Couple Family and Sex Therapy NYC

COUPLE FAMILY & SEX THERAPY NYC

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Gracie Landes, a Licensed Marriage and Family Therapist and Certified Sex Therapist will work with you to build solutions that fit you when you have:

the desire to improve any aspect of your life • trouble adjusting to a new situation or life transition • conflicts that keeps you from being closer to people you care about • anxiety, lack of information or embarrassment about sex • questions about relationships or sexual health...

and you want to work with someone who is dedicated to providing counseling that is brief, respectful and effective, and to discovering what works

Self help that make sense, part 1: obsessed with habits

I have long been fascinated by self help books and articles, looking for ideas  that anyone can implement. These ideas from blogger Tynan, author of the book Superhuman by Habit, are are so simple they are they profound. I want to share how some of them apply to relationships.

Your life gets screwed up worse by bad habits than having bad things happen to you.

A single piece of cake won’t make you fat. Habitual overeating will. One drink doesn’t create an alcoholic, a lifetime of drinking does. A single missed payment doesn’t ruin someone’s credit but a lifetime of not paying bills will, just like a lifetime of regular saving actually works.  Fighting the same fight over and over with your partner absolutely doesn’t work. Same for blaming others for your problems or trying to get them to change, things many of my clients struggle with when they first come in.

You are what you do.

Not what you aspire to. You actually change your identity when you develop good habits.

If you want to run a marathon, you do it by getting out there and running, not talking about it or buying gear. If you want to run, run. That’s how you become a runner. If you want to write, write. Not once, but daily. Till it becomes a habit, till it’s just what you do. It’s that simple.

A few good habits put your decision-making process on autopilot.

When you have good habits, things go well for you more often, and you know what to do, from experience. When you develop good work habits, your career becomes rewarding. When you develop good relationship habits, you no longer waste time having the same fight over and over. Good habits are easier to maintain as time passes: as you succeed, you have more energy to keep doing what works.

Life is easier when you take responsibility

When you make the effort to do the right thing, you become free from wasting time focusing on others, wanting them to do what you want them to, trying to get them to change. When you do you, things go right more of the time. There are no guarantees you will always get what you want, but when you focus on what you can do, not what others aren’t doing for you, your path becomes clear.

Don’t avoid effort

If you are learning something and it’s hard, go towards it. Your effort will be rewarded as you learn master this and future challenges. You spend as much energy avoiding a task (which only makes you feel bad) as mastering it (which makes you feel great). The person who is afraid of water wastes a lifetime avoiding the water. The person who breaks it down and learns to swim gains more than the ability to swim, they gain the ability to learn.

Reward the effort, not the outcome

Outcomes are not in your direct conrol, but your process is. When you have a process that works for you, it is always available. When school children are rewarded for grades, they don’t how to learn to think, or study. So, focus on process and learn to solve problems. When you develop a good process, you don’t need an elaborate reward because having the process is it’s own reward. I’ve worked with couples who stubbornly swore they would only change once their partner did: only get married if the other person promised to have a child with them, stop fighting, make more money, you name it. For hose who get paralyzed looking for a guaranteed outcome they can’t get, the real loss comes from refusing to work on themselves.

Start now, and just keep going.

A huge predictor of success is how soon people start a project after deciding on it. Those who start soon after deciding to do something do better at it than those who put it off. I’ve seen people complain that things only go well…by chance, when conditions are right, etc. Conditions are rarely right enough. I’ve seen people walk away from any number of workable relationships in search for the perfect partner, and I’ve seen arranged marriages work brilliantly. 

Learn from your mistakes.

Mistakes feel bad, especially when there are consequences. Still, those who choose learn from failed relationships more often than not go on to build healthy ones. So, if you fail, do not stop! Failure is an opportunity to learn. Those who stumble learning a new skill often get better at it than those who get it right the first time, because they train themselves to make needed adjustments. Learning from your mistakes will take you from pass/fail to a world of options.

Don’t give up

If you give up, your brain will figure out you don’t have go do tough things. So, figure out what your error was and how to correct it. When you get clear how well you are doing and how to do better,  you build a self sustaining process that keeps working and can be applied to all challenges:  “ a universal framework for training yourself”.  Ok, now, get going.

 

a solution focused way to fall in love with anyone

I wanted to share a New York Times Modern Love column "To Fall in Love With Anyone,  Do This”  by  Mandy Lin Catron that describes practices that can be called solution focused.

Catron describes how she and her (now) partner, already somewhat interested in each other, got much closer and eventually fell in love, using some of these instructions:

  • "alternate sharing something you consider a positive characteristic of  your partner, a total of 5 things"
  •  “tell your partner what you like about them; be very honest this time saying things you might not say to someone you’ve just met”.

They took turns asking each other questions from an original study by Dr. Arthur Aron, which describes "a practical methodology for creating closeness" in which pre-selected pairs of college students carry out a series self-disclosing and relationship-building tasks of gradually increasing intensity (small steps).

The study describes how practices that could be considered solution focused were used to create closeness in a short (45 minute) time frame. The instructions begin: "We believe that the best way for you to get close to your partner is for you to share with them and for them to share with you.” and goes on to discuss how closeness produced in the studies "seems similar in many important ways to the felt closeness in naturally occurring relationships that develop over time", defining closeness as “including other in the self”, an interconnectedness of self and other, a process in which people feel “validated, understood and cared for”.

Catron describes how, by focusing on each other without distractions, asking questions designed to gradually increase their level of vulnerability, giving compliments, and then staring into each other’s eyes, these two people found they “ didn’t notice we had entered intimate territory until we were already there”.

She concludes that:

  • "It’s astounding, really, to hear what someone admires in you. I don’t know why we don’t go around thoughtfully complimenting one another all the time".
  • "what I like about this study is how it assumes that love is an action. It assumes that what matters to my partner matters to me"
  • "it’s possible — simple, even — to generate trust and intimacy, the feelings love needs to thrive."
  • "Love didn’t happen to us. We’re in love because we each made the choice to be."

Some of the solution focused practices used in the study that are clear to me:

  • small steps lead to big changes 
  • ask detailed questions
  • notice what is best in a person
  • pay compliments
  • behavior change leads to emotional change.

the column:

http://www.nytimes.com/2015/01/11/fashion/modern-love-to-fall-in-love-with-anyone-do-this.html?smid=fb-share&_r=1

the research it was based on based on:

http://www.stafforini.com/txt/Aron%20et%20al%20-%20The%20experimental%20generation%20of%20interpersonal%20closeness.pd

small slivers of change

I am a big fan the concept of small slivers of change, which means the right dose of the right intervention at the right frequency, and I mean often. Often enough, strong enough, manageable enough for change to become reality. We could be talking about dieting, exercise, or any behavior change someone expects to improve their life. 

A 12/31/14 article in the Well column in the New York Times about the "super short workout” and other fitness trends reported that small short bouts of intense activity (often called brief high intensity interval training) are more effective than longer, more sustained workouts. 

In a series of recent studies on brief workouts, both mice and humans having brief, intense repeated exertion experienced “more potent changes" than those doing less intense workouts. It’s like resting between sets of lifting weights. The studies showed changes at a cellular level that lead to larger healthy muscles.  An explanation for it the effectiveness of brief intense workouts was that for physical exercise to be effective, "sometimes you have to get out of your body's comfort zone". 

As with working out, for psychotherapy to be effective, you need to have a different experience and feel it in your body. You need to recognize the experience as a different state of being, and take it again (repeatedly), so you know it’s not just a fluke, something people mistake improvements for. 

A term use to I explain this phenomenon to couples I work with is the vacation effect. A struggling couple returns from vacation feeling reinvigorated and optimistic that things between them have changed, only to find the good feelings they had on vacation quickly fade, leaving them confused and discouraged a mere few days back into their normal routine.They want things to stay as they were on vacation

You can keep good things going. With careful questioning, you can discover what actually worked about being on vacation. It could be that you used your electronic devices less, had more privacy, or paid more attention to each other. Theses discoveries are different for everyone, and it’s best to take time to really look at what actually turned things around for you. Sometimes it’s not what you think. Sometimes it’s easier than you think.One couple discovered that preparing meals together lead to their talking more, which lead to them having sex again.

Careful questioning revealed which elements of the vacation could practically be put into into daily life,in small, frequent, intense doses, or intervals (back to that workout). It’s so worthwhile to have daily routines that work for you, so you’re not just waiting for another vacation for things to be good again.

New habits may seem hard to form but are actually easy, once you understand how they work. Recognize a new behavior, one that works for you. See what works about it. Remember how it feels. Do it again. Take it in. Repeat till it becomes your new normal. When you have small sliver of  a good habit inserted in to your everyday life, your perceptions change along with the your habits. And things keep getting better.

OUT OF CONTROL SEXUAL BEHAVIOR : beware of labels

When a client comes to me with this complaint, it is usually for one of these reasons:

- most of their recent sexual activity has been with porn, and now that they are with a new partner, they are having trouble connecting to that person

- their partner thinks they want too much sex, want the wrong kind of sex, or that they watch too much porn

- their partner caught them practicing non-consensual non monogamy 

- another therapist thinks they are a sex addict

- they are uncomfortable with or feel stigmatized by their desires. 

Because I practice solution focused brief therapy, a way of working that looks at  how clients will recognize a successful outcome for therapy, I don’t need to label a person to help them, and I don’t need to give them advice. I do need listen very attentively, and ask a series of carefully crafted questions to elicit precise descriptions of what things will be like they begin to improve, how they will know they are on the right track. Listening carefully for these clues inevitably leads to helpful conclusions. These are questions that will lead to improvement, descriptions of when things were better, and to pick up clues in what they say. 

While as a certified sex therapist I have must subject matter expertise, it is equally important for me to have expertise in relating to clients in a way that actually helps them. I have heard so many stories about experts who didn’t listen to clients, gave advice that didn’t apply to them, or talked down to them. It is only once I have truly understood how a client measures success that I can accurately point them to resources.

There is a a growing body of evidence (http://www.solutionfocused.net/research.html) to support the idea that asking someone solution focused questions is much more likely to help clients than telling them what to do. When this way of relating is backed up with knowledge of sexual and psychological health, my client and I have truly built a solution that works for them.

© Gracie Landes 2023

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