Overcoming Your Fear of Asking For Help

In a prior blog article,  Overcoming Your Fear of Asking For Help: Part 1, I focused on why people often have fears about asking for help.  In today's article, I will discuss the consequences of giving into that fear and not asking for help.

Overcoming Your Fear of Asking For Help

Just as the reasons why people fear asking for help are many and varied, so are the consequences of not asking for help, so it won't be possible to consider every possible consequence.  But we'll look at some of the most common ones.

Procrastination
When people are afraid to ask for help, one of the things that they often do is procrastinate for as long as possible.  They might know that, eventually, they'll need to ask for help, but they will delay as long as possible.  Often, they'll bargain with themselves by telling themselves, "I'll do it tomorrow," and then tomorrow becomes the next day and the next.  This often leads to other consequences, including:

     A Situation Can Go From Bad to Worse
When people procrastinate because they're too afraid to ask for help, a situation often goes from bad to worse.  An example of this at the workplace might be that an employee feels too overwhelmed to complete a project with a deadline.  She doesn't want her boss to think she's incompetent so she keeps trying harder to complete the project, but she really knows she can't complete it in time.  Unable to overcome her fear and shame, she waits until a few days before the deadline to let her boss know that she won't be able to do it on time.

There can be worse situations that involve health issues that go from being a chronic issue to an emergency.  Or, when people are afraid to ask loved ones for financial help, assuming that their loved ones have the financial wherewithal to help, it could result in an eviction, poor credit and other similar consequences.

     A Greater Cost With Regard to Time, Money and Effort
Continuing with the same workplace example from above, at that point, this employee's boss tells her that if he had known sooner, he could have shifted other employees from less urgent projects to this one without too much of a problem.

 But because he's only hearing about it a few days before the deadline, he will have to tell these other employees that they must work overtime to get the job done.  This extra effort at the Eleventh Hour will not only inconvenience others, but it will cost the company more in terms of time, money, and effort.

     Lost Opportunities
Giving in to a fear of asking for help can result in lost opportunities.  There can be many examples of this.

The one that comes immediately to mind is one I've mentioned before in another blog article involving a student I met when I was beginning my undergraduate degree.  We were both registering for classes (at that time, you had to do this in person because there was no Internet).

This student, who was about 10 years older than me, mentioned to me that she waited 10 years to go to college, saving all of her money.  She didn't spend money on going out or buying new clothes.  She saved all of her money over the years for tuition.   She had such a fear of asking for help that she never found out, until she registered, that she was entitled to financial aid.  Instead, she put her life on hold for 10 years and made this unnecessary sacrifice because of her fear of asking for help.

A Lack of Balance and Reciprocity in Your Relationships
Reciprocity is an important element in friendships, family relationships, and romantic relationships.  In situations where you feel comfortable helping, but you're uncomfortable asking for help for yourself, most of the time, your loved ones become uncomfortable coming back to you for help.

This type of situation can create a lack of balance and reciprocity in your relationships.

I'm sure you can think of many other examples or you know of other situations either from your own personal experience or from people that you know.

Getting Help in Therapy
The point is that a fear of asking for help can have serious consequences for you and others, and overcoming this fear can be a freeing experience.  I'll focus on how to overcome this fear in the next blog post.

About Me

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

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:  Overcoming Your Fear of Asking For Help - Part 3: Some Tips.

Overcoming Your Fear of Asking For Help - Part 1

Do you have problems asking for help?  Feeling comfortable asking for help doesn't come naturally for many people.  If you have problems asking for help, you're not alone.

Overcoming Your Fear of Asking For Help

Whether it's asking for help at home or at work, asking for help from family, friends or colleagues is often daunting for many people for a variety of reasons.  Shame is often a big factor.

Since this is a big topic for a blog, I'm going to deal with this issue in a few blog articles.  In this article, I'll discuss some common reasons why people often have problems asking for help.  In future blog articles about this topic, I will explore the consequences of being too fearful to ask for help and how to overcome this problem.

Common Reasons Why People Have Problems Asking For Help:

Fear of Appearing "Weak"
It's interesting that many people, who wouldn't hesitate for a second to help others, often feel that if they have to ask for help themselves that it's a sign of "weakness."

They don't feel this way about other people who ask them for help. But when something happens and they need help, they feel too ashamed to ask. They fear that others will judge them as being "weak" and "needy" if they need help.  

Fear of Loss of Control and Independence
Many people fear that if they have to rely on others to help them, they'll lose control over whatever the situation might be because the person who is helping them will take over.  Often, this has its roots in their childhood history where adults really did take over at that time without allowing the children to have any sense of control or independence.

As a society in the US, we idealize the qualities of independence and self reliance.  People who are able to overcome difficulties on their own by "pulling themselves up by their boot straps" are given high praise.  We glorify people who perform heroic acts, whether this occurs in the news, a movie, or a story in a book.  Because of this, many people feel they should be independent and self reliant all of the time.  They feel they should be able to cope with whatever life throws in their way, no matter what it is.

Fear of Looking Foolish or Stupid
No one wants to look bad.  People who are afraid of asking for help assume that others will see them as foolish or stupid for not being able to handle whatever situation they're dealing with on their own.

People who fear looking foolish or stupid don't want to lose face in front of friends, family or colleagues.  Once again, shame is a big part of the problem.  This can be made even more difficult in a work situation where colleagues are very competitive.

Fear of Being Disappointed Again
For people where there's a childhood history of neglect or abuse, they've learned at an early age that if they ask for help, they will be disappointed.  They've learned that people aren't reliable and it's better not to ask for help.

This could be exacerbated when these same people, as adults, unconsciously choose friends or romantic partners who are irresponsible or unreliable.   Without realizing it, they're often repeating a pattern from childhood by continuing to choose people who will disappointment them.  Then, it becomes a self fulfilling prophecy again and again, confirming their belief that they shouldn't ask others for help.

Fear of Being a Burden to Others
Many psychotherapy clients have mentioned this fear, even when they have a large support network among family and friends who are more than willing to help them.  They automatically assume that people will feel burdened by a request for help.  So, rather than feeling like they're burdening others, they keep their need for help to themselves.

One of the underlying issues in this case is that, at the core, these people often don't feel "good enough" or lovable and, because of this, they don't feel entitled to ask for help.

Fear of Being Vulnerable or Being Duped In Some Way
People who have trust issues (often due to their early history) might fear that they will be duped in some way by people who say they will help them, but who have alternative motives.  They fear they will be taken advantage of by the person who is supposed to be helping them.  How much any one person feels this is a matter of degree ranging from a mild concern to bordering on paranoia.  This is similar to fear of being disappointed.

Fear of Being Assertive
Shyness or a feeling of awkwardness can stop someone from asking for help.  For these people,  it takes a lot of courage to admit that they need help, no matter what type of help it might be.  In many cases, these people also just don't know how to ask for help.  They've never learned how to do it.

Fear of What Will Be Asked In Return
For other people, asking for help automatically means that they'll be indebted to others and it will shift the power dynamic in their relationships.  They automatically assume that asking for help will come with an emotional "price tag" that they might not be able to pay.

Assumptions That Others Should Know That You Need Help Without Being Asked
Many people, who are either too ashamed to ask or feel they aren't deserving of help, rationalize not asking for help by saying that they feel others should already know that they need help without being asked directly.  They feel it should be obvious.

The problem is that, even when it seems obvious to you, other people, for a variety of reasons, often don't recognize it.  They might be completely willing to help if they're asked, but they either don't know or they're afraid to intrude on your situation or there could be so many other reasons why they don't volunteer their help, even though they'd be willing if asked.

When you shift the responsibility onto others because you think they should already know without your having to ask, you're not taking responsibility for what you need.  Once again, there is often a lot of shame underlying this mindset, but the blame gets shifted in a defensive manner onto others.

Getting Help in Therapy
I recognize that one of the most difficult challenges for many people is calling a therapist to ask for help.  People have many misconceptions about what it means to come to therapy, including that a person has to be "crazy" to go to therapy.  Of course, this couldn't be further from the truth.  Furthermore, therapists who go into private practice do so because they want to help people.

If you're considering attending therapy, it's often easier to ask for a consultation first.

When I receive calls from potential clients, I consider the first session to be a consultation where both the client and I see whether we are a good client-therapist match.

I will continue this discussion in future blog posts.

About Me

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

I work with individual adults and couples, and I have helped many clients to overcome their fear of asking for help.

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.

Self Care For Caregivers - Part 3: Tips For Self Care

In my two prior blog articles, I introduced the topic of self care for caregivers as well as common emotional reactions that caregivers have (see links below for these articles).  In this blog article, I'll focus on tips for self care (see my articles: Self Care For Caregivers - Part 1 and Self Care For Caregivers - Part 2 - Caregivers' Common Emotional Reactions).

Self Care Tips For Caregivers

Self Compassion
Having compassion for yourself as a caretaker is very important.  It's important to be aware that you're going through a difficult time.  Many caregivers either override their emotional reactions or they try to push themselves harder, often leading to chronic stress or burnout.

Chronic stress can lead to many other medical and psychological problems, including heart problems, migraines, diabetes, autoimmune disorders, depression and anxiety.

If a close friend or loved one was going through a similar situation, you would have compassion for him or her, so why not for yourself?

If you allow for self compassion, in my opinion, you're more likely to take care of yourself, so here are some tips that can be useful.

Ask for Help
This is a time when it's important to have a good support network.  Whether you ask for help from family members or friends, don't be ashamed to admit that you can't do everything.  Admit that you're human and, as humans, we all have certain limitations.  Others might want to help, but they might not know what you need, so you need to communicate clearly and specifically what you need.

Aside from loved ones, you might also ask for help from your local church or organizations that are set up to provide respite care.  For instance, the Alzheimer's Association in certain areas provides respite care that can make all the difference in the world.

At the same time, be aware that some people might not be able to help due to the circumstances in their own lives.

Stay Healthy
Taking care of a loved one can make you feel exhausted, stressed and emotionally and physically depleted.  It's important to eat healthy meals, get enough sleep, engage in physical exercise that's right for you, and to have regular medical checkups for yourself for preventive healthcare.

Participate in Support Groups (if you can)
If you're fortunate enough to have support groups in your area, you could benefit from the mutual support available in such a group.  Many organizations, like the Alzheimer's Association and Cancer Care, have support groups.  If you don't have support groups in your area that meet in person, you might be able to find a support group that meets online.  Just knowing and hearing about other caregivers who are having similar experiences can help you to cope better with your situation.

Write in a Journal
Journaling about your feelings when you're going through a difficult time, can help you to release pent up emotions.

Self Care Tips For Caregivers: Write in a Journal

Journaling can also help you to clarify your thoughts and emotions.  You might even discover, as you journal, that there are some bright spots in your experience that you might overlook if you don't take the time to reflect and write about your experiences.  In addition, you might also capture in writing certain poignant moments with your loved one that you can treasure in the future.

Get Help in Therapy
When you attend therapy with a skilled therapist, your session is completely focused on you.  This is so important in terms of your self care when you're a caregiver and your time and energy are mostly focused on someone else.  By participating in therapy, not only can you learn how to cope better as a caregiver, but you can get the emotional support that you need.

About Me

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

I provide therapy to individual adults and couples in an empathetic and supportive environment.

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.

Self Care For Caregivers - Part 2: Caregivers' Common Emotional Reactions

In my prior blog article, I introduced the topic of  Self Care For Caregivers - Part 1 and indicated that I will be discussing different aspects of how caregivers are affected by their responsibilities as well as what they can do with regard to self care so they don't neglect their own health and well-being (see my article: Self Care For Caregivers - Tips For Self Care).

Self Care For Caregivers: Common Emotional Reactions

In this blog article, I'll be focusing on caregivers' common emotional reactions in an effort to help caregivers recognize that not only are these emotions common, but they are completely normal and to be expected.

As a caregiver, you might not experience every single one of these emotional reactions, but you probably will experience many of them.  I believe it's helpful for caregivers to know that there are many other people who are in the same role who are experiencing similar reactions.  Knowing that millions of other people either have gone through or are going through a similar experience can provide some relief.

Caregivers' Common Emotional Reactions

Here are just some of the most common reactions:

• Sadness: When you're taking care of a loved, it's normal to feel sad for your loved one as well as for yourself and other close friends and relatives who are affected by your loved one's illness.  If you feel sad for more than two weeks, you might be depressed and in need of professional mental health care to keep the depression from possibly developing into a debilitating problem.

• Loneliness: Taking care of a loved one can make you feel isolated and lonely.  When you're a primary caregiver, it's hard to believe that anyone else could understand what you're going through, even if they tell you that they've had similar experiences.

• Anger and Frustration: Anger is a common reaction when you're a caregiver.  You might feel angry with the disease or disorder that's making your loved one sick, angry at medical or psychological professionals involved in your loved one's care, and angry with friends and family.  You might feel angry with "fate" or "God" for "allowing" this situation to occur.  At times, you might feel angry with your loved one for being sick,  You might even feel angry with yourself at times.  You might feel, even with all objective evidence to the contrary, that you're not doing enough and you should be making a super human effort to "fix" the situation, even if this is impossible.

• Fear: Fear is a common reaction to overwhelming events.  You might be worried about being able to handle your responsibilities for your loved one as well as for yourself and other family members.  You might be afraid of what will happen next and if you're emotionally and physically prepared for it.  There can be so many other fears involved with taking care of a loved one.

• Guilt: Along with feeling angry with yourself, you might also feel guilty for a variety of reasons.  You might feel angry and guilty, as mentioned above, that you're not doing enough for your loved one.  You might also feel guilty for wanting a reprieve from your caregiving responsibilities.  Of course, this is a normal response when you're a caregiver.

• Grief: Whether you're grieving for the decline of your loved one's health or for how your life "used to be" before your loved one had a health crisis, grief is a common response for caregivers.

Related Articles:

Self Care For Caregivers - Part 1

Getting Help in Therapy
If you're a caregiver who feels overwhelmed, you're having a common reaction to a difficult situation, and you owe it to yourself, as well as your family, to get help from a licensed mental health professional who has experience helping caregivers through a difficult time.  

Getting help might not change the external circumstances of your life, but it can be very beneficial to your emotional health and well-being and your loved ones.

About Me

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

I work with individual adults and couples.

I have helped many caregivers to get through the emotional challenges involved with taking care of loved ones.

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.

Self Care for Caregivers - Part 1

Becoming a caregiver for someone you love is often an unplanned and sudden event.  Whether you are the caregiver for your spouse, lover, parent, child or someone else in your life who is dear to you, you might find yourself suddenly in a situation where you feel totally unprepared to juggle the various demands of taking care of your loved one while trying to manage the countless details of daily life.

Self Care For Caregivers

Primary Caregivers Often Forget to Take Care of Themselves
When you're the primary caregiver for a loved one, it's easy to forget to take care of yourself.  You might forget about your own health and well-being.  And, yet, if you neglect your own health, you could easily become sick, and you won't be able to do the things you need to do for yourself--let alone try to take care of your loved one.

To suddenly find yourself in the role of a primary caregiver can derail you both physically and emotionally.  Most people don't have the luxury of putting aside the rest of their lives to focus exclusively on being a caregiver, so being a caregiver can feel overwhelming.

In upcoming blog articles, I'll focusing be on the importance of self care for caregivers and steps that you can take to take care of yourself (see my articles: Self Care For Caregivers - Part 2: Caregivers' Common Emotional Reactions, Self Care For Caregivers - Part 3 - Tips For Self Care

Emotional Support for Caregivers
One of the most important aspects of self care is having emotional support.  Being able to talk to supportive friends and family who are willing to listen can help to ease some of the emotional burden.

Getting Help in Therapy
Many people find it helpful to talk to a psychotherapist, who is objective and impartial.  A therapist, who has experience helping primary caregivers, can help you to cope with the emotional strain of taking care of your loved one as well as balancing his or her needs with your needs.

About Me

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

I work with individual adults and couples.

I have worked with many clients who were primary caregivers and helped them to take care of their own needs.

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.

Adults Who Were Traumatized As Children Are Often Afraid to Experience Their Feelings - Part 2

In my prior blog article,  Adults Who Are Traumatized As Children Are Often Afraid to Feel All Their Feelings  - Part 1, I began a discussion about how difficult it can be for traumatized adults to allow themselves to feel all their feelings.  Today, I would like to continue this discussion and focus on some of the consequences for adults when they continue to suppress uncomfortable feelings.

Traumatized and Afraid of Emotions

Suppressing Uncomfortable Feelings Can Have Many Negative Consequences
As I mentioned in my prior article, traumatized children often have no choice but to suppress their feelings.  It's often an adaptive thing to do because allowing themselves to feel uncomfortable feelings related to the trauma would be too overwhelming for them in most cases.

But when these same people become adults, if they continue to suppress uncomfortable feelings, it isn't useful any more.  As adults, suppressing uncomfortable feelings can cause all kinds of other emotional, physical and interpersonal problems.

Suppressing Uncomfortable Feelings Can Lead to the Following Emotional, Medical, Marital, Family, Career and Interpersonal Problems:

Depression and Anxiety 
When you suppress uncomfortable feelings, it can lead to depressive and anxiety-related disorders.  Why does this happen?  Well, when you suppress your feelings, these feelings don't just go away.  They often intensify.  The more you try to push them down, the more intense they become.  It becomes a vicious cycle that for many people can lead to serious episodes of depression and anxiety.

Medical Problems
Medical problems like migraines, high blood pressure, diabetes, heart problems, IBS (irritable bowel syndrome), insomnia, muscle aches, joint stiffness, and a compromised immune system are among the many physical problems that can result from suppressing feelings. 

Marital and Family Problems

Think of the employee at work who feels he must do everything possible to suppress his anger at his boss while he is at work.  Then, he comes home and he often loses his temper with his wife and children.  It's often not intentional--he just can't contain his feelings any more.  There can be misunderstandings between him and his wife or between him and his children because he's so distracted by his pent up feelings.

Career Problems

There can be so many ways that suppressed feelings can cause problems in a career.  It can cause poor communication with your boss or colleagues.  You also might not be picking up on social cues because all of your energy and focus is going into keeping your feelings down.  This can have disastrous consequences for your career.

Substance Abuse, Sex Addiction, Gambling and Other Impulsive and Addictive Behavior
Many people, who try to suppress feelings, turn to alcohol, drugs, gambling, sex and other forms of addictive behavior in an effort not to feel their feelings.  Aside from the physical problems that addictive behavior can create, addiction ruins lives for those who are addicted as well as their loved ones.  Without help, it usually leads to a downward spiral 

Problems with Feeling Inauthentic to Yourself and to Others
Suppressing feelings can also make you feel disconnected from the core of who you are as a person.  It can make you feel inauthentic to yourself as well as to others, especially if you're trying to "put on a happy face" to hide your true feelings.  This often doesn't work because others can sense that there's something amiss.

Developing the Capacity to Feel and Accept Your Feelings: Clinical Hypnosis and Somatic Experiencing
When you've spent a lifetime suppressing feelings that you're uncomfortable with, you need to learn how to develop the capacity to feel and accept your feelings.  I will address this in more detail in future blog posts but, for now, I'll close by saying that, I've found the combination of clinical hypnosis and Somatic Experiencing to be one of the most gentle and effective ways to develop this capacity.  

Clinical hypnosis and Somatic Experiencing allow the therapist and client to work with manageable segments of the problem in a way that's usually tolerable for the client.  In my experience, these two treatment modalities, which emphasize the body-mind connection, help the clients to deal with traumatic experiences and work through these issues so that clients learn to feel and accept all their feelings.

Getting Help in Therapy
If you have unresolved trauma, you owe it to yourself to get help from a licensed mental health professional who has expertise in trauma work.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individual adults and couples.  

I have helped many clients to work through their trauma so they can lead more fulfilling lives.

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.

Adults Who Were Traumatized As Children Often Fear Their Emotions

Many people, especially people who were traumatized as children, are afraid to feel the full range of their feelings, especially feelings they're uncomfortable with.   If they feel sad, angry, fearful, hurt, or ashamed, they often want to do whatever they can to suppress and avoid sensing these feelings.  

Adults Who Were Traumatized as Children Often Fear Their Emotions

Being willing to feel all their feelings, and not just the ones they feel comfortable with, isn't easy.  Of course, it's understandable that most of us would rather experience happy feelings, but it's not humanly possible to always feel happy.  So, it's important to develop the capacity to feel, tolerate and accept all feelings rather than pushing them down.

Since this is such a big topic for one blog, this is Part 1, and I'll continue to discuss this topic in future blog posts.

Adults Who Were Traumatized As Children Often Fear Their Emotions
Many adults, who were traumatized as children, have vivid memories of feeling completely overwhelmed by a traumatic event in their lives.

In many cases, there was no one to help them, as children, to get through the trauma, so they were left on their own to deal with overwhelming events.  Or, even if there were adults around, the adults might have been overwhelmed themselves by the event (or events) and didn't have the capacity to help.

Young children, who are traumatized without anyone to help them, have limited capacity to deal with their overwhelming feelings.  In order to survive emotionally and, sometimes, physically, these children learned to suppress their overwhelming feelings to protect themselves.  At that point in their lives, it might have been the only thing they could do.  And, at the time, it was an adaptive thing to do, given the limited options.

The problem is that, when these same children grow up and they're adults, what was adaptive when they were children is no longer adaptive.  As adults, suppressing feelings can cause a variety of physical, emotional and interpersonal problems, which I will discuss in a future blog post.

What these adults often don't realize is that now that they are adults, they can develop more of an emotional capacity to deal with trauma, especially if they work with a therapist who has expertise in working with trauma.

Getting Help in Therapy
One of my specialties is working with trauma.  

I have worked with many traumatized adults who have suppressed uncomfortable feelings for most of their lives.  They often come to see me for therapy when they've discovered that continuing to suppress feelings causes problems on many levels for them.  Even though they wanted to change, they didn't know how before they came to therapy, especially after they spent so many years pushing their feelings down.

Over the years, I have learned and developed many different ways of working with trauma so that I can tailor each treatment to the needs of each client.  Aside from talk therapy, I have found mind-body oriented psychotherapy, like EMDR, Somatic Experiencing and clinical hypnosis to be effective in helping clients to overcome trauma, even clients who have tried to overcome these problems in therapy for many years.

About Me

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

I 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.

Adults Who Were Traumatized As Children Are Often Afraid to Feel All Their Feelings - Part 2