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Sunday, February 16, 2014

Dating: Is It Time to Have "The Talk"?

During recent years, dating has become a lot more complicated than it used to be.  From my perspective, as psychotherapist, people seemed a lot more open to being emotionally vulnerable in the past when they were dating as compared to how self protective many people are now (see my article:  Dating vs Being in a Relationship: Take Time to Get to Know Each Other).

Dating:  Is It Time to Have "The Talk"

To be sure, there have always been people who have been too afraid to allow themselves to be open and vulnerable to communicating their feelings in a dating relationship.

But it seems this is even more the case now, especially since people are relying on more indirect means of meeting each other, like dating websites and social media, and in the current environment, this makes it harder for people to be direct about their feelings or to say whether they want to continue to date or if they want a more committed relationship.

Stages of Dating
Another phenomenon that I've noticed is that many people are unaware that there are certain stages of dating or they just don't know how to date.

When I refer to "stages of dating," I'm not referring to specific, concrete stages.  I'm referring to the progression that might start with the first date and go on to the first kiss and might move onto a sexual encounter.

I realize that many people bypass these stages and refuse to even call what they're doing "dating."  They might see themselves as just "hooking up" or "hanging out."  Of course, this can lead to even more confusion because there's no process involved.

But, assuming that you're dating someone and you both agree that this is what you're doing, there are choice points along the way.

So, for instance, if you decide to go out on the first date, depending upon your experience during that date, you might decide that you don't want to continue to see this person or vice versa. Hopefully, this is handled with tact and compassion.

But if you continue to see each other, at some point during the first several months, it's a good idea to check in with the other person about how he or she feels.


What Is "The Talk"?
"The talk" is the conversation that you and the person you're dating have to reveal, openly and honestly, how you feel about each other.  Among other things, you talk about whether the two of you want to be exclusive with each other or whether you want to continue dating other people.

Why Is It Necessary to Have "The Talk"?
Lots of people who are dating try to avoid having "the talk" for as long as possible.  Others make their feelings known early on.

There can be many misunderstandings between people who are dating.  One person might think they're dating each other exclusively while the other person might still be "playing the field."

Dating:  Why Is It Necessary to Have "The Talk"?

When this mismatch comes to light, it can be emotionally painful, especially for the person who was under the assumption that they were exclusive.

To avoid these types of misunderstandings and also avoid trying to "read between the lines," it's better to have an open and honest conversation about how each one of you feels about the other and what each of you wants.

Why Is It So Hard to Have "The Talk"
Nowadays, many people fear having the dreaded "talk" with the person they're dating because they're afraid of looking foolish, needy, and being embarrassed.

If they're interested in having an exclusive relationship, they fear putting their feelings on the line because the other person might not want this.

For other people, who want the freedom to see other people, they fear hurting the person they're dating because s/he might not feel the same way.

So, many people feel they're stuck in an emotional quandary about how to even approach "the talk."

Generally speaking, women often fear that the man they're dating will see them as "clingy" and men fear that women will feel they're begin "pushy" and, sometimes, vice versa.

When to Have "The Talk"
There are no hard and fast rules about when to communicate your feelings to the person that you're dating.

If several months have gone by, and you're really not sure where things stand between you, it's probably a good idea to broach the topic with the person you're dating.

Dating:  When to Have "The Talk"

Although you might fear looking foolish if you want more from this person than he or she might want from you, isn't it better to know rather to wonder or, worse still, to assume that you know when you really don't?

Who Should Initiate the Conversation?
Once again, there are no rules about who should bring up the topic.

Generally speaking, among heterosexual couples, women tend to be the ones to raise this topic because, typically, they're more comfortable talking about relationships.

This certainly doesn't mean that heterosexual men don't initiate conversations about where things stand in a dating relationship.  It's just that, often, they're not as comfortable doing it.

So, if there are no rules about this in heterosexual relationships, there certainly are no rules in gay relationships.

Often, when one or both people feel that they're unsure about where things are heading, the discomfort and lack of certainty is often more uncomfortable than the vulnerability involved with having "the talk."

This probably isn't the best way to approach "the talk,"but often this is the way it goes.

I'll continue this topic in future articles.

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

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

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

Monday, February 10, 2014

Overcoming Unresolved Guilt Towards a Sibling

Your unresolved guilty feelings can have a negative impact on your relationship with a sibling, and it can also erode how you feel about yourself, especially when your guilt is longstanding.

Too often, unresolved guilt between siblings can lead to misunderstandings or, in some cases, the demise of the siblings' relationship.

Let's look at an example in the following composite vignette, which represents many cases with all identifying information changed to protect confidentiality:

Tom and Ed:
When Ed was born, his older brother, Tom, was a caring and protective older brother.  When he was older, Tom would babysit for his parents.

Overcome Unresolved Guilt Towards a Sibling

As a child, Ed looked up to Tom as his older brother, and they had a loving relationship.

But Tom had a difficult relationship with their father that got worse when he became a teenager.  By the time he was 18, Tom knew that if he didn't leave the family home, he and his father might come to blows.

Tom thought about leaving for a long time before he moved out.  He worried about not being around for Ed, who was still in elementary school.  He went back and forth in his mind debating what he should do.

Ultimately, although he was reluctant to leave Ed behind, he decided to move in with friends, and he moved out of his parents' home while his parents and Ed were out one afternoon.  His friends helped him to swiftly move out of the house while the rest of the family was out, and Tom left a note for his parents.

After that, Tom didn't see his family for several months.  His parents were angry with him for moving out without telling them in advance, and Ed missed him.

Tom maintained contact with Ed by phone.  He felt guilty for leaving Ed, and he tried to explain why he couldn't come home, but Ed didn't understand.

Eventually, Tom's parents asked Tom to come home for a family visit to talk things over.  Tom and his parents went into the dining room to talk about what happened.

The talk went a lot better than Tom had anticipated.  Although they were angry and disappointed, his parents acknowledged that Tom and his father weren't getting along and it was probably for the best that Tom moved out.  As the adult, his father took responsibility for not doing more to try to repair the relationship.

Afterwards, Tom went to see Ed in his room.  Ed barely made eye contact with Tom.  He kept playing a computer video game as Tom tried to talk to him.

Over time, as Tom came around more, their relationship seemed to improve.  But Tom continued to feel guilty and he had a nagging feeling that Ed still feel abandoned by Tom.  He also worried that Ed might have resentment for him that Ed couldn't or wouldn't express, even though Tom encouraged him talk.

As Ed got older, he developed more friends and he had less time to see Tom.  Although, Tom also had many friends and a girlfriend, he kept looking for signs that Ed might still feel resentful towards him.  And when Ed wasn't as available, Tom wondered if this was a sign of resentment.

Over time, Tom and his father's relationship became less contentious.  They were even starting to get close.  But Tom continued to feel guilty about leaving his brother.

So, when Tom came to therapy, he brought up his unresolved guilt.  He said he knew, on a rational level, that he did the right thing for himself by leaving his parents' house and, back then, there wouldn't have been any way to talk to Ed about this because Ed was too young to understand.

Tom also knew, on a rational level, that back when he was 18, if he had remained at home, his contentious relationship with his father and the tense atmosphere it created in the household would have been damaging to Ed.  But, on an emotional level, Tom continued to blame himself and feel guilty.

So, I suggested that Tom could invite Ed to a therapy session to talk over his feelings and I could act as a facilitator of their communication, if both Tom and Ed were open to this idea.

After we talked about it, Tom decided that it was a good idea.  He was a little reluctant to tell Ed that he was in therapy, but he summoned his courage and spoke to him.

To his surprise, Ed agreed to come to the session.

By the time Ed came, Tom already had in mind what he wanted to tell Ed.  Somewhat nervous at first, he told Ed that he felt guilty about leaving him behind years before, and he was afraid that Ed might be harboring resentment towards him.

Ed seemed genuinely surprised that Tom still felt this way.  He told Tom that he remembered feeling surprised and disappointed when Tom moved out, but his childhood memories of Tom were mostly positive.  He remembered Tom taking care of him as a young child and how loving Tom was with him, and he expressed his love and gratitude to his older brother.

Ed also said that, when he got older, he understood that Tom had to leave because of the contentious relationship between Tom and their father.  Ed even said that he sometimes felt guilty that their father treated him so much better as compared to how he treated Tom when they were younger.

There was no sign that Ed harbored resentment towards Tom.  To the contrary, he seemed to still look up to his big brother.

Overcoming Unresolved Guilt Towards a Siblings

Hearing Ed tell him that he cared so much for him and he wasn't holding onto resentment was a great relief for Tom.  He felt like a big weight had been lifted off his shoulders.

A Disconnect Between What You Might Know Rationally vs What You Feel Emotionally
In the particular example that I gave above, there was a disconnect between what Tom felt on an rational level vs. what he felt on a emotional level.  Given the circumstances, Tom knew that he did the best thing for himself at that time.

A disconnect between what someone knows rationally versus what s/he feels emotionally is a common experience in these types of situations.  Sometimes, knowing that the experience might be irrational can be helpful, but it often doesn't make the guilty feelings go away.

In the scenario above, it turned out that Ed wasn't resentful, so Tom's guilty feelings were unwarranted.  But there are many complicated situations where a sibling does harbor resentment and this needs to be worked out.

The Importance of Communication to Deal With Unresolved Guilt Between Siblings
Unfortunately, this dynamic between siblings often goes unspoken, and people can spend years tiptoeing around each other because neither sibling wants to bring it up.

Decades can go by with these underlying emotions that never get discussed or resolved.  Over time, siblings can grow apart because these underlying emotions have a negative impact on their relationship.

In some cases, one or both siblings don't know how to discuss what happened between them or one or both of them is unable or unwilling to talk about it.

Shame is often a major factor for one or both siblings that gets in the way of clearing up whatever happened.

This is when it can be helpful to seek the assistance of a licensed mental health professional to facilitate a dialogue between siblings.

Getting Help in Therapy
If you and a sibling are struggling with a similar issue, rather than continuing to allow guilt to have a negative impact on how you feel about yourself and get in the way of your relationship with a sibling, you could get help in therapy with a licensed mental health professional who can help to mediate between you and your sibling.

Getting Help in Therapy

Even in cases where your sibling is unwilling to participate in therapy, you could benefit from working through your guilt in individual therapy sessions.

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

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

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













Monday, February 3, 2014

Developing a New Psychological Perspective About Your Parents After They're Gone

As a psychotherapist, I see many clients who come to therapy because they have unresolved feelings about deceased parents.  In an earlier article, Looking at Your Childhood Trauma From an Adult Perspective, I discussed how clients often develop a different perspective, as adults, about their childhood trauma.  In this article, I'll focus on how it's possible to develop a new psychological perspective in therapy about deceased parents.

Strange as it might sound, many clients do develop a new relationship, within their own internal world, with one or both parents even after their parents are deceased.

Is It Possible to Develop a New Psychological Perspective About Your Parents After They're Gone?

Working Out Parental Relationships Can Be a Longstanding Endeavor
For many people, working out their parental relationships can be a longstanding endeavor.  It's not unusual for people to struggle with their feelings on their own from early childhood to old age without finding a peaceful resolution.


Working Out Parental Relationships Can Be a Longstanding Endeavor Starting From Childhood

From Childhood to Adulthood:  An Increased Psychological Capacity to Understand Parents
Children often have a narrow perspective about their parents.  This is understandable because, generally speaking, children's capacity for psychological understanding isn't as developed as adults.

It's natural that children often idealize one or both parents.  For instance, a child might see a mother as being very glamorous and all knowing or feel that a mother can protect the child against whatever danger there might be in the environment.  Or, a child might see the father as being strong and powerful, the family protector.

Then, as children get older, especially in their teens, they tend to place more importance on their friends' opinions and values.  And, at that stage, they might even denigrate their parents' opinions or values, much to the chagrin of their parents.

The change, from idealization as young children to separation and need for autonomy as teenagers, is a natural stage of development.  Of course, it's all a matter of degree.

When people come to therapy to deal with unresolved issues about their parents, it's usually because there are negative feelings that are lingering about their parents.   They want to experience a resolution to these feelings so they don't continue to experience the resentment, which is eating away at them, for the rest of their lives.

There are many reasons why people have longstanding resentment towards one or both parents.  Sometimes, children grow up feeling disappointed in their parents without really understanding what's going on for the parent at that time.

In cases where there are more serious issues, like parental abuse, which I won't be discussing in this article, clients need trauma therapy.  See my articles on this topic:

Overcoming the Psychological Effects of Childhood Sexual Abuse
Resolving Childhood Trauma to Lead a More Fulfilling Life as an Adult
Adults Who Were Emotionally Neglected as Children Often Have Problems Trusting Others

From a Negative Psychological Perspective to a New More Integrated Perspective
In this article, rather than dealing with abuse, I'm focusing on a particular issue that involves disappointment and resentment towards a parent when the child sees the parent as inept.

The focus will be on a psychotherapy client who began therapy with a negative perspective about his father and who was able to develop a new, more integrated  psychological perspective.

In the example that I give in the vignette below, the client is able to work through these issues in therapy. As always, this vignette is a composite of many psychotherapy cases and has no identifying information about  any particular clients:

Roger
Roger was an engineer in his early 30s.  When he came to my psychotherapy private practice in NYC, he was filled with anger and resentment towards his boss.  He feared that his resentment might eventually cost him his job if it became apparent to his boss.

Developing a New Psychological Perspective About Your Parents After They're Gone

In general, Roger had problems with male authority figures throughout the course of his life.  Now that he was in his 30s, he recognized that his anger towards his current and prior supervisors was out of proportion to the situations involved, and he didn't understand it.

As we discussed his family history, it became apparent that Roger also had lifelong anger and resentment towards his father, Dan, who had died suddenly of a heart attack several years before.

Roger's main complaint about his father was that he was disappointed in his father and he saw his father as inept.

As a young boy, Roger longed for his father to be his hero.  He wanted to be able to look up to his father like other boys did but, instead, he felt consistently disappointed in his father.

Most of Roger's memories about his father were about his father being inept in some way.  He thought of his father as being a kind, well-meaning man, who "just couldn't get it right."

He described many situations where his father tried to work on a household project, but he fumbled around instead.  Inevitably, Roger's mother would have to take over in order to complete the project.  Roger knew that his mother felt disappointed and resentful, and he sympathized with her.

Dan also had difficulty concentrating and would often "space out" when he was trying to help Roger with his homework.   Then, his mother, who became exasperated, would have to take over.

Roger was also aware that his father would often shout in his sleep during his frequent nightmares.  Then, his father was up for the rest of the night pacing around the house before he could go back to sleep again.  But Dan never wanted to talk about his nightmares or what was bothering him.

There were days when Dan couldn't go to work at the retail business, which was owned by Dan and his brothers, because he was too tired and shaken up by his poor sleep.  Fortunately, his brothers, although somewhat impatient, made allowances for Dan and they shared the profits of the business with him equally so that he never suffered financial consequences from his inability to work.

But Roger knew, even as a young child, that his father felt humiliated and upset by what Roger and other family members saw as Dan's ineptitude.

Roger also sensed that his father had no understanding of why he was having these problems.  Throughout his educational history, Dan was always at the top of his class, so it was clear that he was an intelligent man.  It made no sense to Dan and to anyone else that he would be having these difficulties.

When he was a young child, Roger's feelings for his father vacillated between sadness filled with longing and intense anger.  Each time Dan embarked on a new endeavor, Roger hoped that his father would be successful but, more times than not, Roger was deeply disappointed.

As he got older, Roger struggled with his resentment for his father.  He could hardly look at his father without feeling angry.  He tried to hide these feelings from his father because he didn't want to hurt his feelings, but he knew that his father was aware it.

Roger described his father as "a broken man" who sank deeper and deeper into depression just before he died.  And, after Dan died, Roger was left with many conflicting feelings about his father.

As we continued to talk about his father and his current boss, it became apparent to both of us that there were many parallels in his feelings about them.  He described his boss as a bumbling, incompetent man, which is also how he described his father.

But he also felt guilty for feeling this way about his father and wished he could let go of his resentments, especially now that his father was dead.  He regretted that he didn't come to some resolution before his father died.

It occurred to me, as I heard more about his father from Roger, that there was an important part of Dan's history that Roger didn't understand.

Roger knew from his mother, Betty, that his parents were "going steady" before Dan was drafted into the Army and sent to Vietnam.  They got married soon after Dan returned from Vietnam.  However, his mother told Roger that she realized soon after they got married that Dan wasn't the same man after he got back from the war.

As we continued to talk about his Dan's history, it seemed to me that Dan might have been suffering with untreated post-traumatic stress disorder (PTSD) from the horrific experiences he endured during the war.

After I mentioned this to Roger, he asked his mother about it and, reluctantly, she told Roger that Dan was, in fact, diagnosed with post-traumatic stress disorder when he came back from Vietnam, but he never wanted to go for psychological help.  She also didn't understand this diagnosis and how it affected Dan.

She said that all she knew was that before Dan left, he was an intelligent, capable individual, and after he came back, he was struggling to deal with basic things in their lives.

With this new understanding, Roger was able to look back on his father's life and his relationship with his father and see them in a new way.
Roger Developed a New Psychological Perspective 

Roger was able to develop a different perspective about his father.  It all made sense to him now.  He felt a sense of love and compassion for his father that he had never felt before.  He regretted that he didn't know this while his father was alive.

Over time, as we continued to work on this issue, he felt at peace with his feelings for his father for the first time.

He also realized that, even though his boss was somewhat incompetent, the depth of his anger for his boss was out of proportion to the situation and it was triggered by his unresolved feelings for his father.

Developing a New Psychological Perspective About Parents After They're Gone
One of the myths about psychotherapy is that clients spend years blaming their parents instead of taking responsibility for their own feelings.  The myth is that therapy clients keep going over the same material and getting nowhere in their own psychological development or in working through their feelings for their parents.

And, yet, in my experience this isn't the case:  Therapy clients can work out their unresolved feelings for their parents with the help of an experienced psychotherapist.

Developing a New Psychological Perspective About Parents After They're Gone
The ideal would be for someone to work through his or her issues about parents before parents die.   But, for a variety of reasons, regrettably, this isn't always possible.

But even though your parents might be deceased and you don't have a relationship with them in your everyday life, you still continue to have a relationship with them in your internal emotional world.

And just because they're not around any more, all is not lost in terms of developing a sense of peace about your relationship with your parents.  As in the vignette about Roger above, it's possible to see and understand things in therapy that you didn't see before.

And, in many cases, it is possible to develop a new internal relationship with a parent even after he or she is gone.

Getting Help in Therapy
Struggling with unresolved feelings for parents can be complicated, especially after they're deceased.

Without your being aware of it, your unresolved feelings can have a negative impact on you and the other relationships in your life.

Getting Help in Therapy: It's Possible to Grow and Develop  a New Psychological Perspective

Rather than continuing to struggle with these feelings, you owe it to yourself to get help from a licensed mental health professional who can help you to work through these issues and develop a new psychological perspective that gives you a greater sense of well being.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works 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, January 29, 2014

Enhancing Solutions to Your Problems With Clinical Hypnosis

When people come to therapy to work out emotional problems that they've been struggling with on their own, in many cases, they don't realize that they actually have the solutions to their problems within themselves.  Clinical hypnosis, also known as hypnotherapy, gives therapy clients an opportunity to access and enhance these solutions.

With the help of an experienced hypnotherapist, who knows how to help therapy clients to gain access to internal solutions to their problems, clients often gain access to internal resources that they have either forgotten about or never realized that they had.

While this might not work for every client and for every problem that clients bring to therapy, it works more often than most people realize.

As an example of how clinical hypnosis can be helpful in this way, the following composite vignette, which has all identifying information changed to protect confidentiality, illustrates this point:

Ed:
Ed, who is a writer, came to therapy because he had "writer's block."  He had already received an advance for his book and he was worried that he wouldn't meet the deadline that he and his publisher had originally agreed upon.

Accessing and Enhancing the Solutions With Clinical Hypnosis: Writer's Block 

The more Ed worried about meeting the deadline, the more "blocked" he felt in his writing.  He described spending hours staring at his computer trying to will himself to begin writing.  But he felt like he had nothing worthwhile to say, even though he was considered an expert in his field.

At those times, Ed described "feeling like a fraud" who had duped other people into believing that he knew what he was talking about.  During those times, he was in constant fear that people would find out that he really wasn't who they thought he was, and then his career would be over.

He described feeling an "old tape" play over and over again in his mind which sounded like his  father's voice saying, "Who do you think you are acting so important!?! No one wants to hear what you have to say."

Even though he had never experienced hypnosis before in his life, Ed agreed to give it a try. Before we began, I explained, as I often do when a client has never experienced hypnosis, that Ed would be in control of his experience the entire time, so that he could stop at any time.  I also explained to him that he would be in a relaxed state where he would maintain a dual awareness of the here-and-now as well as whatever came up during the hypnosis session.

Since Ed was an experienced writer, this wasn't the first time that he was drawing a blank when he sat down to write.  It had happened to him many times before when he was trying to write magazine articles.  But Ed felt that this was different because his assignment involved writing a book and this seemed like a much more daunting process.

Prior to beginning hypnosis, I asked Ed what he had done in the past that helped him when he felt blocked while writing a magazine article, but Ed didn't think he had done anything special to overcome his other experiences with "writer's block."

But when he was in a relaxed hypnotic state, Ed remembered that during those other times, he was, in fact, active in overcoming his block and he remembered what he did:  Instead of conjuring up his critical father, like he was doing for his book assignment, he thought about his college professor from his writing class, who praised and encouraged Ed's writing.  He lifted Ed's spirit and helped him to believe that he had it in him to become a writer.

During hypnosis, Ed remembered how proud he felt when he could say, "I'm a writer" and feel good about it.  He attributed this new found self confidence at the start of his writing career to the encouragement from his professor, who became his writing coach and mentor.

Although his mentor wasn't around any more, Ed could still re-experience the joy he felt during the hypnosis session that someone as esteemed as his mentor had confidence in him.

Accessing and Enhancing the Solutions With Clinical Hypnosis

Using hypnosis, I helped Ed to amplify and deepen this experience with a post hypnotic suggestion so that he could access this empowering experience whenever he needed it.  After several sessions, Ed was writing again and his ideas were flowing.  He was able to look at the book as a series of chapters, similar to the magazine articles that he wrote, instead of becoming overwhelmed that it was a book.

At that point, Ed could have left therapy because his presenting problem was resolved, but he was fascinated by the hypnotherapy process and he decided to remain to work through the trauma of having a hypercritical father.

Accessing and Enhancing the Solution With Clinical Hypnosis
The reason why Ed and other therapy clients are able to access and enhance internal resources using clinical hypnosis is that hypnosis allows them to enter into a receptive state where they are more open to discovering internal solutions.

In the particular example that I gave about Ed, there was a direct relationship between what he did in the past to overcome "writer's block" to what he could do now to overcome the same problem.  But it's often the case that therapy clients discover in hypnosis that they can use internal resources that they used for completely different problems to overcome a current problem.

For example, a woman who showed courage in the past by confronting a bully at her high school was able to access the same courage, which was already a part of her, to ask her boss for a raise.

In a hypnosis session, she was able to access that same courageous self state that wasn't accessible to her during ordinary consciousness.  She could feel it on an emotional and physical level and, with hypnosis, we were able to deepen and amplify the connection that she felt to this self state so that she could use it in her current situation.

The Importance of the Client-Hypnotherapist Rapport
Just like any other type of therapy, clinical hypnosis works best when there is a good rapport between the client and the hypnotherapist.  This usually doesn't happen the first time that they meet in the therapist's office.  It takes time to build a rapport of trust and safety.

Getting Help in Therapy
If you feel stuck with a problem that you've tried, without success, to work out on your own, you could benefit from seeing an experienced hypnotherapist.  During the initial sessions, the hypnotherapist would gather information about the presenting problem as well as your personal history and determine whether you can be helped by clinical hypnosis.

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 overcome the obstacles that  kept them from living a fulfilling life.

I also work adjunctively with clients who have primary therapists who are not hypnotherapists.

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

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


















Monday, January 27, 2014

Looking at Your Childhood Trauma History From an Adult Perspective

As a psychotherapist in NYC, one of my specialties is working with adults who are experiencing psychological trauma.  For many clients, their history of trauma stems from psychologically overwhelming events that occurred when they were children.  While working through childhood-related psychological trauma isn't easy, many therapy clients are grateful to discover that they often develop a more nuanced view of their childhood trauma that gives them a broader perspective.

Looking at Your Childhood Trauma History From an Adult Perspective

Becoming an adult provides an opportunity to develop a greater emotional capacity to deal with adversity, including a history of emotional trauma.

Life experience and the awareness that you have overcome challenges in your life in the past often increases your confidence that you can overcome current and future challenges.

You might also have a more mature and nuanced perspective about your childhood trauma now as compared to when you were going through it as a child.  For some people, this perspective is mostly an intellectual as opposed to a more integrated emotional understanding.

Sometimes, people don't develop this more nuanced perspective about their  childhood trauma history until they start processing their emotional trauma in trauma therapy.  When this happens, in some cases, certain aspects of their history can be quite surprising in a positive way.

Some clients discover that they're able to recapture positive aspects of their childhood that they had originally thought were "all negative."  When this happens, it's often an opportunity to have a more balanced view of a childhood history that, initially, seemed "all bad" to the client.

The following composite vignette, with all identifying information changed, illustrates this point:

Ann
Ann, who was in her late 20s, came to therapy because she had difficulty in her romantic relationships with men.

Ann had been in psychotherapy before, and she had some insight that her feelings about her father  had an negative impact on her ability to be in a relationship with a man, but knowing this was of little help to her when she started a new relationship.

Looking at Your Childhood Trauma History From an Adult Perspective

She felt a sense of despair that "men are no good" and she would never find anyone with whom she would have a lasting relationship.

On an intellectual level, Ann knew that there had to be men who were loving, kind and emotionally attentive.  But, deep down on an emotional level, she didn't feel it.

Initially, Ann told me that her father never loved her.  As we talked about her relationship with her father, Ann described him as "irresponsible" and "selfish" for leaving her and her mother when she was five.  From her perspective,  he only made "obligatory visits" and she didn't know why he even bothered since she was sure that he didn't love her.

At first, Ann said that she no longer felt hurt about her history with her father, but the painful look on her face told a different story.

She said she had talked about this in her prior therapy and she felt that "it is what it is" and there was nothing more she could do to change it.  She told me that she accepted her history, and she felt that she had "moved on" with her life.

And yet, she said, she just couldn't understand why it was still affecting her now in her relationships with men.

Ann agreed to explore her childhood history with her father with EMDR and, after preparing to do EMDR, Ann chose a childhood memory about her father that stood out in her mind.

The memory was of Ann, at age six, sobbing as her visit with her father was about to end because he had to leave.

Initially, she couldn't remember the context of this particular memory, but she had a sense that she often sobbed when her father was about to leave and she would beg him not to go.

At first, Ann said that, although she remembered this memory, which could have represented many similar memories, she didn't have any particular feelings about it now.

But when I asked her to sense into her body as she thought about this memory, she was surprised to realize that her face and stomach muscles were tight, her fists were clinched and her heart was pounding.

Since she had never had the experience of sensing into her body to become aware of emotions, she was surprised, so I normalized Ann's response and provided her with psychoeducation about the mind-body connection and how we often hold emotions, including emotions from past trauma, in our bodies.

Based on her physical reaction to remembering this memory, she realized that this memory was affecting her more than she would have thought.  But she still couldn't identify the emotions that she felt related to the memory.

So, we continued to process the memory with EMDR and, as we continued to work on the memory, she discovered, based on her physical reaction, that she was a lot more angry about the memory than she realized and she was holding a lot of this anger in her face, stomach muscles, her hands, and in her chest.

Over time, as we used EMDR in our therapy sessions and she focused on the emotions that she felt in her body, Ann was also surprised to discover that she still had a lot of sadness about this memory that she had not been in touch with before we started doing EMDR and before she became more attuned to what was going on in her body on an emotional level.

Ann had cut off her relationship with her father when she was 17.  And, during the first few months of EMDR therapy, Ann continued to berate her father as being "all bad" and praise her mother as being "all good."

She saw her mother as being the nurturing one who sacrificed her life to take care of Ann after the father abandoned them.

Although she wanted to be in a happy, loving relationship with a man, she just didn't see how this was going to happen since every man that she had ever dated turned out to be a disappointment.  She felt that if she had another disappointing romantic relationship, she just might not be willing to try again with someone new.

Over time, as often happens in EMDR, Ann's memory networks began to open up to other memories about her father.

One day, during an EMDR session, she was shocked to remember that she and her father used to spend time during some of his visits making brownies and how much she loved making brownies with her father.

Remembering these happy memories about baking brownies with her father brought up a mixture of happiness and sadness at the same time.  She was surprised and happy to feel how delighted she had been as a child to have these experiences with her father, but she was also sad to remember how disappointed she felt when those visits ended because her father had to leave.

As other happy memories emerged over time during our EMDR work together, Ann came to realize, much to her surprise, that all of her memories about her father weren't all bad.  And, in fact, she had many happy memories, and her sadness about feeling abandoned by him had overridden these memories in an "all or nothing" way.

Ann described her experience of remembering these happy memories as if she was going back to see herself and her father when she was a child.  And, as an adult, she could see and feel things that she didn't remember before.

Gradually, as Ann continued to process childhood memories related to her feeling abandoned by father, she developed a more nuanced perspective about her history that she didn't have before.

This motivated Ann, who felt no curiosity prior to this, to find out why her father left when she was a child.  She started by asking her mother, who never talked about the separation before.

As she expected, her mother was reluctant and uncomfortable at first, but Ann persuaded her mother that it had become important to her to know what happened back then.

So, reluctantly, her mother told her that she was the one who asked Ann's father to leave the household because she had fallen in love with another man.  She told Ann that her father didn't want to leave, but he acquiesced to her wishes.  She said that the relationship with the other man didn't work out, and she realized that she had made a mistake in ending her relationship with Ann's father but, by then, it was too late because Ann's father was too hurt and he didn't want to get back together again.

Ann's mother told Ann over and over again that her father's departure had nothing to do with Ann, he didn't want to leave, and that Ann's father had always loved Ann.

Then, her mother apologized to Ann because she knew that Ann was deeply hurt by this separation.  She apologized because she knew that Ann blamed her father and this led to Ann cutting off her relationship with her father.  She said she just couldn't bring herself to tell Ann before this.

Although she looked ashamed to admit these things to Ann, she also looked somewhat relieved that Ann knew the truth now.

Ann was so shocked by this turn of events that she needed time in therapy to absorb what her mother told her.  Ann had always assumed that her father left the household because he didn't care about her and her mother any more.  To hear her mother say that she was the one who asked her father to leave was totally unexpected.

Hearing her mother reveal the truth also made Ann realize that she had been going along all this time with a limited understanding about what happened--even as an adult.

Over time, she was able to forgive her mother.  And, with much fear of being rejected, she contacted her father.  Much to her surprise, he responded with delight and they reconnected for the first time in more than 10 years.

The first time that they met for coffee was awkward, but subsequent visits became easier.  During one of their visits, her father brought pictures of Ann as a child that he held onto and cherished, which was deeply moving to Ann.

Looking at Your Childhood Trauma History From an Adult Perspective: Ann Reconnected With Her Father

After a while, they were able to talk about what happened when Ann As a child.  And, as Ann let go of her resentment and anger, she developed a sense of compassion for each of her parents.

Ann also developed a broader perspective than she ever had before.   She came to recognize and accept that her parents were human and had certain flaws, like many other adults in similar situations.

As Ann worked through her childhood history, which had been getting emotionally triggered in her romantic relationships, she made better choices when she began dating men again.  Her perspective about men changed.  And, after she opened up more emotionally, she eventually met someone that she cared about deeply and who cared about her.

Developing an Adult Perspective About Childhood Trauma
Childhood psychological trauma often keeps people stuck on many levels. The most obvious level where people get stuck is on an emotional level.

When you try to work out childhood psychological trauma on your own, it's usually hard to see that your perspective could be stuck at a child-like level.

It's normal, on a developmental level, for young children to have an "all or nothing," "good or bad" or "black and white" view of things that happen to them.  They don't have the capacity to tolerate ambiguity and to see "grey."

Adults usually have a greater capacity to tolerate ambiguity and develop a more complex perspective.  This capacity is often enhanced in trauma therapy.

Adults, who experienced trauma as children, sometimes have an intellectual understanding that what happened to them was complex, but their intellectual understanding doesn't always develop into an emotional understanding that allows them to make changes.  In other words, they understand it with their head but not with their heart.

The vignette above is only one example of how an adult, who is processing trauma, is able to develop a more complex emotional understanding of childhood trauma.  There are many variations on this theme that I have seen working with clients on their trauma.

And, of course, for some people, depending upon the circumstances, it's not possible or even advisable to have a reconciliation.

Fear of Unmanageable Emotions Coming Up in Trauma Therapy
In order to overcome childhood trauma, a client has to be willing to be open to this exploration in therapy.

People, who have experienced trauma, often avoid going to therapy because they fear that something negative might come up unexpectedly that they're not prepared to handle.

Often, without realizing it, they fear what has already happened.  In other words, they fear that by working on the childhood trauma they will experience the same kind of fear they experienced as children.  They don't know or forget that, as adults, they have a greater capacity to deal with these memories than they did as children.

To help prepare clients in trauma therapy, I place a high degree of importance on the resourcing stage of EMDR which helps clients to develop the coping skills to deal with the emotions that come up when processing trauma.

Getting Help in Therapy From a Trauma Therapist
Getting help for unresolved psychological trauma takes courage.  Often people wait until the emotional pain of their trauma outweighs their fear of getting help.

Getting Help in Therapy From a Trauma Therapist

Rather than waiting for your emotional experiences to get worse, you owe it to yourself to get help from a licensed mental health professional who has expertise in working with trauma so that you can free yourself from a history that has become an obstacle to leading a more fulfilling life.

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

I also work adjunctively with clients who have primary therapists who aren't trauma therapists.  

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, January 25, 2014

Why Is It That It's Often the Healthiest Person in a Dysfunctional Family Who Goes to Therapy?

It's not unusual for the one person who comes to therapy from a dysfunctional family to get scapegoated by the family into feeling like she or he is the unhealthy one in the family.

Why Is It That It's Often the Healthiest Person in a Dysfunctional Family Who Goes to Therapy?

Often, other family members point to this person as the one who has the most problems because s/he is attending therapy.  But, in fact, the person who goes to therapy from a dysfunctional family is often the healthiest person in the family.

Why Is It That It's Often the Healthiest Person in the Family Who Goes to Therapy?
Let's understand, first, that by saying that it's often the healthiest person in a dysfunctional family that goes to therapy, it's understood that this is a generalization and it's not always true.

But, having said that, it is often the case because the person who recognizes that s/he needs help is, at least, aware that there is a problem that s/he can't overcome alone, and s/he wants help from a licensed mental health professional to make changes.

In an earlier article, I discussed The Role of the Family Scapegoat in Dysfunctional Families, which is an important concept in order to understand why family members often turn on the healthiest person in the family who seeks help in therapy.

When someone, who is part of a dysfunctional family, seeks help from a psychotherapist, the other family members often feel that this person is being disloyal by airing the family's "dirty laundry," and they often feel worry that the therapy will upset the tenuous "equilibrium" that has been established in the family and upset the status quo (see my article:  When Family Loyalty Gets in the Way of Your Psychotherapy Treatment).

I usually find that a composite vignette, helps to clarify the subjects that I discuss in my articles.   As always, this is a composite of many different cases with all identifying information changed to protect confidentiality:

Jane
When Jane was growing up, no one in the family talked about uncomfortable feelings.  They also didn't talk about Jane's older brothers, Bob and John, who were drinking, getting into trouble at school, and getting arrested for disturbing the peace.

Jane's parents blamed their sons' schoolteachers, the principal, their neighbors, and the police, and they refused to acknowledge that their sons had problems.

Despite the trouble that their sons were getting into, they refused to acknowledge that there was anything wrong at home or that they could or should do anything about the problems.

Whenever other family members, like Jane's uncles and aunts, would try to point out to her parents their sons' problems were escalating, the parents made excuses and refused to believe it.

As a result, Jane learned to keep her feelings to herself and she also tended to ignore her brothers' problems, even if one or both of them came to the dinner table drunk.

After Jane's oldest brother, Bob, died in a car accident, her parents and John focused on suing the other driver, who was not hurt, and the police for "not doing their job."

But a toxicology report revealed that Bob, who was not wearing a seat belt, had twice the legal limit of alcohol in his system and he was the one who rammed into the other driver.

Jane's parents' denial was so strong that they refused to believe the toxicology report.  They wanted "someone to pay" for the loss of their son, but they couldn't find an attorney who was willing to take the case, so they gave up in frustration.

At that point, Jane was living on her own.  When she heard about the toxicology report, she had enough physical and psychological distance from her family to begin to realize just how much her parents and brother were in denial.

She also realized that she had been in denial all of her life about the dysfunctional nature of her family.

After Bob died, Jane tried to talk to John about his drinking, but he didn't want to hear it.  He dismissed her concerns and told her he could control his drinking at any time.

Jane's parents also became upset with her when they found out that she was trying to talk to John about his drinking.  They also refused to talk about Bob's death.

This resulted in a big argument between Jane and her parents and, even though she loved them, Jane decided to take a break from her family.

Jane knew she needed this time away from her family to grieve the loss of Bob and to think about what had been going on for her all of these years while she was living at home.

After Jane's best friend recommended that Jane get help, Jane started therapy.

Working in therapy, Jane soon discovered that, even though she was more willing than her parents and brother to deal with her feelings of loss and confusion, she was also fairly shutdown emotionally.
She realized that she had been numbing herself emotionally for years and there were times when she didn't know how she felt.

Working with Jane, I helped her to develop the necessary coping skills to deal with the feelings that she had been blocking for so long.

After we worked on coping strategies, I helped Jane to connect with her dissociated emotions by helping her to pay attention to what was going on in her body.

Gradually, she was able to identify her emotions based on what she was feeling physically in her body.

When Jane decided to reconnect with her family, against her better judgment, she told them over dinner that she was in therapy.  She hoped that they might consider going to therapy too.

John left the table abruptly knocking down his chair as he walked out of the house.  Jane's parents remained silent.

But later on, while Jane was washing the dishes, her father told her that he had always felt that, out of all of his three children, she was the one who was "too sensitive," and she needed to learn to "toughen up."  He also told her that he didn't "believe" in therapy.

When Jane tried to tell him that she thought he was in denial about Bob's and John's problems, her father was outraged and said he couldn't believe she was saying this to him.

Why Is It That It's Often the Healthiest Person in a Dysfunctional Family Who Goes to Therapy?

Jane's mother remained silent for a while.  Then, she told Jane that she knew something was wrong with Jane when Jane tried to tell them that Bob and John had problems.  She told Jane she couldn't understand why Jane would say this, and it indicated to her that Jane was the one who had the most problems in the family.

As she spoke, her mother's voice escalated until she was shouting.  She told Jane that she couldn't believe that Jane was giving money to "some quack" and saying negative things about the family in therapy.

At that point, Jane was angry and humiliated.  Once again, she took a break from her family because she realized how unhealthy it was for her to be around them at this point.

Even though she was in therapy, she was just at the beginning stage of therapy and she didn't feel that she had consolidated the gains she had made so far.  She needed time to work on herself without her family's criticism and distorted views.

During Jane's next session in therapy, she was able to process her emotions about her family's reactions to her being in therapy.  Even though it was painful to feel these feelings, she was still relieved to be able to feel them instead of pushing them down.

Over time, Jane felt more confident in herself and the gains she made in therapy.  Since she still loved her family and she didn't want to remain estranged from them, she worked in therapy on how she could have them in her life while taking care of herself at the same time.

Jane realized that she couldn't change her family and it was useless to try.  All she could really do was to change herself and try to accept them as they were.

At the same time, she didn't want to feel emotionally abused when she went to visit her parents, so when she called them, she set some boundaries with them:  She wouldn't try to convince them to change how they felt, and they would agree not to tell her that she was the one who had the most problems in the family.

Jane's parents and John missed her so they agreed to keep their feelings about Jane's therapy to themselves.  Jane knew there was no perfect solution and she was resigned that this was the best that they could do.  So, when she went for visits to see her parents and her brother, everyone, including Jane, kept to the agreement.

A few years later, Jane got a call from her mother and, in a somewhat awkward tone, her mother revealed that she had recently found out from a friend that she really admired that this friend had been helped in therapy.  She talked about how shocked and dismayed she had been at first to hear that her friend was in therapy.  But, over time, her friend was persuasive in convincing her that she had been helped in therapy.  And, her mother said, she had to admit that she saw positive changes in her friend.

Jane knew that this was her mother's way of apologizing to her, and she felt relieved that her mother was starting to become more open minded.

In the meantime, Jane felt that she benefited from grieving the loss of her brother and regaining a part of herself that she had lost during all of those years that she was pushing down her emotions.

It's Often the Healthiest Person in a Dysfunctional Family Who Goes to Therapy

She realized now that by numbing the uncomfortable feelings, she was also numbing all of her feelings, including any positive feelings.

Having worked through this issue in therapy for herself, she now had access to a range of emotions that she had been denying before, and she felt more alive than she had ever felt.

Focusing on Yourself Rather Than Trying to Change Your Family
It's a common experience that when someone from a dysfunctional family gets help in therapy, s/he wishes that the rest of her family would get help too.

Even though this longing often comes with the best of intentions, it often backfires in families that aren't ready to hear this.

Maintaining the status quo in the family often becomes paramount, even if it means pathologizing the healthiest member of the family.

Their rationale is often:  "If you're going for help, there must be something wrong with you" or that the family member who is going to therapy is being duped in some way by the therapist.

Another accusation that families make is that people who seek help in therapy are "weak" (see my article:  Common Myths About Psychotherapy: You're Weak If You Go to Therapy).

Although some families come around after a while, especially if they discover that someone that they admire outside of the family is attending therapy (as in the vignette above), many family members never change their minds in terms of identifying the person who is getting help as being the emotional "weak link" in the family.

Under those circumstances, usually, the best thing that you can for yourself is to focus on your own psychological development in therapy and not try to change your family.

As an adult, you might also want to consider whether you want to reveal that you're in therapy and, if you do, if you can deal with the potential criticism and hostility that might come from your family.

Only you can decide what's best for you, but many therapy clients learn a sense of self preservation under these circumstances and, in many circumstances, they learn to have a sense of compassion for their family members.

Getting Help in Therapy
If the vignette about Jane resonates with you, you could benefit from getting help from a licensed mental health professional who has experience dealing with this issue.  Although getting help might bring certain challenges with your family, the benefits, including leading a more fulfilling life, usually outweigh the challenges.

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 who come from dysfunctional families to lead happier, 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.







































Tuesday, January 21, 2014

Untreated Emotional Trauma is a Serious Issue: Part 5: Overcoming an Impasse in Trauma Therapy

Prior to writing this article about overcoming an obstacle in trauma therapy, I wrote Parts 1-4 about untreated emotional trauma, including:




 Starting to Process the Trauma in Therapy






Overcoming an Impasse in Therapy

In this article, I'll focus on what happens when there is an impasse in trauma therapy because of a client's blocking belief that becomes obstacle that develops in treatment.

Joe:
Continuing with the same composite vignette about Joe from the prior articles on this topic, at this point in his treatment, Joe reached an impasse where he was unable to go any further with EMDR because he was blocked by a belief left over from childhood that caused him to feel ambivalent about overcoming the traumatic effects of the memory we were working on.

Overcoming Blocking Beliefs Which Become Therapeutic Impasses
Therapeutic impasses are frequent occurrences in therapy--no matter what type of therapy a therapist is using with a client.  When faced with a therapeutic impasse in therapy, the challenge is to find a way to overcome this impasse so the work can continue.

In the composite case that I've been writing about, as I mentioned in my last article, Joe had a blocking belief that, as a child, he had spared his mother a beating at the hands of his father by taking the beating himself.

So, the beating and the emotional impact of that trauma became almost like "a badge of courage" that Joe carried with him and that a part of him felt needed to remain as it was without changing.

As I mentioned in the last article, now that Joe was an adult, he realized that this childhood belief was a distortion, but knowing this on a rational level didn't help him to overcome the effect of this blocking belief.  He remained stuck.

Cognitive interweaves, which are often successful for many EMDR clients in helping them overcome this type of blocking belief didn't help Joe.  So, even though Joe had made a lot of progress in reducing his discomfort with the memory, we couldn't proceed any further with EMDR at that point.  In order to continue with EMDR eventually, we first had to deal with the blocking belief.

Working With a Self State That Carries a Blocking Belief
In order to overcome the blocking belief, I knew that we had to deal with the part of Joe that was still holding onto this belief.  So, I provided Joe with psychoeducation about the concept that we have many different aspects of self that all of us carry inside of us.

This type of work in therapy is often called parts work, ego states work or self state work, and there are many different ways to approach working with the multiplicity of selves that is in each of us.

Just a word to avoid confusion:  When I talk about parts or states of self in this context, I'm not referring to multiple personality disorder.  Rather, I'm referring to what we all experience at various points, which is the different aspects of ourselves that express themselves at different times.

In Joe's case, there were at least two self states that were in conflict:  There was the part of him that came to therapy and wanted to work through his trauma.  And there was also the other part of him, which originated when he was a child, that felt that overcoming this particular traumatic memory would be disloyal to his mother because he would feel that he was letting go of something very important that he did for her--namely, taking the beating from his father and enduring the emotional aftermath of that beating, which he saw as part of protecting his mother.

Helping a Client to Understand Self States

As human beings, we're complex creatures and, as most of us know, it's often possible to hold onto two opposing feelings at the same time.  And knowing, rationally, that one feeling is distorted often doesn't help to overcome it.  And, unless a person understands that this is a normal part of being human, s/he could feel like it doesn't make sense and s/he is "going crazy."

So, it was important to provide Joe with psychoeducation that having conflicting self states is a common experience, and rather than thinking of the younger self state as being something to be gotten rid of, we needed to do the opposite:  We needed to find out what that self state needed.  Only after we could determine what that self state needed could that self state begin to be integrated and stop creating obstacles.

As I've mentioned another article about self states, it's usually best to think of uncomfortable self states as having a purpose whose intention is benign.  Usually, the purpose is to preserve the self in some way, but this state, despite its good intentions, ends up having a negative impact.

In Joe's case, as he and I continued to work together, we discovered that this earlier self state's purpose was to feel that the beating he endured from his father was not in vain.  Even though he was powerless to stop his father from beating him, the feeling that he was protecting his mother helped to compensate for his feelings of powerlessness for himself.  And, this is what made letting go of this feeling so hard.

Fortunately, Joe was very motivated in therapy and he stuck with the process.

Using clinical hypnosis, I helped Joe to become more in touch with this earlier self state.  As we worked together on this, like most hypnosis clients, Joe maintained a dual awareness of the here-and-now (in the therapy room with me) as well as an awareness of his earlier self state, and he was completely in control of the process, which is very important to clients who have been traumatized.

Very often, by paying attention to an earlier self state and having a "dialogue" with it in terms of its well intended motives and what it needs, the self state ceases to be an obstacle.  And this is what happened with Joe.

After we did the parts work, this self state became a more integrated part of Joe's personality stopped being an obstacle in the work.

Then, over the next few months, we were able to process the traumatic memory we were working on by using EMDR once again, and Joe was able to work through the trauma.

As an aside, it's important to understand that self states are, by no means, always problematic.  There are times when we want to access certain self states that are positive, empowering and help to advance the therapeutic work (see my article: Reclaiming a Lost Part of Yourself).

Getting back to Joe:  After we worked through the traumatic memory, we went back to the other nine traumatic memories that Joe had brought in as part of the EMDR work.  There were a couple of other memories to work through, but most of the memories were cleared by working on the earliest memory that had the most emotional charge to it.

Then, as part of the EMDR work, we worked on the phase of treatment that deals with the Future Self, the way that Joe wanted to be now that he processed the trauma.  Not only did Joe want to feel more empowered in his life in general, but he wanted, specifically, to be more socially adept.  So, we began to work on this.

Gradually, Joe became less fearful of allowing other to get close to him.  Unlike how he interacted with colleagues before he came to therapy, he was able to relax more, interact more comfortably, and accept invitations from colleagues to go out socially when they got together after work, which improved his interpersonal relationships on the job.

Working Through Emotional Trauma

Eventually, Joe began dating a woman that he really liked and, after a year, they started living together and talking about getting married.

By working through his childhood trauma in therapy, Joe was no longer at the mercy of his traumatic history.  He was no longer affected by traumatic memories that held him back in his life.

The Mind-Body Connection in Trauma Therapy
The vignette about Joe that I've presented in these articles is an example of just one way of working with psychological trauma, and not all cases work in the same way.

As I've mentioned before in other articles, my experience as a trauma therapist has been that therapies that help clients to make the mind-body connection, whether they are EMDR, Somatic Experiencing, clinical hypnosis or other forms of mind-body oriented therapy, are the most effective in helping clients to overcome therapy.

Getting Help in Therapy
EMDR, Somatic Experiencing and clinical hypnosis are all mind-body oriented types of therapy that help therapy clients to overcome psychological trauma.

If psychological trauma has become an obstacle in your desire to lead to fulfilling life, you could benefit from getting help from a licensed mental health trauma therapist who can help you to work through the trauma so you can go on to live a happier and more satisfying life.

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

I also work adjunctively with clients who have primary therapists who are not trauma therapists.

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.