Alcohol Use Disorder

By Samantha Glosser

Alcohol use disorder, more commonly known as alcoholism, is a pattern of alcohol use that results in impairment and distress in your daily life. Short term effects of alcohol use disorder include memory loss, hangovers, and blackouts. However, the long term effects are much more serious and include the following: stomach ailments, heart problems, brain damage, memory loss, liver cirrhosis, and cancer. Alcohol use disorder is also linked to increased chances of dying from automobile accidents, homicide and suicide, as well as increased rates of unemployment, domestic violence, and legal problems.

Cravings for alcohol, drinking in spite of it causing personal problems, an inability to stop drinking, and building up a tolerance to alcohol are common symptoms of alcohol use disorder. Alcohol use disorder can be diagnosed if two or more of the following are present in a twelve-month period (the severity of addiction is based on how many symptoms are present):

  • Drinking more or for a longer period than intended.
  • Feeling the need or trying to cut back on drinking.
  • Spending a lot of time drinking and recovering from the short-term effects of drinking.
  • Craving the use of alcohol.
  • Failing to perform responsibilities due to drinking.
  • Continuing to use alcohol even though it is creating relationship problems.
  • Ceasing participation in important activities to drink more.
  • Drinking before or during potentially dangerous activities (such as driving).
  • Continuing drinking despite its relation to physical and mental health conditions.
  • Developing a tolerance for alcohol.
  • Experiencing withdraw symptoms when reducing or stopping alcohol intake.

There are numerous treatment options available to individuals struggling with alcohol use disorder, such as detoxification, Alcoholics Anonymous (AA), inpatient/outpatient treatment programs, and medication. There are also different methods to recovery, such as abstinence (completely quitting) or just cutting down on alcohol intake. Finding the right treatment options depends on the individual, which is why it is recommended to seek guidance from a trained professional.

If you or someone you know appears to be suffering from alcohol use disorder, 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/

Source: Alcohol Use Disorder. (n.d.). Retrieved from https://www.psychologytoday.com/us/conditions/alcohol-use-disorder

Advertisements

Psychopaths and Sociopaths

By Stephanie Osuba

People often tend to use the terms psychopath and sociopath interchangeably while both disorders are listed under the category of antisocial personality disorders in the DSM-5, there are some distinctions. Shared traits between the two include: a disregard for the law, morality, and human rights; not feeling any remorse; and having violent tendencies.

The first major distinction is that psychopaths are born, while sociopaths are made. Psychopaths are a product of genetics and, from research, they have a physiological defect that leads to an underdevelopment of the part of the brain responsible for impulse control and emotion (the amygdala). Sociopaths, on the other hand, are a result of a history of repeated childhood trauma and physical or emotional abuse. Because of this distinction, sociopaths are capable of forming attachments and feeling empathy in very restricted situations. They are more emotional in that they are nervous and easily agitated. They are prone to emotional outbursts and exhibit fits of rage. Crimes committed by sociopaths are often spontaneous, messy, and unorganized.

Psychopaths are exceptionally dangerous. They are completely incapable of forming attachments to anything and have absolutely no remorse for the things they do. They simply do not feel. Psychopaths are excellent manipulators who mimic emotion to get people to trust them. They are often very successful, smart, and charismatic which leads others to believe that they are normal. Some psychopaths even have families and other long-term relationships with people who are unaware of their diagnosis. Crimes committed by psychopaths are meticulous, premeditated, and often have a contingency in place. Even the violent ones. Psychopaths make up at least 40% of all serial killers.

Source: Bonn, S. A., Ph. D. (2014, January 22). How to Tell a Sociopath from a Psychopath. Retrieved from https://www.psychologytoday.com/us/blog/wicked-deeds/201401/how-tell-sociopath-psychopath 

If you or someone you know appears to be exhibiting signs of psychopathy or sociopathy, 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/.

Narcissism: 5 Major Signs You’re Missing

By Stephanie Osuba

According to PsychCentral.com, there are a few trademark signs of a narcissist that are pretty hard to miss. They all think the world revolves around them and are very much preoccupied with themselves, their preferences, needs, success, and, most importantly, how they are viewed by other people. Even more important still, their aesthetics.

Narcissism usually stems from a major attachment dysfunction, whether from parents or primary caregiver, and that dysfunction is attributed to a major emotional trauma or a culmination of repeated trauma or neglect. This separation or attachment trauma stunts emotional capacity and maturity, usually from an age of adolescence. Because the emotional pain is too much to bare, the child than creates a false persona in order to cope and have the world perceive them to be better off than they actually are. On the other hand, narcissism can also be attributed to overindulgence from parents when their child does the bare minimum.

Here are 5 major signs a narcissist exhibits:

  1. False Humility: A narcissist may put him or herself down on purpose and bait you into complimenting them. They are attention-seeking and have a need for their ego to be stroked constantly.
  2. Lack of Empathy: Because they are only interested in fulfilling their own agendas, narcissists often see people as things to be used. Once you have given them what they wanted, emotionally or physically, they discard you and don’t feel guilty about it. Narcissists are selfish and their relationships are very much one-sided as they are expecting of others to constantly serve them and give nothing in return.
  3. Immature Responses: Narcissists are extremely reactive and highly sensitive people. The slightest criticism can be perceived as the highest of offenses. They blow perceived or actual threats out of proportion and often blame others for their reactivity. Narcissists will also often become passive-aggressive when dealing with a situation that angers them or engage in childish bullying.
  4. Simplification of Other’s Needs: In short, narcissists don’t care about your problems, only their own. They will find a way to minimize any situation that isn’t worth their time in order to brush it off as stupid or useless. Belittling emotions and deflecting in order to blame others is also a common tactic.
  5. Inability to Listen: Narcissists will often give generic advice if forced to speak and not ask questions during a conversation in order to keep dialogue to a minimum. They don’t care about your emotions or what you have to say unless it benefits them.

If either you or anybody you know may be suffering from narcissistic personality disorder, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can help 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 us at https://www.counselingpsychotherapynjny.com/.

Source: Bogdanos, M. (2017, July 11). 5 Signs of Covert Narcissism. Retrieved from https://psychcentral.com/blog/5-signs-of-covert-narcissism/

Group Therapy

Alice Cordero

According to psychcentral.com, Group therapy is a form of psychotherapy treatment where several people meet together under the supervision of a therapist in a particular setting. Group therapy is a form of therapy that can be used in conjunction with individual therapy and medication.  The benefits of group therapy include:

  • Modeling
    • Patients are able to witness how others in the group cope with their problems in positive ways and apply it to their lives.
    • Patients learn from other group member’s mistakes.
  • Helps improve social skills
    • In group therapy, most of the time each individual has to share something about themselves and how they are doing; this helps improve the patient’s interpersonal relationships and understand that they are not alone in this particular process.
  • Increased feedback
    • Provides patients with different perspectives/ coping methods
    • Gives patients a view of how others handle their particular situation
    • Provides individuals with personal feedback through other patients perceptions of themselves
  • Support Network
    • Having multiple individuals who are going through the same gives each patients the opportunity to build a support system that they can use

 

Group therapy involves members expressing their feelings, problems, ideas, and reactions towards other members. Studies have shown that group therapy has been effective in addressing countless problems, including: anxiety, depression, addictive disorders, substance abuse, death, lifestyle issues, and relationship issues.

If you or someone you know is suffering from any of the conditions listed above or think you/ they could benefit from group therapy, 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/.

How to Cope with a Loved one Affected by Alcoholism

 

alcoholism

Sonya Cheema

Alcohol Use Disorder (AUD) is a chronic relapsing brain disease and is characterized by compulsive alcohol use, loss of control over alcohol intake, and a negative emotional state when not using. If you suspect a loved one has alcoholism, look for these signs:

  • Unusually high tolerance for alcohol
  • Hiding alcohol
  • Isolation/absence from work
  • Irrational moodiness/emotional ups and downs
  • Dangerous behavior
  • Not being able to stop drinking once he/she starts
  • Lying/manipulation

Keep in mind that alcoholism affects 17 million adults in the US, and that it is a disease. Many people with loved ones suffering from alcoholism tend to think that the affected person is purposely ruining his/her life and trying to upset family members. You would not blame someone with cancer for hurting themselves, so treat alcoholism in a similar manner. The best things to do when dealing with someone with alcoholism are:

  • Having honest and open discussions with the person about love and the relationship
  • Getting help from others, including professionals
  • Committing to change. If you have to make boundaries or personal promises, be sure to stick with them.
  • Empowering yourself. Learn about alcoholism so you can have a better understanding of what your loved one is going through
  • Do not enable (ie: giving them money)
  • Offer to take him/her to therapy or Alcoholics Anonymous (12 step) meetings.
  • Lastly, DO NOT blame yourself. You are not responsible for anyone’s disease.

Alcoholism is never easy to deal with, especially when it is affecting someone close to you. The best you can do is follow the suggestions above and remember that it is not your responsibility to cure him/her.

If you or a person you know is struggling with alcohol use disorder, it may be beneficial to contact a mental health professional and receive therapy. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help. Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920. Visit http://www.acenterfortherapy.com for more information.     

 

Information in this blog post was received from:

https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders

https://americanaddictioncenters.org/alcoholism-treatment/spouse/

https://www.discoveryplace.info/2016/08/24/the-secrets-to-helping-an-alcoholic-family-member-or-friend/#1526263885900-8943f2ec-6b34

Leaving an Abusive Relationship

By: Emily Ramos

Note: Abuse is not sex-linked. Just as men can abuse women, women can abuse males, and vice-versa. This article applies to everyone who is a victim of abuse.

Why do people stay in abusive relationships if they are unhappy? It is easy to put the blame on victims for choosing to remain with their abuser when you don’t know the extent of what they are going through.  Many times they worry their attacker will do one of the following if they end up leaving:

  • stalk and harass them
  • kill them
  • hold their children hostage
  • kill their pets
  • threaten to commit suicide

It would be easier for someone to leave if they were guaranteed protection from their assailant like a witness protection program. Luckily there are restraining orders that can be filed on behalf of the victim and their loved ones. Here are some helpful tips if you or someone you know is in an abusive relationship:

  1. Make sure you have a strong support system. The more people you have to provide moral and emotional support the more likely you are to follow through with leaving.
  2. Pack your things. Actions speak louder than words, saying you plan to leave is not the same as actually leaving. If you continue to hold off, the situation will only get worse. Abusive relationships never get better and, in some instances, end in death. Taking steps now will improve your chances of being able to escape. If you don’t already have one, open a savings account in your name. Start to put together personal items and important documents that you can leave with a trusted friend and make sure these items won’t get noticed it’s missing.
  3. IF you decide to end the relationship in person, make sure it is done in a public setting. Let your friends know where you are meeting and have someone close by waiting to make sure it all goes according to plan. Also, bring your cellphone and have the number of a local domestic violence shelter on speed dial in case of an emergency.
  4. DO NOT STAY IN CONTACT. Any attempt on the part of your abuser to reach out to you is just their way of manipulating you into taking them back. Agreeing to meet in person is very dangerous.
  5. NEVER assume you’re safe just because you successfully left. Make sure you have a backup plan for every possible scenario that may arise. Avoid participating in the same routines as previously or going to places you previously frequented. Make sure you never do things alone and switch all your social media to private (tell your family and friends to do so as well).
  6. Instead of changing your number, get an alternate number and only give it out to people you trust. Keep your old one and let all calls go straight to voicemail; this will give your abuser the impression that it is still your current number. Save any threatening e-mails, texts, or letters as evidence in case you need to get a restraining order in the future.

By taking the right precautionary steps, you can safely leave your relationship and live a better life.

If you or a person you know is struggling with an abusive relationship, it may be beneficial to have them contact a mental health professional and receive therapy for their illnesses. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help.  Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920.  Visit http://www.acenterfortherapy.com for more information.

The Power of Optimism

Isabelle Kreydin

When you go through a traumatic experience, the time it takes to recover is immeasurable and flooded with uncertainty. It could be anything between a breakup, abuse, a car accident, a loved one’s death, or even your entire childhood. When you acquire a mental illness, or know someone who has, it truly does affect every aspect of your life. Even stress, can alter brain chemistry and one’s way of life. But brokenness is not beautiful because of the way you are, but the way you will be when you are finally free.

You might feel alone. But you are alone because you feel as though are burdening others with your pain, and now are trying to reassemble yourself on your own and trying to fight the mental illnesses from becoming you. You’re trying but right now you are physically and mentally exhausted. It’s a tiring work of progress, but the only way out of the tunnel is through, and we know better than to turn around or take steps backwards.

It is easy for the brain to resort to the cloud that a trauma or illness might have installed in you, falling into despair or numbness, and there is truly nothing worse. Isolation is not the key, though it is most commonly a side effect of any of these negative experiences. Despite contrary belief, this leads you to an opportunity to get help. To find help within friends, family, and professionals. They can only help you understand that although you may not always be able to feel it, there is so much love and beauty to this world. There will ALWAYS be people there for your support. If you don’t feel this way, go out and make new friends, talk to your therapist, reach out to adults you may trust, or even kind strangers. The world has more love to offer than it seems.

Optimism is tough. You can be fighting for your body and thoughts to be positive, and have an outlook on life that shows light. However, your brain and body may be inflicting darkness, or feelings of nothingness, completely out of your control.

Optimism is also a savior. The more you put this fight into your brain, the more you convince yourself that you are going to make it, that everything will be okay, the more likely it is for your body to start behaving this way. Get up and force yourself to make plans, to do anything you once enjoyed or might find joy in.

The world may be falling a part in many aspects, and so are some humans that occupy it. However, everybody is still on this earth giving their full efforts to find the ultimate goal, happiness. It should not be overthought; it should not become the only purpose one strives for. It should be a feeling that comes through every day activities, thoughts, conversations. Positivity can help motivate the brain to feel that happiness, to appreciate the times it is felt, to hope for more positive outcomes and experiences. These can come from setting goals, making friends, loving, giving, being active, showing compassion, pursuing passions, treating oneself, or even physically seeing the beauty this world has to offer.
Life is too short to not love with everything you are. Giving with little return is tough, but you are tougher and have years to be given what you give.

Together, with optimism, have those around you help you rewrite your story and your future, and remember that it is okay to not be okay. There are billions that have struggled, there are millions that are fighting to overcome, and there are millions that have overcome and become a light and inspiration to us all.

You are never alone, and it will be worth it when you reach the end of that tunnel or even when you begin to see the light.

If you are struggling with substance abuse or any other kind of addiction, the psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help.  Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920.  Visit http://www.acenterfortherapy.com for more information.

 

Gambling Addiction

By: Heather Kaplan

Gambling is defined as playing games for a chance to either win or lose money. One who is a compulsive gambler is someone who is unable to resist their impulses to gamble. This leads to severe disturbances in their personal and social lives. The urge to gamble becomes so great that this tension can only be relieved by more gambling. One who exhibit such behavior can be classified to have a gambling addiction. Unfortunately, many gambling addicts are not aware that they have a problem. They only begin to realize the severity of the issue when they hit ‘rock bottom’.

There are various symptoms that indicate that someone is a compulsive gambler. One who has a gambling addiction usually progresses form occasional to habitual gambling. He begins to risk more and more money, which can lead to both financial and personal instability. Someone is said to have a gambling addiction if four (or more) of the following have been demonstrated in the last twelve months:

1. Needing to gamble progressively larger amounts of money to feel the same (or more) excitement

2. Having made many unsuccessful attempts to cut back or quit gambling

3. Feeling restless or irritable when trying to cut back or quit gambling

4. Preoccupation or excessive thoughts (planning next gambling venture, thinking of ways to get more money to gamble with)

5. If the person is using gambling to escape problems of distress, sadness or anxiety

6. Gambling larger amounts to try to recoup previous losses

7. Lying about the amount of time and money spent gambling

8. Relying on others to borrow money due to significant gambling losses

Gambling addiction is a significant problem in the United States, impacting 1-3% of adults, men more often than women. Various complications can arise from having a gambling addiction. Those with such gambling behavior often have problems with alcohol and other substances. These people also tend to have financial, social, and legal problems. Those with gambling addictions are also at higher risk for considering or attempting suicide.

If you or a loved one is exhibiting any of the eight behaviors listed above, you may be at risk for developing a gambling addiction. The licensed psychologists, psychiatric nurse practitioners and psychotherapists at Arista Counseling & Psychotherapy are here to help. 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/

 

Alcohol Abuse: Binge Drinking

By Hannah Pierce

Binge drinking is the most common and deadly form of alcohol abuse in the U.S. but it is also preventable. It is defined as drinking to bring a person’s blood alcohol concentration to 0.08 grams percent or above. This usually occurs when a woman consumes four drinks and a man consumes five drinks in two hours.

Binge drinking can happen across a lifespan but it is most common among people between the ages of 18 and 34. Many high school and college students below the age of 21 report binge drinking on occasion. It is a form of alcohol abuse that is “drinking to get drunk” rather than just having a couple drinks.

Binge drinking is associated with many health problems including:

• Alcohol poisoning
• Unintentional injuries (car accidents, falls, burns)
• Sexually transmitted diseases
• Cancer (breast, mouth, liver, esophagus, colon)
• Memory and learning problems
• Poor pregnancy outcomes (miscarriage, stillborn, fetal alcohol syndrome)
• Alcohol dependence

Binge drinking can be prevented by:

• Increasing taxes on alcohol and other pricing strategies
• Limiting the number of places that sell alcohol
• Restricting the hours that alcohol can be sold
• Holding retailers responsible for harms caused by illegal distribution of alcohol to minors or customers who are inebriated
• Consultation and counseling for alcohol abuse

If you or someone you know may be binge drinking or abusing alcohol, the psychiatrists, psychologists, psychiatric nurse practitioners or psychotherapists at Arista Counseling can help you. Please contact our Bergen County, NJ or Manhattan, NY offices at (201)368-3700 or (212)722-1920 to set up an appointment, or visit http://www.counselingpsychotherapynjny.com for more information.
https://www.cdc.gov/alcohol/fact-sheets/binge-drinking.htm

Recognizing Alcohol Abuse in Teens

tumblr_ltulw0V0FZ1r0i1q3o1_500

Recognizing Alcohol Abuse in Teens

By Emily Aranda

Teens who experiment with alcohol put their health, safety, and reputation with the law at risk. Though many different reasons may lead to a teen abusing alcohol, these reasons all have the potential to lead to alcohol abuse by teens.

Common risk factors for teen alcohol abuse include:

  • A family history of alcohol abuse
  • A mental or behavioral health condition
  • A history of trauma
  • Low self-esteem/insecurity
  • Impulsivity
  • Peer pressure
  • A desire for social acceptance
  • Family problems
  • Close friendships with teens who drink

Teens who drink consume more than 90% of their alcohol by binge drinking. The allure of alcohol paired with its inaccessibility to those who are underage may be a reason for why, when obtained, teens tend to binge drink.

Warning Signs of underage Drinking include:

  • Change in mood, including anger/irritability
  • Academic and/or behavioral problems
  • Rebelliousness
  • Changing group of friends
  • Less interest in activities once pursued
  • Coordination problems
  • Slurred speech
  • Smelling like alcohol
  • Finding alcohol among his or her belongings

Abusing alcohol as a teen may be about more than the alcohol itself. If you or someone you know may be abusing alcohol as a teen, contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, and 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, visit http://www.counselingpsychotherapynjny.com/.

 

Sources: https://pubs.niaaa.nih.gov/publications/UnderageDrinking/UnderageFact.htm http://www.mayoclinic.org/diseases-conditions/drug-addiction/basics/definition/con-20020970