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Thursday, November 13, 2025

Accepting What You Cannot Change is a Form of Change

The Serenity Prayer was written by the American theologian Reinhold Niebuhr in the 1940s. The first part of the Serenity Prayer asks for the "serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference."

Accepting What You Cannot Change is a Form of Change

The Serenity Prayer provides a framework for dealing with life's challenges. The prayer fosters acceptance, courage and wisdom. It also encourages a shift in your focus from what you can't control to what you can control. This helps to relieve anxiety and promote a sense of peace and this is why it's used in 12 Step programs.

Accepting What You Cannot Change is a Form of Change

In addition, the Serenity Prayer can be an effective tool in any mental health treatment because it encourages mindfulness, taking action and finding comfort in a higher power or in a personal philosophy.

Why is Accepting What You Cannot Change is a Form of Change?
Accepting what you cannot change is a form of change because it helps you to shift your internal state from fighting what you cannot change (reality) to changing your perspective.  This frees you up to redirect your energy to what you can control.  

Accepting What You Cannot Change is a Form of Change

This shift in your perspective from struggling to acceptance creates the space to develop new goals, to find peace and build resilience--even though the external situation remains the same.

Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how accepting what cannot be changed is a form of change:

Jim
When Jim was growing up, his mother was deeply depressed. As a child, he took it upon himself to try to make her feel better by trying to comfort her, but she remained depressed no matter what he did.

His mother spent most of her time in bed because she was so overwhelmed by her depression. Jim's father didn't know how to deal with the mother's depression, so he buried himself in his work and spent as much time as he could at the office and on business trips to escape from the mother.

As an only child, Jim was often alone with his mother. Instead of going out to play with other children, Jim stayed home and laid next to his mother because it was the only way he connect to her emotionally and physically.

On the rare occasions when his mother felt a little better, he would play cards with her, watch her favorite TV shows or tell her jokes to try to make her laugh.

As a young child, he didn't realize that he was sacrificing so much of himself to try to enliven his mother--even though nothing he did helped (see my article: What is Self Abandonment?).

As an adult, Jim never gave up his wish to heal his mother. Although he realized on a certain level that there was nothing he could do for her, especially since she didn't want to get professional help, he kept trying to help her. The wish to help her mother remained strong for him.

Accepting What You Cannot Change is a Form of Change

Since he connected with his mother through her depression, he also felt depressed himself. When he sought help in therapy, initially, he focused on trying to find a way to help his mother.  

Over time, his therapist helped Jim to understand that he had abandoned himself at a young age and sacrificed his childhood by focusing on his mother. Although he realized he missed out on a lot as a child, he felt he couldn't let go of his wish to, somehow, find a way to cure his mother.

He had a strong wish to find just the right words or take the right action that would persuade his mother to get help. Even though he knew logically that he couldn't heal his mother and she probably wouldn't get better if she didn't want to get help, letting go of that wish was very challenging for him. He felt like giving up on that wish would make him disloyal to his mother. He also felt like he would lose the only connection he felt with his mother by giving up on helping her.

Over time, Jim learned to focus on himself more, but it wasn't easy. He developed more of a social life with friends. He began to date. He also developed interests and hobbies that were fulfilling to him.

Gradually, he stopped trying to convince his mother to go to therapy. This letting go brought a lot of grief that he dealt with in his therapy. 

His mother, who refused to get help in therapy, noticed that Jim wasn't trying to persuade her to get help anymore and she asked him why he stopped. He responded by telling her that he was learning to accept that if she didn't want to get help, he had no power to change her mind. 

They remained silent together for a few minutes as they both allowed that thought to sink in. Jim was surprised to hear himself say this and his mother was also surprised.

Jim recognized that by accepting what he couldn't change, he was shifting his perspective, even though it was very sad for him, and he was freeing himself emotionally and psychologically to find inner peace, pursue his own goals and personal growth.

Several weeks after he and his mother had their talk, his mother called him to say she realized she had focused a lot of her energy in pushing against his pleas for her to get help. Now that he was no longer trying to convince her and she was no longer focused on refusing to get help, she realized she needed help for her depression, so she made an appointment with a therapist who specialized in depression.

Jim worked in his therapy to overcome the trauma he took on when he took on his mother's depression as a child. His therapist used EMDR Therapy and Parts Work Therapy to help him to heal.

His work in therapy was neither quick nor easy, but he felt himself gradually coming alive in ways he had not experienced before. 

Conclusion
The Serenity Prayer encourages accepting the things that cannot be changed and this is a wise philosophy, but it's not always easy to know what can be changed and what cannot be changed. This is usually a process that each individual explores and comes to their own conclusions.

On a superficial level, accepting what cannot be changed is often seen as passive behavior--a kind of giving up as if the individual isn't doing anything. But the reality is that acceptance of what cannot be changed is an active process where individuals explore their inner world as well as the external world they're trying to change.

As in the vignette above, sometimes trying to change someone who is depressed or struggling with other psychological problems is a way of remaining emotionally attached to them. In the composite vignette above the only way for Jim, as a child, to have an emotional attachment with his mother was to remain immersed in her depression and to try to help her, which would have been impossible for a child.

The wish to try to change someone can be so strong that it eclipses everything else. The intention of the wish usually comes from a loving place, but it's often not realistic, especially if the other person doesn't want to be helped.

Getting to point of acceptance can be a long process, but it's an active process of self examination and coming to grips with reality.  This often involves working on longstanding unresolved trauma.

Getting Help in Trauma Therapy
If you're struggling with unresolved trauma, you could benefit from working with a trauma therapist.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who specializes in trauma therapy.

Freeing yourself from a traumatic history can allow you to live a more fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States Therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to overcome a traumatic history.

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

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















Wednesday, November 12, 2025

Coping With Separation Guilt as an Adult in a Traditional Family

Family loyalty is important in most families and it usually works best when there is flexibility for individuals to be loyal family members at the same time that there room for individual autonomy and personal growth (see my article: Being the Different One in Your Family).

Separation Guilt in a Traditional Family

Family loyalty usually includes:
  • Being faithful and supportive of family members
  • Being committed and trustworthy regarding family members
  • Being emotionally present to offer support and encouragement during good times and bad
  • Providing mutual support through life's challenges and successes
  • Maintaining a shared identity
In addition to the above, a modern interpretation of family loyalty also includes:
  • Challenging blind loyalty
  • Setting healthy boundaries
  • Prioritizing love over obligation (shifting from loyalty based on obligation to loyalty based on love, respect and mutual understanding)
  • Encouraging personal growth (supporting each other's individual growth rather than demanding conformity)
Coping With Separation Guilt as an Adult in a Highly Traditional Family
Separation guilt is a psychological burden which occurs when individuals defy family expectations (see my article: Freeing Yourself From Family Expectations).

Separation Guilt in a Traditional Family

Defying family expectations is usually perceived by the family as being disloyal.

Key aspects of separation guilt for adult children can include:
  • Breaching family expectations
  • Perceived disloyalty to the family
  • Emotional manipulation by family members (either consciously or unconsciously)
  • Conflict with internalized beliefs 
  • Fear and anxiety about being an individual in a family that expects conformity
  • Fear of being ostracized from the family
This often leads to internalized conflict for individuals who prioritize their emotional and psychological well-being over family expectations.

In highly traditional families where family loyalty is prioritized over individual needs, family expectations can be spoken or unspoken and these expectations often include:
  • Family obligations over individual independence, autonomy and personal growth
  • A high degree of interdependence among family members where personal boundaries are blurred
  • Conformity to established beliefs, traditions and values without question or deviation
How to Cope With Separation Guilt in a Highly Traditional Family
Coping with separation guilt can be very challenging.

Every situation will be different, but here are some tips that can be helpful:
  • Identify and Acknowledge Your Feelings: Rather than suppressing your feelings, allow yourself to identify and acknowledge your feelings without judging them. This can include guilt, sadness, anxiety and shame.
  • Explore the Root Cause of Your Guilt: Understand that feeling guilty doesn't mean you're wrong.  Assess the specific situation and the family traditions or beliefs that are causing the conflict within yourself.
  • Recognize the Difference Between Guilt and Shame: Guilt is about a specific action and shame is about a more pervasive feeling about who you are as a person (see my article: What is the Difference Between Guilt and Shame?). Writing in a journal to clarify your thoughts and feelings can be helpful.
Separation Guilt in a Traditional Family
  • Set Clear Boundaries: If you have decided to pursue a particular course of action that conflicts with your family's traditions and you know it is what is best for your own emotional and psychological well-being, recognize that this isn't a betrayal to your family--even though they might think it is. Clearly and respectfully communicate your needs to your family. Set clear boundaries with family members to protect your well-being (see my article: Setting Healthy Boundaries in an Enmeshed Family).
  • Focus on Your Life: Focus on building a life that affirms your values and needs. Set new personal goals and spend time with people who are supportive.
  • Find Emotional Support: Connect with supportive loved ones and/or join a support group for people in similar situations.
  • Seek Professional Help: If you're having difficulty coping with separation guilt, consider working with a licensed mental health professional who can help you to navigate complex family dynamics.
Clinical Vignettes
The following examples of separation guilt are composites of many different cases:
  • The Family Business: When Tom graduated college, he decided to pursue a career outside of the family business. Prior to making this decision, his highly traditional parents expected Tom to join the family business after graduation. When Tom told his parents about his decision, they were stunned. His father inherited the business from his father and grandfather. He was very disappointed because he expected Tom to take over one day and continue the family tradition. If Tom didn't join the family business, the business would have to be sold after the father retired. Although Tom felt anxious and sad about disappointing his parents, he knew he needed to follow his own path rather than conform to family expectations. Even though he felt separation guilt, Tom focused on his personal needs and goals with the support of friends and other family members. After a few rough years, Tom's parents conceded that he needed to follow his own dreams and they were able to reconcile.
  • Religious Conversion: Ann was raised in a highly religious family. When she was a child, she adhered to her family's religious beliefs, but when she turned 21 and she was no longer living with her family, she questioned that religion. She also explored the possibility of other religions and discovered she liked Buddhism. When she spoke with her family about it, they were very upset. They couldn't believe she would abandon the family religion after all the sacrifices the family made to come to the United States for religious freedom. They were so upset that they refused to speak with her. Ann had never gone against her family and the estrangement caused her significant separation guilt. After she invited them to a few family therapy sessions, she was shocked that they forgave her. Although her family still wasn't happy that she wasn't practicing their religion, they agreed she was an adult, she could make her own decisions and they welcomed her back into the family.
  • Racism: Jake was aware that his family was racist, but he hoped that once they met his girlfriend, Tania, they would grow to know and love her. He wasn't prepared for their anger and upset when they told him they didn't even want to meet her. Over time, they remained adamant and they refused to come to Jack and Tania's wedding. They told him that no one in their family had ever married anyone from a different race and they were appalled. On his wedding day, Jake had a heavy feeling in his heart because his family wasn't there, but he loved Tania and he wouldn't let his family stop him from marrying her. Two years later, his father had a massive heart attack. Although he survived, the heart attack took its toll. When Jake's sister called him, he and Tania went to the hospital to visit the father who was in a weakened state. When he saw Jake, he looked happy and he even extended his hand to Tania. He told Jake and Tania he was a foolish old man and it took a heart attack to make him realize he wanted them back in his life.
  • Homophobia: Ben knew from the time he was a young boy that he was gay, but while he lived at home he kept his homosexuality a secret, which was painful for him. When he went away to college, he met the young man who became his life partner, Nick. For the year, Ben kept his relationship a secret from the family. During the holidays, Ben and Nick went home to each of their families, but the secret they were keeping was taking a toll on them. Two years into their relationship, Ben and Nick decided that it was more painful to keep their relationship a secret than it was to come out to each of their families. Nick knew his family would be accepting so when he came out to them and introduced them to Ben, they were warm and welcoming. Ben's family was a different story. They were very traditional and very conservative. He came out to his older brother first because he knew it would be easier. Although his brother was surprised, he told Ben he would always love him. But when Ben told his parents, they were very upset. His father told him to leave the family home and never come back. Although this was hurtful for Ben, he knew he was being true to himself and to Nick. Several years went by before Ben's brother was able to act as a go-between to try to bring about a reconciliation. By then, his parents had missed Ben a lot and their stance had softened somewhat. To help them understand his homosexuality, Ben gave them information about PFLAG, an organization for families of gay adult children and they began attending meetings. With the support of PFLAG, they decided they didn't want to be estranged from their son, so they invited Ben and Nick to a family dinner. Ben's father struggled to understand Ben's homosexuality and to accept his gay relationship, but he realized he loved his son and he didn't want to shun him anymore (see my article: Famly Estrangements Due to Homophobia, Biphobia and Transphobia).
Conclusion
Separation guilt often occurs when a family member defies family traditions and the family considers this to be disloyal.

The individual who experiences separation guilt might know logically that they are making the right personal decision for their own growth and happiness, but they can still feel guilty and ashamed for going against a family tradition.

Getting Help in Therapy
If you're experiencing separation guilt, you could use the support of a licensed mental health professional to help you to get through a difficult time.

Getting Help in Therapy

A skilled psychotherapist can help you to develop the tools and strategies to get through this difficult time.

Rather than struggling on your own, seek help in psychotherapy so you can live a more meaningful and fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work 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.




















 


Tuesday, November 11, 2025

How to Avoid Bringing Old Wounds Into a New Relationship

Getting into a new relationship can be exciting and fun, but if you're bringing old wounds (also known as " emotional baggage") from a prior relationship into a new one, it can create a barrier to a trusting and genuine connection.

How to Avoid Bringing Old Wounds Into a New Relationship

What Does It Mean to Bring Old Wounds Into a New Relationship?
Old wounds from a prior relationship refers to unresolved issues including:
  • Emotional issues
  • Beliefs
  • Habits
Examples of Bringing Old Wounds Into a New Relationship:
  • Mistrust: A person who was cheated on in a prior relationship can have difficulty trusting a new partner--even when there's no reason to mistrust them.
  • Poor Self Esteem: A person who was criticized and put down in a prior relationship can feel unworthy of experiencing love in a new relationship.
  • Hiding Emotions: A person who was hurt when their feelings were used against them might become emotionally guarded and hide their emotions in their new relationship.
What is the Negative Impact of Bringing Old Wounds Into a New Relationship
Bringing old wounds into a new relationship creates problems because it can:
  • Create Trigger Loops: Past experiences of betrayal or abandonment can cause specific triggers in a new relationship. Your partner might react with anxiety or fear to something relatively minor in your relationship. For instance, if you're mostly on time but one time you're a few minutes late to meet, your partner might get triggered if a prior partner had a lateness problem (see my article: Coping With Triggers).
How to Avoid Bringing Old Wounds Into a New Relationship
  • Cause Fear: Old wounds can create a constant state of fear which isn't compatible with love. This fear can prevent you from being fully in the new relationship. It can also cause you to settle for less than what you deserve.
  • Lead to Repeating Negative Patterns: If you don't resolve old issues from the past, you risk recreating them in the new relationship. If you mistake drama and chaos for love or find yourself in a negative cycle of conflict that feels familiar because it's the same negative patterns from the former relationship.
  • Prevent You From Being Fully Present in the New Relationship: When you're constantly replaying old events from a former relationship, you're not fully present in the new relationship.  This can create distance in the new relationship and stop the new relationship from developing into a healthy connection.
  • Distort Your Self Worth: Baggage from a prior relationship can make you question your sense of self worth. This can lead to accepting less than you deserve. It can also lead to sabotaging the new relationship.
  • Prevents the New Relationship From Growing: If can be challenging to move forward when old baggage is holding you back.
How to Avoid Bringing Old Wounds Into a New Relationship
Here are some tips that might be helpful:
  • Increase Self Awareness: Before you react, pause to identify what you're feeling and ask yourself if you're displacing old baggage onto the new relationship. Ask yourself if the situation might remind you of the hurt you experienced in a prior relationship. Are your feelings based on the past or the present situation? (see my article: Responding Instead of Reacting).
How to Avoid Bringing Old Wounds Into a New Relationship
  • Practice Self Compassion: Be kind to yourself. Recognize that everyone has insecurities and it can take time to heal from old wounds (see my article: Compassionate Self Acceptance).
  • Set Healthy Boundaries: Communicate to your new partner what is acceptable to you and what isn't. 
  • Communicate Openly: Use "I" statements to communicate with your partner without blaming your partner, For example: "I feel scared when you distance yourself from me and you stop talking. It brings up old feelings of when I felt abandoned as a child."
How to Avoid Bringing Old Wounds Into a New Relationship
  • Stop Comparing: Avoid comparing your new partner to your old partner. This is a new relationship and a new chapter in your life.
  • Get Professional Support: A skilled mental health professional can help you to process unresolved feelings from a prior relationship. She can also help you to develop healthier relationship patterns. 
Clinical Vignette
The following clinical vignette, which is a composite of many different cases, illustrates how old wounds can affect a new relationship and how therapy can help:

Jack
When Jack and Beth started dating, they had a wonderful time together during the first few months. But by their fourth month together, as the relationship became more emotionally intimate, problems began to surface.

Jack ended a prior two year relationship only a few weeks before he started dating Beth. His prior relationship with Alice was contentious and chaotic. They argued a lot and Beth cheated on Jack.

Jack found out that Beth was cheating with another man when Beth left her computer open and Jack saw sexts from another man. At first, he was stunned.  They had agreed to be monogamous early in the relationship and, even though Jack had opportunities to cheat on Beth when he traveled for work, he never cheated.

When confronted about the texts, Beth admitted she had been talking to a man online, but they had never met in person. She described it as an emotional affair. She said she felt lonely because Jack was away so much for work.  

Neither of them had the necessary communication skills to talk about the emotional affair. Jack told Beth, "Let's put it behind us" and he refused to talk about it.  But he was never able to forgive Beth for cheating.

Over time, Jack's resentment created walls. Gradually they became more and more emotionally distant from each other. They also stopped having sex.

By the end of two years, they both agreed they were unhappy and they decided to end their relationship.

A few months later, Jack met Alice. As previously mentioned, initially their relationship was going well. But in their fourth month together, Jack became jealous whenever Beth had to work on a project with a male colleague, Joe.

Despite reassurance from Beth that there was nothing going on between her and her male colleague, Jack felt anxious and irritable whenever Alice spent time with Joe. He treated Alice like she was cheating--even though there was no evidence of this.

After a few arguments, Alice told Jack she thought he was comparing her to his former girlfriend, Beth and he needed to seek help in therapy to deal with his old wounds or their relationship wasn't going to work.

How to Avoid Bringing Old Wounds Into a New Relationship

When Jack thought about it, he realized Alice was right, so he sought help from a licensed mental health professional to work through his unresolved feelings about his prior relationship.

His therapist was a trauma therapist who helped Jack to heal old wounds using EMDR Therapy and Parts Work Therapy.

While he was working on healing his wounds, Jack also realized that the baggage he was bringing into his new relationship was also related to his childhood when his mother cheated on his father and they almost got a divorce. 

Even though his parents decided to stay together and "put it behind them", they never resolved their problems and they remained emotionally distant. Jack realized that he was repeating the same pattern because he was bringing his unresolved feelings into his relationship with Alice.

Jack's work in therapy was neither quick nor easy. Gradually, he healed his childhood wounds and the wounds he experienced in his relationship with Beth. 

When he made the connection between his old wounds and how he was treating Alice, he communicated openly with her about it.

As he continued to make connections in his trauma therapy, his relationship with Alice improved.

Conclusion
Old emotional wounds from your family of origin and prior relationships can have a negative impact on your current relationship.

Doing the work in therapy to work through old wounds can improve your relationship.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States), Somatic Experiencing and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples.

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

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












Monday, November 10, 2025

The Potential Advantages and Disadvantages of a Second Chance Relationship

In my prior article, How to Decide Whether to Give a Former Relationship a Second Chance, I discussed what you need to consider if you're thinking about getting back into a former relationship. If you haven't read it, take a look at that article (using the link above) before you read this article.

Assuming you have made the decision to get back with an ex, the current article discusses the potential pros and cons to a second chance relationship.

What is a Second Chance Relationship?
A second chance relationship is when a couple who broke up get back together again after a period of separation.

Second Chance Relationships

Under these circumstances, the two former partners decide to forgive each other and make an attempt to grow from the prior situation by trying to work on the problems they had when they were together before.  

What Are the Potential Advantages and Disadvantages of a Second Chance Relationship?
No two situations are alike, but here are some of the potential advantages and disadvantages of second chance relationships:

Potential Advantages
  • Familiarity and Comfort: You're already comfortable because you know each other and you don't have to go through the "getting to know you" phase that you would with someone new.
Second Chance Relationships
  • Existing Connection: You have a shared history and a foundation for the relationship which can create a strong bond.
  • Mutual Growth: Both you and your ex had a chance while you were apart to grow, reflect on what went wrong the first time and become better versions of yourselves during your time apart.  
Potential Disadvantages
  • Lingering Resentment and Pain: It can be difficult to let go of old resentments which can sabotage the relationship.
  • Repeating Negative Patterns: Old habits and ways of being can be difficult to overcome. You and your ex might find yourselves repeating old negative patterns that caused the breakup the first time around.
Second Chance Relationships
  • Difficulty Rebuilding Trust: If trust issues were the cause of the breakup the first time, these issues can be difficult to overcome. It would take work on to show rebuild trust.
  • Lack of Growth Opportunities: By giving a former partner a second chance, you might be forgoing the opportunity to meet someone new and start a new relationship where you can grow.
What Can You and Your Partner Do to Try to Succeed in a Second Chance Relationship?
To try to succeed in a second chance relationship, both of you must be willing to make a commitment to:
  • Identify and Address Past Problems: Take the time to sit with your partner and address why things didn't work out the first time. You and you partner need to address the root causes of the breakup and take responsibility for each of your roles in those issues. Avoid focusing on blame and focus on finding solutions.
  • Set Clear Boundaries and Expectations: Discuss needs and expectations as well as dealbreakers. Work together to set these boundaries and expectations early in the reconnection phase to prevent misunderstandings and so both people can feel secure (see my article: Setting Boundaries in a Relationship).
  • Commit to Personal Growth: Both of you must be willing to work on the behaviors that caused the breakup the first time. Focusing on personal growth is critical for the relationship to succeed.  
Second Chance Relationships
  • Prioritize Open Communication: Prioritize open and honest communication. Take the time to check in with each other periodically to see how each you're doing. Discuss feelings, concerns, expectations. Each of you needs to feel heard and valued. Use "I" statements to express your needs and feelings without blame (see my article: Improving Communication in Your Relationship).
  • Rebuild Trust Gradually: If trust was broken in the past, it will take time and patience to rebuild trust. Focus on making and keeping small commitments and to showing a  commitment to change and reliability.
  • Go Slow and Be Patient: Resist the urge to go back to where you were in your relationship in the past. Rebuilding connection takes time. Allow the time and space for the relationship to build gradually and naturally.
  • Practice Forgiveness: Sincere amends and forgiveness are necessary to give a relationship a second chance. Holding onto old resentments will sabotage a new chance for the relationship (see my article: The Psychological Stages of Forgiveness).
  • Focus on the Present and the Future: Assuming trust is being rebuilt and there have been genuine amends and forgiveness, focus on the present and the future without getting stuck in the past.
Getting Help in Couples Therapy
  • Seek Professional Help If Needed: A couples therapist can provide you with the tools and strategies to get through this complicated phase of the relationship. She can also help you to address unresolved issues and communication patterns.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work, Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

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

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













Sunday, November 9, 2025

How to Decide Whether to Give a Former Relationship a Second Chance

Second chance relationships are common. Some studies show that nearly half of young couples and a third of cohabitating older couples get back together after a breakup. 

Second Chance Relationships

About 40% of couples who are going through the divorce process express an interest in reconciliation.

Let's start by defining second chance relationships.

What is a Second Chance Relationship?
A second chance relationship is when a couple who broke up get back together again after a period of separation.

Under these circumstances, the two former partners usually decide to forgive each other and make an attempt to grow from the situation by trying to work on the problems they had when they were together before.  

How Can You Decide Whether to Give Your Former Partner a Second Chance?
It's important to assess the situation objectively before you give your former relationship a second chance.

Here are some factors to consider:
  • Low Quality Relationships: An on again, off again relationship often has a poor chance of surviving a real second chance. 
  • Trust Issues: Rebuilding trust can be a challenge, especially if the breakup was due to cheating, betrayal or other trust issues.
  • A Toxic Relationship: If the relationship was abusive, a second chance is usually not advisable. Your mental, emotional, psychological and physical health are important.
Second Chance Relationships
  • Non-negotiables: Think about whether there were non-negotiable issues the first time around.  For example, if one of you really wants to have children and the other is adamant about not having children, this is a non-negotiable issue if neither of you changes your mind. If those issues still exist, it's usually not advisable to give the relationship a second chance because you will both be dealing with the same issues you couldn't work out the first time.
  • Learning From the Past: Have each of you taken responsibility for your share of the problems the first time around? If one or both of you hasn't learned from the mistakes of the past, it's unlikely that a second chance relationship will work out (see my article: Learning From Past Relationships).
  • Forgiveness: Have you both learned to forgive the mistakes of the other from the first time around? Are you both capable of moving past the hurt and resentment from the past. If not, it's going to be challenging to have a second chance relationship (see my article: The Psychological Stages of Forgiveness).
  • Commitment to Change: Each of you must be willing to make a commitment to change what didn't work in the past. That might mean each of you doing your own work on your personal growth so you don't repeat the same mistakes from the past.
  • Making Sure You're Not Getting Back Together For the Wrong Reasons: If one or both of you wants to get back together for the wrong reasons, chances are that the relationship won't work out the second time. The wrong reasons can include: 
    • Desperation or Loneliness: A second chance relationship might provide temporary relief from desperation and loneliness, but if you have the same relationship problems as you did the first time, it's probably not going to work out.  
    • Fear of Being Alone: If one or both of you are getting back together because you're afraid of being alone, chances are you're going to face the same problems you did the first time. 
    • Believing Things Will Change Without Making an Effort: If you or your former partner have convinced yourself that, somehow, the problems you had in the past will change without either of you making an effort, this is magical thinking and a second chance probably won't work out.
Getting Help in Therapy
It can be difficult to put aside your emotions to evaluate whether or not a former relationship is worth giving a second chance. A strong wish to get back together can cloud your judgment.

Getting Help in Therapy

Working with a licensed mental health professional can help you to evaluate the situation objectively so you don't put yourself at risk for another heartbreak.

Rather than struggling on your own, seek help from an experienced psychotherapist who can help you to make a decision that is right for your emotional and psychological well-being.

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

I work 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.












Saturday, November 8, 2025

The Challenges of the "Sandwich Generation": Raising Children and Taking Care of Elderly Parents

The "sandwich generation" refers to adults who are raising their own children while taking care of elderly parents at the same time.  It's called the "sandwich generation" because these individuals are caught between their responsibilities for their children and their aging parents.


Raising Children and Taking Care of Elderly Parents

What Are the Challenges Faced By the "Sandwich Generation"?
Here are the most common challenges for individuals trying to balance their roles as caregivers for their children and their elder parents:
  • Stress and Emotional Toll: Juggling these two major caregiving roles can lead to high levels of stress, exhaustion and feeling overwhelmed.
  • Role Reversal: The role reversal of taking care of parents can be emotionally challenging, especially as parents' health declines.
  • Time Constraints: These individuals spend a good deal of time balancing their responsibilities for their children and their parents which can leave little time personal time (see my article: Self Care For Caregivers).
  • Financial Strain: The cost of taking care of children and elderly parents can create a significant financial burden.
How to Cope With the Challenges
  • Get Organized: Keep track of appointments, medications and finances to address stress and confusion.
Raising Children and Taking Care of Elderly Parents
  • Communicate Openly With Family Members: If you (or you and your partner) are bearing the brunt of taking care of elderly parents, have an honest conversation with family members about your feelings and needs.
  • Seek and Accept Help: After you have had an honest and open talk with family members, delegate certain tasks to them when possible. If that's not possible, ask them if they can help financially so you can hire a home attendant (see the clinical vignette below).
Clinical Vignette
The following clinical vignette, which is a composite of many cases, illustrates how to deal with some of the challenges of being part of the "sandwich generation":

Dina
As the oldest of three daughters, Dina took in her elderly parents when they could no longer live on their own.  At the same time, she and her husband, Tom, were raising their two teenage sons.

When Dina was growing up, she was expected to take on responsibilities, as compared as the oldest child and her two younger sisters took on none.  Her parents expected her to do many of the household chores while her sisters were allowed to go out with their friends.

When she graduated high school, Dina attended an out of state college to get away from her family responsibilities and, after she graduated, she got an apartment with her former college roommates.

Years later, after Dina got married and she had children, she continued to help her parents, but after they could no longer live on their own, she felt obligated to take them in. 

Raising Children and Taking Care of Elderly Parents

Before her parents came to live with Dina and Tom, Tom urged Dina to talk to her sisters about helping out more. Tom had always been generous in helping Dina's parents, but he could foresee the toll it was going to take on each of them. Dina was so accustomed to taking on responsibilities as the oldest child that she didn't question whether her sisters should help and she didn't want to talk to them about it.

Their teenage sons helped out when they could, but they were busy with school, their friends, applying to college and sports, and Dina didn't want to rely on them or deprive them of what they needed and wanted to do.

Within a few months, Dina and Tom felt overwhelmed taking care of her parents. Dina wasn't sleeping well and she had very little appetite. She also stopped her usual self care routines--meditation and yoga practices because she didn't have time. She also stopped seeing her close friends. 

Tom also curtailed his outings with friends because he was trying to do as much as he could to help Dina. He was also concerned about his elderly parents who were independent at that point, but he didn't know when they would also need help.

One day when Tom came home from the grocery store, he found Dina in their bedroom sobbing. She looked stressed and worn out. When she saw him, she tried to dry her tears and act like she was alright, but Tom knew Dina had reached her limit.

Tom sat next to Dina and put his arm around her, "We need to talk to your sisters. I know what you're going to say--that as the oldest you've always been the one to take on all the responsibilities, but we can't keep going on like this."

At first, Dina insisted she could continue to take care of her parents, but she knew Tom was right, so they talked about how to approach her sisters.  

A week later, Dina's sisters, Paula and Meg, came over for lunch on a Saturday. At that hour, their parents were upstairs napping. 

Dina felt anxious and guilty. She felt she was abducating her responsibilities. She also anticipated that Paula and Meg wouldn't respond well to her asking them to help.

When Dina told her sisters that she was completely overwhelmed with taking care of their parents, she had to endure her sisters' silence and discomfort. Both sisters looked off in the distance and appeared annoyed.

Tom supported Dina in the conversation and told them that they needed to help.  Paula and Meg responded with many excuses about why they didn't have the time and couldn't help. Soon after that, they both left in a hurry.

Dina felt angry, resentful and sad after they left. She and Tom talked about what they could do next and they decided to have another meeting with Paula and Meg, but this time they would include a third party, a geriatric care manager, there to mediate their discussion.

Initially, Paula and Meg continued to make excuses for not helping at all. While they spoke, the geriatric care manager listened carefully and empathized with them.  Then, she tried to find a compromise where they could offer financial help so Dina and Tom could hire a home attendant for help.

Dina's sisters were so relieved that they didn't have to take their parents in that they readily agreed to offer financial help so Dina and Tom could have more time for themselves.  After that, Dina and Tom felt a lot less stressed because they had help and more time to themselves.

A few months later, Dina's parents decided they would prefer to live in an assisted living facility, so Dina and Tom went with them to see several facilities until they found one they liked and could afford.

After this experience, Dina realized she was so conditioned since childhood to take on most of the responsibilities and she had not learned to take care of herself.  

Once her parents were situated in the assisted living facility, she began therapy to work on this.  Her therapist helped Dina to feel entitled to take care of herself. Dina also worked through the sadness, anger and resentment she had been unaware of for most of her life.  

Conclusion
Being in the dual role of taking raising children and taking care of elderly parents is stressful and emotionally draining for most people.

Without even realizing it, you might be repeating lifelong patterns of doing too much and not taking care of yourself, as discussed in the vignette above.

In certain situations, there might be ways to help alleviate the stress if other family members are willing to help.  If not, you might be able to use the services of a geriatric care manager or someone who is outside the situation who can mediate family discussions to see if there is a compromise.

If you're able, you could benefit from working with a licensed mental health professional who can help you to cope with the stress and emotional toll. She can also help you to overcome old behavioral patterns that keep you stuck.

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

I work 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.