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Thursday, March 21, 2013

The Allure of the Extramarital Affair

For many people who are unhappy or having problems in their marriage, the possibility of an extramarital affair is very tempting.  In many cases, it's a way of distracting themselves and finding a new and exciting sex partner to take their minds off their marital problems.

The Allure of the Extramarital Affair


An extramarital affair can be alluring.  But, ultimately, extramarital affairs often lead to even more problems and heartbreak.  Rather than trying to escape the problems in the relationship, it would be better to either try to work out the marital problems or, if the problems are irreconcilable, to end the marriage in a way that respects both you and your spouse and the love you once felt for each other.

Unfortunately, lots of people, who are unhappy in their marriage, find the possibility of an affair to be too irresistible and find out after it's too late just what a mistake it was to get involved with someone else.


The following fictionalized scenario is an example of how the allure of an extramarital affair created even worse problems:

Ted:
Ted and his wife, Mary, were married for 20 years when he met Betty at a conference.  Ted never had an extramarital affair in all  the years that he and Mary were married.  But, at the point when he met Betty, he and Mary had been having problems in their marriage for several years.

They were arguing about money and what they should do after they retired.  Mary tended to be a saver, and Ted was more of a spender.  Mary wanted to move out of state after she and Ted retired to be closer to her elderly mother, and Ted wanted to remain in NY.

Ted hated any kind of confrontation, so that whenever Mary tried to discuss these issues with Ted, he would get annoyed.  As their arguments got worse, Ted began spending more and more time at work so that by the time he got home, Mary was asleep.  He also went to the office on weekends to avoid the arguments.  So, they spent little time together, which only annoyed Mary more.

The tension between Ted and Mary had also taken a toll on their sex life.  Even when they were together at home, neither of them was in the mood to have sex.  There was too much anger and resentment between them.

Prior to their problems, Ted preferred not to go to conferences, but when his boss told him that there was a conference in L.A. and he offered to send Ted, Ted jumped at the opportunity.  On the last evening of the conference, Ted had too much to drink during the hotel happy hour. Normally, Ted wasn't a big drinker, so he didn't have a high tolerance of alcohol. That's when he met Betty.

Ted wasn't so drunk that he didn't know what he was doing.  He realized that Betty, who worked at his company in another department, was flirting with him.  He told himself that it was harmless to flirt back with her, and he told himself it wouldn't go any further.

When she invited him to her room, he told himself that he would only stay for a few minutes and then he would go back to his own room.  And so he continued to in this way, bargaining with himself that he would only kiss her and he wouldn't go any further.  But the temptation was just too great when she got undressed.  So, this is how the affair began.

When he returned to NY, he told himself that he would meet Betty for a drink and tell her that what happened in L.A. couldn't continue.  He felt guilty about cheating on his wife, but he blamed the alcohol.

Six months into the affair, Ted was still bargaining with himself--he would only see Betty one more time and then he would break it off.  But he continued to see her.  Seeing her made him feel special and the sex was the most passionate it had ever been.  Betty knew he was married and, from what Ted could see, she didn't seem to mind.

One night he came home late, and found Mary waiting up for him.  When she asked him to sit down, he was surprised to see that she looked like she had been crying.  He feared that her mother or one of her elderly relatives had died.  But after he sat down, Mary got straight to the point, "I got a call from a woman named Betty.  Is it true?"

Ted felt the blood drain from his face and he felt a mixture of shock, sadness and anger towards Betty.  Ted and Mary had a long talk about their marriage and the affair.  Ted realized, for the first time in a long time, that he still really loved his wife a lot and he didn't want to lose her.  He begged her to forgive him and promised that he would end it with Betty and never cheat on Mary again.

Mary was very upset, but she told Ted that she didn't want to throw away their 20 year marriage.  She said she wanted them to try to salvage their marriage, and she suggested they attend marriage counseling.

Ted ended his affair with Betty and asked his boss for a transfer to a different site.  His boss told him that people in the department had been gossiping about Ted's affair with Betty, and he also thought it was best for Ted to move to another department.  Ted didn't realize that people at work knew about the affair, and he felt especially ashamed that his boss knew.

Betty was angry that Ted was ending the affair.  She had hoped by calling Mary, Mary would leave Ted and then Betty could have him to herself.  She didn't realize that Ted still loved his wife and wanted to salvage their marriage.  Betty made threats to call Mary again, but she didn't.  Eventually, she stopped calling and texting him.

Mary and Ted had a lot to work on in marriage counseling, including Mary regaining trust in Ted.  Ted also had to learn to develop the ability to deal with their problems instead of running away from them.  It was hard work, and there were times when each of them wanted to stop marriage counseling.  But they both knew that if there was any chance of working out their problems, they needed to stick with it, so they did.

Getting Help in Therapy
If you and your spouse are having problems that you're unable to work out on your own, you could benefit from couples counseling.  Even if you have already decided that you want to end the relationship, a skilled couples counselor can help you to do it amicably.

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.















Wednesday, March 20, 2013

A Happy Family Doesn't Have to Be a Perfect Family

In my article yesterday, Happy Families: A Strong Family Narrative Can Build Resilience, I wrote about family narratives, based on an article by Bruce Feiler, and how these narratives can help build resilience and cohesiveness.  Today, I'm addressing the misperception that a "happy family" is problem free.


A Happy Family Doesn't Have to Be a Perfect Family

There's No Such Thing as a "Perfect Family"
Most people would agree that there's no such thing as a "perfect family" that is without its ups and downs and moments of crises.  But, as I mentioned yesterday, the idea that most families are dysfunctional is so prevalent in our culture that many people think that in order for a family to be considered happy and stable, there shouldn't be any problems.

A Happy Family Doesn't Have to Be a Perfect Family

That's like saying that in order for people to see themselves as having a happy life, they shouldn't have any sadness or any difficult times.  Once again, when we look at it this way, we can see the fallacy in this reasoning because we know it's impossible to live a long, full life without there being hard times.

Happy Families Often Share a Sense of Meaningfulness 
Part of the problem is with the word happiness.  What does it mean to be happy?  I believe, and I think many people might agree, that having a happy life doesn't mean being happy all of the time.   For me, in a nutshell, it means having a life that is meaningful, which includes having people that you care about and who care about you.


Similarly, there will be sadness, loss and crises in most families sooner or later.  There will also be struggles.   This is true for every family.  What matters is how a family responds to these losses, crises and struggles and how well they bounce back from these events.  An attitude of "we're in this together and together we'll get through it" helps families to weather the inevitable difficult times.

A Sense of Family History:  Standing on the Shoulders of Previous Generations
It's also helpful when a family has a sense of history that the current family members and previous generations have overcome difficult times together and have been resilient enough to bounce back.

It's like saying, "We stand on the shoulders of previous generations who made it through difficult times and  remained united."

In most families that consider themselves to be happy families, there are often shared values and traditions.  Of course, there isn't an absolute.  There are happy families where family members respect each other's right to have differing opinions.

I believe the most important aspect of a happy family is a loving, nurturing environment.  Once again, this doesn't mean perfection.  There can be times of discord and conflict.  But, usually, in families that consider themselves to be happy, even when there's conflict, there's a foundation of love and trust.

If there are periods of discord in the family, a happy family is more likely to allow for there to be a way to make amends rather than holding grudges.

When I see clients who describe themselves as coming from happy families, they often have a sense that whatever they're going through, ultimately, they will be all right.  They have a sense that, somehow, they'll get through their problems, even if they currently need the help of a therapist and supportive family and friends.  They usually have much more of a sense of hope about life than people who don't come from happy, stable families.

Having grown up in a family where there was a foundation of love and trust, often gives these individuals a sense that they are rooted in something much larger than themselves.

It's often a matter of perspective.  I once met a man at a dinner party who told me he came from a happy family and he considered himself to have had a great childhood.

Then, he proceeded to describe a childhood filled with many personal and family struggles.  It was very far from a carefree, easy childhood.  But he told me that he knew he was loved by his parents, siblings, and grandparents.  He also knew he came from a long line of survivors and strivers.

So, as far as he was concerned, he came from a happy family with meaningful family relationships, and he considered himself to be fortunate.

So, my point in yesterday's and today's blog posts is that, far from all families being dysfunctional, as I often hear people say, there are happy families, and we can learn a lot from these families about what makes for a happy, meaningful family 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.














Tuesday, March 19, 2013

Happy Families: A Strong Family Narrative Can Build Resilience

Many psychotherapy clients, who come to see me in my psychotherapy private practice in New York City, assume that all families are dysfunctional.  But, the fact is that there are many families that are happy functional families.  In the Sunday, 3/17/13 New York Times, best selling author, Bruce Feiler, wrote in his article called The Stories That Bind Us that happy families often have a family narrative that is passed on from one generation to the next.

Happy Families: A Strong Family Narrative Can Build Resilience

According to Mr. Feiler, having a strong family narrative can help children to become more resilient.  He cites research from the time after 9/11 that found that children who were part of families that had a strong family narrative tended to bounce back faster than children that didn't.

What Do We Mean By "A Family Narrative"?
Family narratives, the stories about the family that are passed down from one generation to the next,  could be about how the children's grandparents or great grandparents came to this country, struggled to provide for their children, and overcame adversity to make a better life for the next generation.


Helping Children to Develop Resilience and  an "Intergenerational Self"
A family narrative helps children to feel rooted in the family history.  Mr. Feiler called this sense of rootedness an "intergenerational self."  If they know the history, including the many stories that go with that history, children often have a sense of belonging to a much larger extended family.

According to Mr. Feiler, when children hear stories about previous generations, especially where those family members overcame challenges, they often feel more hopeful that they too can overcome adversity.

Hearing about the "ups and downs" of prior generations leading up to the current generation often gives children a sense of resilience, especially if these stories are framed in the context that whatever might come in the future, "we'll face it together."

The Importance of Family Traditions
Family traditions that are passed on from one generation to the next often give children a sense of being part of something much larger than themselves.  Whether it's an Easter egg hunt or having the family come together for the Seder dinner, knowing that there were prior generations who honored the same traditions often helps children to feel that they have an important place in the family history.

I think that even taking out the family album from time to time and telling your children stories about previous generations in the photos can help children to understand the family history and how and why certain things occurred in the family, whether they were setbacks or gains or both.

If you haven't read it already, I encourage you to read the article, "The Stories That Bind Us" to learn some simple steps that you can take to help build cohesiveness in your family.  Many of the suggestions aren't new, but they are good reminders.

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 18, 2013

Overcoming "All or Nothing" Thinking

When you engage in all or nothing thinking, you're limiting your possibilities and, possibly, the possibilities of those around you.  Sometimes, referred to as "black and white" thinking, when you engage in all of nothing thinking, you leave out a lot of the "grey" area.  And, let's face it, most of life falls in that "grey" zone.


Overcoming "All or Nothing" Thinking

All or nothing thinking is known as a cognitive distortion because it represents a distortion in the way you think either about yourself, someone else or a situation.

Developing Awareness About How You Think and Approach Life
In order to make any changes, first, you need to be aware of your particular pattern of thinking.

How can you recognize if you're engaging in all or nothing thinking?

Here are some examples:
"Nothing ever goes right for me."
"I'm a total loser."
"I'm always wrong."
"What's the use of even trying?  Life is always so hard."
"You never listen to me."

How Does All or Nothing Thinking Affect You?
As I mentioned earlier, engaging in all or nothing thinking limits your options to either "yes" or "no" or "always" and "never."  While there are times in life when you're clear that your response is an absolute like "yes," "no," "always," or "never," if this is your pattern most of the time, then you're dealing with a cognitive distortion in your views.

The following vignette is a fictionalized scenario where a person engages in nothing thinking:

Ed:
Ed, who was in his late 20s, had low self confidence.  It was hard for him to try anything new because he had so many self doubts.  It took a lot for him to take risks, whether they were  risks in his personal life or in his career.  He had to work hard to push aside his negative thoughts about himself in order for him to make a move.

When he met Karen at a party, he really wanted to get to know her.  He hesitated to ask her for her telephone number because he assumed that she would reject him.  He thought: "She'd never be interested in me" and "I'm such a loser."  He had to really summon his courage to ask her for her telephone number so he could ask her out on a date.  Ed was shocked when Karen smiled and gave him her number.

A couple of days later, Ed began dialing Karen's number, but he kept hanging up before the phone rang.  His fear of rejection escalated as his negative thoughts almost got the best of him: "She probably gave me the number because she felt too uncomfortable to say no, but she'll never go out with me."

Once again, Ed pushed aside his negative thoughts and redialed.  When he got Karen's voicemail, he almost hung up but, despite his fear, he left a message.

When a day passed and Karen didn't call back, Ed berated himself, telling himself, "You see?  She's not interested.  You're a loser."

Overcoming All or Nothing Thinking

Then, Karen called Ed the following day, telling him that she was having problems with her phone and she just got his message.  She also told him that she would love to go out with him, which surprised and delighted Ed.

Overcoming All or Nothing Thinking
 
He felt good for a few minutes, and then his self doubt crept in again and he felt sure that Karen wasn't going to enjoy being with him.

Overcoming All or Nothing Thinking
If you recognize yourself as engaging in all or nothing thinking, you can practice trying to reframe situations for yourself.

For instance, in the vignette above, Ed was certain that Karen didn't call back on the same day because she wasn't interested in him.  He never considered other possibilities, including that there were problems with Karen's phone.

If you see yourself as having a similar pattern, you can begin by challenging yourself in every day situations by coming up with other possibilities.

At first, you might not believe that there could be any other possibilities, except for the negative thoughts you're having.  But just practice.  If nothing else, it will help you to develop a greater awareness of how often you engage in all or nothing thinking.

In the above vignette, even if Karen didn't return Ed's phone call, there could be lots of other reasons:  Maybe she was sick.  Maybe she liked Ed, but she was too shy to call him back.  And so on.

Often, it's easier to see other people's distorted thinking.  If you happen to notice other people engaging in all or nothing thinking, you could challenge their assumptions in your own mind and come up with different options.

Getting Help in Therapy
Often, people who are depressed or anxious engage in all or nothing thinking, feeling they have few options.  

If you think you're anxious or depressed, you could benefit from getting help from a licensed mental health professional so you can live 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.

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.