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Monday, April 8, 2013

Humor Can Be Effective in Psychotherapy

Humor can be effective in psychotherapy when the timing is right and when it's used in a tactful way. The therapist needs to know the client well enough to know how the client will respond to humor.  Sometimes, humor helps clients to develop a different perspective about their problem.

Humor as a Sign of Resilience
Over the years, many of my clients, as they have started to feel better, have come in with humorous stories about themselves.  Whereas in the past, the same event might have been overwhelming for them,  at that point in the therapy, they can poke fun at themselves and gain a different perspective on their situation.  It's often a sign of emotional resilience when clients can laugh at themselves in a good natured way.

Humor Can Be Effective  in Psychotherapy


Seeing a Funny Movie or Reading a Funny Book Can Be an Emotional Uplift
Clients who are anxious and depressed will often report that they feel uplifted by going to see a funny movie or reading a comical passage in a book.  Sometimes, that emotional uplift that they feel is enough to open them up to the possibility of overcoming certain obstacles that seemed too daunting before.

Sometimes, people are able to see the humorous side of an otherwise difficult situation.  Good examples of this can be found in books by David Sedaris, who is a master at poking fun at himself and finding humor in even the most dismal circumstances.

Charlie Chaplin's movies often combine pathos and humor.  An example of this would be his movie,  "Modern Times."

Humor Can Be a Bonding Experience Between a Client and a Therapist
Humor can be a bonding experience between a client and a therapist.  When used appropriately, it can open up a dialog between the client and therapist that might not have been possible before.

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.

photo credit: gwilmore via photopin cc




Sunday, April 7, 2013

Learning to Feel Comfortable With Being Yourself

There's a lot of pressure these days for people to look and behave a certain way--so much so that people often don't feel comfortable being themselves.  Many people get caught up in the belief that there's a certain way they're supposed to be and if they're not that way, there's something wrong with them.

Learning to Feel Comfortable With Being Yourself


What a dull world it would be if we all looked and acted the same.  One of the things that makes life interesting is that each of us is unique.

Here are some tips for feeling comfortable with being yourself:
  • Stop Criticizing Yourself: It's bad enough when other people are criticizing you or pressuring you to be different from who you really are.  But when you're doing it to yourself with constant self criticism, that's even worse.  But you can learn to stop these automatic negative thoughts by, first, becoming aware of them and then making a determined effort to shift your attention away from your own self criticism.  You might become aware that you have "old tapes" playing in your mind from critical parents or other early experiences.  Try to develop an awareness that these "old tapes" are from then and not now.  
  • Stop People Pleasing: Become aware if you have a pattern of constantly seeking other people's approval.  And, if you do, ask yourself why. Being considerate and caring towards others is different from constantly needing their approval.  When you tend to need other people's approval, you're placing other people first and placing yourself second. You're also giving them a lot of power over you.  Also, when you engage people pleasing, you're not being your authentic self.  You're accommodating others by shifting how you behave, which makes you come across as inauthentic.  There will always be someone that you're not going to be able to please, no matter what you do.  So, it's better to know what you want and need for yourself and learn to feel comfortable with that.
  • Trust Your Judgment and Intuition: Unless you know that you have a history of using poor judgment in your life, trust your own judgment and intuition for yourself.  Most people have a "gut" feeling of what's right for them, but when they're not comfortable with themselves, they rely too much on others to tell them how they should be and what they should do. This doesn't mean that you can't seek advice from loved ones or from a mentor.  But you need to make your own decisions after you get their input.  
  • Learn That It's Okay to Make Mistakes: It's inevitable--we all make mistakes.  But if you're so fearful of making mistakes that you allow yourself to stagnate, you're not going to learn from your  mistakes.  
  • Develop Your Own Way of Being in the World: Part of getting comfortable with being yourself is getting to know yourself and developing your own way of being in the world.  Change is inevitable.  Who you are today is probably somewhat different from who you were 10 or 15 years ago.  And who you'll be in the future will probably change in some ways. You might experience yourself as being in a state of transition, which can be confusing or it can be exhilarating or both, depending upon how you deal with change.
  • Remain Open and Curious: Remaining open and curious to others and the world around you will give you an opportunity to have new experiences and to "sample" new ideas and feelings.  You can take what you like and leave the rest, as the saying goes.
  • Keep a Journal: Journaling about what comes up for you can be very useful.  By journaling, you capture your feelings and concretize them by writing them down.  This applies to intense feelings as well as feelings that might be fleeting. Journaling can be a way of dialoging with yourself.  Often, when you write down what you're feeling, you gain insight into a part of yourself that you might not have experienced before.  If nothing else, journaling can provide you with a release for your emotions, rather than keeping them bottled up inside.
  • Take Action: As you develop an increased awareness about the tips that I've listed above, you can begin to take steps that will help you to feel more comfortable with being yourself.  So, for instance, if you recognize that you have a tendency to constantly seek others' approval, notice when you feel the impulse to do this and see what it's like to make an effort not to do it.  Notice what feelings might come up:  Do you feel good about resisting the urge to seek approval or does it make you feel insecure?  What other feelings come up?  Write it down in your journal.
Getting Help in Therapy 
There's a lot that you can do on your own when you're developing the ability to feel comfortable with yourself.  But if you find that you're struggling with low self confidence or shame, or it has become too difficult to develop a sense of comfort with yourself on your own, you could benefit from working with a licensed mental health professional, who can help guide you through the process.

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.

























Saturday, April 6, 2013

Recapturing a Sense of Aliveness

Many people come to therapy because they feel they're missing something in life.  They no longer feel a sense of aliveness.  Instead, they feel stuck in what feels like an endless cycle of tasks, routines and obligations that have taken over their lives

One way for a psychotherapy client to rediscover her sense of aliveness is for her to reconnect with a time in her life when she felt more alive and open to the world around her.  This is possible through clinical hypnosis and Somatic Experiencing.

Recapturing a Sense of Aliveness

We Are Born With the Capacity For Aliveness and Openness to the World Around Us
Most of us are born with the capacity to feel alive and curious about the world around us.

Infants are naturally curious about the world around them.  You see this especially with infants who are about six months old when they really begin to direct their attention outward.  They're naturally curious and stimulated by their environment.

They become happy and excited by new toys and objects around them.  They're also happy and excited by new things that they can do, and they want you to notice, as if they're saying, "Look at me!  Look at what I can do!"

Ideally, if children are fortunate enough not to experience emotional trauma as they are growing up and if they are encouraged to remain open and curious, they maintain their sense of curiosity and aliveness. They use their imagination to create stories, draw, and play with their friends.

Of course, children have their disappointments and frustrations in life, but as long as the nurturing their receiving from their parents is "good enough," they can learn to be resilient and maintain their openness to the world.

As Adults, We Can Become Overwhelmed and "Shut Down" Emotionally
As we get older, it's inevitable that we must deal with more complex challenges.  If we become overburdened with challenges, it can cause us to "shut down" emotionally.  As adults, we don't always realize immediately that this is what's happening to us.  It can remain unconscious for a long time.

Whereas, initially, this emotional shut down, whether it was conscious or not, was intended as a defense against feeling unpleasant feelings.  Unfortunately, when someone shuts down emotionally, it not only blocks unpleasant emotions that might be overwhelming, but it also blocks feelings of happiness and a sense of aliveness.

Mind-Body Connection:  Clinical Hypnosis and Somatic Experiencing
If a person has been emotionally shut down for a while, she might feel a disconnect between her mind and her body.  In other words, she's relating to the world in strictly in terms of thinking rather than emotions and physical sensations.

When this happens, it can feel like the body (from the neck down) is only there to hold up the head.  This might sound like an exaggeration, but there are many people who are cut off or dissociated from the neck down.

When a client comes to see me in my psychotherapy practice in NYC who wants to recapture that spirit of aliveness, I will often work with her using clinical hypnosis and Somatic Experiencing to try to help her to reconnect with the body and recapture that openness and aliveness.

Even if she doesn't remember a time when she felt a sense of aliveness, it's often possible with clinical hypnosis and Somatic Experiencing to go back to an earlier time to recapture these feelings.

Often, I will also recommend tasks for a client perform outside of therapy to act as a bridge between psychotherapy sessions.

So, for instance, if one of the things that came up during a session is that she loved to draw when she was a child and this made her feel very alive at that time, I might recommend that this client take up drawing again to reconnect with that feeling. Or, if she had an early memory of going out into nature and feeling a sense of aliveness in nature, I might recommend that she go to a park and reconnect with nature as a way to reconnect with her sense of aliveness.

Getting Help in Therapy
If you feel like there's something missing in your life and you lack a sense of vitality, you could benefit from working with a licensed mental health professional who uses clinical hypnosis and Somatic Experiencing.

For anyone who would like to know more about clinical hypnosis or Somatic Experiencing, I've included web sites below that provide more information.  Each site also has national and international directories of therapists who use these treatment modalities.

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.





Friday, April 5, 2013

Inconsolable Grief for a Mother's Death in an Enmeshed Mother-Daughter Relationship

I've written about enmeshed families in prior blog posts (see link below).  In this blog post, I'd like to address the issue of inconsolable grief for a mother's death in an enmeshed mother-daughter relationship. 

Inconsolable Grief For a Mother's Death


Enmeshed Mother-Child Relationships
Enmeshed mother-child relationships often hinder emotional development for the children in those relationships.  It's not unusual for these adult children to have difficulty forming adult relationships outside of the family because the relationship with the mother has become all consuming to them and leaves little room for other adult relationships.

In this type of enmeshed relationship, when the mother dies, the adult child often feels inconsolable grief because she is so emotionally dependent upon the mother.

The following fictionalized vignette is a composite of many cases to protect confidentiality:

Ina:
Ina was an only child.  Her father had abandoned the family when Ina was an  infant, so she had no memories of him.  Her mother often said to her, "It's you and me against the world."

When it was time for Ina to start school, both she and her mother experienced tremendous separation anxiety.  Every weekday morning was an ordeal.  They would both cry when the school bus came.  Ina's mother would come everyday to bring Ina her lunch and sit with her in the school cafeteria.

Ina's teacher tried to talk to the mother about allowing Ina more time and space to form friendships in the classroom.  She tried to tell her that Ina wasn't forming friendships during recess and the lunch hour because she was so focused on the mother.  But the mother got annoyed and complained to the principal that the teacher was trying to interfere with her relationship with her daughter.  After that, the teacher backed off.

Ina made a few friends in junior high and high school, but she still preferred to spend her free time with her mother.  She had very good grades, but she didn't participate in any social activities in school.

When it was time to apply for college, Ina only wanted to apply to local colleges so she could remain at home.  Her guidance counselor advised her that her grades were so good that she would probably get scholarships to colleges outside their town, but Ina wasn't interested.  Her mother also thought it was best for Ina to stay close to home.

Ina had crushes on boys, but she had no interest in dating. When her friends talked about meeting someone and getting married, Ina cringed.  She never wanted to get married.  Her mother had spoken to her about how miserable she felt when Ina's father abandoned them, and Ina couldn't see why her friends would want to risk getting hurt like this.

After college, Ina worked as a customer service representative at a local bank.  After work, some of the employees would go out to dinner or to a movie and they would invite Ina to come along.  But Ina preferred to go straight home to have dinner and watch TV with her mother.

As the years past, Ina's manager encouraged her to apply for other jobs at the executive headquarters, but Ina wanted to remain close to home.  She was a good worker and customers liked her.  She received two promotions at the local branch, but her manager told her that she was limiting her career by only considering jobs at the local branch.  Ina explained to him that she was happy doing what she was doing, and she didn't feel the need to apply for jobs outside of their branch.

Over the years, employees that were trainees under Ina excelled beyond her because they sought opportunities at the executive branch.  Ina remained in her job as a senior customer service representative, but this didn't bother her.

When Ina was in her mid-40s, her mother was diagnosed with Stage 4 cancer.  Ina took time off from work to take care of her.  Despite what the oncologist said, Ina had no doubt that her mother would recover.  Even as her mother's health continued to deteriorate, Ina held onto this belief.

When the doctor recommended hospice care, Ina became furious.  She felt he was giving up on her mother, and she told him so.  She held onto her belief that her mother would survive up to the day she died.  Then, she went into shock.

For several weeks, Ina was unable to even get out of bed.  Her aunts took turns taking care of her.  All she wanted to do was sleep.  She felt that living life without her mother was unbearable.  When she was awake, all she did was cry.  She was inconsolable.

After three months, Ina returned to work.  She felt like she was in a daze.  She had lost more than 20 lbs. and she looked pale.  Fortunately, she knew her job so well, after all those years, that she could perform her duties, even though she felt like she was living in a dream.  Whenever anyone tried to express their condolences, she would stop them. She didn't want to talk about it.

When she got home, she didn't know what to do with herself.  Everywhere she looked, she saw reminders of her mother.  She was unable to give away her mother's clothes.  Instead, she would often go into her mother's closet, hold her mother's garments to her face and smell her mother's perfume which was still embedded in the clothes.  Then, she would cry.  Her aunts offered to help Ina give away the clothes, but Ina wouldn't even hear of it.


On the fifth year of the anniversary of her mother's death, Ina's manager found Ina crying at her desk.   He closed the door and talked to Ina about going to therapy.  He confided in Ina that he had attended therapy several years ago when he and his wife ended their marriage, and he found it helpful.

By this time, Ina's grief had grown worse, not better.  She knew she couldn't go on like this, so she decided to start therapy, even though she didn't feel that anyone could ever help her to feel better about her mother's death.  Even the thought of feeling better made Ina feel that she would be disloyal to her mother.

Initially, Ina was defensive in therapy.  She only wanted to talk about her mother and the times they spent together.  She never wanted to talk about any plans for the future.  She couldn't even envision herself making plans for the future that didn't include her mother.  Although she would never hurt herself, there were many times she wished she could just go to sleep and not wake up.

At first, she resisted all recommendations about things she could do to take care of herself so she could feel better.  She didn't want to exercise or go to a yoga class or join a book club.  She didn't want to reach out to the few friends who remained in her life.  She just wanted to keep doing what she was doing, even though she was feeling miserable.

Then, her therapist recommended that they do inner child work using hypnosis.  Ina had never experienced hypnosis before, but she decided to give it a try.  She felt it was better than her therapist's other recommendations.

Much to her surprise, Ina was able to sense the younger part of herself that felt so vulnerable and afraid.  Using hypnosis, she was able to nurture that younger self, and she began to feel some relief from her grief about her mother's death.

After a few months, Ina still felt sad, but it wasn't an inconsolable sadness.  She still missed her mother, but having the ability now to nurture herself emotionally, she felt the sadness was more manageable.  She still visited her mother's grave every week and "talked" to her mother, but she wasn't crying as much as she was before.

After several months, Ina felt like she might be ready, with help, to give away her mother's clothes.  So, her aunts came to help her clean out the mother's closet.  Ina held onto a particular dress that she knew her mother really loved, and she allowed her aunts to give away the other clothes to a charity organization.

At her therapist's recommendation, Ina did her own private ritual to commemorate her mother's life.  She set up a place on her dresser with a picture of her mother, a candle, and her mother's favorite broach.  Then, she said a tearful goodbye to her mother, acknowledging that her mother was gone, but she would always have a place in Ina's heart.

After that, Ina felt somewhat better.  She realized that she would always have her memories of her mother, and she believed her mother was "in a better place."

Gradually, over time, Ina became more social.  She had some regrets that she had remained "stuck" for so long and she would never get that time back.  But she began to take her first tentative steps to make friends and, for the first time in her life, to date men.

Enmeshed Mother-Child Relationships:  Overcoming Inconsolable Grief 
In the vignette above, Ina, who is a fictional character, eventually attends therapy to deal with her inconsolable grief.  But there are many people, who have similar experiences of grief, who never even consider going to therapy. They remain stuck emotionally in their grief for the rest of their lives.  In their senior years, they often have regrets for everything they never experienced in life.

For people going through this experience who are open to therapy, they're often surprised that they can feel better.

Often, what happens is that they experience how they can internalize their mother emotionally in a new way, even though the mother is no longer alive.

Although the mother is no longer alive in the here-and-now, the adult child can feel the mother as alive in his or her own internal world.

This type of work, for people who have been very enmeshed with a parent, isn't quick.  Often, the person who feels grief has mixed feelings about letting go of the sad feelings.  There is an illusion that by holding onto the sadness, they're holding on to their dead parent in some way.

Clinical hypnosis is often helpful when there is inner child work to be done, as in the vignette above.  It helps clients to get to a place on an unconscious level that is usually difficult to get to with regular talk therapy.

They're often surprised to discover that it's quite the opposite.  Letting to of the sadness allows the person who feels grief to make room for a different experience, the internalization of the parent in a healthier way.

Getting Help in Therapy
If you've lost a mother or someone close to you and time has passed, but you're not feeling any better, you owe it to yourself to get help from a licensed mental health professional who has experience helping clients with this issue.

In most cases, people find a new way to overcome their grief that still honors the relationship with the person who died.  But it also allows the person who is still alive to transition to having a more meaningful life.

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.

Also see my articles:
Avoiding Codependency With Your Children

Overcoming Shame in Enmeshed Families



Thursday, April 4, 2013

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.

Wednesday, April 3, 2013

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



Tuesday, April 2, 2013

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.