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Sunday, March 3, 2013

Can You and Your Ex Transition From Being Lovers to Being Friends?

Many people attempt to remain friends with their exes, especially if the breakup of their relationship was mutually decided, amicable, and both people still care deeply for one another.  Sometimes this works out and other times, it doesn't.

Can You and Your Ex Transition From Being Lovers to Friends?

Tips for Transitioning From Being Lovers to Being Friends:
  • Take Time Apart: Even when you and your ex both agree that you want to transition from being lovers to being friends, you will need time away from each other to allow for the change.  Even though neither of  you might still be in love, it takes time for feelings to subside and to mourn what once was.  You don't want any confusion or ambiguity about the transition. For most people, a period of at least six months without contact, is needed to make the transition.  For other people, depending upon the two people involved, you might need more time.
  • Don't Have Sex With Your Ex: You and your ex might feel you can have the type of friendship that includes "friends with benefits" and that having occasional sex might not harm the friendship.  But this can be very confusing for one or both people.  There could easily be misunderstandings if sexual intimacy arouses romantic feelings.  This isn't to say that some people can do this and there's no confusion but, most people can't.  So, as tempting as it might be to have sex with your ex, especially if neither of you is having sex with anyone else, I recommend that you refrain from having sex with your ex.
  • Don't Say "Let's be friends" With the Idea of Rekindling the Romance: This is a big mistake that many people make, either intentionally or unintentionally.  Be aware of what you want and what you don't want from your ex, and be honest about it.  Don't say you want to be friends as a ploy to rekindle the relationship.  Not only is this dishonest, it's also manipulative and it could ruin any chances for a real friendship with your ex.
  • Pay Attention to How Your Friendship With Your Ex Affects Your New Relationship: If some time has passed and you're in a new relationship, you need to pay attention to how your friendship with your ex affects your new relationship.  Be upfront with your new lover about your friendship with your ex.  A lot of new lovers won't be comfortable with this, so you might need to make some difficult decisions.  But it's more likely to go smoothly if everyone meets so there's no mystery about who is the friend and who is the lover. Most people would feel uncomfortable with an ex and a new lover meeting, at first.  This is understandable.  But if you find yourself procrastinating about this or making excuses for not doing, you need to question your own motives about not making the introductions and helping everyone involved to be clear about who each person is to you:
    • Are you trying to keep your options open by keeping your ex in the wings "just in case" your new relationship doesn't work out and you decide to try to rekindle your relationship with your ex?
    • Are you more concerned about the possibility of hurting your ex's feelings than how your new lover will feel?  
    • Are you, intentionally or unintentionally, triangulating between your ex and your new lover by keeping them separate?
  • Make Your New Lover the Priority: You and your ex might have been together for a long time and, naturally, s/he would know you better than your new lover.  So, in some ways, you might feel more comfortable going to your ex, instead of your new lover when you have a problem.  But you need to make your new lover the priority if this new relationship is going to succeed. This means that you take the time to spend with your new lover and make the effort to develop your relationship rather than going to your ex first for help or emotional support. By the same token, your ex needs to learn to expand his or her emotional support system beyond you.  S/he was probably accustomed to relying on you during difficult times.  You can still be supportive of your ex, but when it starts interfering with your new relationship, you need to set some boundaries.  Frequent tearful calls at 3 AM (from your ex to you or you to your ex) aren't acceptable any more. Making your new lover the priority also means that you don't go flying to your ex whenever you and your new lover have an argument.  This is another way to triangulate and it will quickly lead to problems.  Another mistake that people often make, usually when they're angry, is to compare their new lover unfavorably to their ex, by saying to the new lover something along the lines of, "She never would have done that!"  That's often the death knell for the new relationship.
  • Transitioning From Lovers to Friends...Tricky, But Not Impossible: Making the transition from being lovers to being friends with your ex can be tricky, but if you take time away from each other, you're clear and honest with your new lover and your ex, everyone is on the same page, and if you set clear boundaries, you might be able to make the transition.
Getting Help in Therapy
Transitioning from lovers to friends can be tricky and you could benefit from emotional support from a skilled psychotherapist.

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, March 2, 2013

Relationships: Learn to Stop Criticizing Each Other

Sometimes, without even realizing it, people harp on the negative rather than the positive qualities they see in their spouse.  Being critical of each other becomes their habitual way of relating, which can ruin a relationship.

Relationships: Learn to Stop Criticizing Each Other 

A Brief Vignette Illustrating This Dynamic
I remember being at a dinner party several years ago when the hostess went on and on reciting a litany of criticisms about her husband, who was sitting, red-faced, next to her:  He wasn't handy in the house, he always forgot where he put his keys...on and on.

It was all done in a humorous way, as if she was teasing him but, after a while, everyone began to shift uneasily in their seats.  People sensed that underneath the humor was thinly veiled hostility.

After a while, when she paused to take a breath, her husband said with a tight smile, "Do  I can do anything right?"  There was a tense moment of silence when no one said anything.  Then, thankfully, someone changed the topic and we all breathed a sigh of relief.

Like so many people, the hostess seemed to be so accustomed to criticizing her husband that she had little awareness of how she was coming across at her own dinner party.

When Being Critical of Your Spouse Has Become a Habitual Way of Relating to Each Other
It can be so easy to fall into a pattern of being critical of your spouse until it becomes a habitual way of relating.

Often, when this occurs, there are deeper underlying issues in the relationship that aren't being dealt with by the couple.

Either the couple is unaware of these other issues or they are aware of them, but they're uncomfortable talking to each other about them.  Rather than addressing the more important issues, like a lack of sexual intimacy in the relationship, one or both people nitpick and criticize each other about other issues.

Learning How to Communicate With Each Other and Change This Dynamic
When I see people for couples counseling who have this dynamic, aside from helping them to become more aware of it, I also help them to remember what brought them together in the first place. I will ask them about the positive qualities that brought them together.

More often than not, they still admire these positive qualities, but they haven't been focusing on them (or even remembering them).

Of course, this doesn't mean that they shouldn't deal with the aspects of their relationship that each of them want to improve and the more complicated underlying issues.  They do, but they need to learn a better way of communicating with each other where it's not all critical, which can erode a relationship quickly.

Getting Help in Therapy
The good news is that it is possible to change a dynamic where one or both people in a relationship are being overly critical of each other.

Learn to Stop Criticizing Each Other: Getting Help

Many couples have learned to change this dynamic.  It takes work in couples counseling, especially if this has been the pattern for a while, but if both people are motivated to work on it, they can learn to change. And, in doing so, they're often able to salvage their relationship.

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 couples to learn to improve their communication with each other.

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, February 28, 2013

Are You Able to Celebrate Your Progress Along the Way to Meeting Your Goals?

Are you someone who has trouble giving yourself a pat on the back for the progress you've made?  Instead of celebrating the progress you've made so far, do you focus on how much more you have to go so you end up feeling dissatisfied with yourself no matter how much effort you've made?  

If this sounds like you, you're not alone.  A lot of people have trouble giving themselves credit for their well earned progress.

Are You Able to Celebrate Your Progress?

Long Term Goals Are Easier to Accomplish If You Celebrate the Progress Along the Way
When you're working on a long term goal, like getting a Bachelor's or Master's degree or any endeavor that can take a few years, it's easier to keep yourself motivated for the long haul if you're able to feel proud of what you accomplish along the way.

While it's important to be aware of the end result, if that becomes your complete focus, to the exclusion of the milestones along the way, it's easier to become discouraged because you're getting little satisfaction for your efforts.

People who have problems celebrating their progress are often very hard on themselves.  Many of them grew up in families where there were critical parents where nothing was ever good enough ("You only got an A?  Why didn't you get an A+").

Adults, who grew up in households where they weren't recognized for their efforts, have a hard time gauging what "progress" is, which is why they focus on the end goal rather than the steps they accomplish along the way.

Overcoming Shame and the Feeling of "Not Being Good Enough"
When children are only recognized by their parents for the end result, they internalize a lot of shame. With the shame comes the feeling of "not being good enough."

As adults, they often feel they have to prove themselves over and over again.  Only the end product counts, and it often needs to be "perfect."

Getting Help in Therapy
Life can be challenging enough without imposing such harsh standards on yourself.  If you're someone who has a hard time acknowledging your efforts along the particular path you have chosen, you can learn to overcome this problem in psychotherapy.

Celebrate Your Progress

A skilled clinician can help you to work through these issues so that you're free from this emotional burden.  Letting go of shame and a punitive attitude towards yourself can help you to lead a more fulfilling life.

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.

Wednesday, February 27, 2013

Are Your Emotional Needs Being Met in Your Relationship?

One of the leading causes of relationship breakups is when one or both people in a relationship feel that their emotional needs aren't being met.  And, yet, so many couples are reluctant to discuss this important issue with each other.  

Are Your Emotional Needs Being Met in Your Relationship?

Every Relationship Goes Through Its Ups and Downs
You can't expect that your spouse or partner will always be attuned to your emotional needs. There can be many reasons why your spouse isn't meeting your emotional needs at a particular point in your relationship, including financial or work stressors, anxiety, medical problems, problems with your children or other family members.

But if you find that, over a period of time, your emotional needs aren't being met in your relationship, it's time that you and your spouse sit down for a heart-to-heart talk about what's going on in your relationship.

What Does It Mean to Have Your Emotional Needs Met?
You and your spouse or partner won't always be on the same page about everything.  For instance, you might have particular interests that your spouse doesn't have or vice versa.  So, neither you nor your spouse are likely to meet all of each other's needs.  This is why it's healthy to have friends that you enjoy seeing where you have common interests that you and your spouse might not have.

But when I refer to having your emotional needs met by your spouse, I'm talking about, on the most basic level, feeling loved and cared about by your spouse.

Each Person Might Communicate Love in a Different Way
Many  couples, who have been together for a long time, stop expressing their love and appreciation for each other the way they used to when they first met.  For a lot of these couples, it's not so much a matter of not caring any more as it is that, over time, they've forgotten how to communicate these feelings to each other.  Or, in some instances, they might never have known how to do it.

For other couples, each person in the relationship might have a different way of expressing love and appreciation.  If each person in the relationship is on a different wavelength about how to express love and appreciation, each of them might miss certain gestures that are meant to convey these feelings.

For instance, a husband might express how much he loves for his wife by making sure that her car is always in good working order.  But the wife in this relationship might feel unloved because, from her point of view, husbands who love their wives express it by saying, "I love you" or by bringing them flowers.

Since they're both coming from different places about how to express love, the wife might completely miss that this is her husband's way of showing that he loves her.  She might just think her husband likes tinkering with the car.  And the husband might feel unappreciated for his efforts.  So, it's important for each person to understand his or her spouse.  And there can be some compromise around these issues if the couple takes the time to talk about it.

You Deserve to Have Your Emotional Needs Met
Many people struggle  with the idea that they deserve to have their emotional needs met, especially if they grew up in a household where their emotional needs weren't met when they were children.  As adults, they might not know what they need in order to feel loved.  Or even if they do know, they might feel so undeserving that they don't feel entitled to it.


Getting Help in Therapy
If you feel you're not getting your emotional needs met by your spouse, you're not alone.  Many people seek out help in individual therapy as well as couples counseling because of this issue.

If your spouse is willing to participate in couples counseling, you both can learn to change the current dynamic in the relationship.  You'll probably also learn a lot about what your spouse has been experiencing in his or her relationship with you.

Even if your spouse isn't willing, at this point, to participate in couples counseling, you can benefit from your own individual therapy to learn to deal with this issue in your relationship and to avoid the anxiety and depression that can often develop when your emotional needs aren't being met.

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, February 26, 2013

Are You Trying to Avoid the Emotional Pain of a Breakup By Having the Next Romance in the Wings?

There are many people who start casting an eye around for the next romance as their current relationship is ending.  They prefer to have a new person in the wings so they can begin a new relationship just as the current one ends.

Trying to Avoid the Emotional Pain of a Breakup By Having the Next Romance in the Wings

Why Do People Seek Out a New Romance as the Current Relationship is Ending?
There are lots of reasons why people want to have the next romance in the wings when they're going through a breakup, and many of those reasons are fear based:

Fear of Being Alone
Some people seek out someone new immediately because they're afraid of being alone.  To them, being alone often means they're undesirable.  They like to go from one relationship to the next without ever being single, if possible.

Fear of Dealing with the Emotional Pain of the Heartbreak
Related to fear of being alone, many people don't want to deal with the emotional pain of the breakup.  Rather than deal with painful emotions, they want to immerse themselves in a new relationship to avoid feeling the pain.

You Can Run, But You Can't Hide
While it's understandable that no one wants to feel the emotional pain of a breakup, thinking that you can avoid the pain completely by seeking out someone new is an illusion.

Running from the problem isn't the answer.  You might distract yourself for a while with someone new, but pushing down the emotional pain from the breakup will just cause it to manifest in other ways, including physical ailments (headaches, stomach problems, body aches, etc).

In addition, whether you realize it or not, you bring your old emotional baggage from the current relationship into the new relationship.

Learning to Cope With Emotional Pain Can Make You More Resilient
As much as we hope to avoid dealing with emotional pain in life, including the pain of a breakup, learning to cope with emotional pain, rather than trying to avoid it, is part of emotional development.

While you're going through the pain, it can feel awful.  But, usually, while you're recovering from the loss, you can learn a lot about yourself, relationships and life's lessons.

After you've healed, you usually realize that you can cope with a lot more than you might have realized, and you don't need to distract yourself with a new relationship, a drink, a drug, gambling or other potential emotional numbing activities.

Healing From Heartbreak and Building Resilience to Deal With Life's Inevitable Challenges
Once you've recovered from your loss, having gone through the emotional pain, you often become more resilient and better able to deal with the next challenge in life.

Just knowing that you were able to cope with the pain and you got through it, as painful as it might have been, can give you more confidence to deal with future adversity, which is unavoidable in life.

Getting Help in Therapy
Everyone needs help at some point in his or her life.

If you find that you're having a difficult time coping with a breakup on your own or even with your emotional support network, you could benefit from seeking the help of a licensed psychotherapist, who can help you to work through the healing process.

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

I work with individual adults and couples, and I've helped many people through the emotional healing process.

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 25, 2013

Serious Medical Problems Can Change How You Feel About Yourself

When you're healthy and your life is going well, all other things being equal, it's easy to feel good about yourself.  But when you develop serious medical problems, it can change how you feel about yourself and about life in general.  When people develop serious medical problems, they often have a sudden sense of their physical and emotional vulnerabilities in ways they might not have experienced before.  


Serious Medical Problems Can Change the Way You Feel About Yourself

Reactions to Being Diagnosed with a Serious Medical Problem:  Shock, Fear, Anger, Sadness
If the medical problem is unexpected and potentially life threatening, people often experience shock at hearing the diagnosis.  Initially, a sense of disbelief can create a sense of emotional paralysis and confusion.  When the shock wears off, people often feel a combination of fear, anger and sadness about the "unfairness" of being diagnosed with the illness.  

Each person's experience is different.  These feelings don't occur in a linear way or, necessarily, in this order.  They can happen all at once or in any order.  However it happens, it usually takes people outside of their everyday experience and it can change their perception of themselves.

Being Treated as "a Sick Patient" 
A day before you received a diagnosis of a major medical illness, like cancer or heart problems, you probably thought of yourself as a husband, wife, mother, father, brother, sister, friend, an employee and all the other identifications that we all take on in life.

Suddenly, after you've been diagnosed with a major medical problem, your doctors identify you as a "sick patient," a "cancer patient," a "heart patient" or whatever diagnosis is applicable.  This isn't a criticism of the medical profession.  It's just the way it is in many medical settings, especially hospitals. When this happens, you can feel like you've been reduced to one identification-- your diagnosis.

You're More Than Your Medical Diagnosis
But each of us, no matter what our health issues might be, is more than any particular diagnosis.  We're whole people with relationships, histories and, hopefully, dreams for the future.  After a while, if you take on the identification of your diagnosis, it can change how you feel about yourself, reducing you to a list of symptoms.

Words Are Powerful
For the sake of maintaining a healthy emotional attitude, it is far better to be thought of as "a person with cancer" rather than "a cancer patient" (or whatever diagnosis applies).

You might think that this is just a matter of semantics, but it's not.  Words are powerful. When you're identified as "a cancer patient,"the implication is that this is your primary or, worse, your only identification.  But when you're identified as "a person with cancer," the implication is that there is a lot more to you than just your medical diagnosis--you're a whole person with a life that includes your medical diagnosis but also goes beyond your illness.  Rather than losing your sense of self to your illness, you maintain all the different aspects of yourself.

Research has shown that a positive attitude can have a significant effect on recovery.  So, maintaining a healthy sense of self can make the difference between having a good or a poor medical outcome.  So, how you think of yourself, including your sense of identity, is important.

Finding New Meaning in Life While Dealing With a Serious Medical Problem
I know there are exceptional individuals who are given serious medical diagnoses who find tremendous new meaning in life.  They appreciate every day, their relationships take on new meaning, and they might even find a renewed sense of spiritual connection.

While this is certainly impressive and something to aspire to when you've been diagnosed with a serious medical problem, a lot of people, through no fault of their own, find if very difficult to get to this place emotionally, and pointing to these exceptional people can make these other individuals feel blamed for not being able to reach such an enlightened state.

Your Internal and External Resources
If you're fortunate enough to be an individual who is resilient and who has a good emotional support system among family and friends, your chances for maintaining a healthy sense of self, despite the illness, are better.

As a resilient person, who has emotional support, you might have an awareness that, during the course of your life, you've overcome other challenges and you could see your medical problems as one more challenge to be overcome.

But not everyone is fortunate enough to be resilient and have a support system.  In addition, sometimes, prior emotional trauma can get triggered when you're diagnosed with a serious medical problem.  At that point, you're not only dealing with the current medical problem, but you're also dealing with the emotions that get triggered from prior trauma.

Under these circumstances, it's not unusual to feel powerless.  Feeling powerless, due to the current situation as well as feelings triggered from the past, can cause you to feel anxious or depressed.

Suddenly, your life looks a lot different from before your diagnosis.  People who have been diagnosed with a major medical problem, often talk in terms of "before the diagnosis" and "after the diagnosis" with the diagnosis serving a dividing line in their lives.

Getting Help in Therapy
Working with clients who have medical problems, I often find that a combination of clinical hypnosis and Somatic Experiencing (SE) can be very effective to help them overcome the emotional challenges and maintain a healthy sense of self.

If you're struggling emotionally due to a medical diagnosis, you owe it to yourself to seek the help of a licensed psychotherapist who practices clinical hypnosis and Somatic Experiencing.  

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, February 24, 2013

Talking to Your Spouse About Your Therapy Sessions

Psychotherapy clients often ask me for my opinion as to whether it's advisable for them to talk to their spouse or significant other about their therapy sessions.

Exploring the Meaning of Sharing the Contents of Your Therapy Sessions With Your Spouse
While I certainly don't have a "rule" about clients speaking to their spouse about their psychotherapy sessions, when a client asks me about it, I like to explore the meaning it has for him or her and how s/he thinks it might affect his or her participation in therapy.

Talking to Your Spouse About Your Therapy Sessions


After we discuss it, many of them come to the conclusion that, while it might be interesting, at times, to talk to their spouse about what they discussed in therapy, there might be times when they don't want to share everything.  

For most people, it's not a matter of keeping secrets from their spouse.  It's more a matter of having a place where they can come, where the time is dedicated exclusively to them, and where they can explore anything they want to talk about in a non-judgmental, empathic environment.  Most people don't have this experience in other areas of their lives.  

Therapy as a Special Time and Place For the Client
Therapy is a special time and place for the client.   Often, people like to reflect quietly on their therapy sessions afterwards.  Some people keep a journal of their thoughts and dreams related to their therapy.


Aside from the fact that it's often difficult to convey to someone who wasn't there the personal experiences that they have in therapy, clients often want to take the time and space for themselves to fully experience the sessions.  

The Unconscious Processing of the Therapy Session Continues After the Session
Most clients, who have experience with therapy, know that the unconscious mind continues to process the session even after the session is over.  Since the experience is unconscious, they might not have a direct experience of it immediately.  But, often, this unconscious processing shows up in dreams, day dreams or a sudden, new awareness about themselves or their lives.

Since this unconscious processing continues after the session, this process can be foreshortened by the feedback that a client gets from a well-meaning spouse.  When people who were not in the psychotherapy session hear about the session, it can seem totally different to them as compared to clients' personal experiences.  A lot goes on unconsciously between the therapist and the client that is unspoken, but is just as real an experience as any client-therapist verbal exchange.  

Trying to Explain Feelings That Are Often Ephemeral: Words Can Elude You
When a client attempts to explain the experience in therapy to a wife or husband, the client might be cutting short the unconscious processing by trying to concretize it too soon.  Also, if the spouse's reaction is something like, "I don't get it.  What's so special about that?" and the client tries to explain or justify his experience, it often takes away from the experience.

This is not to say that most spouses aren't supportive of their loved ones being in therapy.  It's not about that.  It's about allowing the unconscious process to continue to go where it needs to go without external input. 

If you think about what it's like to really convey a dream sometimes, you can get a sense of what it can be like, at times, to try to convey the experience of some therapy sessions.  When you tell your dream, often, words aren't sufficient to convey your internal experience of the dream.  Trying to explain your experience in therapy can be similar.  It can be frustrating.  

After a While, You Could Feel Like Your Spouse is in the Therapy Room With You
The other reason you might not want to talk to your spouse about your therapy sessions is that, once you get into the habit of doing it, you can begin to feel like your spouse is in the room with you in every session.

At times, that could be a very emotionally supportive feeling.  But, other times, knowing while you're in session that you're going to talk about your therapy to your spouse afterwards, could inhibit you from expressing yourself freely in the session.  Some clients, who talk about their therapy sessions with their spouse on a regular basis, might not even realize that it could be inhibiting their free expression in session.  

The other factor is that people often come to their own individual therapy to talk about problems in their relationship.   They usually feel the need not to share certain aspects of this with their spouse.

To Share or Not to Share:  The Choice is Up to You
When you're in therapy, the choice is yours as to whether or not you share your experiences with your spouse or others.  But, before you share, it's worth considering the potential effects that talking about your sessions could have for your treatment.

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.

I work with individual adults and couples.  

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