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Thursday, October 18, 2012

Being in the Present Moment

Most of us tend to lead such busy lives that we're either focused on the past or projecting our thoughts into the future, often losing sight of the present moment. When our focus is either primarily on the past or in the future, so much of what is going on in the present can pass us by. This often robs our lives of meaning and can lead to unnecessary worry and rumination.

Being in the Present Moment


How Can We Learn to be in the Present Moment?
For many people, learning to be in the present moment can be a challenge. Unfortunately, most of us are not taught this skill as children, especially if we're raised in a household that is very goal oriented. When the focus is almost exclusively goal oriented, the emphasis tends to be on "the next thing" rather than on the present.

While there are certainly advantages to having goals in term of giving our lives direction, if we only focus on goals, we're often robbed of what's meaningful and rich in the present moment. Conversely, if our focus is primarily on the past, beyond learning from our experiences and understanding how we arrived at our current circumstances, we can get stuck and paralyzed looking backwards.

Start with Small Steps
When we're learning to make fundamental changes, we can start by taking small steps. So, this might mean taking breaks in the middle of our day, finding a quiet and private moment, closing our eyes and focusing on our breath. You don't need to know how to do any special breathing exercises. Just the act of focusing on your breath can slow down your heart rate and help you to relax.

While you're focusing on your breath, you can notice the quality of the air coming through your nostrils, whether the air feels cool or warm, dry or moist, how it feels as you take air into your lungs and feel your lungs expanding. Then, as you exhale, feeling all the stress and strain of the day leaving your body. Breathe normally and focus on whatever sensations you feel in your body.

In this way, you develop a mindful approach towards de-stressing and learning to be in the present moment. This might only take a few minutes, if that's all the time that you have or, if you can do this in a more leisurely manner, you might take more time.

Usually, you're likely to find that just the act of noticing your breath can be relaxing and refreshing. The challenging part is remembering to do it so you can do it on a regular basis.

Attending a yoga class, if you're able, can also be a wonderful way to be in the moment. As your yoga teacher gives you instructions about the poses, you're very focused on following his or her instructions, including the precise placement of your body in the pose. Usually, whatever you might have been worrying about before yoga class no longer preoccupies your mind because you're very focused on the yoga poses and the coordinated breathing that goes with the pose. Afterwards, most people feel relaxed and have an overall sense of well being.

If you think you might like to learn to meditate and you're new to meditation, you can get CDs that appeal to you with guided meditations. You might find that you have "monkey mind," a tendency for your thoughts to wander from one topic to the next, similar to a monkey jumping from one tree top branch to the next. But that's okay. As each thought comes into your mind, you can notice it and just let it go, like clouds that are passing in the sky.

Getting out into nature and really noticing the sights, sounds, and scents around you can also be a wonderful way to be in the present moment. This doesn't require any special skills. You just need to be present and take in what's around you.

People who know how to be in the present moment usually discover that when they return to whatever task or issue that they were concerned about before, they come back to it refreshed and much more creative than if they just continued to plod on.

As a psychotherapist in NYC, I encourage my clients to develop both internal and external resources, including being able to visualize in their mind's eye a safe or relaxing place. If they can't visualize a safe or relaxing place, I encourage them to think about a person, pet, symbol, spiritual being (if this has meaning for them) that gives them comfort and use that in their visualization.

Each of us can learn to develop our own preferred way to be in the present moment and, in doing so, discover a sense of contentment and gratitude.

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,




Sunday, October 14, 2012

Reclaiming Your Creativity

Many clients have come to see me over the years in my psychotherapy private practice in New York City to overcome creative psychological blocks.  

These include writers, actors, artists, singers, and other people in the creative fields.  Often, the psychotherapy work involves reclaiming a creative aspect of themselves.


Reclaiming Your Creativity

What Does "Reclaiming Your Creativity" Mean?
The following vignette, which is a composite of many psychotherapy cases to protect confidentiality, is an example of a creative psychological block and how this client was able to reclaim his creativity:

John:
John, who is in his late 30s, is a short story writer.  At the point when he came to see me, he was struggling to complete a book of his short stories.  Every time he sat down at his computer to work on his stories, he was plagued by crushing self doubt.   He would stare at the computer screen for a long time while thoughts swirled around his head, "Who do you think you are, trying to write stories?," "No one's interested in what you have to say," "You can't write" and so on.  After a while, John would walk away from his work, pace around the room, and distract himself with something else before he went back to his writing to try again.

When John came to see me, this pattern was going on for months.  He was feeling more and more anxious and frustrated, and he feared he would never be able to write again.  Accomplished writers that John respected had looked over his work, and they encouraged him to complete the book.  But John was stuck.  He couldn't stop the critical voices in his head long enough to do any more work.

After several sessions of obtaining his personal history, which included an overly critical father who denigrated John's writing as a child, we used a combination of clinical hypnosis and Somatic Experiencing techniques to help John overcome the negative thoughts that kept him creatively blocked. The work wasn't easy for John because there were layers of trauma where John's father shamed him mercilessly.  But over time, John learned to overcome his negative thoughts so they no longer defeated him.  He also developed more confidence and he eventually completed his book and went on to other creative endeavors.

Psychological Blocks Can Occur in Any Endeavor
You don't have to be a writer or an artist to struggle with your creativity.  We all use our creativity every day to come up with ideas and solve problems in our lives.  Self doubt can be just as stifling no matter what you do, draining away your self confidence.  Often, these critical thoughts have their origins in childhood, and as a adults we re-experience them in the form of psychological blocks:

  • the singer whose voice closes up on her when she goes for an audition
  • the office manager who feels like he's about to choke, literally, when he has to give a presentation at work
  • the supervisor who has been asked to come up with a solution to a work problem who feels like she's in a mental fog whenever she and her boss talk about the problem
  • the job applicant who suddenly can't think of his accomplishments when the interviewer asks him about them
  • the broadcast journalist whose presentation is fine--except when she goes on air and she stammers through the broadcast

A Psychological Block to a Solving an Office Problem


Psychological Blocks Can Be Overcome with Clinical Hypnosis and Somatic Experiencing
Psychological blocks can be overcome with a combination of clinical hypnosis and Somatic Experiencing.  

No two clinical cases are alike and there's no way to say in advance how the problem will be resolved.  

Much will depend on the individual's personal history, the type of problem, if there is trauma involved, and how the individual processes in treatment.  

For some people, the problem can be resolved in a matter of months, and for other people it might take longer.  But, generally speaking, I've found the combination of clinical hypnosis and Somatic Experiencing to be much more effective than just regular talk therapy.

About Me
I am a licensed New York 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.



Photo Credits (in order of appearance):
photo credit: miguelavg via photopin cc
photo credit: drewleavy via photopin cc








Friday, October 12, 2012

Moving Out of Your Comfort Zone

Staying within your comfort zone can feel very safe. When you're in your comfort zone, you usually don't have to worry about making mistakes, taking risks or making other people feel uncomfortable. You can go along, as you always have, and continue doing what you've always done and get the same results or you can make changes to move out of your comfort zone.

Moving Out of Your Comfort Zone

Here is a vignette, which is a composite of many cases: 

Donald:
Donald has been working at the same job as marketing rep for five years. He began as an intern and was hired soon after college. Initially, he was excited about his job. However, over time, he's learned the job so well that it's no longer challenging. The company is small and there are few opportunities for advancement. Add to this that Donald lacks confidence to advocate for himself to get a raise or to do more interesting work and you can see why he's in a rut.

His supervisor moved to a larger, more prestigious company a few months ago. Before he left, he told Donald to call him about possible openings at this company. But Donald has been procrastinating, making excuses to himself as to why he doesn't pick up the phone and call his former supervisor.

Then, one day, one of Donald's colleagues, who started at the same time and at the same level as Donald, told him that he had exciting news--he contacted their former supervisor and was hired as a marketing manager for a lot more money and better benefits. Donald congratulated him and wished him well but, inwardly, he berated himself for not calling their former supervisor and getting that job. He knew that he was far more knowledgeable and had better skills than his colleague, but he missed out because he allowed himself to stagnate in his comfort zone. He felt frustrated and stuck, and he didn't know what to do to get out of his rut.

If you would like to branch out, but you feel stuck in your comfort zone, ask yourself these questions to clarify what's holding you back:
  • What do you really want in your life that you don't have now?
  • What are the self-limiting fears that are keeping you from having what you want?
  • What are you afraid will happen if you move out of your comfort zone?
  • Are you living up to other people's expectations rather than doing what you really want?
Moving out of your comfort zone doesn't mean doing things that you're really not ready to do. For instance, if you just started taking yoga classes and you admire how some of the more advanced students can do head stands, it doesn't mean that you should try to do this as a beginner before you're ready. First, you need to learn the basics and develop your abilities to the point where you and your yoga teacher both feel that you can begin to do preparatory work for the head stand--otherwise you could injure yourself.

So, moving out of your comfort zone doesn't mean being foolhardy. Moving out of your comfort zone can be as simple as taking the next step--whatever the next step might be. So, if you've been doing yoga for a little while and your teacher encourages you to go a little deeper into a posture because she can see that you can do this safely without injuring yourself, but you decide to stay at your current level rather than work a little harder, then you're keeping yourself stagnant in your comfort zone and you won't progress.

Taking Steps to Making Changes
Small steps can lead to big changes. So, for instance, if you're afraid of public speaking, but you know it would help you to present your ideas to your boss and the senior staff, taking a public speaking class or working with a coach might be the small step you need to take in order to take the next step that could help you advance.

For most people, as they challenge themselves by taking steps outside of their comfort zone, they build confidence, and this can create an upward spiral.

Getting Help in Therapy
If you find yourself stuck in your comfort zone, you could benefit from consulting with a psychotherapist or coach to help you advance to the next step and, ultimately, help you to get what you want in your life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist. I have helped many clients to move out of their comfort zone 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, October 11, 2012

Keeping a Gratitude Journal

A gratitude journal is a daily diary where you write about the people, places and events in your life that you feel grateful about.

Keeping a Gratitude Journal

It can change your perspective about your life and the world around you, especially when you are feeling down or if you have developed a habit of looking at yourself and the world in a negative way.

It's Easy to Keep a Gratitude Journal
At the end of the day, write down 5 things that you feel grateful about. At first, you might feel that this would be a waste of time, but I invite you to do it for a week.

Even if, at first, you come up with two things, overtime, as you continue this process, you will probably begin to notice that you will come up with more and more items to write in your daily gratitude journal.

Your journal entries can be as basic as being grateful for the food you eat, your clothing, that you have a roof over your head or that you are alive.

How Can Keeping a Gratitude Journal Help You?
Keeping a gratitude journal helps you to be more aware of your view of yourself and the world around you:
  • Do you tend to see things as being mostly negative? 
  • Is the glass always half empty rather than half full? 
  • Do you tend to engage in all-or-nothing thinking
  • Are you overlooking the blessings in your life, no matter how simple they might be? 
  • Have you taken for granted friends and family who are loving and supportive?
As your awareness expands with your gratitude journal, you can learn to let go of negative patterns of thinking that have held you back.

You may begin to feel more inspired to open yourself up to new opportunities. 

Remember, this is a process. Many of my clients have used a gratitude journal with success. It has helped them to overcome old negative habits that have kept them stuck and allowed them to have more of what they want in their lives.

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.

Using Your Imagination as a Powerful Tool for Change

Imagination as a Powerful Tool for Change
Your imagination can be a powerful tool that can be used creatively for making positive changes in your life, solving problems, writing prose, poetry or music, and countless other endeavors. If you allow your mind the freedom to be creative, your imagination can come up with limitless possibilities.

Your Imagination is a Powerful Tool for Change

What Does the Word "Imagination" Mean to You?
Unfortunately, the word "imagination" has a negative meaning for many people.  Often, this begins in early childhood.  Many adults, especially parents and teachers, without realizing it, discourage children from using their imagination.  They tell children, "Stop daydreaming" and "It was only you're imagination."  After a while, these children come to think of imagination as something "bad" or "wrong" rather than seeing it as a creative tool.

How Do You Use Your Imagination?
We use our imagination all the time, often without being aware of it.

The real question is how you use your imagination: Do you use it as a creative tool that can help you to grow and develop or do you use it in a negative way that causes you worry and emotional pain?

Observing yourself and seeing how you use your imagination in your life can help you to understand if you tend to use it in an optimistic or a pessimistic manner.

How would your imagination react to the following scenarios:

Your boss tells you that she wants to see you in her office now. As you're walking to her office, are you imagining yourself getting fired? If so, how would you feel if you found out that you were getting a promotion and a raise?

The new person you've been dating leaves a message on your voicemail that he'd like to talk to you right away. Do you imagine that he's calling to break up with you? If so, how would you feel if, when you called back, he told you that his friend, who had to work late, gave him free orchestra seats to see a play tonight that you've been wanting to see and he's inviting you to go with him?

You wake up on a Monday morning and as you lay in bed, you begin to anticipate your day.  Where do your thoughts go?  Do you imagine all the bad things that could happen this day?  Does your imagination automatically come up with the different things that could go wrong?  Or do you see it as a new day with possibilities of new opportunities?  And if you imagined a bad day and it actually turns out to be a very good day, how does this affect you?  Does this cause you to question how you think or do you minimize this day (and all your good days) as exceptions.

Changing How You Use Your Imagination
If you think about situations that have actually occurred in your life where you imagined negative outcomes but were pleasantly surprised by positive outcomes, you can begin to become aware of your particular pattern of using your imagination.

Whenever a particular situation comes up, notice where you mind goes. Write it down. After a while, if you notice a pattern that you don't like, you might decide you want to change your way of thinking. If so, as a first step, you can begin to challenge yourself about your negative imagination and begin to consider positive outcomes instead.

For some people who have had emotional trauma, using negative imagination becomes a habitual way of thinking because they feel it helps to prepare them for the worst case scenario each time. This is a common reaction to trauma.

The problem is that focusing on the worst case scenario all of the time doesn't really help and, in many cases, it gets in the way because these people are always anticipating emotional pain and going over painful scenarios in their lives. So, even when something good happens, it's hard for them to enjoy life because they're immersed in their negative imagination. For people with a history of lot of painful experiences, it can be very difficult to change this pattern on their own without help from a licensed mental health professional who works with trauma.

From Imagination to Action
Of course, even if you use your imagination in the most positive and creative ways, you still need to take action.  Here's where a lot of people get stuck.  They might have wonderful daydreams about how they'll change their lives, but they don't take the necessary steps to make it happen.  Emotional obstacles  get in the way.

Getting Help - Clinical Hypnosis and Somatic Experiencing
If you would like to use your imagination as a creative tool to make changes in your life, you could benefit from seeing a licensed psychotherapist who is trained in clinical hypnosis (also known as hypnotherapy) and Somatic Experiencing.  Clinical hypnosis and Somatic Experiencing are a powerful combination that allow you to access your internal world to make changes.

To find out more about clinical hypnosis, visit:  American Society for Clinical Hypnosis (ASCH).

To find out more about Somatic Experiencing, visit:  Somatic Experiencing Training Institute

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 to overcome habitual negative thinking and patterns of negative imagination so they can lead more fulfilling lives.

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

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


Photo Credit:  photo credit: jaci XIII via photopin cc





Wednesday, October 10, 2012

Wellness: Learning to Visualize in Meditation

If you've been following the last couple of posts, you'll know that I've been focusing on meditation. In the last post, I explored the Safe Place Meditation where you imagine engaging as many of your senses as you can in a relaxing place of your choice.

The Challenge of Visualizing During Meditation
For many people, visualizing during meditation can be a challenge. When they close their eyes and try to visualize, nothing comes and they might feel discouraged. If this happens to you, the good news is that you can practice and improve your visualization skills. If you're patient, it usually gets better with practice over time.

The Challenge of Visualizing During Meditation
Visualization Exercises
One way to practice is to take a simple object, like an apple, and use that to practice. 

For instance, if you're using a red apple, place it in front of you, at eye level, if possible. Now, notice the color. Really notice the quality of the red. Is it a deep rich red or a lighter red? Are there other colors on your apple? Maybe your apple is also partly green. Notice what kind of green it is. 

Now, notice the size and shape of the apple. Is it short and round in the middle and flat at the top and bottom or is it wider at the top, round in the middle and narrow at the bottom? Is the stem still attached? Are there any bruises on the apple. 

Take your time. Spend a few minutes looking at the apple. Now, close your eyes, take a couple of deep breaths and picture your apple. If nothing comes, open your eyes and focus on the color again. Practice doing this a few times. A lot will depend on how much you can relax.

As your power to visualize improves, you can try other objects (sea shells, flowers, and whatever other objects you like). You can also use photographs of people's faces. The process would be the same--focus on the picture, notice the features, and then close your eyes and "see" the face from the picture.

You might try visualizing a sea shell

As I've mentioned before, visualizing usually gets better with practice so don't get discouraged. Let yourself have fun with this. Allow your playful side to come out and enjoy visualizing.


You Might Have Other Sense Experiences 
The other important thing to realize is that you might have other skills, aside from visualizing, that work for you.  For instance, some people are very good at having a felt sense in their bodies.  Other people can imagine in their "mind's ear" hearing music.  What's important is not which sense is most dominant for you, but that you have a sense that you can use to help you to relax and meditate.

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

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

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

Also, see my article:  Wellness: Meditation 


Wellness: Safe Place Meditation

In the prior post, Wellness and Meditation I explored basic meditative techniques. I suggested that you can start by focusing on your breath.

Safe Place Meditation


Safe Place Meditation
As I mentioned in the prior post, there are many different types of meditation. One type of meditation that I usually teach clients is called the Safe Place meditation, which I'll explore in this post.

Now, "safe" is a relative term. For some people, possibly due to their history of trauma, there might not be anywhere that they can visualize that would be "safe." So, if you're not comfortable with the words "safe place," you can think of it as a relaxing, peaceful place. Over time, practice usually makes it easier.

As I mentioned in the prior post, assuming that you're in a good place to meditate (never when you're drving or when you need to be fully alert), start by closing your eyes and focusing on your breath. After a few relaxing breaths, picture a relaxing, peaceful place. It might be a beach or your favorite place in the countryside or wherever it feels most relaxing to you.

Whatever place you choose, look around in your mind's eye and notice what's there--the colors, shapes and patterns of things around you. Really take time to notice. 

Then, notice what sounds you "hear" in this place. So, if you're at the beach, maybe you hear the sound of the waves as they crash along the shore or maybe you hear the sea gulls as they fly over the water. 

Then, just notice any scents you might "smell." Once again, if you're at the beach, maybe you smell the salt from the water. 

You might also "taste" the salt. Notice any sensations you might "feel." At the beach, you might feel the breeze coming off the water or the coolness of the water against your toes or maybe you feel the gentle heat from the sun warming your body.

If any distracting thoughts come to mind, as they often do for most people, just notice them and let them go. Let them drift by like clouds passing by overhead. 

When you're ready to return, take a couple of deep breaths. You can wiggle your fingers or toes so that you're alert and fully present in your environment. Then, open your eyes.

Meditation Practice
Meditation takes practice. If you have difficulty visualizing or imagining using your other senses, don't worry about it. It usually becomes easier over time. 

In the meantime, enjoy the Safe Place meditation.

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

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

Please feel free to call me at (917) 742-2624 or email me to set up an appointment.