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Saturday, September 8, 2012

How to Talk to Your Spouse About Retirement

Talking to your spouse about retirement can be a stressful conversation or it can be an exciting conversation, depending upon how well you and your spouse communicate.  Many couples avoid having this conversation because they fear it will bring on a confrontation.  I'm often amazed at how many couples (and individuals) completely avoid talking about retirement until it's upon them.

Talking to Your Spouse About Retirement

I usually recommend that couples talk about retirement at least five years or so before they anticipate retiring.  Hopefully, there has been financial planning throughout the marriage.  I'm not a financial planner, so I'm not giving financial advice in this blog.  But I have seen couples get embroiled in arguments about retirement planning, so I'd like to address this issue on an emotional level.

This isn't your grandfather's retirement:
People often avoid talking about retirement because it makes them feel uncomfortable.  They think about their grandparents' retirement and they get anxious because, years ago, people didn't live as long, so they often died soon after they retired.

This was certainly the case for my grandfather, who focused his entire life on two things:  his family and his work at the post office.  Like many people, before he retired, he looked forward to the day when he wouldn't have to go into work any more.  

But, after he retired, he realized that he had a lot of empty time on his hands.  About a year after he retired, he died.  At that time, this wasn't surprising.  It was just the way it was for a lot of people.  But people are living much longer these days--sometimes 20-30 years beyond their retirement, especially if they're in good health.  So, it makes sense to make plans for your retirement.

Tips For Talking About Retirement
  • Play with ideas:  If you know that talking about retirement will be a loaded topic, assuming you have enough lead time, I suggest that you approach it initially as "playing" with ideas rather than trying to nail down your plans immediately.  This can take a lot of stress out of it.  It also frees you up to throw out ideas and minimizes either of you becoming reactive.
  • Don't be reactive and immediately find reasons to say no: After you've played with some ideas, focus on what you and your spouse agree upon first.   For instance, if you both agree that you'd like to move to a warmer climate, start with that.  Ideally, where would each of you like to go?  Don't get bogged down immediately by finding all kinds of reasons why you can't do it.  If you both have a strong desire to relocate to a particular place, you might find a way to do it with enough planning ahead of time.
  • What lifelong dreams have you delayed that you might want to consider now? Are there things that each of you have wanted to do all your life, but you didn't because it wasn't possible at the time?  Talk to each other about what those things might be.  For instance, I knew a friend who had a lifelong career in finance, but he yearned all his life to be a teacher.  He didn't feel he could switch careers when he was in his 40s and 50s because it would have been a substantial decrease in income.  But when he was considering retirement, he and his wife decided that they could finally afford for him to take a job as a teacher because they could afford to live on the lower salary in combination with his retirement savings. Fortunately, he and his wife were on the same page about this.
  • See a financial planner: A financial planner, who has expertise in retirement planning can help you and your spouse to plan the practical aspects of your retirement.  Before you see a financial planner, it helps to know what you and your spouse would like to do during your retirement years.  For some people, this might sound like putting the cart before the horse.  They might say, "Shouldn't we figure out how much money we'll have first and then decide what we'll do?" From my perspective, as a psychotherapist and not a financial planner, I would suggest that you both consider your desires for the future first rather than shutting down ideas because you think you won't be able to afford it.  If you look at the money first, you might automatically eliminate some of your dreams as out of hand without considering all of your alternatives.
  • Stay open to new ideas: For instance, a couple who have jobs as a carpenter and a schoolteacher might look at their retirement savings and decide that there's no way they can maintain their current home in their neighborhood on the money they have saved, even though they might want to remain in that home.  But automatically eliminating that choice might preclude them from considering other alternatives--like the one of them might be able to start his own business and the other might be able to work part time.  Maybe this is an alternative they can both agree upon rather than closing themselves off to this possibility.
Getting Help in Therapy
If you and your spouse have problems talking about money or communicating in general, you could benefit from talking to a licensed mental health professional.

Instead of going around in circles, seek help from a psychotherapist who has experience working with couples.

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

I work with individual adults and couples.

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

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


Monday, September 3, 2012

Resilience: Bouncing Back from Life's Challenges

I recently had an opportunity to talk to a close friend's 84 year old mother.  I'll call her Alice (not her real name).  Alice is one of the most resilient and optimistic people that I know.  She's an inspiring person to people who know her.  One of the most admirable things about Alice is that, despite the many challenges she's had in her life, she's always bounced back and learned from adversity. I wanted to hear from her how she remains so resilient and optimistic about life.

Resilience and Wisdom:  Bouncing Back
As I mentioned, Alice has faced many challenges and losses in her life, including the deaths of two her husbands, financial hardship while she was raising her children, and a bout with cancer when she was in her 50s (fortunately, she's been cancer free for more than 30 years).  So, it's not that she's led a charmed life at all. She knows what it's like to go through hard times.

When I asked her how she became so resilient, she laughed and had to think about it for a while.   Then, she told me that, from the time she was a child, her mother was a good role model.  She said that her mother, who raised five children on her own after her husband died when Alice was 12, always maintained a positive attitude about life.  

Alice said, "She always told us to take each day as it comes, neither dwelling in the past nor dwelling too much in the future."  This reminded me of the slogan from Alcoholics Anonymous about "one day at a time."  Alice told me that she felt many people spend too much time worrying about the "what if's" in life and worrying about "what might happen."  She said that one thing that she learned in her long life was that it makes no sense to her to dwell on regrets or, alternatively, to worry about the future.  She said, "Life is full of surprises that you can't anticipate, so why worry about it?"

Alice talked about living in the moment, another thing she learned from her mother, "No matter how busy she was, she would take a moment to notice things--whether it was the beauty of a flower or the crisp air of an autumn day."  She laughed and said her mother had never heard the term "mindfulness," but she was a mindful person who remained open to things around her, both positive and negative.

When she brought up regrets, I asked Alice if she had any regrets in life, anything that, if she could do over, she would.  She thought about it for a moment and then said that, for the most part, she didn't have regrets.  She felt that whatever experiences she had in life made her the person that she is and she learned from her experiences, so she couldn't regret them. 

Alice also told me that, after she was diagnosed with cancer, she became a lot more aware of her health.  She changed her diet.  She makes sure she gets plenty of sleep.  She also still walks 30 minutes every day to get exercise and fresh air.  She never smoked.  

One of the things I like most about Alice is that she has a great sense of humor and she's a great story teller.  Whenever we get together at my friend's home, Alice is usually at the center of the group telling stories and making us laugh.  She also laughs at herself.  She told me that she finds one of the best forms of "therapy" for her is watching funny movies.  Charlie Chaplin movies are among her favorites, especially because he combined humor with pathos.  

Another thing about Alice that impressed me is that she remains open and curious about life.  She loves to read, both fiction and nonfiction.  She's part of a book club in her neighborhood.  The people in the book club are a lot younger than her, but she enjoys their company and listening to their ideas.  She looks forward to learning and continuing to develop her mind.  And, she remains a very sharp and insightful person.

At the end of our conversation, Alice said to me, "Aren't you going to ask me how I feel about dying?" Her question surprised me, at first.  While it's obvious that someone in their 80s would have thoughts about death and dying, I hadn't planned to ask her about this.  She told me that she hoped she would live for at least a few more years in good health because there were still things she wanted to do.  Then she said, "But I'm not afraid to die. I've lived a good, long life.  What else could I ask for?"

We live in a time when our society reveres youth and beautiful appearances.  But I think we can all learn a lot from older people like Alice, who remain resilient, optimistic, curious, and open to life.   

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.

Photo Credit:  Photo Pin


Sunday, September 2, 2012

Creating Special Times Together to Enhance Your Relationship

In my last blog post, I wrote about the importance of "unplugging" from electronic gadgets so that you and your spouse or significant other can spend quality time together without interruptions: Relationships: The Importance of Unplugging to Spend Quality Time Together. But once you have the time without distractions, how will you spend that time so it enhances your relationship?  This is a question that many people ask, especially couples who have been in long-term relationships.


Creating Special Times Together to Enhance Your Relationship

When I work with couples in my psychotherapy practice in NYC, I usually recommend that they make sure to spend some meaningful time together each week and make it special in some way.  When you're in a new relationship and in love, this isn't a problem because every moment seems special.  It's new, exciting, passionate and fun.  But if you've been together for a long time, you need to make more of an effort to have special times together to keep the relationship alive and interesting.

Do You Remember Having Fun in Your Relationship?  
Many couples who come to see me tell me that they used to have fun together in the early years of their relationship but not any more.  There are lots of reasons for this, but one of the main reasons is that, after being together for a long time, people often take each other for granted.

When you're dating, you've got to make an effort to call, make a date, plan an activity, and get dressed.  You have the build up of anticipation before you meet. And then there's the emotional charge you feel when you get together.  But if you've been living together for 25 years, you usually don't have this build up to make things fun and exciting between you.  You've got to create special times.

Creating Special Times Together:
I knew a couple who were together, at that point, for over 25 years.  They had a big family and lots of friends who would often stop by.  But every Sunday morning they had their special time together without any distractions--no phone calls, no family or friends, no visitors.  It was strictly their time to do whatever they wanted to do.

Creating Special Times Together to Enhance Your Relationship

They might spend time in bed snuggling together, making love, reading to each other or listening to their favorite music.  Then, later in the morning, they would have their Sunday brunch at home complete with their favorite sparkling wine.  Nothing intruded on this special time they had each week.

Other couples have a date night each week where they go to one of their favorite restaurants.  Whatever  you and your spouse choose to do is up to the two of you.  It should be something that you both enjoy and that brings you closer together.

Creating Special Times Together to Enhance Your Relationship

Sometimes, you might need to experiment and be open to new ideas.  One couple I know got very creative with role playing.  For instance, they got into the roles of two people meeting each other for the first time in a bar.  It might not be your "thing" to do, but it worked for them and spiced up their sex life after a period of several years of not having sex at all.

The point is to have at least some time every week when the two of you enjoy each other's company.

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

I work with individual adults and couples.

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

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







Saturday, September 1, 2012

Relationships: The Importance of "Unplugging" From Cellphones to Spend Quality Time Together

It's so easy to underestimate the importance of spending quality time together in your relationship.   These days it seems that so many people are working harder and longer hours, and they're so much more accessible to their work relationships and other distractions because they don't take time to "unplug" from cellphones, iPads and other gadgets--even when they're, supposedly, trying to spend quality time with their loved ones.

The Importance of "Unplugging" From Cellphones to Spend Quality Time Together

Relationships Need Nurturing
There's no substitute for spending time together, without distractions, to nurture a relationship.  Unfortunately, these electronic gadgets, which are such great conveniences in so many ways, can also become obsessive habits to the point where it's hard to "unplug" from them.

The Importance of "Unplugging" From Cellphones: Relationships Need Nurturing

A friend recently told me that her husband responded to the "ping" of his phone while they were making love.  It completely destroyed the moment for her.  Needless to say, she got angry, and in their next couples counseling session she told her husband that he needed to learn to "unplug" from his Blackberry if their marriage was going to last.

Ingrained habits are hard, but not impossible, to change
"Unplugging" from electronic gadgets doesn't have to be an all-or-nothing endeavor.  You and your spouse can come to a compromise about getting "unplugged."

I also recommend being specific.  For example, if you hate the idea of your spouse responding to a cellphone while you're at dinner, but you can live with it while you're watching a sitcom together, tell him or her this.  Then, come to an agreement about it.  Or, if it's hard to find a couple of hours together on the weekend without distractions, plan ahead for this time and agree that this is "unplugged" time away from electronic gadgets and other distractions.  Expect that this might be a "two steps forward/one step backwards" process, especially at the beginning.  Try to be flexible while keeping your goal in sight.

If you're the person who is tethered to your electronic gadgets, expect that you might go through some "withdrawal" symptoms (obviously, nothing life threatening!) as you learn to have this "unplugged" time.  There has been research that has shown that people responding to "pinging" and ringing of electronic gadgets actually get a boost in feel-good chemicals in the brain.  This is one of the reasons why it's so hard for many people to get "unplugged"--it feels good.

For more information about the feel-good, dopamine, chemical that can make getting "unplugged" so difficult, see the Psychology Today article by Susan Weinschenk, Ph.D.:
"Why We're All Addicted to Texts, Twitter and Google"

Getting Help in Therapy
If you or your spouse are unwilling to spend any time "unplugged," there might be deeper problems in your relationship.  Sometimes, spending a lot of time using electronic gadgets (or watching TV or other distractions) can be a way to avoid each other.  If you can't resolve this issue on your own, you can benefit from seeing a couples counselor who can help you and your spouse to deal with this issue.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR 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.

Also, see my article:  Creating Special Times Together to Enhance Your Relationship




Overcoming Guilt with Mind-Body Psychotherapy

As a psychotherapist in New York City, I see many clients who come to therapy to overcome guilt.  

Guilty feelings can keep you feeling stuck and filled with shame.  

Overcoming Guilt

You might know logically that you have no objective reason to feel guilty but, often, that's not enough to help you overcome these feelings, which can be so debilitating.  

Feeling Like You're Not Lovable or Not Good Enough
Often, just behind the feelings of guilt, there are underlying distorted beliefs about yourself, like "I'm not good enough" or "I'm not lovable," which keep the guilt alive.  These distorted beliefs, not only affect how you feel about your past, but they also affect your life in the present.  

If you feel unlovable or unworthy, it often affects the choices that you make in your relationships, career, and other important aspects of your life.  You might choose to be with someone who is abusive because you feel so unworthy.  Feelings of low self worth can also keep you from striving to have what you want in your life.  If you have very low self worth, you might not even feel that you're entitled to want anything at all.

Regular talk therapy often doesn't help to overcome these distorted underlying beliefs that fuel the guilt.  Although you might gain insight into these beliefs, having the insight, by itself, usually doesn't change how you feel.  

You might know that the beliefs are distorted and they're a hindrance in your life but, on an emotional level, you still feel guilty.  This is one of the most frustrating parts of regular talk therapy because clients often don't understand why their thoughts and emotions are in conflict, so they ask themselves and their therapist, "If I know that there's no logical reason for me to feel guilty, why do I still feel guilty?"  

At that point, there's usually an impasse in therapy because there's no way to overcome the underlying distortions.  And, the client might leave therapy feeling inadequate for not being able to change.

I have nothing against talk therapy at all.  In fact, my original training is in psychoanalysis and psychodynamic psychotherapy.  I still use contemporary, dynamic talk therapy with many of my clients.  But, in certain cases, I know that talk therapy has its limitations.  

Mind-Body Psychotherapy
Especially in cases where a client has intractable guilt, I usually use a mind-body oriented psychotherapy, like EMDR, clinical hypnosis or Somatic Experiencing.  

Whereas talk therapy often remains on an intellectual level, mind-body oriented psychotherapy is usually more effective in resolving guilt and the underlying distorted beliefs on a visceral as well as an intellectual level.  Mind-body oriented psychotherapy allows clients to shift emotions on a deeper level.  

Aside from being more effective for overcoming guilt and trauma, mind-body oriented psychotherapy often works faster than talk therapy.  This doesn't mean that guilt and trauma are resolved in only a few sessions, but clients often see progress a lot faster than years of talk therapy.  

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

I work with individual adults and couples.

I have helped many clients overcome guilt and trauma to 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.

Thursday, August 30, 2012

EMDR Self Help Book: Getting Past Your Past

Getting Past Your Past - by Francine Shapiro, Ph.D.
Francine Shapiro, Ph.D., the psychologist who developed EMDR (Eye Movement Desensitization and Reprocessing), has a new book called Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy.  This is an excellent book for people who want to develop better coping skills (see my articles: What is EMDR? and EMDR: When Talk Therapy is not Enough).


EMDR Self Help Book: Getting Past Your Past

EMDR for Trauma and PTSD
As you might already know, Francine Shapiro developed EMDR in the mid-1980s for people suffering with PTSD (posttraumatic stress disorder) and trauma.  

Since that time, EMDR has helped thousands of people all over the world to overcome trauma, including war veterans, people who have been raped or sexually abused, people who have been physically abused, and many other people who have been unable to overcome trauma in traditional talk therapy.

EMDR as Effective Treatment for Trauma
As a psychotherapist who uses EMDR with clients who have experienced trauma, I know how effective EMDR can be.  I especially like that Dr. Shapiro has written her new book, where she teaches coping skills, in an accessible way for the lay public.

When clients come to see me in my NYC psychotherapy practice, I teach clients many of these same EMDR coping strategies as part of the resourcing (i.e., developing coping skills) phase of EMDR treatment, so  I know how effective they are.

Learning EMDR Self Help Techniques
Now, with Dr. Shapiro's new self help book, people can learn to use some of these EMDR techniques on their own.  

Many of these EMDR techniques are also effective even if you're anxious or under a lot of stress and not suffering with trauma.  While using these self help techniques won't resolve trauma, they can help you to calm down and get through the day, which can be such a relief.

To find out more about EMDR, go to:  The EMDR Professional Organization.

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

I work with individual adults and couples.

I have advanced training in EMDR and I have used EMDR successfully to help many clients overcome traumatic incidents in their 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.


Monday, August 27, 2012

Taking Control of Your Life

One of the most challenging problems to overcome is to feel that you have little or no control over your life.  Sometimes, there are circumstances (or aspects of circumstances) over which you  have little or no control. 


Taking Control of Your Life


Being very sick, dealing with the death of a loved one or your own impending death are examples where there's little or no control.  But, often, feeling powerless is a state of mind that is learned over time.  It's an attitude that can be overcome so that you can take back control and lead a more fulfilling life.

The following is a fictionalized vignette:

Mary:
Mary grew up in a home where her father dominated the family.  As a former Marine captain, her father was used to giving orders and having them obeyed.  Mary's mother was very passive and she went along with whatever her husband wanted without questioning it. Mary never grew up with a sense of what she wanted or even that she was entitled to want anything.

Mary chose a husband who was very much like her father.  He controlled every aspect of their lives, including their money and their social life.

Mary's husband was a successful business man, so Mary never felt worried about money.  Her husband didn't want her to work, so she stayed home, where there was little for her to do.  They had a full time housekeeper, so Mary often spent her days reading or watching TV.

They had no children because Mary's husband had little patience for children.  Whenever Mary saw a mother with her baby, she felt sad.  But she didn't know why she was feeling sad, and she quickly brushed these feelings aside.

Mary loved her husband, and she knew that he loved her.  But, every so often, she was aware that she felt empty inside.  Whenever she experienced this feeling coming over her, she felt ashamed and confused.  She couldn't understand why she felt this way since her husband provided her with everything she needed.  Sometimes, she felt that she was being selfish and ungrateful when these feelings came over her.

Then, one day, after 25 years of marriage, Mary's husband had a sudden heart attack in the office and he was rushed to the hospital.  Mary rushed to the hospital, but her husband was already dead when she got there.  Mary was stunned and she went through the next few months in a kind of stupor.

The family lawyer had power of attorney made most of the important decisions.  He assured Mary that her husband left her well provided for, and she didn't need to worry about money.  But Mary felt in a constant state of panic, feeling adrift and not knowing what to do with her life.  She spent her days wandering from one room to another in her house feeling sad and overwhelmed.

After several months, Mary's friend recommended that she get professional help to overcome her feelings of powerlessness.  This was a tough decision for Mary to make.  Normally, she would ask her husband what she should do, especially before taking such a big step.  But he wasn't around to ask any more, and Mary wasn't sure what to do.  She was pretty sure that her husband wouldn't approve of her going to therapy.  He would just tell her to "buck up" and that she had no reason to feel unhappy.

Not knowing what to do, Mary went along with her friend's advice and made a consultation with a psychotherapist.  She thought it couldn't hurt to go for one visit.  But a few days before the consultation, she almost cancelled her appointment.  She picked up the phone several times to dial, but she hung up again.  Finally, on the day of the appointment, after debating it back and forth in her head, she went.

This began Mary's road to taking back control of her life, which wasn't easy.  Over time, she realized that she had been feeling emotionally numb for most of her life, and she didn't even know it.  Making even small decisions was fraught with anxiety for Mary.  Before she could tackle any major decisions, she had to first become aware of her own feelings.

Mary's therapist, who practiced mind-body oriented psychotherapy helped Mary to first become aware of her own body because Mary's emotional numbness also included a physical numbness that Mary had never been aware of before.  

Over time, Mary began to be able to identify her emotions based on what she was feeling in her body.  She started feeling alive again in a way she never felt before. At times, experiencing her emotions felt somewhat overwhelming, but Mary's therapist taught her in therapy how to bring herself back into a state of emotional equilibrium early on in their work together.

Mary began to use the emotions she felt in her body to determine what she wanted and to start to make decisions for herself.  It wasn't easy, and she would sometimes feel she wasn't entitled to even want anything for herself.  But she was able to persevere because she liked having a sense of aliveness again, no matter what the feelings were.  To feel something was so much better than to feel nothing at all.

Over time, step by step, Mary overcame the learned helplessness that had been a part of most of her life.  Rather than dreading making decisions, she began to look forward to them as ways to take back control of her life.  

She felt sad for all the years she was emotionally adrift in her life.  But she mourned that loss, along with mourning for her husband, and began to look forward.  She learned that there were some things she couldn't control, but there were many other things in her life that she could control.  As she came emotionally alive again, she felt a renewed sense of self and new self confidence.

What Causes You to Feel You Have No Control Over Your Life?
Sometimes, people feel they have no control over their lives because they've been raised under similar circumstances to Mary, and it becomes a way of life for them to have other people tell them what to do.  Other times, a string of unfortunate circumstances creates self doubt and people feel like they're like a leaf in the wind being blown around.

Taking Control of Your Life Often Begins with One Step
Whatever the circumstances, you can learn to take control of your life.  Taking back control of your life often begins with taking one step.  That first step is often a decision that you want to feel a sense of control and to reclaim your life.

Getting Help in Therapy 
If you've tried to do this on your own and haven't succeeded, you could benefit from seeing a licensed mental health professional who has helped other clients to gain a sense of control of their lives.   

A skilled therapist can help you to feel a sense of agency in your life and, with it, a new sense of aliveness and well being.

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

I work with adult individuals and couples.  I have helped many clients to take back control of their lives and feel a new sense of aliveness and well being.

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.

For a related topic, you can read my article:  How Do We Balance Our Owns Needs With Being Responsive to Our Loved Ones?