you, chances are that if you practice this diligently, you can change the way you think and respond to life's ordinary downturns. And the ability to reframe these disappointments can help you to be a more resilient and resourceful person who can respond to life in a creative way.

About Me
I am a licensed New York City psychotherapist who provides psychotherapy services to individuals and couples, including contemporary talk therapy, EMDR, clinical hypnosis, AEDP, EFT, Somatic Experiencing and Sex Therapy

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, February 14, 2012

Being Open to New Experiences

Do You Feel Stuck in Your Life?
As a psychotherapist in New York City, I see many clients who feel they're stuck in their lives. Over time, if this feeling persists, it often leads to anxiety and depression, which usually has the effect of making people feel even more stuck and leads to even greater feelings of constriction. Life can become dull and uneventful. For some people, it becomes hard to climb out of this rut and all they can see is more of the same.

Being Open to New Experiences


Fear of Trying New Experiences
For many clients who have gotten into this kind of rut, life has become too routine. They're living their lives in a habitual way. For some, there's a fear of trying new experiences. Even though they may feel unhappy with the well-worn routines in their lives, their fear of trying a new experience paralyzes them emotionally from stepping outside the "box" they're in.

Working Through a History of "I'm not good enough"
Often, it's necessary to work through a history of feeling "I'm not good enough" or "I don't deserve to be happy." The roots of this problem can be deep. But, in the mean time, when working with clients who are caught in this kind of rut, I often recommend that they remain open to new, positive experiences. A new experience doesn't have to be a big change. It can be something small, like walking down a different street to go home, window shopping in a store where you wouldn't normally go, listening to music you don't usually listen to or think you don't like or trying an ethnic dish that's new for you.

Beginning with Small Changes to Step Outside Your Comfort Zone
The idea of being open to new experiences is to help you change the habitual cycle of "stuckness" and boredom in your life. Small changes often lead to bigger changes as you overcome your fear of stepping outside your comfort zone. This usually isn't the "magic bullet" to overcoming a lifelong self experience of feeling undeserving, but it gets you to start taking steps to make changes while you're working with your therapist to overcome the underlying issues that are driving this feeling.

Taking an action, as opposed to only analyzing your problems, is crucial to making positive changes. One of the criticisms of traditional talk therapy is that people spend years analyzing their problems, but nothing changes. Clients might become more insightful about their problems, but it remains an intellectual process. If you don't actually take steps, even very small steps, nothing changes. So, when I work with clients who are stuck in an emotional rut, whether we're doing hypnotherapy, EMDR, Somatic Experiencing or contemporary talk therapy, I often also encourage clients to be open to new experiences.

Starting with Small Changes Can Lead to an Upward Spiral
What might, at first, seem like a small change, can lead to an upward spiral to bigger and more satisfying changes.

For instance, a willingness to explore a new way of going home could lead to the discovery of a costume jewelry shop that you've never seen before. You go in and, possibly, this leads to a conversation with the store owner who designs this creative jewelry. Maybe you discover that she also conducts jewelry design classes for beginners, which piques your curiosity. This could lead to your taking a class in jewelry design which, in turn, could lead to a new and interesting hobby--or maybe, if you really love it, you eventually sell your designs in the store. Maybe, if you're really passionate about it, you even get your own website to sell the jewelry you're designing.

Opening Up to Your Creative Imagination
It all starts with a willingness and curiosity to be open to new experiences and a willingness to take the first step. Will this be the answer to all your problems? Probably not. But it helps to break the cycle you might be caught in right now. It also helps you to see there are an endless source of possibilities for new experiences if you're willing to give them a try. Often, the key to pursuing new, positive experiences is allowing your creative imagination to open up to new possibilities.

About Me
I am a licensed New York City psychotherapist who provides mental health services to individuals and couples, including contemporary and dynamic psychotherapy, clinical hypnosis, EMDR, and Somatic Experiencing.

I work 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 during business hours or email me.












Monday, February 13, 2012

All Hypnosis is Self Hypnosis

All hypnosis, whether it's through a hypnotherapist or you've learned to do it on your own, is self hypnosis. You might wonder how hypnosis that is conducted by a hypnotherapist can be self hypnosis. Well, the answer is that, during hypnosis, you have complete control of the messages you take in. 

All Hypnosis is Self Hypnosis


Even when a hypnotherapist is helping you to get into a hypnotic state, you're in a relaxed state, you always maintain dual awareness of everything around you, and your unconscious mind will only take in what's best for you.

Misconceptions about Hypnosis
People often have misconceptions about hypnosis. Unlike the unfortunate caricature of stage hypnosis, during clinical hypnosis, you're completely aware of the here-and-now as well as whatever you're working on in hypnosis. The hypnotic state is a relaxed, natural state that we all go through many times a day. Daydreaming or going into reverie states is similar to the hypnotic trance state.

Hypnosis is Not a "Quick Fix"
Although safe and effective when it's performed by a licensed mental health professional, hypnosis is not a "quick fix" or something that is "done to" you. This is another misconception--that you can sit back and it will be as if someone is waving a magic wand over you. In fact, if you're not really motivated to change whatever issue you're presenting to the hypnotherapist, hypnosis often won't work.

If you work with a hypnotherapist (as opposed to a hypnotist), you can also learn to do hypnosis on your own (what most people refer to as self hypnosis) for many emotional and physical conditions, including anxiety, medical issues, and pain management.

You Don't Need to Go Into a Deep Trance to Benefit From Hypnosis
Clinical hypnosis is not a panacea, but it has been very helpful for many people over the years. Even though some people are more easily hypnotized than others, you don't need to go into a deep trance to experience the benefits of hypnosis. In fact, Milton Erickson, the father of modern hypnosis, was a master at conversational hypnosis.

About Me
I am a licensed NYC psychotherapist who provides mental health services to adults, including talk therapy, clinical hypnosis, Somatic Experiencing, and EMDR.

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, February 7, 2012

Spirituality: Are You Contemplating Your Faith-of-Origin in a New Light?

For many adults, especially during times of crisis, there comes a time when they contemplate their faith-of-origin in a new light. 

This often occurs after decades of having bitterly rejected a belief system from childhood. It's not unusual for people who are reevaluating their faith-of-origin to be surprised and confused that they're even considering returning to their childhood religion, not realizing that this is a common experience for many people at certain stages in their lives. 

What's even more surprising for some people is that their childhood faith still resonates for them emotionally on some level.

How does this happen?  Well, as you can imagine, this process is different for everyone. However, it often occurs during major life transitions or during difficult times. 

Are You Contemplating Your Faith-of-Origin in a New Light?

For some people, it can occur because they feel adrift in life without a spiritual anchor. It may be that there were aspects of their childhood religion that they miss. At a younger age, they might not have had the ability to overcome the challenge of holding onto what they liked and rejecting what didn't resonate. They took an all-or-nothing attitude. But now, either due to an emotional crisis, a life transition or a longing to feel a deeper spiritual connection, they're willing to revisit these issues with an open mind.

For many people growing up as children where they had no choice about participating in the family religion, rejecting their faith-of-origin was part of becoming independent from their families. This rejection was part of becoming an adult who could make his or her own choices in life. It was part of declaring themselves as autonomous individuals. 

As young adults, they might have felt that they closed the door on their faith-of-origin, never to be opened again. And yet, as an older adult, when they feel secure in their independence, there's no longer a need to take such an absolute stand, and they're usually surprised to realize that they're missing parts or all of their former religion. What once seemed to have no meaning to them now seems to hold some significance after all.

Contemplating your faith-of-origin can be a challenging process with many confusing feelings. It can challenge your sense of self and long held beliefs. It can also be a time of feeling newly inspired. It all depends on how you approach this process. With patience, empathy for yourself and a healthy sense of curiosity, it can be a time when time of spiritual and emotional renewal.

It's often comforting to know that many people, especially during middle age or later, go through this reevaluation process about their childhood religion. 

If you're willing to spend time contemplating what still remains true for you, what you want to keep from your faith-of-origin, and what you might want to let go of, you may find a lost part of yourself. You might discover that your childhood belief system is still intact in some form. 

You might find yourself reconsidering childhood beliefs in a new light with a more nuanced adult understanding. For many people, this gives new meaning to their lives and helps them to feel more emotionally integrated.

Spirituality is an important part of many people's lives. Whether they're reclaiming their faith-of-origin on their own terms now or they're exploring new beliefs, it can be an emotionally rewarding time if you can be compassionate with yourself, tolerate the uncertainties that are often inherent in the process, and allow this process to unfold in a way that's right for you.

About Me
I am a licensed NYC psychotherapist. I provide psychotherapy services to individual adults and couples, including talk therapy, hypnotherapy, EMDR, and Somatic Experiencing.

I have helped many clients to explore and reconcile their spiritual beliefs in a way that are meaningful to them.

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.