Overcoming Feelings of Helplessness Related to Early Trauma

Many people who were helpless as children due to childhood trauma continue to feel helpless when they're adults.  As adults, they often continue to feel pessimistic and that they don't have control over their lives.  Frequently, their initial response to suggestions of how they can overcome their problems is "I can't."  

Overcoming Feelings of Helplessness Related to Early Trauma

Part of the work in therapy is helping them overcome their trauma-related sense of helplessness by doing trauma therapy work.  Another important part of the work is helping them to develop an increased awareness that, as adults (as opposed to when they were children), they now actually do have control over their lives and more choices than they're seeing.

A History of Early Childhood Trauma Can Trigger Feelings of Helplessness in Adults
Many people who experienced emotional trauma at an early age, where they really didn't have control over a traumatic situation, grow up with a sense of helplessness in many, if not all, situations in their lives.  Often, this occurs without a person even realizing it because feeling helpless has become a habitual response, and they will often approach problems as if they can only submit passively to what is going on.

Compare the two fictionalized vignettes below of two people in the same situation where one feels helpless and a lack of control and the other feels confident and that he can take steps to overcome his problems:

John
John has a supervisor, Ted, who is a bully.  Ted bullies everyone in the office, including John.  John dreads going to work every morning because he anticipates having to deal with Ted's bullying and demeaning behavior.  

Whenever John's friends suggest that he look for another job, his response is "I can't."  Then, he gives many reasons why he doesn't feel ready to look for another job.  When friends make suggestions about how he can prepare himself  to look for another job, he shrugs his shoulders and says, "I can't."

The worse part is that when Ted treats John in a demeaning manner, John takes this criticism to heart.  Even though John gets a lot of praise for his work from senior managers who are above Ted at the company, one critical remark from Ted will ruin John's day.

John grew up in a household where his father was verbally and physically abusive with John, John's mother and his siblings.  John's father would constantly tell John, "You're nothing and you'll never amount to anything."  When John was a young child, he really had no control over his father's abusive behavior.  And, now, without John realizing it, his early childhood trauma is getting emotionally triggered in his current situation at work.  John is responding to Ted as if Ted is his father and he's a helpless child again.

Larry
Larry also works for Ted.   Ted is also demeaning and bullying with Larry.  But the big difference between John and Larry is that Larry feels he has some control over the situation and that he has choices he can make.

Larry feels confident in himself.  Regardless of what Ted says to him, Larry has a strong sense of self and whatever Ted says to him doesn't change his sense of self confidence.      He knows that Ted's tactics are meant to put him down, but Ted's remarks don't affect the way Larry feels about himself.  Larry's sense of self confidence allows him to remain resilient in this stressful work situation.

Larry knows he has options.  He knows that bullying is against the corporate code of conduct at work, and he can file a complaint with the human resources department.  He also knows that, even though he doesn't have the skills yet to apply for the senior position he would like  to have eventually, he's taking positive steps to improve his skills by taking in-house courses that are offered to all employees on company time.  

While he's in these classes, he's networking and developing important relationships with senior staff to find out about other jobs in the company.  He knows that his current situation with Ted is temporary and, as soon as he is able, Larry plans to leave this department for a better job.

Larry grew up in a nurturing environment where his parents encouraged him to be curious and open to new experiences.  They also instilled a sense of self confidence and encouraged him to pursue his interests.  As he was growing up, they presented him with age-appropriate challenges that gave Larry an opportunity to learn problem solving skills and develop a sense of determination.

How I Would Work With John in Therapy
If John came to therapy because he was feeling anxious and helpless at work and, possibly other areas of his life, I would work with him to develop a greater sense of awareness of how he is responding to his situation and help him, over time, to become more resilient.

No one can change John's history of early childhood trauma. But I could help him work through the trauma using mind-body oriented therapy, like EMDR, clinical hypnosis or Somatic Experiencing, so that he is no longer emotionally triggered in his current situation by his history.  There is no quick fix to John's issues, but I have helped many clients with problems similar to work through their trauma.

Overcoming Feelings of Helplessness Related to Early Trauma

Along the way, I would help John to develop an increased awareness that he is responding to the current situation with the fear that he had when he was a child.  We might do some inner child work to help this younger aspect of himself to feel nurtured in a way that he never felt nurtured when he was growing up.

I would also help John to differentiate between what happened "then" (when he was a child) and what's happening "now" and to see that, if he chooses, he has many more options now than he did then.

Setting manageable goals would also be part of the work in therapy.  And, whenever John felt "stuck"  by a sense of "I can't," we would look at what's really going on for him at that point:  Is there a distortion in the way he's thinking?  Has he slipped back into feeling that he's helpless again, like he was when he was a child?  What else might be going on?

Developing an Awareness of How Early Childhood Trauma Might Be Affecting You Now 
It can be challenging to see when you're responding to situations with a sense of helplessness because   you're being triggered by childhood trauma. It's important to understand and work on the underlying emotional issues.

Getting Help in Therapy
If you have a tendency to feel helpless and unable to get "unstuck" in your current situation, you could benefit from working with a licensed mental health professional who is trained in either EMDR, clinical hypnosis or Somatic Experiencing to help you work through this issue.

You owe it to yourself to get help to overcome this problem so you can begin to lead a more fulfilling life, unburdened by your childhood history.

About Me

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

I work with individual adults and couples.

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

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

Also see my article:  Reconceptualizing the So-Called "Help Rejecting" Client

Finding Moments of Peace During Stressful Times

When you're under a lot of stress, it's easy to forget that you can often find moments of peace. Taking a few moments to yourself to take a deep breath and as you're breathing, letting go of the tension you're feeling inside with each breath that you take, can be such a relief.  

Finding Moments of Peace During Stressful Times

Remembering to Breathe and Let Go
Breathing out the tension doesn't get rid of the problem, but it can allow you to decompress, if only for a short time.  By decompressing, you'll often discover that you can approach your problem with a clear mind.  You might even think more creatively about your problem and approach the problem in a different way than you might have not have before.

Even if your stress is related to a problem that isn't easily solved, it doesn't do you any good to hold on to a lot of extra tension that makes your body feel tight and creates chaos in your mind.

Letting go can seem like the opposite of what you think you should be doing during stressful times.  You might feel that you have to continue to try to continuously hold on, worry, and mull over the problem in every possible way all of the time.

It's understandable that you might feel this way.  But letting go, even momentarily, doesn't stop you from going back to the problem later and working on it.  You don't have to work on it 24/7.  Often, that's counterproductive.

It's easy to forget the simple things you can do to reduce stress because it can feel futile to try to do things that can "only"  help you momentarily.  You can become so fixated on solving the entire problem that you forget it's important to take breaks to have peaceful moments in the midst of a storm.

Square Breathing to Help You to Relax
In a prior blog post, I recommended a particular technique called Square Breathing (see link below).  Square Breathing is a simple technique.  I've worked with many clients who knew nothing about Square Breathing before I taught them how to do it, but who were able to learn it quickly.  It takes very little time, and it can relax you physically, mentally and emotionally.

Creating an Increasing Sense of Inner Peace
As you create each moment of peace for yourself, you might find that you're better able to cope with whatever stressful situation that you're facing.

You might find that these moments of peace, which you create for yourself, can give you a greater sense inner confidence to deal with the stressful situation.  And, since stress is a normal part of life, developing better ways to cope and a stronger sense of self confidence can be an important gif t that you give yourself.

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.

Learning to Relax By Practicing Square Breathing

Are You Living Your Life Feeling Trapped By Your Childhood History?

It's not unusual for adults to live their lives feeling trapped by circumstances they experienced as a child that no longer apply to them as adults, especially if that history involved difficult times or family trauma.  

Feeling Trapped By Your Childhood History

Sometimes, people who have this problem aren't aware that they're reliving their child history.  But even when people are aware of it on a rational level, they might still feel trapped in old circumstances on an emotional level.  It can feel very disturbing to know one thing but to feel another.   And the fear of making a change can be overwhelming.

The following vignette is a composite of many cases with all identifying information changed to protect confidentiality. This case illustrates how someone felt trapped by her family history, a history that no longer applied to her current life, even though she knew rationally that her circumstances had completely changed.  It also illustrates that it's possible to overcome this problem in therapy:

Mary:
Mary grew up in a family where her mother, who was a single parent, struggled financially throughout Mary's childhood.  Her mother worked in a factory, where she was frequently furloughed for periods of time before she was called back in again to work.

Her mother was always worried about money.  Mary was painfully aware that her mother could barely afford the basic necessities.  At a young age, Mary also worried a lot about their circumstances.  She was very careful to turn off lights when she left a room to save on the electric bill and she was always vigilant about not wasting money in other ways.

When Mary was in high school, her mother told her that if she wanted to go to college, she would have to get good grades to get a scholarship because there was no money to pay for college.

Fortunately, Mary was awarded a scholarship to go to college. She also worked two part time jobs.  She was frequently too exhausted to participate in social activities and she was also anxious about spending her money to go out because her money was tight.

Ten years later, Mary had a good job where she was earning a high salary, but she still felt very anxious about money.  She knew, logically, that she had the money for what she called "extras," like going on vacation or treating herself to a massage but, on an emotional level, she continued to feel "poor."

By this time, Mary's mother was married to a man who made a good living, so Mary's mother no longer had financial problems.  She also didn't have to work at the factory any more.  But she still worried about money just as much as she ever did, even though her husband reassured her repeatedly that she didn't need to worry.

Mary worked very hard as a manager, but she wasn't enjoying her personal life.  She had close friends who saw Mary scrimping on things for herself.  Seeing this, they told Mary that she was living her life based on a childhood history that no longer applied to her current life.

Mary agreed with her friends, but she didn't know how to get over her anxiety about spending money.  At times, she wondered, "Am I crazy?  Why do I know one thing, but I feel the complete opposite emotionally?"  She felt deeply ashamed about her problem.

Mary tried to override her anxiety by treating herself occasionally to fine dining with friends because she knew that what she felt on an emotional level was a distortion of her current reality.  But whenever she did this, regardless of how many times she told herself that she wasn't living under impoverished circumstances any more, she would still feel anxious.  Her fear was getting the best of her, so she couldn't enjoy the experience of treating herself.

Finally, after deciding that she no longer wanted to feel emotionally imprisoned by her family history, Mary began therapy.  And the only reason she could allow herself to spend money on therapy was because she knew her company had an insurance plan with excellent out of network benefits.

Mary and I worked together to free her emotionally from her childhood history by using clinical hypnosis and Somatic Experiencing to update her experience of herself on an emotional and visceral level.  There was no quick fix for Mary's problem, which was deeply ingrained.  But, over time, her feelings gradually became more aligned with her thinking so that she not only knew on a rational level that she was no longer poor, but she felt it on visceral level.

Mary also let go of the guilt she felt about spending money on herself.  We did "inner child" work for the younger aspect of herself that felt so undeserving.  We also worked to help Mary feel less emotionally enmeshed with her mother.

Finally, over time, Mary was able to enjoy her life and give herself much-needed self care without worry or guilt.

Living Life Based on Old Circumstances That No Longer Apply to Your Current Life
As I mentioned earlier, when children, who grew up under difficult or traumatic circumstances, become adults, they often "carry" these emotions with them and live their lives as if they were still in their childhood situation.

They usually know their current life is different from their childhood, but they don't feel it and, often, no amount of trying to convince themselves on a rational level works for them.

Getting Help in Therapy
If you're living your life based on a personal history that's no longer true for you now and you're having difficulty overcoming this on your own, you're not alone.

This is a common experience.  Rather than continuing to suffer, you could benefit from working with a licensed mental health professional who uses clinical hypnosis and Somatic Experiencing to help you "update" your internal emotional world.

For anyone who is not familiar with clinical hypnosis and Somatic Experiencing, I've included links below under Resources that provide more information.

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.

When the Breakup of Your Relationship Involves Your Ex Saying Goodbye to Your Child

Relationship breakups are difficult enough even under the best of circumstances.  But they're particularly difficult when you're a single parent and you have a young child who has become emotionally attached to the person you were dating.  It's a loss for you and your ex, but it can be even more heart breaking for your child, especially if s/he spent a lot of time with your ex.

Breakups Are Even More Difficult When Children Are Involved 

Wait Until the Relationship is Solid Before Introducing Your Child
When psychotherapy clients, who are single and dating, have young children, I usually recommend that they wait until the new relationship is solid before they introduce their children to their romantic partner.

It's easy to get caught up in the whirlwind of a new romantic relationship during the early stage of courtship and become overly optimistic about the potential longevity of the relationship.  If you introduce someone new to your child before the time is right, your child will feel the loss and, possibly a sense of abandonment, if your relationship ends.

There's no science to gauge how long you should wait.  In most cases, I would recommend that you wait a minimum of six months.  Of course, a lot depends upon the relationship and the age of your child.  And, you should be aware that even infants become attached to people with whom they spend time.

When the Breakup of Your Relationship Involves Your Ex Saying Goodbye to Your Child

Modern Love Article
In Sunday's New York Times' Modern Love column, Laurie Sandell wrote an article called "How to Break Up With a 2-Year Old" where she discusses this issue from the perspective of the ex who must say goodbye to her ex-boyfriend's child (see link below).

It's an interesting article.  I'd love to hear more from the perspective of people who have children who go through breakups like this.

Among my psychotherapy clients who have young children and who have ended relationships, generally, they feel they have a very difficult time.  Not only do they deal with their own grief about the breakup, but they must comfort their children, who often miss the ex and are too young to understand why the ex is no longer coming around.

Young children tend to be naturally egocentric and they often blame themselves if someone they care about isn't around any more.  This is generally true whether it involves a breakup or a death.  So, don't think your child is "too young" to feel hurt.

Although children can be resilient, use good judgment and err on the side of caution when you're trying to decide when to introduce your child to a new romantic partner.  And if you do have the misfortune to go through a breakup with someone your child was emotionally attached to, you need to be extra nurturing and comforting with your child.

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.

New York Times - Modern Love: How to Break Up with a 2-Year Old - by Laurie Sandell

Why It's Best to Be Honest With Your Psychotherapist

One reason why therapy doesn't work out sometimes is that some clients don't feel comfortable being completely honest with their therapists about important issues in their lives that are causing problems for them.

Why It's Best to Be Honest With Your Psychotherapist

When Shame Keeps Clients From Being Completely Honest With Their Therapists

Often, it's not a matter of psychotherapy clients deliberately attempting to deceive their therapists.  Usually, it's more a matter of clients feeling ashamed of their problems and wanting to appear in a more favorable light.

Shame can be overwhelming.  And, when clients intentionally omit important information about what's going on with them because they feel too embarrassed to reveal their problems to their therapist, they usually end up sabotaging their own treatment because the therapist is missing important information, which doesn't allow her to help the client.

Building a Rapport With Your Therapist

When clients begin therapy, it usually takes a while for the client and therapist to develop a rapport in treatment.  This is normal part of treatment.  So, it's understandable that clients might not reveal things they're ashamed of when they start therapy before they know if they can trust their therapist.  

Withholding Information From Your Therapist Can Result in an "As If" Therapy

When months and years go by and clients don't divulge important information about themselves, the therapy often becomes an "as if" therapy.  The therapist is operating on certain assumptions about the client and offering help related to what she knows, but the secrets that the client is keeping from the therapist have gone underground.   

This might become obvious to the therapist after a while.  She might have an intuitive sense that something is amiss in treatment.  Most experienced and skilled therapists would understand that a client feels too ashamed to discuss certain aspects of himself that he might be too embarrassed to reveal.  

Getting Honest With Your Therapist Can Lead to an Emotional Breakthrough

Once the therapist becomes aware that the client was withholding information, if the therapist approaches this issue with tact and compassion, it can be a real breakthrough for the client and the therapeutic work.  The client usually feels relieved that he no longer has the burden of keeping secrets from his therapist.  

More importantly, he realizes that his therapist still cares about him and wants to work with him.  This is often an emotionally reparative experience, especially if the client came from a family where love was conditional, based on his being a certain way in the family.

Attention-Seeking Behavior: Fictitious Disorder

Another reason why clients aren't honest with therapists is that they might be engaging in attention-seeking behavior.  Attention-seeking behavior could involve either lying to the therapist or exaggerating problems.

For instance, a client might make up a very traumatic family history that is completely false with the intent of getting attention and sympathy.  This type of behavior is called Fictitious Disorder (see my blog article:  Attention-Seeking Behavior in Therapy: Understanding Fictitious Disorder).

A Mismatch Between Therapist and Client Can Result in a Client Withholding Information

Another factor might be that the client and therapist are not a good therapeutic match.

Unfortunately, many clients don't realize how important it is to be with a therapist with whom they have a good rapport.  Of course, as previously mentioned, this is developed over time.  But if months pass and a psychotherapy client still feels he doesn't "click" with his therapist, rather than remaining silent about it or aborting treatment, it would be better for him to speak to the therapist about it.

Ultimately, if this issue cannot be worked out, it would be better for the client to find another therapist. Most experienced therapists understand that every therapist is not for every client, and it's important for the client to feel comfortable.

Some Discomfort With Revealing Uncomfortable Aspects of Yourself is Understandable
Being open in therapy isn't always easy.  It takes courage to go to therapy and open up about things that you don't feel comfortable about.  But, in the end, if you're not honest with your therapist, you're only hurting yourself.

Often, concerns about what the therapist might think if you reveal what you're ashamed of is actually a projection about how you feel about it yourself.

Adjunctive Treatment Might Be Necessary
Recognize that most experienced therapists have heard just about everything you could think of and more.

If your problem is outside of the scope of what your therapist is knowledgeable about, she will tell you and might refer you for adjunctive treatment.

So, for instance, if you reveal that you're having a substance abuse problem and your therapist has no experience with substance abuse, she might refer you to a 12 Step program or a structured outpatient chemical dependency program.

Recognize That You're Not Alone
Many, if not most, people in therapy have gone through times when they feel uncomfortable discussing certain aspects of their lives with their therapists.

But I believe that if you were to ask people who overcame their discomfort and were honest with their therapists, they would tell you that getting over the initial discomfort was worth it in terms of the treatment and how they felt about themselves.

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 or email me.

Overcoming the Trauma of Parental Alienation

Parental alienation is when a parent deliberately says or does things to alienate a child from the other parent.  This often happens when the parents are having problems with each other or they're going through a divorce.  It's a form of triangulation and has a negative emotional impact on a child.

Overcoming the Trauma of Parental Alienation

Why Do Parents Engage in Parental Alienation With Children?
Often, parental alienation can take the form of one parent saying negative things about the other parent. So, for instance, a mother might tell a child, "Your father doesn't love you" or a father could tell a child divulge personal things that have gone on between the parents, like the mother having an extramarital affair, that the child is not developmentally ready to hear.

Whether parents are together or they are in the process of getting a divorce, the emotional and physical well-being of their children should be their primary concern.  But many parents, who are consumed with anger and resentment towards each other, often forget this and, intentionally or not, use the child as a pawn to get back at each other.

The Traumatic Impact of Parental Alienation on Children
Young children are particular vulnerable to the trauma involved with parental alienation and suffer the most.  They don't have the emotional defenses that older children often have to ward off the negative impact of parental alienation.

Hearing negative things about one or both parents can be frightened and confusing for them, especially if one of the parents tells them that the other doesn't care about the child.

The Trauma Doesn't End When the Children Become Adults
Children, who grow up in a home where there is parental alienation, usually continue to be affected by this dynamic when they grow up.  It often affects their adult romantic relationships, making if difficult to develop trust or to even enter into a romantic relationship.

As adults, they might continue to feel ambivalent about the parent that was maligned to them, especially if that parent doesn't make an effort to try to repair the relationship.

The following fictionalized vignette, which is a composite of many cases with all identifying information changed to protect confidentiality, illustrates how damaging parental alienation can be as well as how this trauma can be worked through in therapy:

John
When John was a young child, his mother was in and out of drug rehabilitation programs because of her addiction to prescription pills.  John's father and his paternal grandparents took care of John during the times when his mother was away.

Overcoming the Trauma of Parental Alienation

John was never told where his mother was or why she was away.  His mother's drug addiction was the family secret, and he only found out as an adult why she was often gone for long periods of time.  John's father, who felt angry and bitter towards the mother, would often tell John that his mother didn't care about him--that she only cared about herself.

Whenever John's father told him things like this, John would go into his room and cry silently to himself.  His father made sure that John's basic physical needs were taken care of, but he wasn't a warm or nurturing person and neither were his paternal grandparents.  So, he was often left by himself in his room.

When his mother was home, she was the more loving and nurturing one, so this was very confusing for John.  He felt like his mother loved him, but his father always told him that she didn't, so he wasn't sure what to believe.

During those times, when his mother was home, John would cling to her, often falling asleep on her lap.  He feared that if he let her go, she would go away again.

Whenever his parents fought, John would put the pillow over his ears so he wouldn't hear them.  When the shouting died down, John's father would often come into John's room to complain to him about the mother--she was selfish, manipulative, dishonest, a bad wife and a bad mother.  Hearing these things hurt John, but he didn't feel he could say anything because even though his father was speaking to him, John felt that his father was hardly aware that he was there.

Throughout school, John tended to have only one or two friends, usually more outgoing boys that John sought out.  In college, he was lonely most of the time.  Occasionally, he went out with his roommates, but he mostly kept to himself.

By the time John graduated and came to NYC for a career opportunity, he was very lonely, and he didn't know anyone in NY.

His parents lived in the same household, but they barely spoke.  The father lived in the basement and the mother continued to live on the first floor, but they were living separate lives.  When John went home to visit them, his father still complained about the mother being a bad wife and mother.  John was now old enough to see that his mother was high, even though she denied it.  So, he hated going home and tried to avoid it as much as possible.

John started therapy because, even though he was lonely, he had a lot of problems meeting women.  He was painfully shy and afraid of getting hurt, but he didn't want to feel this way for his entire life.

After hearing John's family history, I discussed parental alienation and it resonated with him.  Just knowing that there was a term for what he experienced and that other people had experienced it too helped him to feel a little better.

After we developed a therapeutic rapport, we began using clinical hypnosis and Somatic Experiencing to help John to work through the trauma he experienced as a child and the effect it was having on him as an adult.

John had never thought of himself as being a traumatized child.  He was surprised, but it made sense to him.  Before coming to therapy, he just thought that his experience was how it was. For him, it was "normal."  He didn't realize that not all children experience parental alienation.  He had never thought about it before.

Over time, John gradually began the healing process so he could visit his parents at home without getting pulled into their hostile dynamic. He also began to date.

If you're interested in finding out about clinical hypnosis and Somatic Experiencing, I've included websites under the Resource section below.  Both websites have directories for therapists in the both in the US and internationally.

Getting Help in Therapy
If you grew up in a environment where you experienced parental alienation, you might not realize the traumatic effect it had on you and that you might still be experiencing the impact as an adult.  If the vignette above feels familiar, you could benefit from getting help from a licensed mental health professional who has an expertise in working with parental alienation.

If you can work through the trauma of parental alienation, you could live a more fulfilling life.

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.

Overcoming Procrastination in an Uncertain World

Living in an uncertain world, most of us would love to have access to a crystal ball where we could determine with absolute certainty what was going to happen in our lives, especially when we're faced with major decisions.  I'm sure we'd like some happy surprises from time to time just to keep things interesting.  Unfortunately, much of the time we're attempting to make decisions based on whatever information we have at the time so, as adults, we need to be able to tolerate a certain amount of uncertainty.

Uncertainty and Procrastination
One of the problems with feeling the need for absolute certainty before taking action is that it leads to procrastination for many people.  Constantly weighing the pros and cons, seeking more and more information, and ruminating about the possible outcomes can keep you stuck in your tracks.  So, it's important to realize that if you've stuck obsessively weighing every possible outcome to a decision, you could procrastinate indefinitely and not take much-needed action.

Overcoming Procrastination and the Need for Absolute Certainty

The following fictionalized vignette, which is based on many cases with no identifying information revealed, illustrates how the need for absolute certainty can become problematic and what can be done to overcome this problem:

Nina
Nina was raised by a single mother, who struggled financially to take care of Nina and her three other children.  Every financial decision that Nina's mother made was carefully weighed in the context of their limited household budget and the mother's insecure job as a non-unionized factory employee.

Nina's mother worried a lot about what she would do and how the family would survive if she lost her job.  Even as a young child, Nina was very aware that she and her family lived in the shadow of constant uncertainty.

Nina knew from stories her mother told her that the boss at the factory would fire employees at the drop of a hat.  So, whenever her mother came home looking anxious, which was often, Nina held her breath and her first anxious thought was that her mother had lost her job.  When she realized that her mother was reacting to something else that happened at work and she had not lost her job, Nina would let out a sigh of relief and breathe normally again.

Nina did well in school and she managed to get a scholarship to go to college, which was fortunate because her mother didn't have the money to pay for college and Nina feared the possibility of being in debt with student loans and not being able to pay them back.

After college, Nina had two excellent job offers, but she had a hard time making a choice.  She weighed the pros and cons of both job offers. She researched each company thoroughly.
She sought advice from her college advisors and her friends.  But even with all this information, Nina felt paralyzed to make a decision.

After a few weeks, one of the companies rescinded the offer and gave the job to someone else.  So, fearing she might lose the other offer, Nina quickly accepted the other job.

By the time Nina came to therapy several years later, she had many other similar experiences where she struggled and procrastinated to the point where she felt too paralyzed to move forward.  Even though she earned a very good salary, she was living as if she was still part of a household that was always strapped for cash.  Basically, she was reliving her mother's experience without realizing it.

Our work together involved using clinical hypnosis and Somatic Experiencing to help Nina overcome her childhood trauma of an impoverished family life.

We worked on helping Nina to feel less emotionally enmeshed with her mother's experience and to feel like a separate person.

We also worked to help her "update" her emotional experience to reflect that she was no longer an anxious child worrying about whether the family would survive.  Of course, Nina already knew this on a rational level, but she didn't feel it on an emotional level.

Then, to start, we worked on getting Nina to get comfortable making relatively low-risk decisions, so she could begin to overcome her habitual pattern of procrastination.  Over time, we progressed to more complex decisions.  Rather than just talking about her problem, each week Nina worked on a particular task that we agreed upon in advance and then she came back the following week to talk about her experience.

The work wasn't easy or quick for Nina, but she was motivated to overcome her need for absolute certainty because she was tired of living her life filled with anxiety about personal decisions to the point where she felt paralyzed.  And, gradually, she made progress.  She developed a greater emotional capacity to tolerate uncertainty, a new sense of self confidence, and an ability to take action.

Clinical Hypnosis and Somatic Experiencing Can Help You to Overcome Trauma and the Need for Absolute Certainty That Causes Procrastination
My experience as a psychotherapist, who has worked with many adult clients who are affected by childhood trauma, a fear of change, and habitual procrastination, is that just talking about it in therapy isn't enough.  People often develop insight and an intellectual understanding of their problems when they just talk about it but, often, this doesn't result in change.

Both clinical hypnosis and Somatic Experiencing, as I use them, allow psychotherapy clients to have a mind-body connection experience so the therapeutic work isn't just on an intellectual level.  Clients tend to experience it on an emotional and physical as well as intellectual level.  It's a holistic experience that provides an opportunity for an emotional shift to occur so that clients can take action to make changes.

I've included links below under Resources so you can find out more about clinical hypnosis and Somatic Experiencing.

Taking Action
Taking action is an important component in my work with clients.  While talking about the problem is important, it's vital that the client take action to make changes, otherwise, more than likely, the problem isn't going to change, especially when the problem is about procrastination, fear and dealing with uncertainty.

Overcoming Procrastination:  Getting Help in Therapy

Getting Help in Therapy
If you're having problems overcoming habitual procrastination, you owe it to yourself to get help from a skilled, licensed mental heath professional who works with clients on this issue.

Imagine what your life might be like in five or 10 or 20 years if you continue to have this problem.   Then, try to imagine what your life could be like if you were free from this problem and you could be more confident and spontaneous in the world.

Which life would you prefer?

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.