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Saturday, December 1, 2012

Are You Too Afraid to Talk to Your Spouse About What's Bothering You?

Couples who come for counseling often reveal that they were too afraid to talk to their spouses about things that were bothering them about the relationship.  It's not until they come for couples counseling that one or both of them reveal their fear of communicating what they perceive as upsetting discussions. Often, this takes the other spouse, who has not heard about it before, by surprise.

Are You Too Afraid to Talk to Your Spouse About What's Bothering You?

Imagine the following scenario, which is a fictionalized account where one spouse was too afraid to talk to her husband about what was bothering her about their marriage:

Mary and Scott:
Mary and Scott, who were in their early 30s, were married for two years when they came to couples counseling.  Within the first year of marriage, Scott felt that Mary was distancing herself emotionally from him and he couldn't understand why.  Whenever he asked her about it, she would tell him that there was nothing wrong, but Scott had a strong sense that Mary was bothered about something and she just wasn't telling him.  

By the second year or marriage, Mary and Scott were hardly having sex.   Mary almost never initiated sex any more, and when Scott tried to initiate sex, most of the time, Mary said she was too tired or she had various aches and pains.  

Scott continued to feel that Mary was avoiding talking about something.  He was feeling increasingly frustrated by Mary's emotional and physical distancing from him, so he told her he thought they should attend couples counseling.  He hoped that, whatever was bothering Mary, maybe a skilled couples counselor could help them to communicate better.

Mary, who was from a traditional family where family members didn't talk about their feelings, wasn't comfortable with going to see a stranger to talk about their relationship.  She continued to insist that she was fine, but she relented when Scott told her how unhappy he was in their marriage and he hoped to be  able to salvage it in couples counseling.

Scott was very open in couples counseling.  But Mary found the initial sessions to be anxiety provoking.  It took several sessions for Mary to reveal that she felt jealous of Scott's new business partner, Linda, a vivacious, intelligent woman.  

Mary trusted Scott and she knew he wasn't cheating on her, but she felt inadequate whenever she compared herself to Linda.  She imagined whole scenarios in her mind where Scott would find Linda more attractive and interesting than her.  She was afraid Scott would fall in love with Linda.  Mary revealed, the more she thought about it, the less attractive she felt.  And the less attractive she felt, the more she wanted to avoid having sex because she felt inadequate. She told Scott that she was too afraid to tell him about her fears because she felt ashamed about it.

Scott was completely dumbfounded when Mary revealed what was bothering her.  He had no interest in Linda, other than as a business partner, and he didn't even find Linda to be attractive.  But he was more concerned that Mary allowed these thoughts to build up in her imagination and she never revealed this to him before.  

Mary, who had little relationship experience before she met Scott, learned to overcome her own feelings of inadequacy over time in therapy.

Overcoming Your Fear to Talk to Your Spouse About What's Bothering You

She also gradually learned how to communicate with Scott about things that made her feel uncomfortable.  Soon after that, they rekindled their relationship and they began having sex again, where Mary sometimes initiated.

There can be many reasons why someone is too afraid to talk to a spouse or romatic partner about what's bothering him or her.  Men are just as likely to have this problem as women.  Sometimes, as in the scenario above, it's because they come from a family where people don't talk about their uncomfortable feelings.  Sometimes, it's because they're not aware of what's bothering them or they minimize it. 

These kind of communication problems can erode a relationship over time, causing emotional and sexual distance.  

Getting Help in Couples Counseling
If you or your partner are having problems communicating about what's bothering either of you in  your relationship, you owe it to yourself and your partner to get professional help.  Many couples who come for couples counseling to deal with this issue have overcome this problem and have gone on to have satisfying relationships.

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.





Friday, November 30, 2012

Obsessive Jealousy: Are You Arguing with Your Spouse About His Sexual History Prior to Your Relationship With Him?

Are you and your spouse arguing about your sexual histories with other people that you knew before you met each other?  Unfortunately, arguments about spouses' sexual histories aren't unusual.  It often begins with one or both people in the relationship asking questions about the other's sexual history and, before you know it, one or both people get jealous or insecure and arguments ensue.

Arguing With Your Spouse About His Sexual History

While it's important to know whether your partner, soon-to-be spouse or spouse practiced safe sex before he or she met you, it's often a mistake to get into the details of who, want, where, and how often.

Talking about these kinds of details can degenerate into bitter arguments.  Once you've both determined that there have been no sexually transmitted diseases through testing, it's better to let the past be the past--no matter how tempting it might be to seek more information.

Clinical Vignette
The following fictionalized vignette, which is a composite of many different cases with all identifying information changed, illustrates how easily arguments can begin while talking about each other's sexual history with other people:

Dan and Betty:
After Dan and Betty were married for several months, Betty asked Dan about his sexual activities with other people.  She already knew about the two prior relationships before he met her.  They also each had tests for sexually transmitted infections (STIs) early on when they began dating to ensure that neither of them had STIs.

Dan was hesitant to talk to Betty about his sexual history, but she told him that she felt that they should be able to talk about anything and she urged him to tell her.  

After Dan revealed that he had slept around quite a bit in college and in his early to mid-20s, Betty became upset. And the more upset she became, the more she asked him, and his answers only made her more upset.

Even though Betty didn't know any of the women that Dan slept with and he wasn't in touch with any of them, she imagined that he enjoyed being with these women sexually more than he enjoyed being with her.  No matter how much he assured her that he loved her and he enjoyed their sex life together, Betty couldn't stop thinking about all the women that Dan slept with.

Over time, Betty's obsessive jealousy about Dan's former sexual partners began to get in the way of their lovemaking.  Whenever Dan touched her, Betty wondered if he touched the other women in the same way.  

When it got to the point where they couldn't enjoy each other sexually any more, both Dan and Betty agreed that they needed to see a couples counselor.

In couples counseling, Dan and Betty learned that they had to let the past be the past.   Betty realized that she needed to let go of her obsessive thoughts about Dan's prior sex life or she would ruin their relationship.  

She also realized that the problem was that she was feeling insecure about herself.  Since she trusted Dan and she wasn't concerned that he would cheat on her, she realized that she needed to work on her own self esteem rather than argue with Dan about his past.

Once they stopped arguing about the past, they were able to rekindle their relationship.

Many couples feel that they must "tell all" about their prior sexual experiences, but unless you know for sure that you can handle this, it's best not to delve too deeply into your prior histories.

Getting Help in Therapy
If you and your spouse are arguing abut your prior sexual histories, you could benefit from seeing a licensed mental health professional who sees couples for couples counseling to help you salvage your relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples) Somatic Experiencing and Sex 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.



Listening to Your Inner Voice to Discover Your "Calling" in Life

People often come to therapy because they feel like they're just drifting through their lives, but they sense somewhere deep down that there's something more that they want, but they just haven't found it yet.  Some people describe this as finding their purpose in life.  To me, it means the same thing, but I like to think of it as finding your "calling" in life because I feel there's an inner voice in everyone that knows what this "calling" is, if we would just learn to listen.

Listening to Your Inner Voice to Discover Your "Calling" in Life

What is a "Calling"?
Often, when people hear the words "finding your calling in life," they think of a religious "calling."  And while you might feel drawn to a religious calling, it can also be so many other things, and it doesn't necessarily have to be your job.  Your job might be working in an office, but your passion might be volunteering on the weekends to work with children.  Or, you might feel a passion to write poetry or play music.

Your Inner Voice Knows Intuitively What's Right For You
To hear and really listen to your inner voice, that voice that knows intuitively what's right for you, you need to get quiet and open yourself to your inner voice.  Many people discover their inner voice through meditation.  I've found meditation to be especially helpful to hearing my inner voice.  I've found my dreams to be even more helpful because the unconscious speaks to us in our sleep.  Over the years, since I began keeping a dream journal, I've noticed recurring dreams with certain themes that have given me new insights.  I've also discovered fascinating synchronicities between my dream life and my ordinary waking life.  Many people have told me that they've had similar experiences.

What Happens When We Don't Listen to Our Inner Voice
Sometimes, our inner voice is clear as to our "calling" in life, but we don't listen.  When I was a teenager, I developed an interest in psychoanalytic literature, especially books by Karen Horney, who was an influential neo-Freudian analyst who dared to challenge Freud.  I devoured her books, and early on, I wanted very much to become a psychoanalyst.  But, then, in my 20s, as I've mentioned in prior blog posts, I thought I should do something more "practical."  I left the Liberal Arts program and went to a business college.  Even though I disliked and felt very hemmed in by the courses, I pushed myself to continue there for a while because I thought this was the "practical" thing to do.

It took me a while to realize that I wasn't following my "calling" in life and I needed to get back to what I needed to do.  I mention this because, having gone through this experience myself, I have a lot of compassion for other people who struggle with finding their purpose or "calling" in life.  Also, having gone through my own experience, I know that it's also possible to transform your life by listening to your inner voice.

Eventually, I became a Masters level social worker and did my postgraduate psychoanalytic training.  A few years later, I discovered that, although I love psychoanalysis, I needed other tools to help psychotherapy clients because psychodynamic psychotherapy didn't help to heal all psychotherapy clients.

By listening to my inner voice, I trained in EMDR, clinical hypnosis and Somatic Experiencing as well as Embodied Imagination dream work, and discovered new ways of working with clients that brought about deeper healing experiences for them.

Listening to Your Inner Voice and Self Exploration Can Lead to a More Fulfilling Life
If you feel like you're drifting through life without having discovered your purpose or "calling" yet, you owe it to yourself to begin a self exploration that can lead to a more fulfilling life.  As I've mentioned, I believe this starts by listening to your inner voice.

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.



Thursday, November 29, 2012

Unhealthy Relationships: Bad Luck or Poor Choices?

I remember having a conversation with a friend, several years ago, who told me, "I have the worst luck when it comes to relationships with men."  

After a few tumultuous relationships, she started therapy to deal with the emotional aftermath of the last unhealthy relationship.  During the course of her self exploration, she discovered that luck had very little to do with her chaotic relationships with men.  Instead, she discovered that, on an unconscious level, she was choosing men who were emotionally abusive and very irresponsible.

There is Big Difference Between Having Bad Luck and Making Poor Choices
There is a world of difference between seeing yourself as the passive victim of bad luck and realizing that you're responsible for choosing the unhealthy relationship that you're in.  And, it was quite an eye opener for my friend.  

Unhealthy Relationships: Bad Luck or Poor Choices?

Once she accepted that this was her reality, she knew she needed to work in therapy to discover the underlying issues so she could stop making these unhealthy choices.  And it didn't take long to realize that she was replicating her parents' relationship in her own relationships--even though she swore from an early age that she never wanted to have a relationship like the one  her parents had.  This speaks to the power of the unconscious and how we often don't realize what forces are driving our choices.

Feeling Like You Deserve a Healthy Relationship
What was more challenging for my friend was to realize that, deep down, she didn't feel like she deserved to have a healthy relationship.  She understood on an intellectual level that she was "a good person" and, therefore, she deserved a healthy relationship.  But, on a deeper emotional level, she didn't feel it.  It took time and effort in psychotherapy for her to overcome these feelings so that, eventually, she did make healthier choices.

Whenever I hear a psychotherapy client (or anyone else) say they've always had "bad luck" in relationships, I think of my friend's story as well as so many other stories I've heard in my experience as a therapist.  No one likes to think that they're in their current unhealthy relationship due to a choice that they've made.  Of course, there is an element of luck in terms of the people you meet but, more often than not, when someone remains in a dysfunctional relationship, they're making an unconscious choice.

While some people are open to exploring that they're making a choice, other people totally resist it, no matter how compassionate and empathetic a therapist might be.  They feel blamed and criticized.  More importantly, they feel ashamed, and when there is a lot of underlying shame, a therapist must have the client's trust and she must proceed with as much tact as possible.  But the therapist can't avoid dealing with this situation altogether--otherwise, how would the client make progress?

If clients are able to overcome their shame enough to look at their choices, the next dilemma they face is what to do about it.  After all, once this unconscious choice is made conscious, if they remain in an emotionally unhealthy relationship, by virtue of being aware of it now, they're making a conscious choice.  There might be some back pedaling along the way.  But, if a client develops a healthier sense of self, he or she usually wants to be treated better and the current relationship is no longer satisfying.

Do You Have a Pattern of Being in Emotionally Unhealthy Relationships?
If you have a pattern of being in emotionally unhealthy relationships, you owe it to yourself to consider if it is really bad luck that you keep getting into these relationships or are you choosing, on a level that you might not be aware of, these unhealthy relationships.

This can be one of the hardest questions that you will ever ask yourself, but it can also be the start of turning your life around.

About Me
I am a licensed New York City 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.

Overcoming the Guilt You Feel For Not Being Able to Heal Your Parent's Emotional Wounds

Many adults come to therapy because they have longstanding guilt, which started when they were children, for not being able to heal their parents' emotional wounds.  As children, they grew up too fast in an effort to become emotional parents to their parents, instead of their parents parenting them.


Feeling Guilty For Not Being Able to Heal Your Parents' Emotional Wounds

In situations where parents are unable to emotionally parent their children, because of their own emotional deficits, a very young child often steps into this role without even realizing it, at a great emotional cost to him or herself.

The following vignette, which is a fictionalized account of many composite cases, illustrates how a child steps into the role of being her mother's mother:

Sandy:
By the time Sandy was six years old, she spent almost every evening at the kitchen table listening to her mother tell stories about her difficult childhood--the poverty, the loneliness, and the violence in household.  As her mother's sad stories poured out, Sandy wanted, more than anything, to make her mother happy now.  She was anxiously consumed with what she could do to make her  depressed mother happy.  She took on the role of her depressed, single mother's confidant and nurturer.

Sandy's mother was often so overwhelmed by her depression and anxiety that she didn't pay attention to what was going on in Sandy's young life.  By the time she was 11, Sandy was coming home from school, cooking dinner and coaxing her mother, who was often still in bed by late afternoon, to eat.

Going away to college was a tough decision for Sandy because she didn't want to leave her mother alone.  Sandy's mother, who was still preoccupied with her own emotional problems, never came to the college campus to see Sandy and never asked Sandy how she liked her college roommates.

By the time Sandy was in her early 30s, she continued that she just couldn't do enough to try to make her mother happy.  She was consumed with guilt, feeling that she had let her mother down because she couldn't heal her mother's emotional wounds.

When she came to therapy, Sally had no awareness of how she had sacrificed her own emotional well being by trying to be her mother's mother.  All she knew was that she felt tremendously guilty and unhappy.

Often, in situations like this, talk therapy can provide intellectual insight for the parentified child, but more often than not, it doesn't help to overcome the guilt and shame he or she feels.  There is a disconnect between what a parentified child might know on a rational level and what he or she feels on an emotional level.

I have found that mind-body oriented psychotherapy, like EMDR, clinical hypnosis, and Somatic Experiencing are much more effective to help clients to overcome the deeply ingrained guilt and shame they feel for not being able to compensate for their parents' emotional deficits.

Rather than just having intellectual insight, these clients are much more likely to heal and overcome their guilt and shame with one of these mind-body oriented psychotherapy treatment modalities. My experience has been that they usually heal on a much deeper level when psychotherapy includes the mind-body connection.

Getting Help in Therapy:  Overcoming Your Own Emotional Wounds
If you grew up as a parentified child to your own mother or father, you might still feel guilt and shame because you were unable to heal your parent's emotional wounds.

You owe it to yourself to get help to overcome your own emotional wounds so you can lead a more fulfilling life. Many people, who grew up as parentified children, have freed themselves from a history of guilt and shame about depressed and anxious parents by getting help from a licensed psychotherapist who uses the mind-body connection in treatment, and you can too.

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.

Tuesday, November 27, 2012

Are You Dating Someone Who Has Problems Making a Commitment to a Relationship?

There comes a time in any dating relationship when you and the person you're dating decide if you're going to take it to the next level--making a commitment to be in a monogamous relationship or deciding that you're not going to pursue a serious relationship.


Are You Dating Someone Who Has Problems Making a Commitment to a Relationship?

Under ideal circumstances, you and your dating partner talk about it and mutually agree either that you're going to be in a relationship, you're going to remain in a casual dating situation or you're going to stop seeing each other.

But, often, both people don't see eye-to-eye about it.  One person might want to remain casual while the other might want to be in a more committed relationship.  This can put an emotional strain on each of you as you try to work out this situation.

If you're the person who wants a committed relationship and your dating partner wants to remain in a non-monogamous dating situation, what do you do?

Of course, there are no easy answers and it depends on many factors.  For instance, if the two of  you have been dating for a year and you're a woman in your late 30s who wants to have children soon, you might have different feelings about it compared to a woman in her early 20s who is not in a hurry to have children.

And, if you're dating partner has a long history of avoiding making commitments to relationships, you would probably want to consider this if it has been a lifelong pattern.

It can be a very hurtful situation to discover that you've fallen in love with someone and you want to take your relationship to the next level, but your dating partner is ambivalent.  You might decide to give the situation more time.

Are You Dating Someone Who Has Problems Making a Commitment to a Relationship?

But if you're someone who wants to get married and have children one day or you just want to settle down with one person, you'll want to ask yourself some hard questions about how long you want to wait to see if the person you love wants to make a commitment to you:

How long are you willing to wait and what is the downside of waiting?  Will it be eroding to your sense of self?  Will there be increasing pressure and tension between the two of you?

Are you being honest with yourself about this person and if you're both suited for each other?  Are you allowing the head-over-heels feeling of being in love blind you to certain problems between you?

Are you staying with this person because you're too afraid to be alone?  Are you afraid you won't meet anyone else?

These are tough but necessary questions to confront.

I think many people know deep down when it's time to end a dating relationship with someone who has problems making a commitment, but they often don't want to break up because they don't want to go through the heartache.

What's even more heartbreaking is to look back on time that has passed and realize that, all along, the person you're dating would never be able to make a romantic commitment no matter how long you wait.

If you're in a dating relationship with someone who has problems with making a commitment, you owe it to yourself to be honest about your feelings with yourself and your dating partner.   You have a right to be happy and so does your dating partner.  You might feel that you won't be able to tolerate the loss, but most people are a lot more resilient than they realize and they overcome these losses.

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.

Also, see my article:
Dating vs Being in a Relationship



Monday, November 26, 2012

Relationships and Communication: Do You Expect Your Partner to be a Mind Reader?

As a psychotherapist in New York City, I see many individuals and couples who come to therapy because of problems in their relationships.  One of the most common relationship issues is that one or both spouses or partners expects the other to be a "mind reader," knowing and anticipating emotional reactions, wishes and fears.  

This is often one of the major problems in the relationship because there is a lack of communication as well as anger, resentment and frustration.

Do You Expect Your Spouse to be a "Mind Reader"?

Of course, no one ever comes in saying, "I expect my husband to be a mind reader."  Instead, someone might say, "I didn't tell him because he should have known that I felt that way." 

Often, this includes subjects that the couple have never discussed before and the other spouse would have no way of knowing without being told.

I can certainly understand a fantasy to have a loved one anticipate your every wish.  But as delightful a fantasy as that it, it's just that--a fantasy.  

It's much more useful to learn to communicate your thoughts and feelings to your spouse rather than expecting him or her to "just know," somehow, magically.

Do You Expect Your Spouse to be a "Mind Reader"?

Often, when this is the problem in a relationship, one or both people have problems asking for what they want.  Sometimes, this happens because they were shamed as children for having wants or needs.  

As adults, they feel ashamed to ask for what they need so, instead, they blame their spouse or partner for not knowing, when, in fact, it's their problem because they don't feel entitled to have what they need or want.  

But pointing the finger at a spouse isn't going to change this problem.  Owning it and working it out in therapy is much more useful than continuing to hope that a spouse or partner will intuit what you want.

Getting Help in Therapy
If you and your partner are having this problem, you're not alone.  

Many couples have successfully worked out this issue in couples counseling and enhanced their relationship.

Rather than struggling on your own, seek help from an experienced couples therapist.

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

I work with individual adults and couples, and I have helped many people to communicate in their relationships.

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.