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Wednesday, September 16, 2026

Are You Feeling Like a Failure Because You Can't "Fix" a Loved One?

This article was updated on September 16, 2026.

Feeling like a failure because you can't "fix" a loved one is a common, emotionally exhausting experience born from a fundamental misunderstanding of interpersonal boundaries. 
Watching an adult child, parent, sibling, or close friend engage in self sabotaging and destructive behavior triggers profound feelings of helplessness. Out of deep affection, you may mistakenly believe you have the power to control or alter their path. However, a loved one is not a broken object to be repaired, and confusing deep love with a duty to "cure" someone else will inevitably leave you emotionally, physically, and mentally depleted.
An abstract vector illustration of a psychological tree with brain cortex patterns and chaotic green leaves, symbolizing the internal chaos and mental exhaustion of trying to fix a loved one
Internalizing the chaos: Attempting to fix a loved one's destructive behavior often leaves your own mental well-being fractured and depleted.


When you internalize a loved one's self-destructive path, several unconscious psychological mechanisms are often at play:
  • The Savior Illusion: The false belief that if your love, effort, or pain is intense enough, it can override another adult's emotional trauma or behavioral choices.
  • Internalizing the Chaos: Treating a loved one's personal struggles, setbacks, or structural failures as a direct reflection of your own worth, parenting, or efficacy.
  • Control as a Coping Mechanism: Attempting to micromanage or "fix" their external environment as a desperate strategy to soothe your own internal discomfort with their suffering.
Shifting From Fixing to Emotional Support
To preserve your own mental health and establish a healthier relational dynamic, you must pivot from an intrusive "fixing" stance to an attuned "supportive" stance.
Here is how those two approaches differ in real-world communication:
  • Offering Unsolicited Advice vs. Active Listening: "Fixing" sounds like criticizing their choices ("You are spending too much money and ignoring your bills"). True emotional support sounds like asking, "Do you want me to just listen right now, or are you looking for help brainstorming a solution?" (see my article: Improving Communication: Ask a Loved One: Do You Want to Be Helped, Heard or Hugged?).
  • Shielding From Consequences vs. Enforcing Boundaries: "Fixing" involves sacrificing your own financial or emotional stability to absorb their fallout. Supporting involves focusing on your own well-being while remaining an attuned, separate anchor.
  • Managing Their Life vs. Creating Safe Spaces: "Fixing" looks like making excuses to their employer or quietly paying off their debts. Supporting means stepping back from management and instead offering a safe, non-judgmental container where change is possible if they choose it.
Essential Reminders for Your Own Well-Being
  • Separate Love From Rescue: You can deeply love and respect an individual without assuming the crushing, impossible burden of saving them from themselves.
  • Recognize Your Radical Limits: You are not failing; you are simply hitting the natural, healthy boundary of what one human being is capable of doing for another.
  • Grieve the Unrealistic Expectation: True healing requires letting go of the illusion of control. Allow yourself to mourn the idealized version of the relationship you wish you had, so you can accept the reality of the one that exists.
Clinical Vignettes
The following clinical vignette, which is a composite of many cases, illustrates the problem with trying to "fix" a loved one:

Tina and Her Adult Son, Mike:
Tina's only child, a 45 year old son, Mike, had a compulsive gambling problem. Although he earned over $100,000 a year, he had poor credit because he had many overdue bills, the bank was threatening to foreclose on his home and his wife was threatening to leave him.

Whenever Mike felt desperate, he called Tina and begged her to bail him out. In that moment, he would promise to get help for his gambling problem and also to pay her back. But as soon as he got the money from Tina, he gambled more (instead of paying off his gambling debts) and he got deeper into debt. 

He also never paid Tina back and she was depleting her and her husband's retirement savings. Her husband, Joe, told her to stop enabling Mike's behavior, but Tina wanted to help her son and she knew she would feel guilty if she didn't help him.

When Joe told Tina that he was angry that their retirement fund was getting depleted due to Mike's gambling problems, she understood that her efforts to "fix" her son's problems were having a devastating impact on her marriage and she sought help in therapy.

The work in therapy wasn't easy, but her therapist helped Tina to see the enmeshment with her son so she could switch from trying to "fix" him to being emotionally supportive (see my article: How to Stop Being Enmeshed With Your Family).

Tina was able to see that her behavior with her son had its roots in her dysfunctional family dynamic, especially her parents' codependent relationship. Whenever Tina's father was too hungover to go to work, her mother would call his manager and make excuses for his absences. Eventually, he was let go from his job and Tina's mother had to take two jobs to keep the family afloat.  

Several years after Tina's father lost his job, he was drinking more heavily than ever and he died due to an alcohol-related heart attack at the age of 40. After the father died, Tina's mother blamed herself for not being able to get her husband to stop drinking.

Tina wasn't aware of how she was affected by her parents' dynamic until she got into therapy and she realized she was trying, in vain, to rescue her 45 year old son--just like her mother tried, in vain, to rescue her father.

With a heavy heart, Tina refused to give Mike any more money the next time he came to her in desperation. At first, he pleaded with her and told her he would lose his home and his utilities would be turned off. 

This was especially difficult for Tina, but she realized that, in the long run, she couldn't try to "fix" his problem anymore because her efforts kept Mike from dealing with his gambling problem. She also didn't want to ruin her marriage.

When pleading didn't work, Mike became furious, cursed and threatened to cut her off. She responded by reminding him that he already owed her thousands of dollars. She also told him that she would be emotionally supportive of his getting help for his gambling problem.

Mike was too angry to respond to his mother and, after that talk, he disappeared from his parents' life for two years and he was unresponsive to their calls. Even though they knew they did what was best for Mike and for themselves, this estrangement was heartbreaking for Tina and Joe (see my article: Estrangement Between Parents and Adult Children).

In the meantime, Tina worked in therapy to deal with her own childhood trauma in therapy and the estrangement with her son.

A year later, when Mike contacted Tina and Joe again, he was in therapy, he was attending Gamblers Anonymous and he stopped gambling. He said his therapist was helping him to deal with the underlying issues related to his gambling. He told them that Tina's refusal to give him money was the best thing that ever happened to him because it forced him to confront his problems. 

As part of his making amends with his parents, Mike made a payment plan with them to pay back the money he owed them. They also worked together to develop a healthier family dynamic.

By that time, Tina and Joe's relationship had improved and they were looking forward to retirement in a few years.

Conclusion
It's very difficult to watch a loved one floundering without wanting to do something to help. 

The problem with trying to "fix" or rescue your loved one is that it's usually counterproductive and perpetuates your loved one's problem as well as your own.

Acknowledging and accepting that you can't "fix" anyone can help you to set boundaries so you can be emotionally supportive in a healthy way.

Get Help in Therapy
Trying to change a long-standing unhealthy pattern can be very difficult.

If you have tried on your own to change without success, you could benefit from working with a licensed mental health professional who has experience helping clients with these types of issues.

Rather than struggling on your own, seek help from an experienced therapist so you can lead a more fulfilling life.

About Josephine Ferraro, LCSW

Contact & Consultation Information

I see clients online throughout New York State and in person at my private office in Greenwich Village, New York, NY 10011.


I offer a free 15-minute introductory phone call before scheduling your initial appointment.

  • Phone: Call me directly at (917) 742-2624 during standard business hours.


Also See My Articles:
























































Mismatched Desire is a Relationship Problem--Not An Individual Problem

This article was updated on September 16, 2026.

Mismatched sexual desire is fundamentally a relational issue—not an individual pathology. Yet, when a desire discrepancy surfaces, a common and destructive dynamic often takes hold: the partner with the higher libido tries to "send" the partner with the lower libido to sex therapy alone. This shifts the entire burden of a shared relationship problem onto a single individual. 

An unhappy couple sitting on a sofa with crossed arms after a misunderstanding, symbolizing the emotional distance and conflict caused by a desire discrepancy.
Mismatched Desire is a Relationship Issue

The "Identified Patient"
While sexual shame or anxiety can keep someone from participating in therapy, a primary roadblock is the "identified patient" dynamic. In this scenario, Partner A (higher desire) unintentionally pathologizes Partner B (lower desire), convincing them that they are "broken" and need a therapist to "fix" them.

As a certified sex therapist in New York City, I see this clinical misunderstanding play out constantly in my private practice. Most of the time, the conflict isn't driven by malice, but by a basic misunderstanding of human biology. Partners often fail to recognize that both spontaneous sexual desire and responsive sexual desire are completely normal variations of human intimacy, not clinical defects.

Partner A, the one with the stronger sexual desire, pathologizes Partner B's normal desire so that Partner B feels like they're "broken" and needs to be "fixed". 

Often this pathologizing is unintentional. More often, it's a misunderstanding about how sexual desire works and that there can be either spontaneous or responsive sexual desire which are both normal.

Clinical Vignette
The following clinical vignette is a composite of many different cases:

Janet and Mark
When Janet contacted a sex therapist, she said her husband, Mark, told her she should make an appointment for herself because she didn't want to have sex as often as he did.

The sex therapist told Janet that desire discrepancy (also known as mismatched libido), is a common problem in relationships and it's a relationship problem--not an individual problem---because it's a dynamic between two people.

Janet thought her husband would probably join her after the first appointment, so she saw the therapist on her own the first time.

During the first appointment, the sex therapist told Janet that it's normal and common for two people to have different levels of desire--just like they would have different levels of desire for certain foods and other activities. She told Janet there is no such thing as a "normal level of desire."

After the first appointment, Janet went home and told Mark about what the sex therapist said. He scoffed and told her to see another therapist. So, Janet began therapy with a therapist who had no knowledge or training in sex therapy, but she agreed to see Janet individually.

Janet wanted to please her husband so she was happy to be able to tell him that she would go for therapy and he could stay home. Over time, Janet went to therapy and talked about the problem, but nothing changed. The therapist listened quietly and provided no feedback.

After a few weeks, Janet realized that this therapist was working outside her area of expertise and stopped seeing her.

When she approached her husband again about seeing the sex therapist, he refused. He told her to go see someone else, but whenever Janet called a certified sex therapist, she was told that this is a relationship problem and both people need to be in the therapy.

This went on for a while and Mark was complaining more than ever because Janet didn't want to have sex as often as he did. So, Janet decided to do her own research and she discovered that the first therapist was correct--both she and her husband needed to be in sex therapy together.

After several years passed with Mark being increasingly dissatisfied, he decided to join Janet in seeing the original sex therapist and they began to make progress.

Why Do Some People Refuse to Participate in Couples Therapy For Relationship Problems?
It's always been interesting to me that most people wouldn't tell a medical doctor how to treat their medical issues, but many people insist they know how a therapist should treat relational and sexual problems.

Since a lot of people think that therapy is "just talking", they think they know how it should work. They don't understand that therapy, especially couples sexual therapy, is a specialized treatment that is performed by licensed mental health professionals who have gone for advanced postgraduate training. Also, there are specific interventions that are not about "just talking."

Couples sex therapy is not the only therapy where people tend to designate an "identified patient" as the one who is to "blame" for having a problem. 

Families often scapegoat a certain family member as the one who has all the problems when, in reality, the one who is designated as the scapegoat might be the healthiest one--and the problems in the family are systemic family problems--not the problem of one individual.

Let's look at some of the problems involved in the vignette with Janet and Mark:

The "Identified Patient" Dynamic in More Detail
  • Pathologizing Lower Desire: If the issue is desire discrepancy, the partner with lower desire is often incorrectly labeled as the one with the medical or psychological problem. In the vignette above, Mark incorrectly labeled Janet as the problem.
  • Ignoring the Loop: Mark saw Janet's lower desire as being an isolated malfunction. So, he completely overlooked how his behavior, communication style and refusal to split chores acted as a sexual brake for Janet.
  • Outsourcing the Problem: Mark hoped a professional would "fix" Janet's behavior so their sexual relationship would change to his preferred baseline of sexual activity so he didn't have to make any personal changes. 
Fear and Vulnerability Avoidance
Couples therapy, including couples sex therapy, acts as a mirror and many individuals are very uncomfortable looking at what the mirror reveals about them:
  • Fear of Judgment: Mark worried that a sex therapist would criticize his sexual performance, technique or emotional maturity. This kept him out of therapy.
  • Shame Around Rejection: For Mark, admitting that his wife doesn't want him sexually as much as he wants her was deeply painful. By pushing Janet into individual therapy, he pretended the issue was an abstract medical problem.
  • Emotional Exposure: Mark was conditioned to hide emotional vulnerability. Attending therapy involves discussing deep fears, inadequacies and failures, which can feel incredibly threatening.
Misunderstanding Sex Therapy
There is an incorrect common assumption that sex therapy is only about the physical mechanics of sex rather than about emotional connection:
  • The "Instruction Manual" Myth: Mark believed that the sex therapist would provide Janet with tools, exercises or psychological "tricks" to boost her physical arousal, but this isn't how sex therapy works.
  • Missing the Emotional Link: Mark failed to recognize that for many women (and many men too), sexual desire is linked to emotional intimacy, safety and mutual respect outside the bedroom.
Control and Power Dynamics
For many people, including Mark, refusing to attend couples sex therapy is a way to maintain control over the narrative of the relationship:
  • Protecting an Ego: By remaining outside the therapy sessions, Mark ensured that his habits and contributions to the sexual problems weren't analyzed. He never had to look at that his ways of initiating sex and that what he did sexually with Janet wasn't satisfying to her. No one wants sex that isn't satisfying to them.
  • Dictating Terms: By sending Janet to therapy, Mark positioned himself as the "healthy" partner and Janet as the "deficient" partner--the one who had sole responsibility for their sexual happiness.
Moving Forward
Once Mark came to couples sex therapy with Janet, they both benefited from learning how to talk about sex, finding out what they each liked and disliked and understanding how each of their personal histories contributed to their problems.

Conclusion
Sex therapy is for adult individuals and couples.

There are times when individual sex therapy can be beneficial in helping an individual to overcome problems like sexual shame or other personal issues. But when the problem involves a dynamic in the relationship, both people need to attend.

Get Help in Couples Sex Therapy
Although it might feel challenging to join your partner in couples sex therapy, the consequences of remaining outside the sessions and sending your partner for relational issues, like desire discrepancy, is a much more challenging issue to face when the problem continues for months and maybe even years.

Like most problems, the sooner you address them, the less complicated they tend to be to resolve. 

Rather than waiting until the problem becomes worse, get help from a licensed mental health professional who is a certified sex therapist.

Working on your problem together can bring you closer emotionally and sexually so you can have a more fulfilling life.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, and advanced practitioner specializing in IFS Parts Work, Somatic Experiencing, AEDP, EMDR, and EFT Couples Therapy and Sex Therapy, 

I provide depth-oriented, experiential therapy to help individual adults and couples move past internal blockages into authentic relational alignment.
To learn more about my clinical background, clinical philosophy, and healing approach, please visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.
  • Office Location: I see clients in-person at my Greenwich Village office (New York, NY 10011) as well as online via secure telehealth.
  • Initial Contact: I provide a complimentary 15-minute introductory phone call prior to scheduling an initial appointment.
  • Contact Information: You can reach me directly at (917) 742-2624 during standard business hours or email me.

Also See My Articles:




















What is the Step-By-Step IFS Therapy Process?

This article was updated on September 16, 2026.

In my last article, Healing Perfectionism With IFS Therapy, I began a discussion about perfectionism and IFS therapy.

In the current article, I'm discussing the step-by-step process of IFS healing perfectionism.

Although I'm focusing on perfectionism, the IFS process for healing is the same for other problems including anxiety, depression and trauma as well as other mental health issues.

a minimalist abstract graphic of geometric shapes serving as an illustration of the step-by-step Internal Family System (IFS) process
The Step-By-Step IFS Therapy Process

Instead of trying to force you to eliminate parts of yourself, IFS helps you to understand, communicate with and untangle these parts. 

This allows your Core Self, which is also known as your true self, to lead a life with compassion and balance (see my article: How Does IFS Therapy Help You to Discover Your True Self?).

How Does IFS Therapy Help With Perfectionism?
As I have mentioned in my prior article, IFS is an gentle, evidence-based therapy that is effective for overcoming most mental health issues.

From the IFS therapy perspective, perfectionism is driven by certain parts of the personality that include three different categories:
  • Proactive Protectors ("Managers"): These protectors include the perfectionist and inner critic parts. The perfectionist part sets unreasonably high standards and the inner critic micromanages your behavior. Their goal is to ensure that you behave flawlessly so you never have to experience failure or judgment. The overall goal of proactive parts is to protect you from your wounded inner child (see below).
  • Reactive Protectors ("Firefighters"): When the proactive protectors inevitably fail to live up to the "perfect" standards and the wounded parts of yourself get triggered, the firefighters, who are reactive protectors, step in to numb the pain. This might include sudden procrastination, drinking or drugging excessively, constant scrolling on your phone and so on--anything that numbs the pain. The reactive part's goal is also to protect the wounded inner child (see below).
  • The Vulnerable Wounded Inner Child ("Exile"): This is the hidden part of your personality that carries the emotional wounds from the past. This part carries feelings of inadequacy, shame or the belief that you are only lovable when you succeed. The proactive and reactive parts work relentless to keep this wounded part buried so you don't feel the emotional pain. 
How Do These Parts Develop?
These parts don't just develop out of nowhere.

They develop as survival strategies in response to your childhood, environment or cultural conditioning.

According to Dr. Richard Schwartz, who developed IFS therapy, parts are naturally healthy before they take on the burden of survival strategies. 

As I will explain below, the goal of IFS therapy is to help these parts to let go of their rigid, exhausting roles so they can take on new healthy roles.

What is the Step-By-Step Healing Process in IFS For Perfectionism?
IFS therapy has a step-by-step healing process:
  • Stepping Back From Your Perfectionist and Inner Critic Parts: This is called "unblending" in IFS. From an IFS perspective, when you are "blended" or enmeshed with these parts, you believe that they are your entire identity instead of just a part of you. An IFS trained therapist can help you to create space between your Core Self, also known as your true identity, and your protective parts. This space allows you to observe these parts rather than being consumed by them.
  • Discovering the Positive Intent of the Perfectionist and Inner Critic Parts: IFS therapy operates from the premise that there are "no bad parts", which means that every part has a positive intention. So, instead of fighting with the perfectionist and inner critic parts, you can approach them with curiosity and compassion. With the help of your IFS therapist, you learn to have an internal dialogue with these parts and ask them what they think would happen if they stopped pushing you. The perfectionist and inner critic parts frequently respond that they are afraid if they didn't push you, you would get hurt again by being abandoned or rejected as you were in the past. In other words, the parts are trying to protect you in the only way they know how--by demanding perfection and criticizing you when, inevitably, you don't achieve perfection--because there's no such thing as perfection.
  • Accessing the Calm and Compassionate Core Self: By experiencing a separation from these parts, you can gain access to your calm and compassionate Core Self. When you treat the parts with calm and compassion, instead of frustration and anger. Then, their protective grip usually begins to soften--if not immediately, then over time.
  • Healing the Underlying Emotional Wound ("The Unburdening Process"): Once the perfectionist and inner critic parts trust that your Core Self can handle things, they allow you and your IFS therapist to safely access the wounded part of yourself. At that point, your Core Self can comfort the inner young wounded child part, witness its past pain, and help it to release ("unburden") the deeply held belief that its worth depends on being perfect. 
  • Assigning New Roles to the Perfectionist and Inner Critic Parts: In IFS therapy, healing these parts doesn't mean losing your drive or ambition. It means that once the underlying fear is resolved, the perfectionist and critical parts are freed from their exhausting "guard duty" (also known as defenses). At that point, they can transition into healthy new roles, such as being a detail-oriented ally, an organizer or a source of joyful creativity without ruling your sense of self worth.
Get Help in IFS Therapy
As previously mentioned, IFS therapy is a gentle, evidence based therapy.

A minimalist vector line illustration of two hands reaching toward each other, serving as a comforting visual metaphor for connection and seeking help in IFS therapy.
Get Help in IFS Therapy

If you have been unable to resolve your problems on your own, you could benefit from working with an IFS therapist to have a more fulfilling life.

About Josephine Ferraro, LCSW
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, IFS, Somatic Experiencing, EFT couples therapist and Certified Sex Therapist.

I have helped many individual adults and couples over the years.


I provide a free 15 minute phone call before setting up an appointment.

I see clients in my Greenwich Village office (New York, NY 10011) or online.

You can reach me at (917) 742-2624 during standard business hours or  email me.


Also See My Articles:










What Role Does Clinical Intuition Play in Accelerated Experiential Dynamic Psychotherapy (AEDP)?

This article was updated on September 16, 2026.

Accelerated Experiential Dynamic Psychotherapy is a type of Experiential Therapy (see my article: Why is Experiential Therapy More Effective Than Traditional Talk Therapy?).

Abstract resonance wave background vector illustration featuring fluid, overlapping waves in soft, warm tones, symbolizing dyadic emotional attunement and clinical intuition in AEDP psychotherapy
Clinical intuition in AEDP relies on a fluid, resonant field where the therapist dynamically tracks implicit somatic and emotional frequencies.

Clinical intuition is an important aspect of all Experiential Therapy.

AEDP was developed by New York psychologist, Diana Fosha (see my articles: What is AEDP and How Does It Heal?- Part 1 and Part 2).

In AEDP, intuition acts as an important mechanism bridging the gap between intellectual theory and deep emotional healing.

AEDP privileges right-brain-to-right brain emotional connection over traditional left-brain analytic talking.

What Role Does Clinical Intuition Play in AEDP?

1. Therapist-Led Clinical Intuition: 
In AEDP, clinical intuition is defined as a direct, immediate and embodied knowing. It's not a random guess. 

Clinical intuition in AEDP is a highly sophisticated, unconscious pattern recognition developed from deep clinical experience:
  • Moments of Rapid Clinical Intuition: Also known by the metaphor of the "blink effect", the AEDP therapist senses somatic and relational shifts between her and the client. This process bypasses left-brain reasoning. It allows the therapist to know the what, when and how to intervene in the moment with the client.
  • Right-Brain Attunement: The AEDP therapist uses right-brain receptiveness to register the client's micro-expressions, shifts in vocal tone, and non-verbal somatic cues.  
  • Deciding on Interventions: This intuitive state tells the AEDP therapist whether to offer comfort, share authentic self disclosure or challenge a defense.
2. Contemplative Presence
A therapist's intuition is maximized through what AEDP calls "contemplative presence". This requires a specific state of mind and body:
  • Micro-Tracking: The AEDP therapist mentally tracks the client's verbal and non-verbal communication while simultaneously tracking her own internal emotional and embodied responses.
  • Mind Emptying: The therapist empties her mind to remain completely open to whatever happens in the here-and-now.
  • Mindful Awareness: The therapist roots her body with mindful breathing and physical presence to clear a space for intuitive insights.
3. Awakening the Client's Inner Knowing
The AEDP therapist helps client's to tap into their own intuition:
  • Trauma and chronic distress often causes clients to disconnect from their bodies and second-guess their feelings. 
  • By asking somatic awareness questions like, "Where do you feel that in your body?", the therapist co-regulates the client's anxiety and other emotions that might be getting in the way of their knowing what they are feeling.
  • This allows the clients to access their innate drive to heal, which AEDP calls "transformance". With this process, clients regain their own intuitive sense of what feels healthy, authentic or "off" in their choices and relationships.
Summary of Differences Between AEDP and Traditional Talk Therapy
Accelerated Experiential Dynamic Psychotherapy and traditional talk therapy have important fundamental differences:

Dimension
  • Traditional Talk Therapy: Left-brain: Intellectual insight, rational analysis and narrative focus
  • AEDP: Right brain: Intuitive focus, somatic tracking and emotional resonance
Therapist's Stance
  • Traditional Talk Therapy: Neutral, observant, objective and technique-driven
  • AEDP: Explicitly engaged, emotionally authentic and intuitively responsive
Sequence of Healing
Getting Help in AEDP Therapy
Instead of struggling on your own, you could benefit from working with an AEDP therapist.

When you work through unresolved problems, you can lead a more fulfilling life.

About Josephine Ferraro, LCSW
I am a licensed New York psychotherapist who integrates many different types of Experiential Therapies to help clients to heal from trauma and emotional distress, including: 
  • AEDP
  • IFS
  • EMDR
  • Somatic Experiencing
  • EFT for Couples
  • Hypnotherapy
  • Sex Therapy for individuals and couples.

I have helped many individual adults and couples over the years.

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

I provide a complimentary 15 minute phone call prior to setting up the first appointment.

I see clients in my office in Greenwich Village in New York City (10011) and online.

You can reach me at (917) 742-2624 during standard business hours or email me.

Also See My Articles: