Self-Harm

Self-Harm

Self-Harm

By: Julia Keys

        Self-harm is the act of intentionally injuring oneself without intending suicide. Self-harming behaviors may include, but are not limited to: cutting, scratching, burning, banging/bruising or interference with an injury so that it cannot heal. Self-harm has become a huge concern within the adolescent demographic. Research shows that girls are more likely than boys to self-harm. A recent study shows that up to 17% of teenagers self-harm. To many others who do not self-harm, the act of intentionally hurting oneself may be perplexing, however there are many reasons why people self-harm.

The root of self-harming behavior stems from a lack of healthy coping mechanisms. Oftentimes people turn to self-harm when they have overwhelming feelings of anger, anxiety, depression, or guilt that they do not know how to express. Some self-harm as an act of release, similar to crying or screaming. Once they self-harm, the body releases endorphins which are the body’s natural painkillers, giving the individual feelings of relaxation or happiness. Sometimes people self-harm because they “feel numb”, and harming themselves makes them feel alive.

Here are some signs someone you love may be self-harming:

  • Unexplained cuts, bruises or marks
  • Patterns of parallel cuts or scars
  • Sudden change in mood
  • Wearing clothing inappropriate to the weather in an attempt to cover certain parts of the body
  • Secretive behavior
  • Self-isolating behavior

While self-harm is usually not an attempt at suicide, it is a very serious sign of emotional distress. If you are struggling with self-harm or know someone struggling with self-harm, here are some resources you may find helpful.

Self-Harm Hotline: 1-800-DON’T-CUT (1-800-366-8288)

Self-Harm Text Hotline: Text CONNECT to 741741 in the United States.

If you or a loved one is struggling with self-harm, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.psychologytoday.com/us/blog/evidence-based-living/201805/why-do-youth-self-injure

https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Self-harm

https://www.webmd.com/mental-health/features/cutting-self-harm-signs-treatment#3

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Gambling

Gambling

By Lauren Hernandez

              Gambling can be a fun occasional activity to do with friends or family. However, some individuals can develop a serious addiction known as Gambling Disorder. Through frequent compulsive, habitual impulses, a person who is unable to resist gambling can have extreme negative consequences throughout their life which may affect relationships, finances, and even be a stepping stone towards engaging in criminal behavior. Typically a person addicted to gambling will develop this pattern of behavior during adolescence or young adulthood.  Gambling Disorder may begin with occasional gambling and develop into habitual, problematic gambling episodes. An increase in gambling is associated with stress, depression, and substance use or abstinence. Patterns of problematic gambling may also include periods of long term remission.

According to the DSM-5 the symptoms of Gambling Disorder include:

  • Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the fol­lowing in a 12-month period:
  • Needs to gamble with increasing amounts of money to achieve the desired excitement.
  • Is restless or irritable when attempting to cut down or stop gambling.
  • Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
  • Is often preoccupied with gambling (e.g., having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble).
  • Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed).
  • After losing money gambling, often returns another day to get even (“chasing” one’s losses).
  • Lies to conceal the extent of involvement with gambling.
  • Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
  • Relies on others to provide money to relieve desperate financial situations caused by gambling.
  • The gambling behavior is not better explained by a manic episode.

The treatment for Gambling Disorder is an eclectic approach. It is important to seek treatment early, before the individual poses any extreme risks to themselves or friends and family. Prevention may not always be possible; however limiting exposure to casinos, scratch off tickets, or other triggers is helpful. Compulsive gambling is best treated through psychotherapy in the form of therapy or support groups. In addition to psychotherapy, medications such as antidepressants or mood stabilizers are extremely helpful. If you or someone you know is struggling with Gambling Disorder or has problematic gambling habits, it is important to reach out to a mental health practitioner such as a psychologist or psychiatric nurse practitioner.

If you or someone you know who may have Gambling Disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

 

 

 

 

 

 

 

Source: https://www.psychologytoday.com/us/conditions/gambling-disorder-compulsive-gambling-pathological-gambling

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Habits: Body-Focused Repetitive Behaviors (BFRBs)

Body-Focused Repetitive Behaviors (BFRBs)

By Lauren Hernandez

            Body-focused repetitive behaviors (BFRBs) are a group of disorders composed of “self-grooming” behaviors in which a person might pull, pick, bite, or scrape one’s hair, skin, or nails. BFRBs can be considered “impulse disorders,” however; it is still undetermined whether they are either impulsive or compulsive behaviors. People suffering from BFRBs typically lack awareness towards engaging in the repetitive behavior. BFRBS are problematic when they occur repetitively and cause a person distress in their physical, social, and emotional lives. The cause of BFRBs is still being researched; however, for some, habitual behaviors such as biting nails, chewing on their cheeks, and pulling their hair may develop into an impairing pattern associated with other mental illnesses.

Most BFRBs are associated with anxiety disorders, impulse control disorders, and obsessive compulsive disorders because they are difficult for individuals for control. BFRBs not only have an emotionally distressing impact, as an individual may experience high levels of shame, but BFRBs can also cause physical injuries such as scarring, skin infections, or bald spots.

The most common BFRBs include:

  • Trichotillomania- compulsive hair pulling
  • Dermatillomania- Compulsive skin picking
  • Onychophagia- Compulsive nail biting

Treatment of BFRBs include cognitive behavioral therapy, medication, and supplements, however, there are lower rates of treatment success due to lack of research on the disorders and effective treatment methods. Treatment for BFRBs should be discussed with a psychologist or psychiatric nurse practitioner in order to tailor treatment for an individual.

If you or someone you know is struggling with a Body-focused repetitive behavior, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

Sources:

https://www.psychologytoday.com/us/basics/body-focused-repetitive-behaviors

https://www.psychologytoday.com/us/blog/touchy-subject/201805/habitual-behavior-or-bfrb-disorder

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Hypnosis: The Basics!

Hypnosis: The Basics!

By Lauren Hernandez

            In today’s fast paced, technology filled world, it is important to take care of your mental health and address stress and anxiety with a mental health professional. There are various methods of treating anxiety, stress, and depression, and one of those methods is Hypnosis. According to PsychologyToday, hypnosis is the technique of “putting someone into a state of heightened concentration where they are more suggestible”. Hypnosis is achieved through soothing verbal repetition which relaxes a patient into a trance-like state, allowing the patient to be more open minded to transformative messages. Hypnosis allows a patient to be guided through relaxation, while still being in control. Hypnosis is utilized in accordance with other treatments to help patients overcome mental health issues. Hypnosis is ineffective as a sole treatment method, but is beneficial to a patient when used with other methods of therapy.

Hypnosis can help treat:

  • Bad habits such as smoking
  • Stress, anxiety, and depression
  • Pain, pain associated with autoimmune diseases
  • Fatigue
  • Mood disorders
  • Insomnia
  • Specific phobias

If you are interested in trying another method to treat your anxiety, depression, or any other mental health issues, it is important to reach out to a licensed psychotherapist who can safely and effectively assist you with the use of hypnosis.

 

Sources:

https://www.psychologytoday.com/us/basics/hypnosis

https://www.psychologytoday.com/us/blog/life-without-anxiety/201706/hypnotherapy-and-its-benefits-autoimmune-disease

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Persuasion

Persuasion

By Crystal Tsui

Persuasion is the action or fact of convincing someone to do or believe something. It is used every day by individuals and even big corporations, whether it’s big adverts or a friend trying to get you to go see a concert with them. Persuasion and deception are often blurred; however, deception is the intent to “trick” someone into doing or believing something.

Some ways people persuade others are:

  • The authority bias: influenced by opinion or actions of people in a position of power.
  • Social proof: decide on how to behave by looking to what others are doing
  • Door-in-the-face technique: persuader begins with a large request and they will expect to be rejected. The persuader will ask for a smaller request (their intended goal) and rely on guilt for the victim to accept

Persuasion is used daily even if you are not aware of it. Adverts and sales people use persuasion for their job. However, you are the one doing the persuading and want to improve your skills; all you have to do is listen. Listening to the other person and always be on their side is the most important aspect of persuasion. Here are other ways to improve your persuading techniques:

  1. Be open to the recipient of the person you are trying to persuade. You want them to be relaxed
  2. Mirror their response. This gives the impression that their viewpoint has been fully received
  3. Understand their viewpoint on the subject
  4. Like the previous step, be more agreeable. People like agreeable people and they will be more willing to be accepting.
  5. Don’t use the word “but.” It negates all the previous effort on trying to be agreeable and open to their viewpoint.

Sources:

https://www.psychologytoday.com/us/blog/the-new-teen-age/201905/psychological-persuasion-techniques-used-sexual-predators

https://www.psychologytoday.com/us/blog/resolution-not-conflict/201310/want-be-more-persuasive-use-the-right-body-part-first

https://www.masscommunicationtalk.com/wp-content/uploads/2013/02/Persuasion-Its-Components-Principles-and-Techniques.jpg

 

Autism vs. Disruptive Mood Dysregulation Disorder (DMDD)

Autism vs. Disruptive Mood Dysregulation Disorder (DMDD)

By Crystal Tsui

Autism and Disruptive Mood Dysregulation disorder are often diagnosed together. However, DMDD is a fairly new diagnosis that first appeared in the DSM-V in 2013. As per DSM-V, DMDD is typically diagnosed between the ages of 6 and 18 years old, but symptoms can begin before the age of 10. Before the child is diagnosed, symptoms should last about a year. DMDD goes even further than childhood “moodiness.” It can cause functional and emotional impairment.

Symptoms of DMDD include:

  • Irritability or angry most of the day, almost every day
  • Severe, explosive temper (verbal or behavioral) an average of 3x or more per week, not related to a situation and child’s developmental level
  • Trouble functioning in more than one place (e.g. home, school, and/or with friends)Autism Spectrum is a group of neurodevelopmental disorders. It has been categorized by patterns of repetitive behavior and difficulties with social interactions. Symptoms tend to be present in early childhood and affects daily life and functioning.

Symptoms of autism include:

  • Avoiding eye contact
  • Isolation
  • Obsessive interests
  • Resistance to physical contact
  • Word repetition
  • Little danger awareness

Individuals with these symptoms are not guaranteed to be autistic. Since autism is a spectrum disorder, each individual has their own strengths and challenges. Early intervention has shown to lead to positive outcomes later in life for individuals with autism.

Because both of these disorders are usually diagnosed together, there are no set ways to treat either disorder. If a parent or guardian is concerned about diagnosis or treatment plans, always feel free to get a second opinion.

If you or someone you know who may have Autism and/or DMDD, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Citations:

https://www.autismspeaks.org/what-autism

https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Disruptive-Mood-Dysregulation-Disorder-_DMDD_-110.aspx

https://www.nimh.nih.gov/health/topics/disruptive-mood-dysregulation-disorder-dmdd/disruptive-mood-dysregulation-disorder.shtml

https://www.healthyplace.com/parenting/dmdd/dmdd-and-autism-how-are-the-two-related

Image:

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Memory in Children: Do Games Help Improve Memory in Children

Memory in Children: Games Help Improve Memory in Children

By Crystal Tsui

There are many types of memory; episodic, working, procedural, sensory, and so on. But for children, the most important type of memory that they should be exercising is working memory. This is because working memory, a form of short term memory, is where information is consciously stored in the mind at any given moment. We use working memory to be able to remember something long enough to do something with the information.

How does this apply to children? Well, children with better working memory can:

  • Apply previously learned information to new situations
  • Stay focused and on-task
  • Follow complex and multi-step directions

Their attitudes change and they are better-behaved and less likely to daydream and act out during class.

A study in Japan studied eight year old students completing a 10 minute task every day for two months. The students had to recall the second number in a four number sequence and the results showed that there was a 12% increase on their IQ scores than the control group. The study also reports the results on adults had the same effect, although not as dramatic. In conclusion, yes, memory games do improve working memory in children.

Here is a link to an article that lists a bunch of games you can play with children and it includes directions for each game. https://childhood101.com/short-term-memory-games/

If you or someone you know has trouble with attention, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Citations:

https://childhood101.com/short-term-memory-games/

https://thecornerstoneforteachers.com/working-memory-games/

https://www.health.com/syndication/healthy-woman-collapses-rare-brain-condition-icu

http://www.sweetadditions.net/wp-content/uploads/2011/05/Memory-Games.jpg

 

Relapse Prevention: Substance Use Disorders

Relapse Prevention: Substance Use Disorders Relapse Prevention: Substance Use Disorders

By: Julia Keys

The road to recovery from substance abuse can be long and difficult. There may be many times when those recovering are tempted to just give up. However, there are many different strategies for when individuals are in a place where they feel ready to quit all the progress they made. Relapse is part of recovery, but it should be avoided and treated carefully.

Most people think that relapse starts when the addict starts using again, however relapse can start much earlier than that. There are three stages of relapse: emotional relapse, mental relapse and physical relapse.  Emotional relapse starts when one is thinking about using. Although they have made no real attempts at obtaining any substances, the thought of using is very tempting. During mental relapse one has decided to use again. Physical relapse is when you contact your dealer, obtain substances, or use substances.

When preventing relapse it is important to seek many different types of support. Studies show that those recovering who see therapists alongside any inpatient or outpatient detox programs have faster recovery rates than those who do not seek additional treatment. Therapists can help those in recovery come up with personalized strategies to prevent them from relapsing.

If you or a loved one is struggling with substance use or recovery from substance abuse, do not hesitate to seek help by contacting Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.psychologytoday.com/us/blog/where-science-meets-the-steps/201312/preventing-relapse-among-addicted-youth

https://www.addictionsandrecovery.org/relapse-prevention.htm

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Hoarding

Hoarding

By Lauren Hernandez

                Hoarding is a disorder characterized by the continuous inability to get rid of belongings that have no significant value. While Hollywood has made hoarding a spectacle for consumers, hoarding is a serious condition which threatens the safety and livelihood of many people around the world. People with hoarding disorder will accumulate random items they believe they have an emotional attachment to or because they think they might need the item in the future.

Typically hoarding begins in adolescence and the severity of the condition worsens over time. The cause is still unknown, however hoarding disorder can be prompted by experience of a traumatic event, if a family member has had the disorder, or if a person has difficulty making decisions. People who hoard may suffer from depression, anxiety, or obsessive compulsive disorder. If a hoarder continuously refuses to throw items away, their home will be covered in growing piles of random objects. This poses a serious threat to their health and to the health of the people around them. The clutter inside a home often deems the house unlivable, and there is a greater risk for falling and tripping over items. In addition, there is an increased risk of fires, and mold due to rotting food and other items that are wasting away. People who hoard also typically struggle with personal hygiene which can be associated with other mental illnesses such as depression and anxiety.

According to DSM-5, the following symptoms are diagnostic of hoarding disorder:

  • Persistent difficulty discarding or parting with possessions, regardless of their value or lack thereof
  • The difficulty in discarding possession is due to distress associated with getting rid of them
  • The difficulty in discarding possession leads to clutter of living spaces and compromises the use of living spaces
  • The hoarding creates clinically significant distress or impairment in functioning, including the ability to maintain a safe space

A person who hoards is unable to recognize that their hoarding activity is problematic and dangerous. If you or someone you know might have hoarding tendencies perhaps attempt to either clean the space, if it does not cause too much distress, or leave it. If attempting to clean causes too much distress, seek professional help. “The primary treatments used to relieve symptoms of hoarding disorder include cognitive-behavioral therapy and antidepressant medication, such as selective serotonin reuptake inhibitors (SSRIs). One or the other, or both, may be employed” (PsychologyToday).

If you or someone you know is engaging in hoarding activities, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

 

 

 

 

 

 

 

 

 

Sources: https://www.psychologytoday.com/us/conditions/hoarding-disorder

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Sleep: The Different Stages of Sleep

Sleep: The Different Stages of Sleep

By Crystal Tsui

Have you ever wondered why at certain times of the night you tend to be more alert and other times you dream, unaware of your surroundings? That’s because there are different stages of sleep, more specifically five stages.

  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • REM (rapid eye movement)

How do we determine what stage is what? Sleep researchers use an electroencephalogram (EEG), is a method used to monitor and record electric cortical brain activity, and other instruments to help determine the stages.

In Stage 1, researchers found that this cycle is the lightest sleep. On the EEG, the frequency is slower than when we are awake. Physically, our muscles relax and our breathing occurs at a regular rate.

In Stage 2, we are less likely to be awakened. Our heart rate and temperature decreases as our body is preparing to go into a deep sleep.

In Stage 3 and 4, we begin our deep sleep. It’s harder to be awakened because at this point our body becomes less responsive to outside stimuli. In these stages, our body starts to restore itself, stimulate growth and development, boosts immune function, and builds energy for the next day.

In REM, dreaming occurs, our eyes quickly jerk in different directions, heart rate and blood pressure increase, and our breathing become fast and shallow. This stage generally lasts up to an hour and begins about 90 mins after you initially fall asleep. This is an important stage because our brain starts to consolidate all the information we have learned during the day into our long-term memory.

In children, one cycle can last up to 50-60 mins and increases to 1-1.5 hours in adults. It is advised:

  • Babies (0 months – 11 months) get 14-18 hours
  • Toddlers (1-5 yrs) get 12-13 hours
  • Children (6-10 yrs) get 8.5- 11 hours
  • Pre-teens and teenagers (11-17) get 8-10 hours
  • Adults (18-65+) get 7-9 hours of sleep

If you or someone you know has trouble sleeping, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Citation:

https://img.timesnownews.com/story/1535107553-sleep.PNG?d=600×450

https://www.sleepassociation.org/about-sleep/stages-of-sleep/

https://www.sleep.org/articles/what-happens-during-sleep/