Month: March 2023

Facilitating Medication Compliance

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Facilitating Medication Compliance

By: Irene Tussy

No matter how effective a medicine is, it will only work for a patient if it is taken properly. Patient health outcomes are evaluated based on the eradication or recurrence of symptoms, emergency room visits, hospitalization, readmission rate, morbidity, and mortality. Medication noncompliance contributes to all these factors, as well as an increase in the cost of healthcare and increased spending on healthcare.

Education is the most effective tool to combat medication noncompliance, and it is equally important that all involved in a patient’s care are educated. The responsibility for compliance is shared by both patient and doctor. Prescribers need to be aware of the importance of communicating clearly with their patients about the medicines they prescribe.  This includes having a conversation about what they are treating and why, as well as addressing not only the side effects of the medicine but the effect of not taking the medicine as well. Prescribing instructions need to be clear and should be reviewed with the patient before dismissal, in writing if at all possible. 

Another important factor for prescribers to review with their patients is the dosage regimen. Patients may be more likely to adhere to a single-dosing approach than they are to a multi-dosing approach. Extended release medications are a great option to consider. If a single-dosing regimen is not possible or is more efficacious, the prescriber needs to make sure that the patient understands the potential repercussions of missing doses.

Pharmacies also play an important role in medication compliance. Automatic refills or refill reminders should be offered to all patients. Text messaging or automated phone calls are viable options. If a patient cannot afford medicine, pharmacies should make available patient information pamphlets from drug companies that often provide a sliding scale or other options to make their drugs more available to those in need. For their part, drug companies need to offer price reductions or sliding scale options to their patients from all socioeconomic backgrounds.  They should also evaluate dosing schedules and try to offer more extended release options on a regular basis. Creating multiple formulations may be useful, such as pills, capsules that tend to be easier to swallow, or liquid for those with dysphagia.

Ultimately, the responsibility for medication compliance lies with the patient, after all, it is their health and well-being that is at risk. A regular medication regimen needs to be set up at home, while on vacation, or on a business trip. Patients should never leave their doctor’s office with unanswered questions about their medications, and if any arise after the visit, a phone call needs to be made to the office as soon as possible, before the question is forgotten. 

If you or someone you know is struggling with medication compliance, 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201)368-3700 or (212)722-1920 to set up an appointment. For more information, please visit https://counselingpsychotherapynjny.com

Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498383/

Marriages; Why Most Marriages Fail?

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By Raichel Cochancela

According to divorce statistics rates for 2022, nearly 50% percent of first marriages, 60% of second, and 73% of third marriages end in divorce. The high rates of divorce indicate couples are not maintaining a healthy and intimate connection after marriage. Some common reasons for divorce include communication issues, infidelity, economic problems, lack of commitment, too much arguing, lack of intimacy, etc. Most problems tend to arise when couples do not communicate or do not address concerns to avoid conflict. Sharing your emotions and thoughts with your partner is necessary to avoid bigger issues that can lead to separation. Each couple faces different hardships. To maintain a healthy relationship, married couples should do the following

  1. Spend time together: Your responsibilities should not prevent you from setting time aside for your partner. There are endless ways you can create closeness with your partner including going on dates, signing up for activities, taking a walk, trying a new food recipe, etc. Spending time with your spouse or wife can have a big impact on your marriage.
  2. Set boundaries: Personal boundaries reduce conflict by sharing what you expect from your partner.
  3. Communicate: Sharing your thoughts, opinions, and emotions with your partner creates more trust and decreases misunderstanding and arguments.
  4. Respect each other: You should value the preferences and likes of your partner to make a sustainable marriage.

The tips provided can help those who feel like their marriages are failing.   

If you or someone you know is struggling with marriage issues 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Sources

Divorce Statistics: Over 115 Studies, Facts and Rates for 2024

Borderline Personality Disorder

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Borderline Personality Disorder

By: Anna Giammanco

Trouble regulating emotions is a core symptom of Borderline Personality disorder. Trouble controlling emotions can cause impulsive actions. It can also negatively influence relationships with others, as well as create a warped self- image.

Other symptoms include:

  •  Intense and unstable interpersonal relationships
  • Strong feelings of dissociation (feeling cut off from oneself, a feeling of observing oneself outside one’s body)
  • Trouble controlling anger and or inappropriate outbursts of anger
  • Suicidal thinking
  • Long lasting feelings of emptiness
  • Intense moods that often vary (these episodes can last for hours or days)
  • Impulsive actions that can often be dangerous (unsafe sex, spending sprees, reckless driving, substance abuse, etc)
  • Acts of self-harm (cutting, etc)
  • Attempts to avoid real or perceived abandonment (quickly getting into an intense relationship or quickly leaving one)

If you or someone you know is struggling, 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

References: https://www.nimh.nih.gov/health/topics/borderline-personality-disorder#:~:text=Borderline%20personality%20disorder%20is%20a,impact%20their%20relationships%20with%20others.

Seasonal Depression

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Seasonal Depression

By: Mercedes Renter

What is seasonal depression? Seasonal depression also known as SAD (Seasonal Affective Disorder) can occur when one does not feel like themselves and their mood begins to change when the season begins and/or ends. Seasonal Depression is characterized as a type of depression by its recurrent seasonal pattern. The two different types of SAD are winter and summer. People who feel symptoms are beginning in the late fall or early winter and tend to go away during the spring and summer are suffering from Winter SAD. Individuals who experience depressive episodes during the spring and summer months may suffer from Summer SAD.

Winter SAD symptoms include

  • Hypersomnia
  • Overeating
  • Weight Gain
  • Social Withdrawing

Summer SAD symptoms include

  • Insomnia
  • Poor appetite
  • Anxiety
  • Restlessness
  • Episodes of Violent Behavior

A few self-care steps that can be done all year long and may help reduce your seasonal depression are exercise, healthy sleep habits, limiting the amount of sugar you consume and going outside on sunny days.

If you or someone you know is struggling with Seasonal Depression please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrics, psychiatric nurse practitioners, or psychotherapists at Arista Counseling and 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 https://www.counselingpsychotherapynjny.com

Schizophrenia

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Schizophrenia: What is it?

By: Anna Giammanco

Schizophrenia is a mental illness that is usually diagnosed in people between the ages of 16 and 30. The way a person thinks, feels, and behaves can be highly affected by Schizophrenia. Symptoms of this disorder can make functioning and performing everyday tasks very challenging. Symptoms of Schizophrenia can often differ between patients. Symptoms usually fall into three different categories (psychotic, negative, and cognitive).

Psychotic: Symptoms include changes in behavior and a person’s perception of the world. Symptoms vary on how often they occur. For some, symptoms can be less frequent or more frequent.

  • Hallucinations: Hallucinations can occur in several forms. One can experience hallucinations visually, aurally, and through perceived taste or smell. Despite feeling very real, these hallucinations aren’t actually happening.
  • Delusions: Delusions are powerful beliefs that a person with Schizophrenia has that are untrue and somewhat illogical.
  • Ex: believing, voices on TV and Radio are sending special messages.
  • Thought disorder: Unusual and nonsensical ways of thinking. Having trouble organizing thoughts and speech. Abnormal pauses in the middle of talking while concentrating on a thought.
  • Movement disorder: Abnormal body movements such as repeating movements over and over.

Negative:

  • Feeling a loss of motivation or lack of interest in daily activities, Isolating oneself and withdrawal from social life, having trouble functioning.
  • Symptoms include: trouble sticking to tasks, feeling pressure in everyday life, having low energy, avoiding social interaction.

Cognitive:

  • Having problems with memory and concentrating, having trouble processing information and using information after learning it.

If you or someone you know is struggling, 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

References:

https://www.nimh.nih.gov/health/topics/schizophrenia

Social Isolation due to Technology

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Social Isolation due to Technology

By Raichel Cochancela

New generations are growing up in an environment surrounded by technology. It almost comes naturally to give children technological devices to avoid or decrease temper tantrums, keep them entertained, distract them, etc. Parents use technology to comfort their children. Thus, it is not surprising that throughout adolescence and adulthood there is a prevalent desire to own technological devices and to be active on social media platforms. It is evident that technology plays a significant role in life. Owning technological devices, especially smartphones, has become the norm in society. Alarmingly, there seems to be a correlation between high levels of social isolation and technology. In-person interactions with friends and family members are decreasing as more time is spent on technological devices. People are not interested in being at social settings. Instead, many prefer to stay home and spend their spare time with technology. Technology tends to increase social isolation, which can have detrimental effects on mental health well-being. Social isolation can increase emotional isolation, detachment, loneliness, anxiety, psychical problems, etc.

To avoid social isolation due to technology you can,

  • Monitor and limit your screen time
  • Join group activities (sports, clubs, groups, etc.)
  • Meet with family members
  • Reconnect with friends
  • Volunteer for your community
  • Enroll in seminars of your interest
  • Reach out for support

If you or someone you know is struggling with social isolation 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Understanding medication adherence: Why is it important?

GalleryJudy Gurfein Leave a comment

Understanding medication adherence: Why is it important?

By: Irene Tussy

Doctors prescribe medication all the time, yet actually taking medication as instructed may not be as common for patients. So, what does it mean to be prescribed medication with specific instructions, and why is it important to take the medicine we are prescribed? What will happen if the medications we are prescribed are not taken properly? These questions can all be answered by focusing on one main idea: medication adherence. Medication adherence is the act of taking medications as they are prescribed and following the medication plan that you and your doctor(s) have made.

The concept of medication adherence is important for a multitude of reasons, all of which will allow your medication treatment plan to be as effective as possible. Most importantly, adherence allows your medications to work properly. Most medications take about 4-6 weeks to start working. Therefore, it is important to be patient, keep taking your medication, and allow it to have the proper time to perform as expected.

There are many reasons for non-adherence, including denial, embarrassment, or simply just forgetting to take your medication. Failing to take your medications as prescribed by your doctor increases the risk of your condition becoming worse, can diminish your quality of life and can increase the possibility of your return to a clinic or hospital. So, it is important to make a medication plan that may be easily implemented into your daily life and to make a conscious effort to adhere to it!

Now that you have a better understanding of the importance of medication adherence, there are many easy habits you can form to be consistent with your meds. These habits include (but are not limited to) pairing medications with something you do every day, using a weekly pill box, enrolling in an automatic refill program, and having prescriptions mailed to your home. Being consistent with these habits will decrease the chance of non-adherence and allow you to find success in your medication plan.

If you or someone you know is struggling with medication adherence, 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 Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201)368-3700 or (212)722-1920 to set up an appointment. For more information, please visit https://counselingpsychotherapynjny.com
Reference: https://www.nami.org/About-Mental-Illness/Treatment/Mental-Health-Medications/Medication-Adherence