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Sunday, March 17, 2013

Developing the Courage to Change

Anyone who has ever attempted to make a major change in his or her life knows what a challenge this can be. Not only does it take courage to make a commitment to your goal, but before you even make a commitment, it requires courage to admit that there's even a need to make a change and then even more courage to actually make the change.

Developing the Courage to Change


When Change is Forced Upon Us
There are times when we're forced to adapt to change because it's forced upon us, and we have no choice but to deal with those changes.

Some examples of this are: loss of a job, death of loved ones, end of a marriage, and our own aging process. These are changes that we have no control over. Accepting that we have no control also takes courage--the courage to face a problem and not to go into denial or make useless efforts to try to change things that we can't change.

When We Choose to Change
In most cases, having a certain degree of control and choice tends to be easier when faced with changes than having changes forced upon you.

 It's even better if you have time to plan for the change and you can do it gradually over time. These type of changes might include: improving eating habits under normal circumstances, losing weight, changing careers while still employed, and so on.

Developing the Courage to Change
Even when we're choosing to make a major change in our lives, we might have mixed feelings about it.

On the one hand, on some level, we're ready for the change.  But, on the other hand, in many ways, it's easier to remain the same, even if we know we've outgrown the current situation.  Our mixed feelings can keep us stuck in the current situation indefinitely, which can be frustrating.

So, how do we develop the courage to change when change seems so hard to do?  Well, depending upon what we're trying to change, we might need to take the change one step at a time rather than allowing ourselves to become overwhelmed by jumping too far ahead.

Often, we have to take it on faith that we're going to be all right while we're making a major change in our lives.

Enlisting the help of supportive loved ones can help us to develop the courage to change.  We want to choose people who will encourage us rather than reinforce our own fears about change.  It's especially helpful to have supportive people who have also gone through a similar process in their lives and were able to make meaningful changes in their own lives.

Getting Help in Therapy
When change feels overwhelming and the support of loved ones is not enough or it's nonexistent, people often benefit from seeking the help of a licensed mental health professional, an expert who can be objective and help you overcome whatever obstacles are getting in the way of making the changes that you want to make.

Rather than allowing months or even years to pass where you remain stuck in a rut, you owe it to yourself to get help so you can lead a more fulfilling life.

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 16, 2013

How to Stop Comparing Yourself Unfavorably to Others

All of us compare ourselves to others at one time or another.  From the time we're born, someone is comparing us to others--if we were bigger or smaller than our siblings, how we behaved compared to other babies, and so on.  The comparisons continue throughout childhood ("Why can't you be more like your brother?").  So, is it any wonder that many people spend their lives comparing themselves unfavorably with others? 

Stop Comparing Yourself Unfavorably to Others

The problem is that when you make a habit out of comparing yourself unfavorably to others, you make yourself feel inadequate:
  • "She's so much thinner than I am."
  • "He makes more money than I do."
  • "He's funnier than I am."
  • "She's prettier than I am."
When you find yourself always on the losing end of the comparison, you're reinforcing a negative habit that will keep you immersed in shame.

Some Tips to Stop Comparing Yourself Unfavorably With Others:
  • Recognize that everyone is different and each of us has unique qualities.
  • Be aware that, even though you might think that you're being "objective" in your comparisons, people often project their own sense of self doubt into their comparisons.
  • Transform feelings of envy toward others into admiration, and if there's something that you can learn from someone that might help you to make a positive change, be open to discovering it.
Learn to Develop a Sense of Gratitude 
When you allow yourself to be consumed by envy, you're making yourself miserable.  Envy can be very corrosive, and it has a way of feeding on itself.

If you're constantly comparing yourself to people that you think have more than you do, try comparing yourself to others who have less.  When you recognize that you might be more fortunate than many other people, you have an opportunity to develop a sense of gratitude for what you do have rather than yearning for what you don't.  

Keep a gratitude journal where every day you write down three things that you're grateful for--no matter how small.  This will help to realize how many things you have to be grateful for in your life that you might be overlooking.

A Worthy Challenge:  From Envy to Gratitude
Changing an ingrained habit isn't easy.  But changing an ingrained negative habit of comparing yourself unfavorably to others and developing a sense of gratitude for what you do have is worth the effort.  

Getting Help in Therapy
Certain ingrained habits are difficult to change on your own, especially when longstanding habits are rooted in shame.

A skilled psychotherapist can help you to overcome the obstacles that you can't overcome on your own, so rather than struggling on your own, seek help from a licensed mental health professional.

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.



Sunday, March 10, 2013

Relationships: Resist the Urge to Merge

One of the challenges of being in a relationship is to maintain your sense of autonomy.  So that even though you're part of a couple, you still maintain the sense of being yourself as an individual rather than getting lost in your partner.  But so many individuals, who are in relationships, lose that sense of autonomy as the boundaries between them and their partners gets blurred and they begin to merge into each other.  

Relationships: Resist the Urge to Merge




A composite vignette, which represents many cases with all identifying information changed, illustrates how individuals in a relationship can lose their sense of autonomy as the boundaries get blurred in the relationship:

Helen and Jack
Helen and Jack were both in their late 20s when they met each other at a mutual friend's wedding.  After dating for a couple of months, Helen moved into Jack's apartment.  Since they had only been dating a short time, Helen's friend  urged her to sublet her apartment in case it didn't work out.  But Helen didn't want Jack to think she had any doubts about their relationship, so she gave up her apartment to be with him.

They really got to know each other a lot better after they moved in together.  They already knew that they had a lot in common, but they also discovered that they had a lot of differences too.

For instance, Helen discovered that Jack had a deep resentment and mistrust for all religions.  Helen was raised with a strong sense of religion and she felt an emotional connection to her church.  She still attended her church every Sunday.  But when she realized that Jack had many negative feelings about the church, she stopped going because she was concerned that it might cause problems in their relationship.

Her friends told her that Jack was entitled to his feelings, but so was she, and he should respect her feelings.  But Helen brushed this off and gave up Sunday services so she could spend all of her time with Jack.

After a while, Helen began giving up more and more of what she liked.  She said she was doing this so she could spend more time with Jack.  Her friends felt that Helen was giving up too much of herself and she was really blurring the boundaries between herself and Jack to the point where they seemed as if they were almost fused into one person.

Eventually, Helen stopped seeing her friends.  She only wanted to spend her time with Jack.  Jack also gave up most of his friendships to spend all of his free time with Helen.  After a while, not only were they spending all of their free time together, but they were also wearing clothes that matched each other to be even more "in synch" with each other.

But along the way, instead of being more in synch, they started getting bored with one another.  Since they were always together whenever they had free time, they had little that was new to say to one another.  Within a year, they were irritable with each other and arguing a lot.  A few months later, they broke up.

When Helen called her friends, whom she had not seen in quite a while, they were annoyed that she was contacting them now that Jack was no longer in the picture.  Most of them forgave her. And Helen realized that she had made a big mistake by allowing herself to become almost fused with Jack in this emotionally unhealthy way.

Merger or Fusion in a Relationship is a Common Problem
This vignette shows how individuals in a relationship can blur the boundaries to the point where they lose their sense of autonomy.  Not every couple merges to the degree that Jack and Helen did.  There are degrees of this problem, but it's still not healthy.

Being in a relationship shouldn't mean that you give up things that you really value, as Helen did with her religion.  When two people get together, there needs to be enough that they have in common, but there can also be differences that each person can respect.

Giving up close friendships is a mistake that many people make once they get into a relationship.  But it's important that each person have close relationships outside their relationship with each other.  This puts less pressure on the relationship and also allows each person to be an individual.

Getting Help in Therapy
Merger or fusion between two people in a relationship is a common problem that many people face.  If you find yourself in this type of relationship and you're unable to work it out on your own, you could benefit from couples counseling with a couples counselor who has expertise in this area.

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.

Saturday, March 9, 2013

Coping With Grief: It's Common For the Emotional Pain to Get Worse Before It Gets Better

Often, the grief you feel when you've lost someone close to you feels so overwhelming that you might wonder if you'll ever feel better.  Unfortunately, it's a common experience for the grief to get worse before it gets better.  But, with help from a professional mental health professional, you can work through the grief.

Coping With Grief

Elisabeth Kubler-Ross and the Five Stages of Grief
Many people, who are experiencing grief, are somewhat familiar with Elisabeth Kubler-Ross's book On Death and Dying (1969) and her hypothesis that people go through five stages of grief:  denial, anger, bargaining, depression and acceptance.  Dr. Kubler-Ross never wrote that these stages were experienced in any particular sequence, but this is a common misunderstanding.

In fact, people often go through a combination of stages at the same time and they can cycle back and forth through these stages.  But this misunderstanding that the stages follow in a linear process has been the cause of a lot of confusion.  It has often been at the heart of people feeling that they are, somehow, "abnormal" if they're not going through the stages in a particular order, and especially if they start to feel worse.

The following vignette, which is a composite of many cases, illustrates the common experience of grief getting worse before it gets better and how grief can be worked through with help:

Jane
After a long battle with lymphoma, Jane's husband, Ray, died peacefully at home with the assistance of hospice care.  Jane and other family members were there as he passed away.

Initially, after his death, she was very busy with funeral arrangements and relatives who came from out of town.  Afterwards, there was plenty to do to take care of with insurance policies, thank you notes, and going through medical bills.

Coping With Grief

Shortly after Ray died, Jane felt that she and Ray had said what they needed to say to each other before he slipped into an unconscious state and then died.  But after everyone went home and she had taken care of paperwork and bills, she realized that she was only just beginning to grieve for her husband of 20 years.

Everyone told Jane that "time would heal all wounds."  After the first year, well-meaning friends were encouraging her to put Ray's death behind her and to start dating again.  Jane knew her friends meant well, but even the thought of seeing another man made her feel sick to her stomach.  She knew that none of her friends had ever lost a husband and they didn't understand what she was going through.

If anything, after a year, she was feeling worse.  It took about that long for her to fully realize what it meant that she would never see her husband again.  Until now, she understood this as a fact, a piece of information.  But now, she was beginning to understand it on an emotional level, and she wasn't sure how she would be able to cope with this.

Jane missed Ray terribly every day.  She often had dreams about him at night where he would come back to tell her that he wasn't really dead, and then he would disappear.  The dreams were so real that Jane would wake up not being sure if the dream was really a dream or if she had really seen Ray.

After a while, it got to the point where Jane preferred to go to sleep and dream about Ray than to be awake and live without him.  When she talked to her friends about it, everyone had a different opinion about it.  Some people told her that Ray was trying to contact her from "the other side."  Other people told her to forget about these dreams, "life was for the living"and she should "move on" with her life.

After Jane began to spend more and more time sleeping just to be able to feel she was having some contact with her husband, she realized that she couldn't go on with this.  She was starting to neglect herself by eating poorly and, in general, not taking care of herself as well as she normally would.

At that point, Jane sought the help of a therapist who specialized in helping clients to deal with grief and loss.  After she began therapy, Jane was relieved to hear that her experience was common.

Jane talked about her husband in her therapy sessions, and she felt free enough to cry in the sessions without feeling like she needed to "get over it," as her friends advised her.  She even brought in pictures of her husband and her, including their wedding pictures and other pictures at important stages of their life together.

After a while, Jane felt an emotional shift.  She still missed her husband, but she felt like he was with her wherever she went.  Her therapist helped her to understand that the emotional shift occurred because in their therapy work together Jane had internalized her husband on a deep level so, as Jane might say, "I feel I'm carrying him in my heart."

Gradually, Jane began to feel better.  Two years after her husband died, she was able to start dating.  She knew that no one would ever take Ray's place in her heart.   But she also realized that her heart was big enough for the possibility of someone new.

Complicated Grief
As I mentioned, Jane's experience is common among people who have had significant losses.

There are also people who experience what is called "complicated grief" where the loss feels as fresh years later as it did when it happened.  It's not just that they feel worse after a year or so.  It's that there is no relief from the anguish people feel about their loss even after years have passed.  People who experience complicated grief can benefit from seeking the help of a licensed mental health professional.

Getting Help in Therapy
If your grief feels like it's getting worse rather than better and you're having a hard time coping with it on your own, don't suffer alone.  You could benefit from working with a licensed mental health professional who has expertise in this area.

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 work through their grief.

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, March 7, 2013

New Relationships: Learning to Compromise About Time Spent Together

When two people fall in love and begin a new relationship, it's often a romantic and exhilarating time. Aside from the physical attraction, they usually have enough in common for them to want to be exclusive with each other.  But as they get to know each other, one thing that couples often discover about each other is that they have different feelings about how much time to spend together vs time apart.  If couples can't compromise about how much to spend time together, the relationship can quickly devolve into arguments and resentment.


Learning to Compromise About Time Spent Together


Spending Time Together vs Time Apart:  Learning to Communicate and Compromise
Obviously, there are no rules about how much time people in relationships "should" spend with each other.  So, there is no right or wrong.  But there needs to be honest communication and a compromise so the couple can work it out if they want to remain together.  But many couples struggle with this issue because they get stuck in a tug of war about it.  

Spending Time Together vs Time Apart:  Making Premature Assumptions Can Lead to Misunderstandings
People in this situation often make premature assumptions about what it means that their partners don't see eye-to-eye with them about how much time to spend together.

For example, the person, who wants to spend more time together, often feels hurt that his or her partner doesn't want to spend as much time together, assuming that the other person isn't as committed to the new relationship.  While there might be times when this is true, it might also mean that the person who wants to spend less time just needs more time to him or herself.  It could also mean that s/he wants to take things slowly.  

It could mean a lot of things--but that's the point:  Neither person can make assumptions about what it means and both people need to discuss this openly.

The following vignette, which is a composite of many cases, with all identifying information changed to preserve confidentiality, illustrates how this problem can be worked out:

Joan and Dan:
Joan and Dan were in their mid-40s when they met.  Both of them had been divorced for several years when they met at a mutual friend's party.  They hit it off immediately and began dating the same week. During the first two months, they saw each other a couple of times a week, which worked out for both of them.  Neither of them was dating anyone else, and they agreed to be exclusive with each other.  

By the third month, Dan told Joan that he was in love with with her, and Joan was elated because she felt the same way.  After that, Joan wanted to see Dan more often and she told him that she wanted them to spend all their weekends together.  

Dan wanted to spend some weekends together, but not the entire weekend all weekends.  Sometimes, he liked having part of the weekend to himself.  When he told Joan this, she interpreted it to mean that Dan wasn't as interested in her as she was in him.  She had spent several years by herself after her divorce, and now that she was in love again, she wanted to spend all of her free time with Dan.  

Joan really enjoyed Dan's company a lot, and she had assumed that he enjoyed being with her just as much.  But when he told her that he would want to have some time to himself on certain weekends, she felt deeply hurt and angry:  Why wouldn't he want to spend all of his free time with her?  She also felt ashamed of making herself so emotionally vulnerable to Dan only to get her feelings hurt.  When Dan told her how he felt, she hung up the phone and burst into tears.

Initially, Joan didn't take Dan's phone calls because she was angry.  This surprised Dan.  They'd never had a big argument until now and he didn't know what to make of it.  When Joan finally agreed to take his call a few days later, at first, she didn't want to talk about spending time on weekends together, but Dan insisted.  He realized that Joan was hurt because she misunderstood how he felt.  He suggested that they meet for dinner to talk about it.

When they sat down together at dinner, Joan had a hard time making eye contact with Dan.  She was still feeling hurt, angry, and ashamed.  Dan remained quiet, but handed Joan an envelope and said, "Open it."  At first, Joan was hesitant, but Dan gestured to her to go ahead and open it.  And when she did, Joan gasped--she saw two round trip tickets to Paris.  Dan explained that he didn't want Joan to think he didn't want to spend more time with her.  It was just that he felt he needed time for himself sometimes on weekends.

They spent the rest of the dinner talking excitedly about how they would spend their time in Paris, which would be the first time for both of them.  They also talked about how they could compromise on the issue of spending time together vs. spending time apart.  

They worked out that they would spend certain weekends at Dan's house, which was much larger than Joan's apartment so that when Dan felt he wanted some time to himself, he could spend time in his den or in the garden while Joan read or did whatever she wanted to do.  

This compromise worked out for both of them.  It allowed Dan to have some time to himself, and it allowed Joan to spend more time with Dan, even if he was in the garden or in another part of the house for part of the time.  Just knowing that he was nearby was enough for her during those times when he wanted time to himself.  They also had a great time in Paris.

Working Out a Compromise About Spending Time Together vs Time Apart
As I mentioned, this is a common problem that a lot of couples struggle with in their relationship, especially when the relationship is new and sometimes even in longstanding relationships.  

An important aspect of working it out is not to make assumptions about what it means if one of you feels differently than the other.   You might have different needs.  

Have an honest talk with your partner and see if you can work out a compromise that will satisfy both of you.  It's important that whatever you work out works for both of you because if one of you just gives, there's bound to be resentment and it won't work out.

Getting Help in Couples Counseling
Many couples can't work this out themselves.  Often, one or both people can't put aside their own feelings to try to understand where the other person is coming from.  

Also, each person's personal history in his or her family of origin can affect their being able to work it out.  If, for instance, the person who wants to spend less time together felt smothered in his or her family of origin, those feelings might get triggered in this situation, making it difficult to compromise.  Likewise, if the person who wants to spend more time together grew up in a family where he or she felt emotionally abandoned, these feelings could get triggered when the couple tries to work out a compromise.

If you find that you and your partner can't work out the time together vs. time apart issue on your own, you could benefit from seeing a couples counselor.  A skilled couples counselor can help you navigate through this potentially thorny issue.  A couples counselor can help each person to understand how his or her family background might be affecting their situation and how to differentiate what happened in childhood from the current situation.

If you're in a relationship with someone you love and this is an issue that is standing in your way, you both owe it to yourselves to try to work it out in couples counseling.

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, March 5, 2013

Feeling Entitled to Self Care

Stress is a normal part of everyday life.  As long as you're alive, there's no way to avoid experiencing stress.  Since you can't avoid stress, it's important to have effective ways to manage your stress before you become overwhelmed.  


Feeling Entitled to Self Care

To effectively manage stress, you have to find what works for you in terms of self care.  But in order to do this, you need to feel entitled to take care of yourself rather than focusing on others (more on this later). 

Tips For Stress Management and Self Care
Self care involves both taking care of yourself both physically, emotionally and, for many people, spiritually:
  • Going for regular medical and dental checkups
  • Eating nutritious meals
  • Making sure you get enough sleep (usually 7-8 hours per night)
  • Engaging in healthy physical activity, like going to the gym or to a gentle yoga class
  • Having a way to quiet your mind, like in mindfulness meditation
  • Writing down your thoughts in a personal journal
  • Having a strong emotional support system among friends and family
  • Taking breaks during the day at work
  • Going on vacation to get away from your daily routine
  • Going for walks
  • Getting out into nature
  • Listening to music
  • Reading books you enjoy
  • Taking a relaxing bath
  • Learning to be tactfully assertive in terms of taking care of yourself, including learning to say "no"
  • Taking time for yourself during the day 
  • Finding meaning in life and a purpose larger than yourself
Feeling Entitled to Take Care of Yourself
Many people don't feel they're entitled to take care of themselves because they were raised to feel that they should put other people's concerns before their own.  When they try to engage in self care, they feel guilty and self indulgent, as if they should be doing something for someone else.

Often, when people don't feel entitled to self care, the underlying issue is "I don't feel good enough" or "I'm unlovable."  Most of the time, this isn't a conscious thought, but it's the self sabotaging thought that keeps them stuck.

Getting Help in Therapy
If you struggle with these feelings, you might need the help of a licensed mental health professional to resolve this issue.  The consequences of not taking care of yourself can be serious both physically and emotionally.

Aside from the many illnesses that can develop if stress overwhelms you and compromises your immune system, you're more likely to experience anxiety or depression at some point in your life.

Unfortunately, not feeling lovable, good enough or entitled to self care is a common problem.  So, if you feel this way, you're not alone.  But the good news is that there is effective treatment for this problem, and many people have successfully overcome feelings of inadequacy.

You can get help too.  I've included three professional websites below under "Resources" which include directories of therapists for clinical hypnosis, Somatic Experiencing and EMDR, three treatment modalities that I've found to be very effective in dealing with emotional trauma, including feeling of inadequacy.

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.

Monday, March 4, 2013

Are You Avoiding the Problems in Your Relationship?

Are you facing or avoiding the problems in your relationship?  Many couples avoid dealing with their problems for years, especially if it has to do with emotional and sexual intimacy.

Whether people face and deal with the problems in their relationship or try to avoid them is often affected by how they were raised to either deal or not deal with conflict.  For people raised in families where the attitude is that it's better "not to rock the boat," they're more likely to avoid acknowledging and dealing with problems.

Are You Facing or Avoiding Problems in Your Relationship?

Of course, just because you try to avoid dealing with problems in your relationship doesn't mean they just go away.  They often get worse.

The following vignette, which is a composite of many different cases with no identifying information revealed, is an example where, initially, a couple avoids dealing with their problems and, eventually, gets help:

Jack and Mary
Jack and Mary were married for over 25 years.  Their children were already grown and out of the home.  When they first met, they were very much in love and had a passionate sexual relationship.  But over the years, they spent less and less time with each other and they were no longer having sex.

Are You Avoiding the Problems in Your Relationship?

Both Jack and Mary were raised in families where people didn't talk about their feelings, so neither of them learned to talk about uncomfortable feelings.  When Jack was growing up, he knew that his father was deeply unhappy with the mother's drinking, but his father never said anything about it.  Even though his parents never fought, there was a lot of tension in the household.  Jack also learned not to complain.  He kept his feelings to himself.

When Mary was growing up, her mother always stressed that Mary needed to "put on a happy face," no matter what she was feeling.  This is what Mary's mother did, but at night, Mary heard her crying.

When a new colleague began flirting with Jack at work, although he was flattered, he had no intention of accepting her invitation for a drink.  But when he realized that, for the first time in years, he felt sexually attractive and desirable again, he knew there was a serious problem in his marriage.

Jack wanted to talk to Mary about their marriage and what he felt was missing--emotional and sexual intimacy.  But he felt very uncomfortable.  They were spending little time together.  Mary spent most of the weekend involved with volunteer activities and Jack would spend time in the den alone doing work.  At night, they went to bed at different times.  

Sometimes, Jack wanted to initiate sex, but he felt uncomfortable doing it.  He couldn't even remember when they last had sex.Each time that Jack said to himself that he would talk to Mary, he would have trouble even knowing how to even begin.  So, time passed, and he felt increasingly frustrated, unhappy with their marriage, and annoyed with himself.

Then, one day at an office Christmas party, his flirtatious colleague, who seemed to have one too many drinks, cornered Jack in the coat room as he was getting his coat to leave.  Without warning, she pulled him towards her and kissed him on the mouth.  Rather than pulling away, Jack responded by kissing her back.

When he realized what he was doing, he pulled away, made an excuse and quickly left the party feeling shaken by the experience.  As he was driving home, his thoughts were racing.  He knew he had to talk to his wife before he did something he regretted.  He also realized that he wanted love and passion back in his marriage.

When he got home, he found Mary getting ready for bed.  He hesitated for a moment.  Then, he stammered that he needed to talk.  Mary responded by turning away and asking him if it couldn't wait until tomorrow.  Jack sensed that Mary knew what he wanted to talk to her about, and she was putting him off.  So, he told her that it couldn't wait--they needed to talk now.

It was harder than Jack thought to get the words out.  As he told Mary that he felt their marriage was in trouble, he only looked up occasionally to look at her.  Mary kept her gaze on the floor, looking very uncomfortable and anxious.  But Mary acknowledged that she was also feeling that something was missing in their relationship for a long time.  They agreed to both think about it and talk again in a few days.  They went to bed together that night, and for the first time in years, they held each other.

They both wanted to salvage their marriage, but they didn't know how.  Within a week, they decided to get help in couples counseling.  They learned in couples counseling how their experiences with their families affected their ability to deal with uncomfortable feelings.  Over time, with a lot of effort, they worked towards rekindling the emotional closeness and sexual intimacy they once had.

Getting Help in Therapy 
Avoiding, rather than facing, the problems in your relationship often makes them worse as time goes on. There's no doubt that it can be awkward to address these issues with your spouse or romantic partner.  But you need to weigh this against the possibility that your relationship won't last if you don't deal with your problems.

A skilled therapist, who works with couples, can help you work through your problems.  She can also help you to learn how to communicate more effectively with each other so both of you are able to talk to each other about your feelings and you can have a more fulfilling relationship.

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