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Monday, November 3, 2014

Psychotherapy Blog: Are You Using Your Idea of "Positive Thinking" to Deny Your Problems?

As a psychotherapist, I'm all for people having a genuinely positive attitude about themselves and life.  I think that people who have a genuinely positive attitude, especially people who can reframe unfortunate things that happen to them as being meaningful, tend to be more resilient.

A Genuinely Positive Attitude About Life Can Help You to Be Resilient

While positive thinking can be a valuable tool to deal with life's challenges, using positive thinking to deny your problems is just another form of denial and is counterproductive (see my article:  Changing Coping Strategies That No Longer Work For You: Avoidance).

Using "Positive Thinking" as a Form of Denial and Avoidance

Over the years, I've seen many instances where psychotherapy clients use their idea of positive thinking as a form of denial, which keeps them from acknowledging and being proactive about their problems.

Rather than acknowledging and coping with their problems, they use their version of positive thinking to deny that they have problems or that they need to be proactive.

For many of them, it's as if acknowledging that they have problems makes them a "negative person," which, understandably, they don't want to be.

"Putting on a Happy Face" Doesn't Help When You're Life is Falling Apart

But "putting on a happy face" while your personal or work life is falling apart doesn't help.

No one would expect you to tell everyone you know about your problems.  But so many people come into therapy and, instead of being honest with themselves, they want to learn how to be "positive" in order to avoid coping with problems.

This isn't what adherents of positive thinking had in mind.

The following composite scenario is an example of how the idea of positive thinking can be used as a form of denial:

Ted
When Ted came to therapy, he said he wanted to learn to be a more positive person.  He felt that if he could learn to be positive, he wouldn't feel so filled with "negativity."

After hearing about his personal life, I could understand why Ted was feeling so badly:  He was burdened with high debt, and not only did he stop opening his mail, he also avoided taking the collection calls to his home phone.  He was heading down a slipper slope without even realizing it.

He felt that all he needed to do was to be positive and "the universe would provide."

When I inquired as to what he thought he could do, aside from whatever the universe might or might not provide, he didn't know what to say.

It became clear rather quickly that Ted's problem wasn't that he needed to be positive.  His problem was that he wasn't being realistic.  Instead, he wanted to pull the covers over his head, avoid dealing with his problems, and hope that "positivity" would take care of things.

In other words, Ted was so frightened by his problems that he only wanted to find a magical solution, like being positive, to make everything all right in his life.

Are You Using Your Idea of "Positive Thinking" to Deny Your Problems?

As Ted continued in therapy and we began to explore the difference between being confident and resilient while taking action to resolve problems  vs. just trying to be "positive," being passive, and hoping that his problems would disappear.

As time went on, Ted began to see that his fears were paralyzing him, and he wanted to take flight into a magical world where he could delude himself rather than being proactive and taking steps to deal with his problems.

As is often the case, Ted's fears stemmed from childhood memories of his family struggling to keep their heads above water financially.  This family history and the emotional trauma that went with it left their psychological marks on Ted.

Over time, Ted was able to work through his childhood trauma so that it no longer got triggered in his current situation.  This took time.

At the same time, he began to take steps to deal with his financial problems:

  • He hired an attorney to help him negotiate with his creditors.  
  • He went to Debtors Anonymous, a 12 Step program for people who spend compulsively and get themselves into debt.  
  • He also continued to come to his therapy sessions regularly.

As he took steps to deal with his problems, he felt reinforced and empowered to take additional steps.

This work wasn't easy or fast because Ted's sense of denial as well as his fear were strong.  There were times when he still longed for a magical solution to make all his problems go away.

This wish was understandable.  Would we all wish that someone could wave a magic wand and make problems go away?

The difference lies in seeing the wish for what it was.  In Ted's case it was a childlike wish from a time when he was younger and felt overwhelmed by his family's problems.

As an adult, when he felt gripped by this fear, he felt that all he needed to do was to recite affirmations and "be happy," and his problems would take care of themselves.

Whenever he would backslide, we would talk about whatever was getting triggered in him from the past and work through that issue.

Each time that this happened, we would explore what was underlying his magical wish, work through it, and then Ted would continue to make progress.

At the same time, instead of berating himself for having the wish, Ted learned to develop self compassion for the younger part of himself that was holding onto this wish.

Although he was learning in therapy to be compassionate for that younger part of himself, at the same time, he was also learning not to allow that younger part of himself to be in charge.

He learned that the adult part of himself had to be in charge at the same time that he acknowledged the hurt and pain of his younger self.

Progress in therapy is usually not like a straight arrow that begins and keeps going straight forward.

Progress is usually more like a spiral with two steps forward and one step back.  This is part of the therapeutic process.

Over time, as Ted learned to cope with his fears and to take action, he realized that he was feeling genuinely positive about himself.  His positive feelings were no longer a defense--they were real, and they were based on his experience of being proactive, feeling capable, and taking care of himself.

As Ted became more confident in himself and his ability to deal with his problems, he saw the real power of being positive.

Getting Help in Therapy
Understanding that the "power of positive thinking" doesn't mean being passive or hoping that something external will resolve problems is often a difficult concept for people, who use this defense mechanism, to see because the wish for something magical is so strong.

Without the help of a licensed mental health professional, people who use this defense mechanism often double down and think they just need to "try harder" to make positive thinking work for them.  But, in the meantime, their problems, left unattended, get worse.

Getting Help in Therapy

If there are times when you can see that you're using your idea of positive thinking as a way to avoid dealing with your problems, you could benefit from working with a licensed mental health professional who can help you work through the fears underneath your denial.

A licensed mental health professional can also help you to learn to be compassionate with yourself so you can start being proactive to overcome your problems and feel genuinely positive about yourself.

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.







































Sunday, November 2, 2014

Learn to Communicate More Effectively in Your Relationship

In my prior articles,  The Importance of Active Listening and Are You Having Problems Communicating in Your Relationship?, I outlined some of the communication problems that couples often have in their relationship and the mistakes that they make that get in the way of effective communication.

As I mentioned in a prior article, it's a good idea, before criticizing your spouse, to take a look at your style of communication first to see if you're making some of the most common communication mistakes, which I outlined in that article.

Communicating Effectively in Your Relationship

In order to clarify the issues that I discussed in my prior articles, I'll give a fictionalized scenario, which is a composite of many different cases with all identifying information changed (to protect confidentiality).  This fictionalized scenario includes some of the common communication problems that couples have:

Sharon and Bill
Sharon and Bill came to couples counseling because, after five years of marriage, they were considering separating due to their frequent arguments.  When they weren't arguing, they often ignored each other and just coexisted in the same household.

Communicating Effectively in Your Relationship

Sharon's complaint was that she felt that Bill didn't listen to her.  Bill responded that Sharon was too critical and she tended to bring up old problems that he felt they had already resolved, and this made him feel overwhelmed.

Sharon countered that she wouldn't feel it was necessary to keep bringing up old issues if the current issues didn't feel so much like the old issues.

After several minutes of each of them pointing their fingers at each other, I reminded them of one of the ground rules that we discussed at the beginning of the couples counseling session, which was that each of them would speak from his or her own experience rather than making accusations.

Communicating Effectively in Your Relationship

After they each took deep breaths to calm down, I asked them to try an exercise:

Each one of them would take a turn in speaking from his or her own experience, without accusations.

The role of the person who was speaking was to get to the point without a long monologue and with as much compassion and empathy as he or she could muster for the other person and without accusations.   He or she had to communicate in a respectful way without using generalizations or speaking in a demeaning or manipulative way.

The role of the person listening was to listen actively--without interrupting.  As I mentioned in a prior article, active listening is an important skill that many people in relationships need to learn.

Active listening involves really hearing what the other person says and empathizing with the other person's point of view even if you don't agree with it.

In other words, you place yourself in the other person's shoes, if only for a few minutes, to try to understand the other person.  You focus completely on the other person. You're not waiting impatiently for the other person to stop talking so you can respond back.

Both roles, the role of the one speaking and the role of the one listening, can be challenging, especially if you and your spouse are stuck in certain negative communication habits.  But I think the role of listening actively is the most challenging because it's hard to put aside your own feelings sometimes, even for a moment, to consider your spouse's point of view, especially during a heated conversation.

Like many couples, Bill and Sharon had difficulty with this exercise and they needed a lot of practice.  Both of them felt frustrated and annoyed, and we needed to stop to help them focus on what the purpose of their seeking couples counseling was all about.

Was it more important to "win" the conversation by out talking or out maneuvering or was it more important to improve their relationship?

When each of them calmed down, they agreed that they wanted to improve their relationship because they each feared that it wouldn't last if it kept spiraling down the way that it had been.

I asked them to take turns at home practicing the exercise they learned in their couples counseling session.  I also asked each of them to keep a journal of their experiences in counseling and at home.

I also met with each of them individually for a session to find out if there was anything brewing under the surface that either of them were hesitant to talk about in the couples sessions.  

In addition, I used the individual sessions to get each of their family histories to see if there were any old family patterns that were repeating themselves in their relationship.

Fortunately, there weren't any issues that either of them wouldn't talk about in the couple sessions.  However, both Bill and Sharon were repeating patterns, without even realizing it, that their parents engaged in.

When we talked about the reoccurring patterns from one generation to the next, it was an eye-opening experience for both Sharon and Bill.  They were each both surprised and dismayed that they were repeating patterns that they disliked in each of their parents' marriages.

Of course, this is very common, but once people become aware of the patterns that they're repeating, they have an opportunity to change them (see my article:  Discovering that You've Developed the Same Traits that You Disliked in Your Parents).

There was no magic bullet for Bill and Sharon, but they made a commitment to change, they came regularly and they used the tools that they learned in couples counseling to improve their relationship.

Communicating Effectively in Your Relationship

Over time, they improved their communication and recommitted themselves to their relationship.

Changing Patterns in a Relationship is Challenging
Change can be challenging.

Change can be especially challenging if patterns in a relationship have become ingrained and they are part of a dynamic that is intergenerational.

When intergenerational patterns are involved in a relationship, not only is the couple in the room with the therapist but, figuratively speaking, their parents and, maybe, even their grandparents and great grandparents are "standing in the room" right behind them.

Being in an intimate relationship often brings up core issues in a way that usually doesn't happen with other relationships that aren't as close, which is another challenge.

Making changes in a relationship requires a commitment from each person to look at his or her own dynamic and a willingness to stick with couples counseling to improve their relationship.

Getting Help in Couples Counseling
Longstanding communication problems in a relationship don't get solved in a few sessions.  It takes time, patience and a lot of self compassion as well as compassion for your spouse to work through ingrained problems.

Unfortunately, too many couples wait until it's too late to get help.  By the time they come to couples counseling, there's been too much damage to their relationship and one or both of them wants out.

The chance for success in couples counseling is greater if the couple comes to counseling sooner rather than later.

If you and your spouse want to make changes in your relationship, you could benefit from seeing a licensed mental health professional who has experience working with couples and who can help to facilitate positive change.

Don't wait until your problems become irreconcilable.  Get help from a couples therapist who can help you to have a happier, more meaningful relationship.

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

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

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






































Monday, October 27, 2014

The Importance of Active Listening in Your Relationship

In my prior article,  Are You Having Problems Communicating in Your Relationship,  I began a discussion about communication problems in relationships.  I focused on common communication problems that people often make when they speak to their spouse or partner.  The focus of this article is the importance of active listening, which is a challenge for many couples.

The Importance of Active Listening in Your Relationship


What is Active Listening?
While learning to speak to your spouse or partner is important, learning to be an active listener is just as important.

Many couples have problems communicating with each other because they're not listen to one another.

Sometimes people don't even realize that they're not listening to their spouse because they're so preoccupied with their own thoughts and feelings.

Rather than listening, each person is impatiently waiting for his or her turn to speak.  He or she is focused on what how to respond and make his or her own points.

Unfortunately, when you do that, you miss out on what your spouse is trying to communicate to you.  Usually, your spouse can tell that you're not listening and this becomes frustrating for him or her.

When you're not actively listening to what your spouse has to say, it usually makes him or her angry and hurt.

The First Step is to Become Aware of How You Interact With Your Spouse
The first step is to become aware of whether or not you're an active listener.

Active listening means putting yourself in the other person's shoes and listening empathically.

When you're an active and empathic listener:
  • you're looking at your spouse directly and not averting your gaze
  • you're focused on what your spouse is saying without anything else to distract you
  • you sense what your spouse is saying
  • you're aware of what your spouse is implying even if it's not said explicitly because you're picking up on nonverbal cues as well as what's begin said verbally.  This means that you're listening for more than just the words.
  • you're able to follow and consider what you're spouse is saying
  • you show your spouse by how you listen and acknowledge what he or she says that you're listening
  • you show your spouse not only with words but also by your body language, which is open and receptive that you're actively listening
  • don't focus on what you're going to say next--just focus on what you're spouse is saying

The Next Step:  Develop Active Listening Skills
The next step is to learn to develop the skill of active listening.

Active listening with empathy is a skill that most people need to learn and practice.

Once you've learned to be an active and empathic listener and your spouse also learns this skill, it can go a long way to help improve communication in your relationship.

Some people can learn this skill on their own.  Many people in relationships learn to listen actively by developing this skill in couples counseling.

In my next article, I'll give a fictionalized scenario that demonstrates some of the common communication problems that arise in relationships and how couples therapy can help.

Getting Help
Communication problems are common in many relationships, so you and your spouse or partner are not alone.

Just like any skill, you and your spouse can learn to develop better communication skills in couples counseling with a licensed mental health professional who works with couples.

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

I have worked with many couples to help them improve their communication.

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, October 25, 2014

Are You Having Problems Communicating in Your Relationship?

As a psychotherapist who works with individuals and couples, one of the most common complaints that I hear from people who are married or in a committed relationship is that they're having communication problems.  Often, either one or both spouses feel that the other spouse isn't listening and/or they don't like how they're being spoken to by their spouse.

Are You Having Problems Communicating in Your Relationship?

Communication problems that persist can ruin a relationship.

There can be many reasons why your spouse isn't listening to you.

The problem could be related to a problem that your spouse is having, a problem that you're having or both.

Become Aware of How You Communicate With Your Spouse
One of the most common communication problems in relationships is a problem with the way one or both spouses speak to one another.

Before you point your finger at your spouse, consider how you might be able to improve your style of communication:
  • Learn to get to the point rather than repeating yourself and creating a long monologue.   If you go on and one, after a while, your spouse will probably tune out and stop listening to you.
  • Give your spouse a chance to respond to what you're saying.  If you try to monopolize the conversation, your spouse will get frustrated and neither of you will get anywhere with whatever problem you're discussing.
  • Don't preach, scold or lecture your spouse.  Aside from being infantilizing and a big turn off, it also gets in the way of any meaningful communication.
  • If you want to have an open, meaningful conversation with your spouse, avoid making remarks that are hurtful, mean, dismissive, sarcastic, demeaning and disrespectful.  
  • Avoid generalizing and distorting the situation by accusing your spouse with words like "You always..." and "You never..."  This will only make your spouse defensive and angry, and it will get in the way of communication.
  • Avoid rehashing old situations that you've talked about before.  This is one of the most destructive things that people in relationships do, and it creates hostility and resentment.
  • If you have gotten into a habit of complaining and whining a lot, this is a big turn off and your spouse is going to stop listening to you.   Try to become aware of your style of communication and whether you're in the habit of being negative.  
  • Timing can be an issue.  Be aware of what might be going on with your spouse when you want to bring up sensitive topics or problems.  If your spouse is overwhelmed and your topic isn't urgent, consider waiting until the timing is better.  If your spouse is in a better frame of mind, it increases the likelihood that s/he will listen to you.

In my next article, I'll discuss active listening and how really listening to your spouse (and vice versa) can help improve your communication.

Getting Help in Therapy
Communication problems that persist in relationships often destroy relationships.

If you and your spouse have tried unsuccessfully on your own to improve your communication, you could benefit from attending couples counseling with a licensed mental health professional who works with couples and can help you to save your relationship.

Learn to Communicate More Effectively With Your Spouse

Attending couples counseling and learning how to communicate more effectively can help you to have a happier more fulfilling relationship.

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

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

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



















Wednesday, October 22, 2014

Talk to Your Partner About Money Before You Get Married or Enter Into a Committed Relationship

If you're about to get married, you might be very busy now taking care of last minute preparations, rewriting your vows, and confirming the honeymoon plans. Maybe you're daydreaming about the wedding and how wonderful it will be to spend the rest of your life with your beloved. But before you say "I do," walk down the aisle hand in hand, and step into the next phase of your life together, there's something very important that you need to do--make sure you talk about money before you get married.

Talk to Your Fiance About Money Before You Get Married

I can't emphasize enough how important this is. Talking about money might not be the most romantic topic to discuss with your soon to be spouse, but in the long run, it can save both of you a lot of headaches in the future.

I realize that talking about money can be uncomfortable. However, as a marriage counselor, I can tell you that one of the biggest problems that bring couples (married or not) into marriage/couples counseling is that they're arguing about money. That doesn't mean that it's too late and they can't learn to reconcile their differences about money but, for most of them, it would have been so much easier if they had sat down and talked about money before they got married.

So what do you talk about and how do you do it?
You and your partner should sit down in a quiet place where you have privacy and share your views about money as well as any debt or other problems you're having with money.

Talk to Your Partner About Money Before You Get Married

Don't assume that you're both on the same page about money because you might be very wrong about this. You'll probably need to have more than just one talk to cover a variety of topics. Here are some tips:

What's important to you each of you?
  • Do you want children? If so, how many?
  • If you have children, will you both continue to work or will one of you stay home?
  • Do you want to buy a house in the future?
  • Do you want to relocate?
  • Do you love living in the city but your partner wants to live in the suburbs?
  • Are you a saver and your partner is a spender?
  • How will you manage your money? Separately? Together? Keep whatever you had before you got married and set up a third account for expenses?
  • What about credit cards? Joint accounts? Separate accounts?
  • What about debt that you incurred before the marriage? Will you work on paying it off together or separately?
  • How will you handle the fact that one of you earns a lot more than the other? Will you divide expenses down the middle or will each of you pay a percentage of your income? Will each of you assume different expenses?
  • What if one of you expects to get an inheritance? How do you handle that? Will that money belong to him/her or will you share it as a couple?
  • What about property that you own before the wedding?
  • Do you need a prenuptial agreement?

A word about your current debt
Don't try to hide it until after the wedding. This will only anger your partner (justifiably so) and lead to mistrust between you.

Talk to Your Fiance About Money Before You Get Married:  Talk About Debt

Don't think that you'll pay it off quietly (somehow) and he or she does not need to know about it. Be honest and open about your debt. It's all going to come out after you're married anyway, so you might as well get it out into the open now.

What if you find out that your partner has a poor credit history or that he or she has been irresponsible about debt?
Does this mean that you have to cancel the wedding and you can never be together? Well, no, not necessarily.

Talk to Your Fiance About Money Before You Get Married:  What About Poor  Credit?

It depends. Finding out that your partner was irresponsible with credit cards when he was a student and is now doing the right thing by paying them off is very different from finding out that he has a serious gambling problem and he's in denial about it.

Only you can decide what you can live with and what you can't. However, it's also important not to fool yourself into thinking that these problems will go away after you're married because, chances are, they won't.

What if your partner is too uncomfortable to talk about money?
It's understandable that you and your soon to be spouse might feel uncomfortable talking about your personal finances.

Talking about our own money in our society is still a taboo subject and it's true that many people would more readily talk about sex than reveal how much money they earn. So, a certain amount of discomfort is normal. Be patient with one another. You don't need to talk about all the topics at once. Usually, as you begin to have these discussions, it becomes a little easier.

What if your partner refuses to talk about money?
If you're patient and give your partner a chance to get comfortable but he or she adamantly refuses to talk about money or becomes verbally abusive about it, that's a big red flag and it should give you pause.

A partner who refuses to talk about money or who becomes critical of you for wanting to talk about money has issues that you should be concerned about. If it's hard now, it's going to be even harder after you get married.

There may be reasons why your partner is too uncomfortable to talk about money: Maybe it brings up old family issues. Maybe his or her family never talked about money and it was considered a taboo topic to discuss. Maybe it brings up other insecurities. It's better to find this out now. At least, whatever you decide about your future together, you'll be doing it with your eyes open.

Getting Help in Therapy
You and your partner might need professional help to sort these issues out now before they become even bigger issues after you're married. I've helped many couples to work out these issues satisfactorily so that they can go on to have good, stable marriages together.

I am a NYC psychotherapist and couples counselor. To find out more about me, you can visit my web site: Josephine Ferraro, LCSW - NYC Psychotherapis

Call me at (917) 742-2624 to set up a consultation or email me.

See my article:  Talk to Your Spouse About Money

Making Changes: Overcoming Ambivalence

It's not unusual that when we want to make changes in our lives, we also have mixed feelings which keep us stuck and emotionally paralyzed.  However, indecision can become a problem when they weigh us down and keep us from taking action.

Making Changes: Overcoming Ambivalence

Getting Stuck Before Taking Action
Many people are very good at thinking about solutions to their problems, getting advice, planning on paper how they will make the change, but then they get stuck when it comes to actually taking action to make the change.

Often, their own mixed feelings or fears keep them from taking the steps they need to take to make the change--even when they've thought about it a lot and decided that it's the best course to take.

This can be very frustrating for themselves as well as for their loved ones.

While it's important not to be impulsive, especially when making life-changing decisions, it's also important not to get stuck in ambivalence, doubt and indecision.

Why do people, who are often good planners, get stuck before taking the steps they need to take to follow through with their decisions?
The answer to this question is as varied as the many people who get stuck at the point of taking action.

For some people, it's a matter of feeling overwhelmed by anxiety that their decision might be the wrong one.

For other people, who tend to put off making decisions, it's a way of obsessing about their options and trying to find the "perfect" solution when there really isn't one.

Some people, who suffer with low self esteem, don't trust their own judgement. And so on.

Are you stuck at the planning stage about making changes in your life?
Are you feeling frustrated because you don't understand why you can't get to the next step, even though you feel that you really want to make a change?

Rather than being hard on yourself about it and putting yourself down, it's better to become curious about your own process.

Getting Help in Therapy
If you can't seem to get yourself "unstuck," instead of wasting more days, weeks, months or even years, trying to do the same thing on your own that hasn't worked for you before, consider psychotherapy as an option to help you get moving to where you want to go in your life.

Getting Help in Therapy

A licensed mental health professional can help you to overcome the obstacles that are keeping you stuck so you can take action to make the changes you want to make.

I'm a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing who has helped many clients to get "unstuck" so they can take action to lead more fulfilling lives.   

I work with individual adults and couples.

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

Call me at (917) 742-2624 or email me to set up a consultation.


The Benefits of Therapy

Have you been thinking about starting therapy? Possibly, you've been on the fence for a while, you have mixed feelings about it or you feel anxious about starting the process. In this post, I discuss some of the benefits of participating in psychotherapy and what to look for in a therapist.

The Benefits of Psychotherapy

Factors that Contribute to a Successful Therapy
One of the most important factors in determining whether psychotherapy will be beneficial to you is finding a psychotherapist that you feel comfortable with.

You might not be able to tell this from the initial consultation, especially if you're anxious. But usually after a few sessions, you have a sense as to whether or not you feel a rapport with a therapist.

Another important factor is how you use your psychotherapy sessions: Bringing in issues that you want to work on; thinking about what you and your therapist discussed between sessions and bringing in your reflections to the next session; coming to therapy sessions on a regular basis, and being open to the therapeutic process.

The Benefits of Psychotherapy


Having an objective person who is trained to help you overcome your problems
People who have never participated in psychotherapy will often ask, "What's the difference between talking to a psychotherapist or talking to a friend?" This is an excellent question.

If you're seeing a licensed psychotherapist who has been trained to help clients overcome their problems, you're working with a professional that has the skills and experience to help you work through your issues, as compared to your friend, who might be a good listener but who lacks these skills.

Also, when you see a licensed mental health professional, you're discussing your problems with someone who is objective and whose only stake in the situation is to see you overcome your problems and feel better, whereas your friends and family members, without even realizing it, might not be objective.

Overcoming Problems that are Keeping You Stuck
When you participate in psychotherapy, you can overcome problems that are keeping you stuck in your personal life or in your career. These problems have often been obstacles to your well-being for months or years.

The Benefits of Psychotherapy:  Overcoming Problems That Are Keeping You Stuck

While there are no guarantees, assuming that you and your psychotherapist are a good "fit," you're more likely to overcome your problems if you participate in psychotherapy than if you keep trying on your own to do the same things that have not worked in the past.

Freeing Yourself from Your History
As most people know, many problems of a longstanding and intractable nature have their origins in childhood. For example, if you're suffering with low self esteem or you have a long history of choosing partners who don't treat you well, if you suffer with an eating disorder, if you feel depressed or anxious, often, this is the result of unresolved childhood issues.

When you're able to work through these issues in psychotherapy, you're able to free yourself from childhood issues that were holding you back. To liberate yourself from these problems can be an amazing feeling. The alternative is to live the rest of your life with these unresolved issues as obstacles to your happiness and well-being.

Overcoming Physical Problems that are Related to Emotional Problems
In many cases, participating in psychotherapy can alleviate physical problems that result from emotional problems. "How can this be?," you might ask.

The answer is that the mind and the body are connected, and when you struggle to cope with emotional problems, you can develop certain physical symptoms that are directly related to your emotional issues. These might include: tension headaches, muscle tightness and pain, certain types of asthma, backaches, neck pain, upset stomach and other gastrointestinal problems, feeling tired most of the time, and so on.

While it's always important to see your doctor to rule out medical issues, many of these physical symptoms are directly related to unresolved psychological problems and are often alleviated when the emotional problems are resolved.

The Benefits of Psychotherapy:  Physical Problems Are Often Related to Psychological Issues

Many people go to their doctors to deal with physical problems only to be told that their doctors cannot find any physical reason for these issues. At that point, most doctors who understand the mind-body connection will recommend that their patients see a psychotherapist.

Gaining Insight into Yourself
If you're open to the psychotherapeutic process, you can gain tremendous insight into yourself and your relationships. The type of insight that I'm referring to is not just an intellectual insight. While intellectual insight is important, by itself, intellectual insight often does not lead to actual change.

Gaining emotional insight, insight that you can feel, is what actually provides a shift in how you feel, as well as how you think and act. Gaining emotional insight into your problems can help you to change old habits and behaviors that are keeping you stuck.

How deep you go will depend on what you're looking for in the psychotherapeutic process as well as the skills, training and experience of your psychotherapist.

When you choose a psychotherapist, there are other issues to consider:

Finding a Psychotherapist
As I mentioned previously, it's important to find someone that you're comfortable with and who has the skills, training and experience required for the particular issues that you want to work on.

Many people can tell from the first session if they're comfortable with a particular psychotherapist. Most others, due to anxiety or other issues, need to see a therapist for a few sessions before they can tell if she or he is the right therapist for them.

Aside from the technical skills involved with being a psychotherapist, you also want to get a sense that the therapist is empathetic and caring towards you while maintaining professional boundaries.


How Long is Psychotherapy?
Psychotherapy can be short-term if you have a particular issue that you want to work on that can be resolved in a few sessions. As previously mentioned, if you use your managed care mental health benefits, the length of your treatment will often be determined by your insurance company. Other than that, an example of short-term therapy is using clinical hypnosis to stop smoking or to overcome other negative habits.

The Benefits of Psychotherapy:  There is Long-Term and Short-Term Therapy

Another example would be using EMDR (Eye Movement Desensitization and Reprocessing) therapy to overcome a particular fear, like fear of driving again after a car accident. I describe both of these forms of treatment in detail in earlier posts. There are also many other examples of short-term issues. Cognitive behavioral treatment can also be effective in overcoming certain phobias or anxiety-related issues.

Psychotherapy can also be of a more long-term process if you have the curiosity to explore your issues in a more in depth, psychodynamic way. Exploring your unconscious thoughts, fantasies and your dreams would be part of a more psychodynamic psychotherapy.

Even clients who initially have fears or concerns about psychotherapy usually find the process to be gratifying. The important thing is to know that you're not alone, and many other people have dealt with and resolved issues that you're struggling with now in therapy. Rather than continuing to suffer, it's important to get help.

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

I work with individual adults and couples, and I have helped many clients in both short-term and long-term therapy. 

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.