Anorexia: Silent Suffering

By: Elyse Ganss

Anorexia nervosa, commonly referred to as anorexia, is an eating disorder that includes symptoms of often an extremely low body weight, a fear of gaining weight, and body dysmorphia. People suffering from anorexia are usually consumed by thoughts of their body image.

Extreme focus on weight and shape is experienced by those who have anorexia. This often leads to a dangerous restriction of calories to lose and restrict weight. Those suffering from anorexia may excessively exercise, consume laxatives, or vomit after eating to stop weight gain. Even when the person suffering from anorexia reaches an extremely thin and unhealthy body weight/shape, they will not stop the restriction of food.

Anorexia can have serious health complications including heart problems, bone loss, infertility, kidney problems, and more. Anorexia is common with people who have perfectionist/high-achieving personality types. People suffering from anorexia feel as though they gain a sense of control by restricting their intake of food.

Anorexia can be undiagnosed for a long time if symptoms are not detected. It is common for people with anorexia to deny their eating disorder and not want to seek help. By meeting with a therapist, treatment plans can be established. Normally this would include a plan to get the person to a healthy weight, finding out what emotional issues the person is having, and changing their thought processes/outlook on their body image.

If you or someone you know needs support for an eating 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/ .

Sources:

https://www.mayoclinic.org/diseases-conditions/anorexia-nervosa/symptoms-causes/syc=2-353591

https://www.webmd.com/mental-health/eating-disorders/anorexia-nervosa/default.htm

Image Source:

https://www.psychologytoday.com/us/blog/science-practice/202002/therapy-can-help-even-those-who-did-not-benefit

Generalized Anxiety Disorder

By: Elyse Ganss

Generalized Anxiety Disorder (GAD) is characterized by worries/fears about everyday activities as well as excessive anxiety. Symptoms of generalized anxiety disorder include the inability to stop worrying about money, work, family, or daily life in general. Common physical symptoms include headaches, sweating, trembling, nausea, and tiredness. Frequently, those suffering from generalized anxiety disorder become consumed with worry, which impedes their daily functioning.

Environmental and biological factors are responsible for GAD. It seems as though genetics may play a role in GAD as it is sometimes passed down through a family. Generalized anxiety disorder is associated with brain chemistry and abnormal functioning of nerve cell pathways. These abnormalities cause changes in the emotion regions of the brain that lead to increased anxiety. Environmental factors that contribute to GAD may include traumatic events, divorce, substance abuse, stressful life events, changing jobs, or the death of a loved one.

GAD afflicts around 4 million adults in the United States every year. A mental health professional like a psychiatrist, nurse practitioner, psychologist, or licensed social worker can diagnose and create a treatment plan for those who are suffering from generalized anxiety disorder. Medication can be helpful for those whose anxiety levels are debilitating and will help return the person to previous, normal functioning.

If you or someone you know needs support for generalized anxiety 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/ .

Sources:

https://www.webmd.com/anxiety-panic/guide/generalized-anxiety-disorder#2

Image Source: https://www.psychologistpanel.com/wp-content/uploads

Teens During COVID-19

Teens During COVID-19

By: Alexa Greenbaum 

The COVID-19 crisis, social distancing, and government-mandated lockdowns have taken a toll on teenagers. For teenagers and young adults, friends are hugely important, and separation from their peers can be very challenging as bonding with peers is one of the essential developmental tasks of adolescents. During this time, parents need to understand and acknowledge their frustrations over being cut off from seeing friends. To help teens during this difficult time, adults should listen to what they’re feeling, validate those feelings, and then be direct about how you can work together to make this situation bearable. 

For most teens, it can be painful to lose experiences such as sports seasons, proms, plays, and graduations. Parents can help their teen children by loosening rules to help compensate for the socializing time lost with the school closing. For example, parents can allow their children to spend more time on social media, have more downtime, and allow teens to socially distance with their friends.

Teenagers can also benefit from getting adequate sleep, keeping a consistent sleep schedule, eating healthy meals, and exercising regularly. Healthy habits can increase and maintain positive moods. Healthy habits also help teens who are struggling with mental illnesses such as anxiety and depression and improve their ability to fulfill academic expectations. 

Parents who give teens room to share their feelings, listen to them without judgment, reassure them that everything will work out, and help them look forward to future plans and goals are other ways to support teens.  Parents should also watch for signs if their teenage child is struggling and may need additional support.

If you or someone you know is struggling during COVID-19 or another crisis, 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://childmind.org/article/supporting-teenagers-and-young-adults-during-the-coronavirus

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Teens-and-COVID-19.aspx

Image Source: 

https://www.health.harvard.edu/blog/keeping-teens-home-and-away-from-friends-during-covid-19

COVID-19: Teens in a Stressful Time

COVID-19: Teens in a Stressful Time

By: Alexa Greenbaum 

The COVID-19 crisis, social distancing, and government-mandated lockdowns have taken a toll on teenagers. For teenagers and young adults, friends are hugely important, and separation from their peers can be very challenging as bonding with peers is one of the essential developmental tasks of adolescents. During this time, parents need to understand and acknowledge their frustrations over being cut off from seeing friends. To help teens during this difficult time, adults should listen to what they’re feeling, validate those feelings, and then be direct about how you can work together to make this situation bearable. 

For most teens, it can be painful to lose experiences such as sports seasons, proms, plays, and graduations. Parents can help their teen children by loosening rules to help compensate for the socializing time lost with the school closing. For example, parents can allow their children to spend more time on social media, have more downtime, and allow teens to socially distance with their friends.

Teenagers can also benefit from getting adequate sleep, keeping a consistent sleep schedule, eating healthy meals, and exercising regularly. Healthy habits can increase and maintain positive moods. Healthy habits also help teens who are struggling with mental illnesses such as anxiety and depression and improve their ability to fulfill academic expectations. 

Parents who give teens room to share their feelings, listen to them without judgment, reassure them that everything will work out, and help them look forward to future plans and goals are other ways to support teens.  Parents should also watch for signs if their teenage child is struggling and may need additional support.

If you or someone you know is struggling during COVID-19 or another crisis, 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://childmind.org/article/supporting-teenagers-and-young-adults-during-the-coronavirus

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Teens-and-COVID-19.aspx

Image Source: 

https://www.health.harvard.edu/blog/keeping-teens-home-and-away-from-friends-during-covid-19

Happiness: Why it relates to your mental health

Happiness: Why it relates to your mental health

By: Alexa Greenbaum

Humans have always pursued happiness and positive psychology has taken this concept into the realm of scientific research in hopes of gaining a better understanding of global well-being and meaningful living. Positive psychology studies the satisfaction of one’s life. This satisfaction can refer to happiness, reward, pursuit, impact, pleasure; overall being their best selves. Positive psychology focuses on the well-being of individuals and uses tools to guide someone to be more satisfied. Physical objects play an interesting role in positive psychology. Different objects, values, or the way one identifies themselves can be correlated to that person’s level of satisfaction in the present or future.  

Positive Psychology is the scientific study of what goes right in life – how people respond to difficult things, what people do to be there best selves, and how they do it. Studying happiness is important to people. Most people put happiness at the top of their list when asked what they want most in life. 

Happiness is understood as the positive emotion humans have regarding pleasurable activities; we take part in our daily lives. Pleasure, comfort, gratitude, and hope are examples of positive emotions that increase happiness and allow us to flourish. 

Why happiness is important as it is related to:

  • Good interpersonal relationships
  • Cognitive flexibility and creativity
  • Job performance
  • Resilience and health

Four potential routes to happiness: 

  • Hedonism – Reduction of tension or satisfaction of needs leads to happiness, maximizes pleasure, and minimizes pain.
  • Eudaimonia – Identifying one’s virtues, cultivating them, and living in accord with them. Doing things that are important make your life worth living. 
  • Engagement – Engagement in particular life activities generated happiness. The process of engaging in the pursuit of happiness. 
  • Victory – Winning at whatever matters most (it can be a competition against yourself or others) can increase life satisfaction and life improvement.

If you or someone you know is struggling with life satisfaction, finding happiness in life, or another crisis, 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/blog/click-here-happiness/201801/how-be-happy-23-ways-be-happier

https://positivepsychology.com/happy

Photo Source: 

https://www.thoughtco.com/positive-psychology-4777735

Healthy Relationships: What does a healthy relationship look like

Healthy Relationships: What does a healthy relationship look like

By: Alexa Greenbaum 

As humans, we seek genuine relationships in which both parties are satisfied and attain benefits from being a part of the relationship. Every relationship is unique, and people come together for many different reasons, but the key elements to a healthy relationship remain. Healthy relationships bring out the best in you and make you feel good about yourself. However, a healthy relationship does not mean that it is perfect, no one is healthy 100% of the time. 

Healthy relationships manifest themselves as healthy communication and proceed at a comfortable pace that feels enjoyable to each person. There is a common goal for where both parties want the relationship to go. Trust is also a component of a healthy relationship. Trust can help you feel secure and give you the confidence that your partner would not do anything to hurt or ruin the relationship. When there is honesty, it can allow yourself to be truthful and candid without fearing how the other person will respond. Independence from a significant other can strengthen a relationship because it can give you the space to be yourself outside of the relationship. No one person can meet all your needs. Maintaining outside interests and relationships can sustain your own identity as well as stimulate and enrich your romantic relationship. Mutual respect is also critical. When there is respect, you value each other’s beliefs and opinions and love one another for who you are as a person.  

Overall, a healthy relationship does not only require trust, honesty, and independence, healthy relationships also require reciprocation and care. A good relationship is where both parties do things for each other and care about the relationship by voluntarily investing time and energy into the relationship. This means that there is equality within the relationship. The relationship feels balanced so that everyone puts the same effort into the success of the relationship. Equity allows both parties to maintain a meaningful emotional connection. Doing things for each other should be done out of kindness. Kindness means that you are caring and empathetic to one another. Kindness also means that you provide comfort and support, kindness makes each other feel loved and emotionally fulfilled. 

In times of conflict, taking responsibility and owning your actions and words, avoiding placing blame, and admitting when you make a mistake is critical in healthy relationships. Conflict can be healthy if handled correctly and respectfully. If conflicts are handled appropriately, it should not make couples fear disagreement. Healthy conflict is when parties within a relationship openly and respectfully discuss issues but confronting disagreement non-judgmentally. Lastly, a healthy relationship is fun. Fun in a healthy relationship means that you enjoy spending time together that you bring out the best in each other.

If you or someone you know is struggling in their relationship or another crisis, 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.joinonelove.org/signs-healthy-relationship

https://www.helpguide.org/articles/relationships-communication/relationship-help

Image Source

https://www.betterhelp.com/advice/relations/counseling-for-couples-as-part-of-a-healthy-relationship/

Race and Mental Health Treatment

Race and Mental Health Treatment
By: Isabelle Siegel

Research demonstrates that individuals from racial and ethnic minorities are significantly less likely to receive treatment for mental health issues than White individuals. In 2015, nearly half (48%) of White individuals with mental illnesses received professional help while significantly smaller percentages of minority individuals—31% of Black individuals, 31% of Hispanic individuals, and 22% of Asian individuals—with mental illnesses received professional help. This begs the question: Why are people from racial and ethnic minority backgrounds less likely to receive mental health treatment?

Financial Barriers. A report conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) reveals that the primary reason that people from racial and ethnic minority backgrounds are less likely to receive mental health treatment is due to the cost of services and/or lack of insurance coverage. People from racial and ethnic minority backgrounds are disproportionately likely to experience poverty and, as a result, to have difficulty accessing healthcare services.

Stigma. Research suggests that mental illness stigma is more acute among certain racial and ethnic groups. For example, studies suggest that feelings of stigma are greater among Asian and Hispanic individuals as compared to among White individuals. This, in turn, renders Asian and Hispanic individuals less likely to seek out mental health treatment when in need.

Lack of Culturally Competent Therapists. The majority of therapists are White and may not directly understand the experiences of people from racial and ethnic minority backgrounds. Becoming a culturally competent therapist requires education and effort that unfortunately does not always take place. In fact, 56% of mental healthcare providers report having no formal cultural competency training.

Language Barriers. Many therapists speak only English, which poses yet another barrier for racial and ethnic minority individuals who wish to seek mental health treatment. As a result, it can be difficult for non-English speaking individuals to receive proper mental healthcare.

It is imperative that we work to increase the accessibility to mental health treatment for all individuals. Regardless of race and/or ethnic background, socioeconomic status, and other demographic factors, all individuals have the potential to benefit from therapy and other forms of treatment.

If you or a loved one needs support, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. 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, visit http://www.counselingpsychotherapynjny.com/

Sources:
Mental Health Facts for Diverse Populations – American …www.psychiatry.org › Mental-Health-Disparities › Ment…
https://www.nimh.nih.gov/news/science-news/2015/a-new-look-at-racial-ethnic-differences-in-mental-health-service-use-among-adults.shtml
https://socialwork.simmons.edu/racial-disparities-in-mental-health-treatment/

https://www.kff.org/other/state-indicator/poverty-rate-by-raceethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568160/
Image Source: Mental Health Facts for Diverse Populations – American …www.psychiatry.org › Mental-Health-Disparities › Ment…

Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)

Perfectionism: Obsessive-Compulsive Personality Disorder (OCPD)
By: Isabelle Siegel

Oftentimes when people say “I’m so OCD,” what they really mean is “I’m a perfectionist.” Perfectionism is a trait characterized by a rigid need to be perfect: that is, without flaws. Although perfectionism is often thought of as being a positive trait, it can be maladaptive in many ways. Perfectionists tend to have unrealistically high standards, to take longer to complete tasks, to struggle with collaboration, and to place immense pressure on themselves. When perfectionism is extreme, it may meet criteria for Obsessive-Compulsive Personality Disorder (OCPD).

OCPD, not to be confused with OCD, is a personality disorder characterized by a pattern of inflexibility and a fixation with perfection. This fixation can interfere with one’s ability to complete tasks, one’s interpersonal relationships, and other aspects of one’s life. People with OCPD attempt to control life using details, rules, lists, order, organization, and/or schedules. According to the Diagnostic and Statistical Manual of Mental Disorders, OCPD is diagnosed when an individual demonstrates:

  • a fixation with details, rules, lists, order, organization, or schedules
  • perfectionism that interferes with task completion
  • overemphasis on work and productivity, leaving no time for leisure or relaxation
  • a fixation with morality and ethical responsibility
  • hoarding of objects and/or money
  • an inability to delegate tasks to others
  • an overall rigidity and/or stubbornness

Like other psychological disorders, OCPD can be treated with therapy and medication. Therapies for OCPD emphasize identifying and modifying maladaptive behavioral patterns, as well as targeting triggers (such as stress) for overly perfectionistic behavior.

If you or a loved one demonstrates symptoms of OCPD, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. 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, visit http://www.counselingpsychotherapynjny.com/

Sources:
https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism
https://www.ocduk.org/related-disorders/obsessive-compulsive-personality-disorder/clinical-classification-of-obsessive-compulsive-personality-disorder/

Image Source: https://commons.wikimedia.org/wiki/File:Signs_of_OCPD_1.png

Mental Illness: Genetics or Environment?

Mental Illness: Genetics or Environment?

By: Isabelle Siegel

The term “Nature vs. Nurture” describes an age-old scientific debate regarding whether behavior, personality, and other individual characteristics are the result of nature—one’s biology and genetics—or nurture—one’s environment and upbringing. The development of mental illness is a prime example of the Nature vs. Nurture debate, as scientists and others seek to understand: Is mental illness caused by genetics or environment?

The Big Question. Is Nature or Nurture responsible for mental illness? This is essentially a trick question, as both Nature and Nurture contribute to the development of mental illness. In fact, it is ultimately the interaction between one’s genes and one’s experiences and environment that leads a person to develop a mental illness. According to the Diathesis-Stress Model, genetic predispositions develop into mental illnesses when they are met with stressful environments and/or experiences. For example, a person can be born with a genetic predisposition for depression, but that person may not develop depression unless they experience stressful environmental events such as abuse.

Nature. What are the biological and genetic causes of mental illness? It is well-documented that mental illness can be hereditary, or passed on within families. For example, a person is four to six times more likely to develop Bipolar Disorder if someone in their family has or had Bipolar Disorder. Another potent biological factor contributing to the development of mental illness is brain anatomy and brain chemistry. Research suggests, for instance, that people with schizophrenia have less active prefrontal cortices (the area of the brain associated with decision-making, planning, and personality). Other biological factors implicated in the development of mental illness include exposure to infection or toxins, damage during pregnancy, and use of substances.

Nurture. What are the environmental causes of mental illness? The development of mental illness can often be associated with one’s childhood experiences. Exposure to abuse is a potent example of an environmental factor that can lead to mental illness. Other experiences can also result in the onset of mental illness, including death, divorce, and/or other forms of grief or trauma.

In conclusion, neither Nature nor Nurture is solely responsible for the development of mental illness. Rather, genetic and biological factors combine with environmental and experiential factors to result in the onset of mental illness. 

If you or a loved one needs support for mental illness, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. 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, visit http://www.counselingpsychotherapynjny.com/

Image Source: https://www.verywellmind.com/what-is-nature-versus-nurture-2795392

COVID-19 and Domestic Violence

COVID-19 and Domestic Violence
By: Isabelle Siegel

When the COVID-19 pandemic began and stay-at-home orders were first put into place, it was predicted that domestic violence rates would soar. With people confined to their homes, it was only natural that the potential for abuse would become higher. At the onset of the stay-at-home orders, the United Nations Population Fund estimated that just three months of quarantine would yield a 20% increase in domestic violence worldwide. Why? Without work and other escapes from the home, people are forced to remain with their abusive partners at all times. Moreover, orders to remain at home complicate the process of seeking support from friends and professionals. Other factors such as higher stress levels, alcohol use, and economic anxiety may also contribute to increased rates of domestic violence.

However, there has been a surprising decrease in reports of domestic violence. In fact, domestic violence arrests are down a shocking 40%. Is the rate of domestic violence truly decreasing, or is something else at play?

Unfortunately, the statistics paint a misleading picture. In reality, anecdotal evidence suggests that domestic violence is at a high. Experts suggest that the drop in reports of domestic violence is just that: a drop in reports, not in incidents. Victims quarantining with their abusers are simply less able to call for help, as evidenced by the fact that more calls to hotlines and the police are coming from neighbors and other witnesses. Domestic violence calls most frequently occur when the abuser is not home or the victim is at work. With fewer opportunities to be apart from their abuser, victims are forced to remain silent. Other pandemic-related factors further render victims less likely to seek help. For example, victims report avoiding going to the hospital for domestic violence-related injuries due to fear of catching COVID-19.

Moreover, instances of domestic violence seem to be becoming increasingly violent amidst the COVID-19 crisis. Despite the overall decrease in domestic violence reports, there have been increases in rates of domestic violence-related shootings and murders.

If you or a loved one needs support for domestic violence, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. 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, visit http://www.counselingpsychotherapynjny.com/

Sources:
https://www.nytimes.com/2020/04/17/nyregion/new-york-city-domestic-violence-coronavirus.html
https://www.themarshallproject.org/2020/04/22/is-domestic-violence-rising-during-the-coronavirus-shutdown-here-s-what-the-data-shows
https://www.psychologytoday.com/us/blog/making-sense-chaos/202005/why-the-increase-in-domestic-violence-during-covid-19

Image Source: https://www.bpr.org/sites/wcqs/files/styles/x_large/public/202004/AdobeStock_182729028.jpg