Coping with Pregnancy Loss

It is a little known fact that approximately 10-20% of all pregnancies end in a miscarriage.

The actual number might be even higher because most miscarriages occur early in the pregnancy and many women don't even realize they had a miscarriage. 

Coping With Pregnancy Loss

Some of these women don't even realize they were pregnant before they had a miscarriage.

Coping With Pregnancy Loss

The sense of loss for women and their partners can be profound and isolating because, unlike other losses, there are no funerals or rituals to process this loss with their loved ones. 

In addition, family and friends are often not emotionally supportive. 

Coping With Pregnancy Loss

Some loved ones can be emotionally invalidating by brushing off the loss and telling the woman and her partner, "Oh, you can just try again" as if there was no loss at all involved with the miscarriage.

Aside from feeling the sadness of the loss, many women also feel ashamed and guilty because they believe they did something to cause the loss--even when it's objectively clear that they didn't.

Many loved ones believe a miscarriage is no loss at all because they believe there wasn't enough time for the woman to develop an emotional attachment. But this negates the fact that the woman and her partner had a dream of having a child and now that dream is lost.

Difficulty Grieving Pregnancy Loss

Many women and their partners never grieve for pregnancy loss, but the trauma of the miscarriage lives within them and between them.

Coping With Pregnancy Loss

The lack of rituals to grieve the loss with loved ones often leads the woman and her partner to suppress their emotions about the loss so they can "move on" and try to get pregnant again.

What Are the Possible Consequences of Not Grieving a Pregnancy Loss?

Failing to process the loss can result in physical, emotional and relationship difficulties:

Physical symptoms might include:

• Fatigue
• Sleep disturbance
• Change in appetite (either under-eating or over-eating)
• Physical discomfort

Emotional symptoms might include:

• Depression
• Anxiety
• PTSD (post-traumatic stress disorder)
• Guilt
• Shame
• Complicated grief where the grief becomes prolonged and intense
• Isolation due to avoiding the judgment of others

Relationship difficulties might include:

• Difficulty communicating about their feelings about the miscarriage including fear of talking about the loss
• Problems being sexual with each other after the loss
• A higher risk of a breakup as compared to couples who experience a live birth

How to Cope With Pregnancy Loss

• Be Emotionally Supportive of Each Other: Even though you and your partner might not feel the same way about the pregnancy loss, be supportive of each other.

• Get Emotional Support From Loved Ones Who Understand: You want to confide in people who will be supportive and who will not make you feel emotionally invalidated. Anyone who would be likely to dismiss your feelings by saying, "Just move on and try to get pregnant again" isn't the right person to confide in.

• Grieve the Loss of the Pregnancy and Your Dream of Having a Baby At That Point in Your Life: Grieve in any way that is meaningful to you. Each of you might have different ways of grieving. Respect that. There is no one "right way" to grieve a pregnancy loss.

• Get Help in Therapy: Get help in couples therapy with a supportive therapist who helps clients with grief, especially grief related to a miscarriage. If your partner refuses to go, at first, start going yourself and your partner might join you in time.

Seeking Help in Therapy For Pregnancy Loss

You and your partner might not be ready to seek help in therapy immediately after the pregnancy loss, but don't struggle too long with your loss by yourselves.

Seeking Help in Therapy For Pregnancy Loss

A compassionate psychotherapist who has experience helping clients with loss can help you to grieve your loss so you don't develop the physical, emotional and relational problems mentioned above.

Rather than struggling on your own, seek help from a licensed mental health professional has the expertise to help you to work through your loss.

Also See My Article:

How to Cope With Pregnancy Loss When You and Your Partner Have Different Feelings

About Me

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

I have helped many individual adults and couples to overcome grief.

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.

How Glimmers Give You a Sense of Ease, Safety and Joy

What Are Glimmers?

The term "glimmer" was coined in 2018 by Deb Dana, LCSW as part of her work on the applications of the polyvagal theory to regarding psychological trauma.

Glimmers Give You a Momentary Sense of Ease, Safety and Joy

A lot of people are familiar with trauma triggers (see my article: Coping With Trauma: Becoming Aware of Triggers), but fewer people are familiar with the terms "glimmers".

A glimmer is the opposite of a trauma trigger. A glimmer is an internal or external cue that gives you a sense of ease, safety or joy.

According to Deb Dana, LCSW, glimmers are gentle, yet powerful, ways that your nervous system finds moments of being okay--that might mean, as mentioned above, being calm, feeling at ease or feeling joy.

She indicates that glimmers happen all the time, but if you're not accustomed to noticing glimmers, you can miss them (see my article: Seeing Small Wonders All Around Us If We Take the Time to Notice).

So, it's important to develop the ability to find glimmers, notice them, feel them and celebrate them--even if it's just for a moment.

According to Deb Dana, when you begin to notice glimmers, you naturally look for more. 

She also indicates that glimmers are not toxic positivity or about "counting your blessings".  Instead, they're reminders that the human nervous system is built to hold both suffering and, at the same time. to notice moments of goodness. 

What is the Difference Between Trauma Triggers and Glimmers?

Trauma triggers are sensory reminders that cause you to feel unsafe because they are reminders of previous experiences of unresolved trauma.

Glimmers Give You a Sense of Ease, Safety and Joy

Glimmers are the opposite of triggers, as mentioned above. 

Glimmers are also sensory cues, but they are sensory cues that make you feel calm, connected, safe, peaceful and possibly joyful.

What Are Examples of Common Glimmers?

Here are some common glimmers that you might experience:

• Enjoying the warmth of the sun
• Seeing a sunrise or a sunset
• Stargazing
• Enjoying the smell of fresh cut grass
• Walking in nature   
• Sipping your favorite coffee or tea

Glimmers Give You a Sense of Ease, Safety and Joy

• Enjoying the breeze off the ocean
• Petting your dog or cat
• Seeing a rainbow
• Listening to soothing music
• Enjoying the taste of your favorite food
• Giving or getting a hug
• Receiving a smile
• Seeing a butterfly
• The internal sensation of feeling at peace with yourself and in peaceful surroundings

How Are Glimmers Beneficial to You?

When you have unresolved trauma, your body can be looking, consciously or unconsciously, for signs of possible danger--real or imagined.

When you're constantly on guard for danger, glimmers can be momentary internal or external cues that allow you to feel joy, connected and safe.

Glimmers Give You a Sense of Ease, Safety and Joy

If you have been unable to recognize glimmers in the past and you're beginning to recognize glimmers now, you might be experiencing the early stage of recovering from trauma because, possibly, your body isn't as on guard as it used to be.

Even if you have just a moment of enjoying a glimmer, that's a moment when you're not hypervigilant or on guard waiting for danger to occur.

How Can Glimmers Support Your Healing From Psychological Trauma?
Here are some of the ways glimmers can support your healing from psychological trauma:

• Regulating Your Nervous System: Glimmers can help to regulate your nervous system by counteracting the hyperarousal from triggers related to trauma.

• Providing You With a Sense of Safety: By appreciating glimmers, you can let your "survival brain" know that. you are safe and this can reduce fear and anxiety.

• Building Resilience: Appreciating glimmers can strengthen your nervous system's ability to cope with stress, including the stress of overcoming unresolved trauma in therapy. Glimmers can also makes it easier to deal with other challenging situations (see my article: Resilience: Coping With Life's Inevitable Ups and Downs).

Glimmers Give You a Sense of Ease, Safety and Joy

• Cultivating Optimism: Noticing glimmers can help you to shift your mindset from negative experiences to positive moments. This can also help you to internalize a positive outlook--even if it's for the moment.

• Developing Increased Self Awareness: Glimmers can help to promote increased self awareness and personal growth (see my article: What is Self Reflective Awareness and Why Is It Important to You?).

• Promoting Emotional Healing: Noticing and appreciating glimmers on a regular basis can help to boost your mood, reduce depression and anxiety and improve your overall mental health.

How to Develop Your Awareness of Glimmers

Here are some suggestions that can help you to develop your awareness of glimmers:

• Use Your Senses: Notice what you see, hear, smell, sense/tactile and taste in the environment around you.

• Practice Mindfulness: Take time to be in the present moment (see my article: The Mind-Body Connection: Mindfulness Meditation).

Glimmers Give You a Sense of Ease, Safety and Joy

• Keep a Gratitude Journal: Notice, appreciate and write about the small things around you that bring you joy in a gratitude journal (see my article: Keeping a Gratitude Journal).

• Engage in Activities That You Enjoy: Spend time in nature, play your favorite music, dance, pursue your hobbies and engage in other activities that you enjoy.

• Curate Your Social Media: Unfollow accounts that trigger your trauma and you and follow accounts that are uplifting.

Conclusion

Glimmers can help you to improve your mental health.  

If you're working on unresolved trauma in therapy, glimmers can help you to experience moments of joy, calm and ease while. you're in trauma therapy.

Recognizing Glimmers During Trauma Therapy

As a trauma therapist, I recommend appreciating glimmers to my clients (see my article: What is a Trauma Therapist?).

Anyone can learn to develop the skills of noticing and appreciating glimmers. It just takes practice and as you begin to notice them, continuing to recognize and appreciate glimmers can get easier over time.

About Me

I am a 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.

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.