Helpful Tips on How to Make the Most Out of Your Couples Therapy

Couples therapy can be a transformative experience (see my article: What is EFT Couples Therapy?).

A skilled couples therapist can help you and your partner to overcome challenges in your relationship.

How to Make the Most Out of Couples Therapy

To get the most out of couples therapy, it's important to understand that it's common to feel a certain amount of anxiety and ambivalence, especially if you don't know what to expect (see my article: It's Not Unusual to Feel Anxious and Ambivalent at the Start of Therapy).

To help reduce your anxiety, it's helpful to know how to approach couples therapy so you can get the most out of it. 

What Do Couples Talk About in Couples Therapy?

Couples can talk about a variety of issues (see my article: What Do Couples Talk About in Couples Therapy?).

Here are just a few of the issues that couples talk about in couples therapy:

• Communication problems

• Fear of intimacy
  

• Moving in together or getting married

• Sharing the mental load

• Infertility issues

• Grief and loss related to miscarriages

• Grief and loss due to the loss of a child

• Parenting issues

• Blended family issues

• Different perspectives about managing money

• Sexual issues

• Opening up your relationship to see other people (see my article: What is Consensual Nonmonogamy?)

• Aging

• Infidelity
  

• Problems with in-laws

• Retirement issues

• Divorce and co-parenting

• Taking care of aging parents

• Other major issues 

What Are the Do's and Don'ts in Couples Therapy

Do's in Couples Therapy:

• Approach Couples Therapy With Curiosity and Openness: It's important to state your feelings openly and honestly to your partner and to the couples therapist in session.

• Talk About What You Want: Being able to tell your couples therapist and your partner what you want to get out of couples therapy will help to define your goals. You might even be surprised that your partner might have different goals and these differences might need to be negotiated.

How to Make the Most Out of Couples Therapy

• Set Realistic Goals: Once you and your partner have agreed to what you want to get out of therapy, set realistic goals for the couples therapy. When you have goals, the couples therapy has direction and you can assess your progress. However, it's also important to know that progress in therapy isn't linear. This means that setbacks (where you take two steps forward and one step back) are a normal part of the process, so don't get discouraged (See my article: Progress in Therapy Isn't Learner).

• Practice Active Listening in Your Sessions: Learning to actively listen to what your partner and your couples therapist say is an important part of couples therapy (see my article: The Importance of Active Listening in Your Relationship).

• Practice the Skills You Learn in Couples Therapy Between Sessions: Use the skills you learn in couples therapy between sessions so you can continue to hone your skills in your daily life with your partner.  If you run into obstacles, talk about it at your next couples therapy session so you can continue to develop these skills.  There might also be some topics that you and your partner will only discuss in couples therapy sessions until you both develop the necessary skills to talk about these issues between sessions.

Don'ts in Couples Therapy:

• Don't Wait Too Long to Start Couples Therapy: Many couples wait until they're ready to end the relationship to get help. Getting into couples therapy becomes their "last ditch effort". By then, it's often too late. The sooner you get help the better.

• Don't Focus on "Fixing" Your Partner: Focus on what you want to change about yourself in the relationship instead of having the attitude that you're there to "fix" your partner.

How to Make the Most Out of Couples Therapy

• Avoid Critical, Contemptuous or Defensive Behavior: You and your partner need to learn to approach your problems as a team rather than pointing fingers or blaming one another (see my article: Improve Communication in Your Relationship By Avoiding the "Four Horsemen of the Apocalypse").

• Avoid Trying to "Fix" Your Partner: You and your partner need to approach your problems like a team, as previously mentioned. Instead, focus on the areas where you can grow.  Couples usually have negative patterns that each partner contributes to in their dynamic. So, part of the work in couples therapy is for you and your partner to learn work together as a team to change the negative patterns.

• Avoid Contacting the Therapist Privately Without Your Partner's Knowledge: Most couples therapists do individual sessions to get family and relationship history. However, other than those individual sessions, avoid speaking, texting or emailing the therapist without your partner's knowledge because this can undermine the therapy.  The couple is the client in couples therapy--not the individuals in relationship. Contacting the therapist privately without the other partner's knowledge often occurs when one person is trying to get the couples therapist to align with them against the partner, which a skilled couples therapist will not do.

• Avoid Keeping Secrets From Your partner and Your Therapist: Most couples therapists will not keep an individual's secrets in couples therapy. Keeping secrets from the therapist or your partner will become an obstacle to progress in therapy. For instance, if you're having a secret affair, most couples therapist will not work with you and your partner because the affair would be undermining your relationship.

Conclusion

Couples therapy can be beneficial for couples who are experiencing problems in their relationship.

You and your partner can learn to come together as a team in couples therapy to overcome the obstacles in your relationship.

If you and your partner decide that it would be best to end the relationship, a couples therapist can help you both to end the relationship as amicably as possible and come to an agreement about how to talk to your children about the end of the relationship and how to co-parent if these issues are applicable.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: What is Sex Therapy?).

I have over 20 years of experience working 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.

What is Compassionate Empathy?

In my prior article, Cognitive vs Affective Empathy, I discussed the difference between those two types of empathy.

Compassionate Empathy

In the current article I'm focusing on compassionate empathy.

    As a brief recap from the prior article:

• Cognitive Empathy means being able to think about and understand another person.

• Affective Empathy means being able to feel another person's feelings while staying grounded in your own experience.

What is Compassionate Empathy?

Compassionate empathy is empathy that combines cognitive and affective empathy so you understand intellectually what someone else is going through at the same time that you're able to feel their feelings while grounded in your own experience.

Compassionate Empathy

Compassionate empathy uses emotional intelligence to respond to another person's feelings without getting overwhelmed or trying to fix their problem.

When you experience compassionate empathy, you're supporting and empowering the other person to deal with their situation.

Compassionate empathy allows you to:

• See and feel the other person's feelings without your own feelings getting in the way and interfering with their situation

• Focus on the other person without pushing a particular outcome on them

• Validate the other person's feelings without giving advice--unless they ask for it

• Create a safe space for the other person to resolve their problem

• Help the other person to regulate their emotions so they can tap into their inner strength and wisdom

An Example of Compassionate Empathy

Your friend calls you to say she is very upset because she found out she didn't score well on the Law School Admission Test (LSAT) and now she's afraid she'll never achieve her dream of becoming a lawyer.

Compassionate Empathy

You invite your friend over so you can talk. When she gets to your place, she's still very upset and she tells you how much she wants to be a public defender and now she'll never be able to do that because of her low LSAT score.

You listen to your friend with compassionate empathy by allowing her to express her feelings while you understand and feel her feelings.

You validate her feelings by telling her, "I know how important your dream of becoming a public defender is to you. I can feel how sad and frustrated you are. I'm here for you. Tell me what else I can do for you."

Your friend feels soothed by you and she calms down. After she calms down and gets over her initial disappointment about not doing well on the LSAT, she remembers she can take the test again.  She also remembers that she can take a preparation course to improve her score the next time she takes the test.

Later on, your friend tells you she's glad she spoke to you. She says she realizes now that, even though she's disappointed, she doesn't have to give up on her dream. Then, she thanks you.

How Can You Develop Compassionate Empathy?

As mentioned above, compassionate empathy combines both cognitive and affective empathy so it's an important skill.

To develop compassionate empathy:

• Stay Calm: Make sure you have the emotional bandwidth to deal with your friend's feelings so you can be present and engage with your friend.

• Listen and Stay Attuned Without Being Judgmental: Listen to your friend and stay attuned to your friend's feelings as well as your own. When you remain present for your friend, you can experience compassionate empathy. You want to be non-judgmental so you can be fully present for your friend's feelings without giving advice, questioning or criticizing their feelings and motives.

Compassionate Empathy

• Mirror Your Friend's Feelings: Rather than giving your opinion, sense into your friend's feelings and reflect them back accurately and compassionately to your friend. When your friend experiences that you're in synch with their feelings, your friend can feel supported by you and calm down. This allows your friend to think more clearly,

• Validate Your Friend's Experience: When you validate your friend's experience, you say things like, "This sounds like it's very upsetting and difficult for you."

• Repeat These Steps If Your Friend's Feelings Escalate: If your friend is very upset, you might have to repeat your steps until your friend feels understood and they can calm down.

Conclusion

Compassionate empathy combines both affective and cognitive empathy. 

Compassionate Empathy

When you use compassionate empathy, you're using emotional intelligence to be responsive to another person without trying to fix their problem.

With compassionate empathy, you can be supportive and empower someone to deal with their situation.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping 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.

 

Cognitive Empathy vs Affective Empathy: Thinking About Another Person's Feelings vs Feeling Their Feelings

I've written prior articles about empathy.

    See my articles: 

Why is Empathy Important in Therapy?

What is Empathic Failure in Therapy?

Empathy Between Friends

What is the Difference Between Affective Empathy and Cognitive Empathy?

In the current article, I'm focusing on the difference between affective empathy and cognitive empathy.

    Cognitive Empathy:

Cognitive empathy is the ability to understand another person's perspective. This means you're able to put yourself in another person's shoes to comprehend their point of view.

You can imagine what the other person is feeling.

You can also interpret another person's feelings, thoughts and motivations.

For instance, if your friend went to an audition for a part in the theater and she didn't get it, you can imagine how disappointed she is about not getting the part.

Instead of imagining the situation from your own point of view, you imagine it from your friend's perspective when she gets the bad news.

Affective Empathy:

Affective empathy is when you allow yourself to feel the other person's feelings. With affective empathy, you allow yourself to dip into the other person's emotional experience while staying grounded in your own experience.

Empathy in Psychotherapy

For instance, if your friend is sad because she didn't get the job, you can sense her sadness and feel sad too because you're resonating with her experience.

With affective empathy, you're more likely to try to help her than if you only experience cognitive empathy.

What Are Examples of Cognitive Empathy vs Affective Empathy?

Regarding the example above of your friend not getting the theater job, here are examples of cognitive and affective empathy:

• Cognitive Empathy: You tell your friend who didn't get the job, "I know you're sad about not getting the job and I know this is hard for you."

• Affective Empathy: You tell your friend, "I can feel your sadness and I'm sorry you're going through this. I'm here for you."

Both types of empathy are valuable. but they differ in their focus and the level of your emotional involvement.

Empathy in a Relationship

Cognitive empathy involves mental processing and understanding.

Affective empathy involves sharing emotions and emotional resonance between you and the other person.

Although some people are naturally more skilled at one type of empathy than another, both types of empathy are essential for understanding human emotion.

What is the Difference Between Empathy and Sympathy?

Empathy, as defined above, is allowing yourself to understand the other person's feelings (as in the case of cognitive empathy) and feel the other person's feelings while staying grounded in your own experience (as in the case of affective empathy). 

Affective empathy, in particular allows for a deep emotional connection.

Although someone can express concern and offer emotional support with sympathy, sympathy doesn't necessarily involve understanding or feeling the other person's feelings. 

Next Article: What is Compassionate Empathy?

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping 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.

Combining Hope With Action For Meaningful Change

I wrote a prior article about hope entitled 5 Reasons Why Hope is Essential to Your Well-Being.

In this article I'm focusing on how the combination of hope and taking action can lead to meaningful change.

Combining Hope With Action For Meaningful Change

    First a recap of my prior article:

5 Reasons Why Hope is Important to Your Sense of Well Being

There are many reasons why hope is important to your sense of well-being, including that it can provide: 

• 1. An Openness to New Possibilities: When you feel hopeful, you're more likely to be open to new and better possibilities for the future.  Even if there's just only a glimmer of hope, it can be enough for you to envision a better future for yourself (see my article: Being Open to New Possibilities).

Combining Hope With Action For Meaningful Change

• 2. A Sense of Motivation: Hope can motivate you to take action because when you feel hopeful--even if you also feel some dread--you're more likely to take positive steps towards the challenges you're facing (see my article: Developing Internal Motivation).

Combining Hope With Action For Meaningful Change

• 3. A Willingness to Persevere: Goals often require perseverance and perseverance is easier to sustain if you feel hopeful that your goals are achievable. This is especially true for long term goals where you might not always see progress immediately. Hope can sustain you through rough times when you might be tempted to give up (see my article: Achieving Your Goals With Perseverance).

Combining Hope With Action For Meaningful Change

• 4. A Willingness to Overcome Setbacks: With many long term goals, there are often setbacks because progress isn't linear. This is true of many longer term goals. It's also true for psychotherapy.  When you feel hopeful, you're more likely to take temporary setbacks in stride rather than letting setbacks deter you from your goals (see my article: Setbacks Are a Normal Part of Therapy on the Road to Healing).

• 5. An Improvement to Health and Well-Being: A sense of hope can improve your physical and mental well-being. When hope reduces stress, it can improve your immune system. Hope can also reduce anxiety and sadness.  In addition, it can increase your confidence.  Feeling hopeful and wanting to remain in a state of hopefulness can encourage you to surround yourself with like-minded people.

How to Cultivate Hope in Yourself

• Give yourself permission to be hopeful--even when you're facing tough odds.

Combining Hope With Action For Meaningful Change

• Set clear goals for yourself so you have a sense of purpose and direction.

• Use your imagination to visualize the positive outcome you want.
• See my articles: 
• Using Your Imagination as a Powerful Tool For Change

• Using Imaginal Interweaves to Overcome Trauma

• Seek support for your goals from supportive loved ones.

• Learn from other people's experiences--whether these are friends, family or inspiring people in history--to motivate yourself.

Why Does the Combination of Hope With Action Create Meaningful Change?

The stereotypical portrayal of psychotherapy is that therapy is all talk and no action (see my article: Common Myths About Psychotherapy: Therapy is All Talk and No Action).

Hope can be a powerful motivator, but hope alone won't bring about change without taking action.

Combining Hope and Action:

• People are more likely to take action when they feel hopeful--even when they're faced with significant obstacles.

Combining Hope With Action For Meaningful Change

• Hope provides individuals with a belief that they can persevere in taking action even in the face of obstacles (see my article: Overcoming Obstacles to Make Changes in Your Life).

• Just as hope can inspire action, action can inspire increased hope by giving people an increased sense of their own empowerment so there can be an upward spiral (see my article: Empowering Clients in Therapy).

Getting Help in Therapy

If you feel stuck and unable to motivate yourself, you could benefit from seeking help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to overcome the obstacles that keep you stuck.

Rather than remaining stuck, seek help so you can achieve your goals and live a meaningful life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping individual adults and couples (see my article: The Therapeutic Benefits of Integrative 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.

Discovering Your Happiness Triggers

I'm discussing  triggers from a different perspective than how I usually discuss them as a trauma therapist (see my article: What is a Trauma Therapist?).

What Are Triggers?

Therapists, especially trauma therapists, tend to focus on trauma triggers because it's helpful for traumatized clients to know how to recognize and cope with triggers. But it's also important to recognize happiness triggers to add to the quality of your life.

Although the word "trigger" tends to have a negative connotation, psychologically speaking, triggers are neither negative or positive. Triggers are experiences that evoke memories. 

What Are Happiness Triggers?

Happiness triggers refers to rituals and routines we engage in to tap into positive memories and cultivate positive experiences.

Discovering Your Happiness Triggers

The term "happiness triggers" is usually associated with Valorie Burton, life coach, author and motivational speaker.

What Are the Benefits of Discovering Your Happiness Triggers?

Discovering your happiness triggers can be a way of starting new positive habits because these triggers are associated with positive experiences and they can motivate you to develop positive habits.

Happiness triggers can also serve as an anchor in your life.

When happiness triggers evoke positive experiences, they access positive memories that are neurochemically wired in your brain.  

Happiness triggers can also help to pull you out of a funk when you're feeling low.

How to Develop Happiness Triggers

Happiness triggers are based on individual experiences, memories, needs, interests and values so they will be unique for each person.

Discovering Your Happiness Triggers

To discover your own unique happiness triggers, start by thinking about the small things in your life in the present or in the past that lift your mood and energy. It can be as simple as the ritual of having your morning coffee or tea, listening to your favorite podcast, taking a walk in the park and so on.

If you're still unsure, practice being present in the moment to experiences that bring you joy. Pay attention to your bodily experiences when you experience memories that were joyful or  evoke a sense of well-being.

Happiness Triggers Require Practice

Once you have discovered your unique happiness triggers, you need to practice them over and over again in order to develop them into positive habits.

These new habits can include behavioral, cognitive (thinking) or emotional triggers.

Behavioral Happiness Triggers

Behavioral happiness might include:

• Exercising

• Yoga
  

Discovering Your Happiness Triggers

• Going for a walk in nature

• Dancing

• Listening to music

• Performing an act of kindness for someone

• Reading a favorite book

• Engaging in a favorite hobby

Cognitive (Thinking) Happiness Triggers

Cognitive happiness triggers might include:

• Reframing negative thoughts with positive self talk or affirmations

• Making friends with your inner critic

• Recalling and re-experiencing positive memories and experiences

• Practicing mindfulness meditation
  

Emotional Happiness Triggers

• Practicing gratitude by keeping a gratitude journal

• Practicing acceptance and self compassion

Discovering Your Happiness Triggers

• Engaging your five senses (sight, sound, taste, smell and touch)

• Getting a massage

• Getting a manicure

• Playing a sport

• Connecting or reconnecting with a friend or loved one

Conclusion

Developing and practicing happiness triggers can increase your sense of joy and well-being.

Discovering Your Happiness Triggers

You can also discover happiness triggers by connecting to your inner world and connecting to a loved one to discover what is most meaningful and fulfilling to you.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping 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.

Relationships: The Advantages of Developing a Relationship From Friends to Lovers

According to a study in the Social Psychology and Personality Science journal, relationships are more likely to develop when people are friends before they become lovers (see my article: Falling in Love With Your Best Friend).

Relationships: From Friends to Lovers

Prior to this study, research focused on relationships that developed due to an attraction between strangers. 

According to the researchers of this study, 68% of romantic relationships develop between friends.  The data was based on seven separate studies with 1,897 participants.

How to Start a Romance

The research (Stimson et al 2021) ranked how to start a romance from the best to the worst ways (1 being the best and 11 being the worst):

1. A friendship that turns romantic
2. Through mutual friends
3. At school or university
4. At a social gathering or a party
5. At a church or place or worship
6. At work
7. Through a family connection
8. At a bar or social connection
9. Online community or social media
10. Online dating service
11. A blind date

Why Are the Advantages to Being Friends First?

Being friends first provides an opportunity to build a strong foundation of trust and understanding as well as:

• Exploring compatibility

• Exploring shared interests

• Reducing the pressure of the initial dating stage

• Developing a comfort and ease with each other

Relationships: From Friends to Lovers

• Being able to see each other's true personalities without the pressure of dating

• Assessing trustworthiness and loyalty

• Providing an opportunity for a deeper connection rather than basing a connection only on a superficial physical attraction

• Providing a better opportunity to explore each other's personalities, habits, values and communication styles which can lead to a more satisfying and potentially longer lasting relationship

• Developing emotional support

• Providing an opportunity for fun and laughter without the pressure of dating (see my article: The Power of Humor and Laughter in a Relationship)

How Long Should You Be Friends With Someone Before Dating?

The length of time will vary depending upon the two people involved.

What is essential is establishing a strong foundation of trust, understanding and emotional connection.  

How Can You Tell If a Friendship is Transitioning to a Romance?

Typical signs include:

• Increased emotional intimacy
• Flirtation and chemistry between you
• Spending more time together
• Physical affection
• Discussing future plans together

What Are the Potential Pitfalls of Transitioning From Friendship to Romance?

Potential pitfalls include:

• Fear of losing the friendship if the romance doesn't work out
• Changing expectations
• Navigating new boundaries
• Dealing with unresolved problems from prior relationships

Conclusion

Developing a friendship first provides an opportunity to get to know each other better before starting a relationship.

Relationships: From Friends From Lovers

Although there are potential pitfalls, friendship first allows you both to explore each other's trustworthiness, loyalty, values, communication styles as well as a chance to develop a deeper connection that goes beyond a superficial physical attraction.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experiencing helping 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.

Why Are Many Men Reluctant to Get Help in Therapy When They Need It?

As a psychotherapist in private practice in New York City, I'm seeing more men seeking help now than I did 20 years ago, but many men are still reluctant to get help in therapy when they need it.

Why Are Many Men Reluctant to Get Help in Therapy?

According to a 2020 survey, even though more men seek help now than before, there are many men who need help who don't seek it. In addition, fewer men seek help in  therapy compared to women.

Men Who Are Reluctant to Get Help in Therapy

Even though many well-known male athletes and celebrities have spoken openly about seeking help in therapy, there's still a stigma about men seeking help (see my article: Mental Health Awareness: Reducing the Stigma of Getting Help in Therapy).

Here are some of the most common reasons why men avoid getting help in therapy:

• A belief they must conform to traditional gender roles and that "being a man" means never showing emotional vulnerability

• They don't know how to show emotional vulnerability

• They're not sure what they feel

• Even if they know what they feel, they don't know how to talk about it

• A belief that going to therapy means they're "weak" (see my article: A Common Myth: Going to Therapy Means You're "Weak")

• Going to therapy makes them feel ashamed (see my article: Overcoming Shame)

• Going to therapy makes them feel embarrassed

• A belief they should know how to handle their problems on their own without getting help

• Psychotherapy is out of reach for them due to a lack of mental health services in their area or they can't afford it (in New York there are sliding scale therapy services in psychotherapy institutes with therapists in training who are supervised by senior therapists, including Institute For Contemporary Psychotherapy which also takes some health insurance).

How Can Men Learn to Talk About Their Problems?

Over the years, I have worked with many men who seek help in therapy because their partner encouraged them and, in some cases, insisted that they get help.

Here are some of the things I do to help men who seek help:

• Normalizing the Need For Help: Since I know many men don't know how to talk about their feelings, I start by trying to help them to get comfortable talking in sessions and normalizing how awkward it can be, at first, for anyone to talk to a therapist. I also provide them with psychoeducation about therapy including letting them know that many people start therapy with a degree of anxiety and ambivalence (see my article: Starting Therapy: It's Not Unusual to Feel Anxious and Ambivalent).

Men Who Are Reluctant to Get Help in Therapy

• Creating a Safe Space in Therapy Sessions: In order for clients to feel comfortable talking in therapy, I create a safe space for them by being compassionate, nonjudgmental and going at a pace that works for them.  

• Helping Clients to Relax: For clients who are anxious, I often start the session with a breathing exercise to help them transition from wherever they came from so they can relax and be present in the room.

• Starting Wherever They Want to Start: In our culture, it's generally considered more acceptable to talk about "stress" than anxiety or depression, so a lot of men (and women too) start therapy by saying they're experiencing "stress" and they just need some tips on how to manage their stress.  I will start wherever a client feels most comfortable, so if they want to talk about ways to manage stress, I'll start there.  But what usually happens, after these clients get comfortable talking to me, is that they begin to open up and talk about what is causing them stress including problems in their relationship, problems with their children, elder care issues, issues at work, unresolved trauma and so on.

Men Who Are Reluctant to Get Help in Therapy 

• Choosing Whether or Not to Work With Goals: Some clients like to set goals early in therapy. Others feel that setting specific goals feels like too much pressure. So, I allow clients to decide how they want to work.  At the same time, I want the sessions to be meaningful to them so we might need to find a balance so the therapy doesn't just "drift" in a scattered way.

• Helping Clients to Identify Their Feelings: Many men have been raised since early childhood to suppress or ignore their feelings so that, as adults, it's difficult for them to know what they feel. Therefore, helping these clients to recognize and identify feelings is often a significant part of the work.

Men Who Are Reluctant to Get Help in Therapy

• Using Humor and Lightheartedness: Using humor, when appropriate, can help clients to relax and open up. 

• Encouraging Self Compassion: This is an essential part of the work in therapy, especially for clients who have internalized harsh messages from early childhood about what it means to "be a man" (see my article: Acceptance and Self Compassion).

• Encouraging Self Care: Many men who are reluctant to get help in therapy are also reluctant to take care of their physical health and overall well-being, so encouraging self care is often an important part of the work (see my article: Self Care Is Not Selfish).

• Encouraging Support Outside of Therapy: The problem for many men is they don't talk to anyone about how they feel even if they have people in their life who would be supportive. In addition, many men don't have partners or close friendships, so encouraging them to develop an emotional support system outside of therapy is important (see my article: Overcoming Loneliness and Social Isolation).

Suicide Rates For Men

Men's mental health struggles often go undiagnosed because they avoid getting help.

In the United States, men represent about 79% of all suicides, which is four times higher than women.

Approximately 36,000 men commit suicide every year in the U.S. due to undiagnosed mental health and/or substance misuse problems.

Many of these deaths could have been prevented with professional help.

Note: If you or someone you know needs immediate help for suicidal thoughts, call 988, which is the suicide prevention lifeline or go to your nearest emergency room.

Getting Help in Therapy

The first step, which is making an appointment, is often the hardest.  

Getting Help in Therapy

If you have been struggling on your own, you could benefit from getting help from a skilled mental health professional.

Most clients who are initially reluctant to start therapy usually discover that therapy helps them to overcome their problems so they can lead a meaningful life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping individual adults and couples for a variety of issues, including trauma (see my article: What is a Trauma Therapist?).

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

To set up a consultation, call me at 917.742.2624 during business hours or email me.