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Sunday, April 14, 2013

The Benefits of Writing Down the Milestones of Your Life

Often, when people feel stuck with where they are in their lives, their disappointment has a way of coloring their perspective about all of their life--not just their current state.  Usually, this is a distorted view based on how they're feeling about themselves now.  

The Benefits of Writing Down the Milestones of Your Life

When I'm working with a psychotherapy client whose self perception is distorted in this way, I often recommend that she write down the milestones of her life to help her gain a better perspective.

What Are Milestones in Your Life?
Milestones are memorable markers in a lifetime.  Milestones can be memorable events or accomplishments.  Whether they're happy or sad occasions, they represent important events in your life.

Why Write Down the Milestones in Your Life?
Milestones usually serve to give you a perspective on how your life has changed over time.  So, if you're struggling at the moment because you're feeling stuck and you feel that nothing ever changes in your life, writing down and reviewing the milestones in your life, can give you a different perspective.

Whether you view the important milestones in your life as being positive or negative or some combination of the two, you can see how your life has changed over time.

You can also gain a perspective that your life will continue to change over time.  This can be a useful perspective if you're currently feeling stuck.

Usually, I recommend that clients write down the milestones on a timeline starting with the earliest memories on the left and moving forward to the right on the timeline.

Which Events Should You Choose to Write About?
It's completely up to you which events you choose.  There's no wrong way to do this exercise.  Even two people who seem to have similar lives, at least from an external perspective, will usually have very different feelings about what's important to each of them, so they'll focus on different milestones.

One of them might include milestones about memorable birthdays, anniversaries, and the first time she fell in love. And the other might include certain accomplishments, like graduating college, getting an article published in a magazine and the death of a parent.

The Milestones That Seem Important to You Often Change Over Time
What's interesting to see, if you do this exercise at various times in your life, is that some of the milestones that you choose will be different at various stages of your life.

For one thing, there are new milestones as time goes on.

But, even more interesting is that, often, when you look at the same events at different points in your life, different events will seem more important at any given time.

Time as a Factor in Choosing Milestones
This makes sense when we realize that what's important to us changes over time, so what stands out at any given time as a milestone is likely to change with the passage of time.


Time as a Factor in Choosing Milestones 

That's why writing down milestones at various points in your life can be such an eye opener in terms of how you see yourself and your life.

Milestones to Accomplish Your Long-Term Goals
Writing down milestones can be done retrospectively or as a way to set long-term goals for the future.  So, if you have a particular long-term goal that you would like to accomplish, you can write down the milestones that you would need to accomplish in order to achieve your goal.

Feeling More Empowered in Your Life
Whether you use milestones retrospectively or to set goals for the future, writing them down and looking at them over time can help you, especially when you feel stuck in your life, to realize that life is always changing over time.

And when you recognize that life changes over time, you can also feel empowered to take steps to make the changes you would like to see in your life.

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

I work with individuals and couples.

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

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











Saturday, April 13, 2013

Why It's Important to Talk to Your Therapist About Sexual Problems

Many psychotherapy clients feel uncomfortable talking about sexual problems in their therapy, whether they're in individual therapy or they're participating in couples counseling.  Even though their problems might be having a significant impact in their lives, clients often avoid talking about sexual problems with their therapist.  To make matters worse, therapists often avoid asking about it.

The Importance of Talking to Your Therapist About Sexual Problems


Why Is It So Hard to Talk About Sexual Problems With Your Therapist?
There can be many reasons why you might feel uncomfortable talking to your therapist about sex, including:
  • You don't know how to bring up the topic of sex in your therapy session.
  • You don't know how to describe the sexual problem that you're having.
  • You fear being judged by your therapist.
  • You feel ashamed of your sexual problem.
  • You feel guilty about your sexual problem.
  • You feel uncomfortable talking to your therapist about sexual problems because of your therapist's age or gender.
  • You're afraid to talk about your sexual problem because it would be violating a family secret to talk about it.
  • You feel you'll be defying cultural or religious conventions by bringing up problems about sex in your therapy.
  • You think you'll make your therapist feel uncomfortable if you talk about your sexual problem.
  • You're in denial about how significant the sexual problem is in your life.
  • You've resigned yourself to living with the sexual problem because you don't think there's anything that can be done about it.
  • You tried discussing the problem before, either with family members or in a prior therapy, and you had a bad experience.
There can be many other reasons why you, as an individual client in therapy or as part of a couple in couples counseling, might feel uncomfortable talking to your therapist about sexual issues.

It's Important to Talk to Your Therapist About Sexual Problems

Why Is It Important to Address Sexual Problems in Your Therapy Sessions?
Sex is a natural part of life, and yet most people feel uncomfortable talking to their therapist about sex.  The degree of discomfort is different for everyone.

Just like any other problem, unless you address it in therapy, you're not giving yourself an opportunity to overcome this problem with your therapist's help.

It might be hard to imagine at this point in your life, but working through a sexual problem in therapy can help you feel so much better about yourself.

Often, once you begin talking to your therapist about a problem, whether it's about sex or anything else, what might have seemed impossible for you to talk about suddenly seems not as bad as you expected.

Over the years, I've had many clients, who, once they began to address an uncomfortable issue, came away feeling, "That wasn't as bad as I thought it would be.  In fact, I feel relieved that I'm starting to talk about it."  They feel less burdened by the problem now that it's not a secret in therapy any more.

Some Helpful Tips to Help You Talk to Your Therapist About a Sexual Problem
  • Recognize that, if you're seeing an experienced therapist, she has probably heard just about anything that you can imagine.  
  • Take comfort in knowing that sexual problems aren't unusual among individuals and couples, so you're not alone.
  • Be aware that you can take your time and you don't have to reveal every aspect of the sexual problem all at once.  You might start out by just telling your therapist that you have a sexual problem that you're not feeling comfortable talking about.  You and your therapist can begin by addressing what might help you to feel more comfortable so that you can open up about this issue.
  • Recognize that if you start to feel overwhelmed with anxiety as you begin discussing the sexual problem, you can pause so your therapist can help you to calm yourself.  After you've calmed down and you feel emotionally safe again, you can resume talking about it.

Sexual Problems and Trauma
When sexual problems involve trauma, it's important to work with a therapist who has expertise with both problems.

A skilled therapist will know how to work with the sexual trauma in a way that feels safe and comfortable for the client.  This doesn't mean that the work won't be uncomfortable at times, but a trauma therapist, who is a licensed mental health  clinician, usually has the skills and experience to work in a way where the therapy is not retraumatizing for the client.

How I Work With Emotional Trauma
Whether the client's trauma involves sexual abuse or it's some other form of trauma, I often like to use Somatic Experiencing (also known as SE) because it's a gentle and effective form of therapy that was developed specifically for trauma.

By using Somatic Experiencing, the client and I can work on the problems in manageable segments rather than trying to do too much too quickly where client is likely to feel overwhelmed.

When I'm working with a client who has emotional trauma, whether it's sexual trauma or any other form of emotional trauma, I like to provide clients with psychoeducation first so they understand how I work.

Then, the client and I collaborate on how we will work together.  I have many different ways that I work with trauma.  Aside from Somatic Experiencing, I also use EMDR and clinical hypnosis, which are also effective treatment modalities for trauma.

Every psychotherapy client is unique, so it's important that each treatment is tailored to the needs of each client.  This is why the first session is a consultation where I meet with the client so that the client sees if he or she is comfortable with me, and I can determine if what the client is looking for is within the scope of my expertise.

Getting Help in Therapy
Whether you're an individual or a couple, if you're having sexual problems, you're not alone.  

Taking the first step to get help is often the hardest.  But once you've taken that first step, it can be such a relief.  


Sexual Problems in Your Relationship Can Get Worked Out With Help in Therapy

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, Somatic Experiencing and Sex Therapist.

I work with individuals and couples.

To find out more about it, 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 10, 2013

Falling In Love With Your Best Friend

Falling in love with your best friend is a common theme in many books, movies, TV programs, and newspaper articles because it happens all the time, no matter how old you are.  

The phenomenon of falling in love with your best friend is often portrayed in stories about young people, but I've also seen it happen with people who are older.  It happens among heterosexual as well as gay people.  It makes sense that two people who have a lot in common and who have developed a bond based on trust and affection would fall in love with each other.

Falling In Love With Your Best Friend

What Are the Potential Positive Aspects of Falling In Love With Your Best Friend?

Developing a Romantic Relationship on a Solid Foundation
When the feelings have developed over time and they're mutual, it has the potential to be a wonderful experience.  Since you already know each other so well, your romantic relationship can build on a solid foundation.  If you're best friends, you already know each other's likes, dislikes, interests and opinions about important issues, like views on families, spirituality, finances, and so on.

If it's a long term friendship, you've probably been there for each other during hard times, which is an important element in a romantic relationship.  You probably also have other friends in common.

Developing a Romantic Relationship as an Extension of Your Friendship
Your relationship started as a friendship, and then a romantic spark might have developed between the two of you over time as you got to know each other better.

This tends to be a more stable way of developing a relationship than "love at first sight," although "love at first sight" works for many couples too.  It's just that when the experience is "love at first sight," the romantic chemistry isn't always enough to build a relationship on.  "Love at first sight" is often an unconscious process and, although it can be exhilarating, it's only a first step whereas a romantic relationship that started as a friendship usually has more substance.

What Are the Potential Negative Aspects of Falling In Love With Your Best Friend?

The potential positive aspects that I mentioned above are all based on there being mutual feelings between the two friends.  But romantic feelings between two friends aren't always mutual.

Getting a Sense of Whether Your Best Friend Has Romantic Feelings For You
This can be awkward and tricky.  If your best friend hasn't given you any indication that s/he also has romantic feelings for you, this doesn't mean that s/he doesn't.  It can just mean that you're both too afraid to reveal romantic feelings because you both fear losing the friendship, which is a real possibility.

Getting a Sense of Whether Your Best Friend Has Romantic Feelings For You

Sometimes, you can sense when your friend has a romantic interest in you, and you can broach the topic with some, but not a lot, of risk.  But if you can't tell, in my opinion, you'll need to use tact and be subtle in your approach.

Holding Back If Your Best Friend is Already in a Relationship
If your best friend is already in a relationship, there isn't much you can do.  You need to accept that your friend isn't available and learn to deal with your feelings.  Trying to do anything that would break up that relationship will back fire and, especially if your friend is married, you'll be perceived as "a home wrecker" or worse.  Even if your friend left the other person for you, trust issues could develop about your relationship together later on.

Deciding What to Do If There is No Possibility of Your Best Friend Developing Romantic Feelings For You
It's possible that the timing might be wrong.  But whatever the reason, this is often an emotionally painful and awkward role to be in, whatever role you're in in this situation.

If you've fallen in love with your best friend and you know there's no possibility of your friend feeling the same way, you and your friend have some decisions to make.

There are plenty of friendships that go on to survive and thrive under these circumstances...if you can work out how to handle it.  It might require that the two of you take some time apart for a while so that the romantic feelings subside.  After a while, you might be able to reconnect without damage to the friendship.  You might want to consider if you've been avoiding meeting and dating other people, and if you want to open up to new potential romantic relationships.

Whether you continue the friendship or you take a break, be aware that you'll need to be able to deal with your friend meeting, dating and, possibly, falling in love with someone else.  This isn't easy when you're still in love with your friend.

Be honest with yourself:  Will you be able to handle this or will it be too hurtful for you, even if you take a break?  Will you feel too resentful or jealous?  Only you can decide this.

Falling In Love With a Best Friend Happens in "Real Life," Not Just in the Movies
Falling in love with your best friend doesn't just happen on TV or in the movies.  Movies like "When Harry Met Sally" are popular because they resonate with many people who have had this experience. Knowing that this is a common experience, hopefully, helps you to realize what you're experiencing isn't unusual or strange.

Knowing the potential risks and rewards can help you decide what to do about your feelings.  There are many people who try to avoid dealing with this situation because they're too afraid of risking the friendship.


Falling In Love With Your Best Friend Happens in "Real Life"

While, as I've mentioned, there are potential risks, in my opinion, it would be even sadder to find out years later that  a relationship was possible at an earlier time but that, unacknowledged, these feelings fizzled out for your friend and, although you might still be interested, your friend's feelings changed over time because you were both too afraid to talk about it.  But only you can decide what's best for you.

I am a licensed New York 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, April 9, 2013

Medication Alone Isn't as Effective as Psychotherapy to Overcome Anxiety or Depression

In recent years, there has been an increased emphasis on taking medication to overcome anxiety or depression.  While medication can be helpful, medication alone often isn't enough.  Aside from the possible side effects, medication alone doesn't help you to make the kind of changes you need to make to overcome anxiety or depression.  Rather than relying on medication alone, attending psychotherapy with an experienced therapist is usually more effective.


Medication Alone Isn't as Effective as Psychotherapy

Medication Alone Isn't Enough to Overcome Anxiety or Depression
Believing that medication alone is enough for you to overcome anxiety or depression is a seductive idea.  It sounds simple and quick.  There are lots of commercials on TV that lead you to believe that all you have to do is pop a pill to fill better.  But this idea is deceptive.

Psychotherapy is Effective in Helping You to Make Changes in Your Life to Overcome Anxiety or Depression 
Just taking medication alone won't help you to make much-needed changes in your life to overcome anxiety or depression.  There might be things that you're doing (or not doing) that might be contributing to your anxiety or depression.

By simply taking a pill, you won't learn to make the necessary changes that might be exacerbating your condition.

For instance, medication won't help you to develop emotional intelligence to handle your problems.  Developing emotional intelligence is something you learn to do in therapy.

Also, medication alone won't help to motivate you to engage in the type of self care that might actually make it unnecessary to take medication.

So, for instance, research has shown that, in many instances, doing exercise can be as effective to alleviate anxiety or depressive symptoms as medication and without the side effects.  In therapy, you can develop the motivation to exercise and engage in other types of self care that can help you to feel better.

In many cases, either psychotherapy alone or psychotherapy and medication can be effective, depending upon the client and the severity of the symptoms.

It's very important that you consult with your doctor before you stop taking medication.

See the link below for my article about APA research, which reveals that psychotherapy is effective, but it's underutilized.

About Me
I am a licensed New York 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 (212) 726-1006 or send me an email: josephineolivia@aol.com 


APA: Research Reveals That Psychotherapy Is Effective But Underutilized





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.